Provider’s Guide to Accessing Women’s Health Care

What is your patient’s concern? Needs a pap smear or evaluation/treatment for an abnormal pap smear. Needs a pap smear or evaluation/treatment for an abnormal pap smear. Needs contraception or STI testing, treatment or vaccines Needs contraception or STI testing, treatment or vaccines Having abnormal uterine bleeding Having pelvic pain Needs a screening mammogram Back

What is your patient’s age? 45 and older Under 45 Back Back to Start

Is she uninsured or does she have insurance with a high deductible/co-pay that she cannot afford? Yes No Back Back to Start

Does her family make less than or equal to $29,425 plus $10,400 for each additional family member? Yes No Back Back to Start

Contact Kari Sievert of the Wisconsin Well Woman Program at (608) to discuss possible options. Back Back to Start

Is she eligible for any medical assistance programs such as BadgerCare, Medicaid or Medicare? Yes No Back Back to Start If you are unsure if you are eligible for Medicaid, please review the eligibility criteria here:

Medical assistance programs such as BadgerCare and Medicaid cover screening mammograms. If she eligible for these programs, she can enroll online at access.wi.gov, or by phone/mail by following instructions for her county of residence listed at Back Back to Start

She may be eligible to receive breast services through the Treatment Access Fund. Services include: -Breast exam, ultrasound, MRI, mammogram, and biopsy -Office visits related to breast services -Breast Surgery Enroll by phone through the WWWP Program office: -(608) (for Spanish (608) ) Back Back to Start

Is she uninsured or have insurance with high deductibles or co-pays that she can’t afford? Yes No Back Back to Start

Her insurance covers a screening mammogram. The patient should contact her primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Does her family makes less than or equal to $29,425 plus $10,400 for each additional family member? Yes No Back Back to Start

Contact Kari Sievert of the Wisconsin Well Woman Program at (608) to discuss possible options. Back Back to Start

Your patient may be eligible to enroll in the Wisconsin Well Woman Program. Yes No Enroll : -By mail (form available at -By phone through the WWWP Program office (608) (for Spanish (608) Has she been diagnosed with breast cancer? Back Back to Start

Wisconsin Well Woman Program will cover breast cancer screening. Back Back to Start

Is she a US citizen or an immigrant with qualifying immigrant status? Yes No Back Back to Start

Your patient may be eligible to enroll in Well Woman Medicaid. Services include: All Medicaid-covered services, not limited to breast cancer care Enroll by phone through the WWWP Program office: -(608) (for Spanish (608) ) Back Back to Start

Your patient may be eligible to receive breast services through the Treatment Access Fund. Services include: -Breast exam, ultrasound, MRI, mammogram, and biopsy -Office visits related to breast services Enroll by phone through the WWWP Program office: -(608) (for Spanish (608) ) Back Back to Start

Planned Parenthood provides these services. Appointments can be made by calling (608) (Madison South) or (608) (Madison East) or online at: US citizens of childbearing age, making an individual income of $ /month or less, and not receiving Medicaid/BadgerCare Plus are eligible to be enrolled in Family Planning Only Services (FPOS)- Planned Parenthood will enroll patients if they qualify and FPOS covers these services. Women who do not qualify for FPOS may be eligible to receive care at a reduced cost, depending on income. Back Back to Start

What is your patient’s age? 45 and older Under 45 Back Back to Start

Is she uninsured or does she have insurance with a high deductible/co-pay that she cannot afford? Yes No Back Back to Start

Your patient’s insurance covers a screening pap smear. She should contact her primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Does her family make less than or equal to $29,425 plus $10,400 for each additional family member? Yes No Back Back to Start

Planned Parenthood provides screening pap smears. Appointments can be made by calling (608) (Madison South) or (608) (Madison East) or online at: Women may be eligible to receive care at a reduced cost, depending on income. Back Back to Start

Your patient may be eligible to enroll in the Wisconsin Well Woman Program. Yes No Enroll : -By mail (form available at ) -By phone through the WWWP Program office (608) (for Spanish (608) Has she been diagnosed with a pre-cancerous cervical condition or cervical cancer? Back Back to Start

Wisconsin Well Woman Program will cover cervical cancer screening. Back Back to Start

Is she a US citizen or an immigrant with qualifying immigrant status? Yes No Back Back to Start

Your patient may be eligible to enroll in Well Woman Medicaid. Services include: All Medicaid-covered services, not limited to breast cancer care Enroll by phone through the WWWP Program office: -(608) (for Spanish (608) ) Back Back to Start

If your patient has a pre-cancerous condition, she may be eligible to receive care through Share the Health Free Gynecology clinic Consider referring her to STH for a consultation. Referral form is available at provider-information.htmlhttp:// provider-information.html Back Back to Start

