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Prescription costs

SeniorCare: help with drug costs in Wisconsin

SeniorCare is Wisconsin's prescription drug program for residents 65 and older, and there is no upper income limit.

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From the Wisconsin Department of Health Services (SeniorCare)
An older man's hands filling a weekly pill organizer next to prescription bottles

Your income sets how much you pay: at the lowest level there is no deductible and copays are $5 for generics and $15 for brand-name drugs. It costs $30 per person per year to enroll.

How to apply in Wisconsin

By mail
Send the SeniorCare Application (F-10076) and the $30 fee to SeniorCare, PO Box 6710, Madison, WI 53716-0710

Who may qualify in Wisconsin

Who may qualify for SeniorCare
One personMarried couple
Yearly income limit (2026)No upper limit. Income up to $25,536 a year gets the lowest costsNo upper limit. Income up to $34,624 a year gets the lowest costs
Age65 or older (you can apply in the month you turn 65)
Where you liveWisconsin resident
MedicaidCan't be in a full-benefit Medicaid program such as BadgerCare Plus. Any other coverage, including Medicare Part D, is fine

Source: Wisconsin Department of Health Services (source 1)

What you may get

What SeniorCare pays
Level 1: income up to $25,536 single or $34,624 couple (2026)No deductible. $5 for each covered generic and $15 for each covered brand-name drug
Level 2A: income $25,537 to $31,920 single or $34,625 to $43,280 couple (2026)$500 deductible per person, then $5 and $15 copays
Level 2B: income $31,921 to $38,304 single or $43,281 to $51,936 couple (2026)$850 deductible per person, then $5 and $15 copays
Level 3: higher incomes (2026)You pay retail price until you meet a spenddown, then an $850 deductible, then $5 and $15 copays
VaccinesCovers certain vaccines at the pharmacy

Source: Wisconsin Department of Health Services (source 2)

Dates, renewals and waiting lists

Dates and renewals
When to applyAny time once you are 65. Coverage starts the month after you apply, and you renew every year

Source: Wisconsin Department of Health Services (source 3)

How Wisconsin is different

Where Wisconsin's rules differ from the federal rules for State drug help programs (SPAPs).

  • No upper income limit

Source: Wisconsin Department of Health Services (source 2)

Good to know

  • SeniorCare works alongside your other coverage, including Medicare Part B and Part D.
  • Wisconsin's HIV Drug Assistance Program is a separate program for people living with HIV.

Sources: Wisconsin Department of Health Services (source 1), Medicare.gov (Centers for Medicare & Medicaid Services) (source 4)

Free help

Free help with this in Wisconsin

More help in Wisconsin

State help with drug costs in another state

Sources

  1. Wisconsin Department of Health Services, SeniorCare: Prescription Drug Assistance Program (official government site). Checked Oct 28, 2026.
  2. Wisconsin Department of Health Services, SeniorCare: Annual Income Limits (2026) (official government site). Checked Oct 28, 2026.
  3. Wisconsin Department of Health Services, SeniorCare: Apply or Renew (official government site). Checked Oct 28, 2026.
  4. Medicare.gov (Centers for Medicare & Medicaid Services), Find out if your state has a State Pharmaceutical Assistance Program: Wisconsin (official government site). Checked Oct 28, 2026.

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