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Family Planning Only Services (Wisconsin Medicaid)


Apply online at - click on "Apply for Benefits"


Wisconsin women seeking contraception are now able to get confidential family planning health care services and supplies through the Family Planning Only Services
program (FPOS). The goal of the FPOS is to help women reduce unintended pregnancy and obtain family planning health care services. Thanks to the Wisconsin Medicaid Family Planning Only Services, you might qualify to receive these services at no cost to you.

Frequently Asked Questions about the FPOS

Who should consider this program?

All eligible women wanting contraceptive or family planning services.  arrow

What services are included?

Birth control methods, supplies and family planning healthcare services which include:

  • Routine reproductive health exams and tests
  • Pregnancy testing and counseling
  • Emergency contraception  arrow

Who can get these services?

Use the checklist below to see if you might qualify.

  • I am a woman 15-44 years old.
  • I am a U.S. citizen living in Wisconsin.
  • I do not receive Wisconsin Medicaid, BadgerCare, or Healthy Start.
  • I meet the income requirements.*

*Monthly Income Limits: (updated February 2017)
   One-person household $2,970.00

If you answered "yes" to all of the statements above, there is a good chance you qualify for the Family Planning Waiver Program.  arrow

Who can I see?

Any Medicaid-certified provider can offer the FPOS services. You can receive these services from:

  • UW-Eau Claire Student Health Service
  • Family planning clinics
  • Health departments
  • Physicians
  • Nurse practitioners
  • Federally qualified health centers  arrow

What do I need to apply?

(Click here to open a printable copy of the following instructions - updated 8/2016)

Wisconsin BadgerCare Family Planning Only Services
(Previously called the Family Planning Waiver Program)

The Family Planning Only Services (FPOS) Program provides men and women with certain family planning-related services and supplies to prevent unplanned pregnancies.

If you have questions about the FPOS Program, including questions about covered services, you can call Member Services at 1-800-362-3002, Monday through Friday, from 8:00 a.m. to 6:00 p.m.

To be eligible for the FPOS Program, you must:

  • Be a U.S. citizen or have a qualifying immigration status.
  • Be of childbearing or reproductive age.
  • Have income at or below $2,970.00* per month. Only your own income is counted. Your assets are not counted.
  • Not be enrolled in Wisconsin Medicaid or BadgerCare Plus. (You can be enrolled in private health insurance while you are enrolled in the FPOS Program.)
* This income limit is effective February 1, 2017. The income limit is based on federal guidelines, which may change each year.

To apply you will need:

  • Computer with internet access and a printer
  • Copy of your picture ID (Driver's License or Blugold ID)
  • Copy of your birth certificate or passport (only if you were NOT born in Wisconsin)
  • Copies of your paystubs for 30 days prior to your application OR a statement signed by your supervisor/manager indicating the date your employment began, the average number of hours you work per week, and your rate of pay/salary.
  • Summary of the current semester tuition charges AND financial aid/loan/scholarships from My Blugold CampS
  • Print off the tracking number from your application after you submit it online. It will be the first page of the application summary (has your name, date of application, and the tracking number)

Apply online at If needed, Student Health Services has a computer/printer available and is more than happy to help you when applying. A staff member is here from 8am-11am and 1pm-3pm to help you with any questions you may have. Please allow yourself about 30-40 minutes to finish your application. Once you submit your application fax (recommended, can use fax machine at Student Health Service) the supporting documents to (855)-293-1822 or mail it to:

Central Document Processing Unit
PO Box 7190
Madison, WI

Phone: (888)-283-0012

**Important Things to Remember When Applying**

  • This application is only about YOU (unless you have a spouse or children)
  • Use your local address
  • Income limits DO NOT include income of parents or roommates
  • If you are not the primary carrier of the health insurance you may be on, DO NOT list yourself as having health insurance
  • SAVE your username and password, you will need this if you choose to ever reapply
  • When you receive a booklet of information regarding the program that does not mean that your application has been processed and/or approved.  Once your application has been processed, you will receive a letter stating your application was approved and the date for which you became eligible for benefits.
  • You should also receive a white card that says Forward Health on it and lists your name and member ID number.  You will need this card if you ever need to receive services/supplies at another clinic or pharmacy.  A new card is not issued with re-applications.
  • Please be aware if for ANY reason your application for Family Planning Only Services is denied you will be financially responsible for services and/or supplies rendered during your family planning visits.

Where do I apply?

You may apply for these benefits at:  arrow

What are my next steps?

If you answer "yes" to all the prior checklist questions, your next step is to fill out an online application or contact the agency listed above and ask for an application for the Family Planning Waiver Program. arrow