Is she a US citizen or an immigrant with qualifying immigrant status? Yes No Back Back to Start

Is she uninsured or does she have insurance with a high deductible/co-pay that she cannot afford? Yes No Back Back to Start

Your patient’s insurance covers a screening pap smear. She should contact her primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Does her family make less than or equal to $29,425 plus $10,400 for each additional family member? Yes No Back Back to Start

Planned Parenthood provides screening pap smears. Appointments can be made by calling (608) (Madison South) or (608) (Madison East) or online at: center/wisconsin/madisonhttp:// center/wisconsin/madison Women may be eligible to receive care at a reduced cost, depending on income. Back Back to Start

Your patient may be eligible to enroll in Family Planning Only Services. Enroll online at access.wi.gov or by mail (form available at - form F10182)access.wi.gov Has she been diagnosed with a pre-cancerous cervical condition or cervical cancer? Yes No Back Back to Start

Family Planning Only Service will cover cervical cancer screening. Back Back to Start

Your patient may be eligible to enroll in Well Woman Medicaid. Services include: All Medicaid-covered services, not limited to breast cancer care Enroll by phone through the WWWP Program office: -(608) (for Spanish (608) ) Back Back to Start

Is she uninsured? Yes No Back Back to Start

Your Patient’s insurance covers a screening pap smear. She should contact her primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Does her family make less than or equal to $31,010 plus $12,180 for each additional family member? Yes No Back Back to Start

Planned Parenthood provides screening pap smears. Appointments can be made by calling (608) (Madison South) or (608) (Madison East) or online at: Women may be eligible to receive care at a reduced cost, depending on income. Back Back to Start

Your patient may be eligible to receive care at Share the Health Free Gynecology Clinic Consider referring her to STH for a consultation. She must have a pap smear first. Referral form is available at information.htmlhttp:// information.html Planned Parenthood can perform a pap smear. Women may be eligible to receive care at a reduced cost, depending on income. Appointments can be made online at centerwisconsin/madison or by phone at (608) (Madison South) or (608) (Madison East) centerwisconsin/madison Back Back to Start

Has she gone through menopause (≥1 year without a period)? Yes No Back Back to Start

Your patient may be eligible to receive care at Share the Health Free Gynecology Clinic, but needs a pelvic exam before being seen. Please perform a pelvic exam and then consider referring her to STH for a consultation. Referral form is available at information.htmlhttp:// information.html If you are not able to perform this exam, Planned Parenthood can. Appointments at Planned Parenthood can be made online at or by phone at (608) (Madison South) or (608) (Madison East) Back Back to Start

Please consider non-gynecologic causes of pelvic pain. Causes may include:  Gastrointestinal (constipation, irritable bowel syndrome, or inflammatory bowel disease)  Urinary (urinary tract infection)  Musculoskeletal Back Back to Start My patient’s pain is not due to the above-listed causes. My patient’s pain is not due to the above-listed causes.

Medical eligibility criteria for hormonal treatments is available at: If this treatment does not improve your patient’s pain in 3-6 months, she may be eligible to receive care at Share the Health Free Gynecology clinic. Referral form is available at information.htmlhttp:// information.html Back Back to Start Next, try ibuprofen as well as a hormonal treatment such as an oral contraceptive, progesterone IUD, or Depo Provera for 6 months.

Please Perform a pelvic exam and STI testing. Planned Parenthood can perform this exam/testing. Appointments at Planned Parenthood can be made online at centerwisconsin/madison or by phone at (608) (Madison South) or (608) (Madison East) centerwisconsin/madison Was a pelvic mass found on exam? Yes No Back Back to Start

Your patient may be eligible to receive care at Share the Health Free Gynecology Clinic Consider referring her to STH for a consultation. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Please consider non-gynecologic causes of pelvic pain. Causes may include:  Gastrointestinal (constipation, irritable bowel syndrome, or inflammatory bowel disease)  Urinary (urinary tract infection)  Musculoskeletal Then, try ibuprofen as well as a hormonal treatment such as an oral contraceptive, progesterone IUD, or Depo Provera for 6 months. Medical eligibility criteria for hormonal treatments is available at: If this treatment does not improve your patient’s pain in 3-6 months, she may be eligible to receive care at Share the Health Free Gynecology clinic. Referral form is available at information.htmlhttp:// information.html Back Back to Start

What is your patient’s age? 45 and older Under 45 Back Back to Start

Has she experienced on more than 1 occasion in the past year any of the following? - Bleeding that lasted > 7 days? - < 21 days from the start of 1 period to the start of the next? - Bleeding between periods or after sex? - More than 35 days between periods? Yes No Back Back to Start

Your patient does not meet diagnostic criteria for abnormal uterine bleeding. Back Back to Start

