federally qualified health center site

LCHC St Paul Lutheran Sheboygan — Sheboygan, Wisconsin

About LCHC St Paul Lutheran Sheboygan

LCHC St Paul Lutheran Sheboygan is a federally qualified health center site in Sheboygan, Sheboygan County. HRSA funds it to see patients regardless of ability to pay.

HRSA Health Center Service Delivery Sites lists it; no source records whether GLP-1 medications are prescribed here.

GLP-1 coverage at LCHC St Paul Lutheran Sheboygan

Part B pays for the visit at LCHC St Paul Lutheran Sheboygan under the health center payment system, and the sliding fee scale can lower the cost of the visit for those who qualify; the drug is billed to Part D by a pharmacy.

HRSA lists no Medicare billing number here, so confirm billing before a first visit.

Medicare's general GLP-1 rules are set out.

  • Do you manage GLP-1 prescriptions for Medicare patients?
  • Which Medicare plans do you take?
  • What documents precede a prior authorization?

Insurance and Medicare at LCHC St Paul Lutheran Sheboygan

LCHC St Paul Lutheran Sheboygan is required to run a sliding fee scale by household income and size. Ask intake which documents prove it.

Wisconsin has not expanded Medicaid and counted roughly 1,315,539 Medicare beneficiaries as of 2026-08. Eligibility under 65 is narrower here, though dual eligibility still cuts Part D costs.

Wisconsin State Health Insurance Assistance Program (SHIP) answers formulary questions free at 1-800-242-1060; statewide rules sit.

Services and specialties

LCHC St Paul Lutheran Sheboygan is required to provide or arrange, directly or by referral:

Weight management and diabetes care sit inside primary care, where a GLP-1 conversation would start.

  • Primary care for all ages
  • Behavioral health and substance use care
  • Preventive dental care
  • Laboratory and diagnostic services

Getting there and what to expect

LCHC St Paul Lutheran Sheboygan is at 1819 N 13th St, Sheboygan, WI, 53081-2526, Sheboygan County.

Sheboygan measures 3,484 people per square mile: transit is usually practical, parking often paid.

Call 920-452-6829 before travelling.

  • Medicare card and any Part D card
  • Photo ID
  • Current medications and doses
  • Recent labs or prescriber notes
  • Income and household size, for the fee scale

Other options near LCHC St Paul Lutheran Sheboygan

The closest unrelated listing is LCHC @ Longfellow - MH, listed under Community Care Access, at the same registered coordinates. Distances are straight-line, so a drive is longer.

Sheboygan County carries 46 listings.

The full Wisconsin list is.

Other options near LCHC St Paul Lutheran Sheboygan
ResourceTypeDistance
LCHC @ Longfellow - MHCommunity Care Access · Sheboygan<0.1 mi
Leadership AcademyCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Jefferson ElementaryCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Sheridan ElementaryCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Jackson ElementaryCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Wilson ElementaryCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Madison ElementaryCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Horace Mann MiddleCommunity Care Access · Sheboygan<0.1 mi
Lakeshore Community Health Care, Inc. - Main FacilityCommunity Care Access · Sheboygan<0.1 mi
LCHC @ Warriner MIddle/High SchoolCommunity Care Access · Sheboygan<0.1 mi

Common questions

Questions about LCHC St Paul Lutheran Sheboygan

Does LCHC St Paul Lutheran Sheboygan accept Medicare for GLP-1 prescriptions?

No Medicare billing number or NPI is published for LCHC St Paul Lutheran Sheboygan, so participation has to be checked directly. Billing Medicare would cover the visit, not the GLP-1. Call 920-452-6829 to confirm.

What kind of site is LCHC St Paul Lutheran Sheboygan?

HRSA records LCHC St Paul Lutheran Sheboygan as a federally qualified health center service delivery site. That is a federal registration, not a service list.

Where is LCHC St Paul Lutheran Sheboygan?

LCHC St Paul Lutheran Sheboygan is at 1819 N 13th St, Sheboygan, WI, 53081-2526, Sheboygan County. The area measures 3,484 people per square mile. Sheboygan County holds 46 listings in all.

Is there a sliding fee scale at LCHC St Paul Lutheran Sheboygan?

Yes. Ask intake for the sliding fee application and bring income documentation for your household. The discount reduces what LCHC St Paul Lutheran Sheboygan charges for the visit, not what a pharmacy bills Part D for the GLP-1 itself. Call 920-452-6829 if the required documents aren't clear.

What GLP-1 medications does Medicare cover in Wisconsin?

Part D can cover a GLP-1 prescribed for an approved indication such as type 2 diabetes; weight-management coverage varies by plan. Wisconsin State Health Insurance Assistance Program (SHIP) reads Wisconsin formularies free at 1-800-242-1060.