We schedule by appointments only until January; it is recommend that you arrive 15 minutes early for your appointment with one of our staff or volunteers to ensure we can process your enrollment in a timely manner. We can process approximately 30 enrollments/re-enrollments each week.
Enrollments are conducted at the HealthNet Medical Clinic located at 23 W. Milwaukee Street, Janesville, WI 53548 (map). We are just past the river above the Dubes Jewelry Store. Brown awnings with the HealthNet of Rock County, Inc. logo indicate our entrances in the front and the back of the building.
If you are only eligible for dental services (and not medical), your enrollment will be conducted at our dental clinic at 1344 Creston Park Rd, Suite 2, Janesville, WI 53545
If you are missing documents, you will NOT be able to re-enroll and will be asked to return another week.
- Proof of Residence
- A utility bill
- A piece of mail with your name on it)
- Income verification
- Payroll check stubs (two of the most recent for every working member of the household). If self employed, Schedule C
- Unemployment or Social Security verification documentation (cannot be a bank statement)
- Current verification of all other sources of income (child support, rental assistance, workers compensation, disability, alimony, pension & annuities, interest & dividends, financial assistance for living expenses)
- Current tax information
- 1040 EZ (page 1)
- 1040 (pages 1-2)
- If self-employed, Schedule C (pages 1-2)
- Other documentation to provide
- If you have applied for an insurance hardship exemption, please provide proof.
- Must apply for BadgerCare/Medicaid
- Visit this website to complete the enrollment process.
- Please bring the letter of approval or denial that states your full name.
In order to receive services (or continue receiving services) from HealthNet of Rock County, all patients are required to complete an enrollment interview to determine their eligibility.
At HealthNet, our patients who are uninsured must enroll. You do not need to enroll if you are only utilizing the Forward Health card at HealthNet’s dental clinic.
In 2020, enrollments will only be done based on the available dates below.
Here are current available dates for enrollment in January, February, and March 2020:
Every 2nd & 4th Monday of the Month from 1 PM – 3 PM
Every 2nd & 4th Thursday of the Month from 9 AM – 12 PM
March 12th’s enrollment will be from 1:30 PM – 3:30 PM
Important information for all enrollees
Remember to bring ALL DOCUMENTS with you! This includes financial documents of other individuals in your household.
For example, if you live with your parents and they provide assistance (let you live rent-free, pay your bills, pay for food, etc.) we need their financial documents (pay stubs, taxes, proof of other income sources, etc.).
Failure to bring all required documents will result in having to delay your enrollment
Please bring your most recent federal tax return
You must present a copy of your most-recent federal tax return. This requirement will be waived until April 15 each year if you have not yet filed taxes. After April 15 you will be ineligible for ALL HealthNet services until the tax return is brought in. If you do not file taxes, we will have you sign a 4506-T form.
Why so many documents required for enrollment?
We rely on donations, grants, patient assistance programs, and other programs to provide patients with medications, medical consultations, and medical provider appointments. We have several grants and funding sources that require us to report financial information, demographic information, residency information, and other information about our patients.
Will my personal info be kept secure?
Your info is kept confidential in reports as we only report on our patients as a whole. We do not associate patient names, Social Security numbers, or other specific identifying information in reports. We also receive medications from pharmaceutical patient assistance programs.
Patients sign an authorization to allow HealthNet to release information to these programs on your behalf. Without your financial information (pay stubs, SSI documentation, taxes, etc.) we CANNOT process requests for medications, and we cannot provide you your medications free of charge.
If we do not have your medication in stock, we will call it into a pharmacy of your choice. However, the patient is responsible for paying the cost for these medications. For these reasons, we must require all patients to provide us with all requested documents at the time of enrollment. Our clinic longevity depends on it!