Has she had a pap smear within the past 3 years? Yes No Back Back to Start

Your patient may be eligible to receive care at Share the Health Free Gynecology Clinic Consider referring her to STH for a consultation. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Does she have insurance? Yes No Back Back to Start

Your patient’s insurance should cover evaluation for abnormal bleeding. She should contact primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Your patient may be eligible for a consult at Share the Health Free Gynecology Clinic, but she first needs a pap smear. Planned Parenthood can provide this if you cannot. Appointments at Planned Parenthood can be made online at or by phone at (608) (Madison South) or (608) (Madison East) US citizens of childbearing age, making an individual income of $ /month or less, and notreceiving Medicaid/BadgerCare Plus are eligible to be enrolled in Family Planning Only Services(FPOS)- Planned Parenthood will enroll patients if they qualify and FPOS covers these services. Women who do not qualify for FPOS may be eligible to receive care at a reduced cost, depending on income. Consider referring her to Share the Health for a consult. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Has she gone through menopause (≥1 year without a period)? Yes No Back Back to Start

Has she experienced on more than 1 occasion in the past year any of the following? - Bleeding that lasted > 7 days? - < 21 days from the start of 1 period to the start of the next? - Bleeding between periods or after sex? - More than 35 days between periods? Yes No Back Back to Start

Your patient does not meet diagnostic criteria for abnormal uterine bleeding Back Back to Start

Has she had a pap smear within the past 3 years? Yes No Back Back to Start

Your patient may be eligible to receive care at Share the Health Free Gynecology Clinic Consider referring her to STH for a consultation. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Does she have insurance? Yes No Back Back to Start

Your patient’s insurance should cover evaluation for abnormal bleeding. She should contact her primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Does her family makes less than or equal to $29,425 plus $10,400 for each additional family member? Yes No Back Back to Start

You patient may be eligible to enroll in the Wisconsin Well Woman Program which will cover a pap smear. Enroll : -By mail (form available at -By phone through the WWWP Program office (608) (for Spanish (608) ) After she has had a pap smear, she may be eligible to receive a consult at Share the Health Free Gynecology Clinic. Consider referring her to STH for a consultation. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Your patient may be eligible for a consult at Share the Health Free Gynecology Clinic, but she needs a pap smear first. Planned Parenthood can provide pap smears. Appointments at Planned Parenthood can be made online at centerwisconsin/madison or by phone at (608) (Madison South) or (608) (Madison East) centerwisconsin/madison US citizens of childbearing age, making an individual income of $ /month or less, and notreceiving Medicaid/BadgerCare Plus are eligible to be enrolled in Family Planning Only Services(FPOS)- Planned Parenthood will enroll patients if they qualify and FPOS covers these services. Women who do not qualify for FPOS may be eligible to receive care at a reduced cost, depending onincome. Consider referring her to Share the Health for a consult. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Has she had any vaginal bleeding within the past year? Yes No Back Back to Start

Your patient does not meet diagnostic criteria for abnormal uterine bleeding Back Back to Start

Has she had a pap smear within the past 3 years? Yes No Back Back to Start

Your patient may be eligible to receive care at Share the Health Free Gynecology Clinic Consider referring her to STH for a follow-up consultation. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Does she have insurance? Yes No Back Back to Start

Your patient’s insurance should cover evaluation for abnormal bleeding. She should contact her primary care provider to schedule an appointment. If she does not have a primary care provider, it is important for her to find out which providers her insurance will cover, and schedule an appointment. For more information on finding a provider, please see the link below: Back Back to Start

Does her family makes less than or equal to $29,425 plus $10,400 for each additional family member? Yes No Back Back to Start

Your patient may be eligible to enroll in the Wisconsin Well Woman Program which will cover a pap smear. Enroll : -By mail (form available at -By phone through the WWWP Program office (608) (for Spanish (608) ) After she has had a pap smear, she may be eligible to receive a consult at Share the Health Free Gynecology Clinic. Consider referring her to STH for a consultation. Referral form is available at information.htmlhttp:// information.html Back Back to Start

Your patient may be eligible for a consult at Share the Health Free Gynecology Clinic, but she needs a pap smear first. Planned Parenthood can complete pap smears. Appointments at Planned Parenthood can be made online at centerwisconsin/madison or by phone at (608) (Madison South) or (608) (Madison East) centerwisconsin/madison US citizens of childbearing age, making an individual income of $ /month or less, and notreceiving Medicaid/BadgerCare Plus are eligible to be enrolled in Family Planning Only Services(FPOS)- Planned Parenthood will enroll patients if they qualify and FPOS covers these services. Women who do not qualify for FPOS may be eligible to receive care at a reduced cost, depending onincome. Consider referring her to Share the Health for a consult. Referral form is available at information.htmlhttp:// information.html Back Back to Start