BadgerCare Plus Program Rules — Updates

December 11, 2013

Author:  
Department of Health Services

Source:  
www.dhs.wisconsin.gov

BadgerCare Plus Program Rules — Updates

As of July 1, 2012, some of the BadgerCare Plus Program rules will change. The changes which may affect you and/or your family include:
•Monthly premiums (depending on your income)
•Rules for reporting and providing proof of income
•The rules regarding access to affordable employer-sponsored health insurance

If any of these changes affect you and/or your family, you will receive a letter in mid-June telling you of the changes, their impact on you and your right to appeal those changes.

Monthly Premiums

Certain adults will have to start paying monthly premiums or pay higher premiums. The amount will be based on your family’s size and income.

Premiums will not change for members age 18 and under.

You will not pay a premium if you are:
•A pregnant woman
•A person with a disability (must be determined disabled by the Disability Determination Bureau or the Social Security Administration)
•An American Indian or child of an American Indian
•Age 18 through 21 years of age and were in foster care on your 18th birthday

If you are required to pay a monthly premium and you do not pay your premium, your benefits may end. Adults will not be able to receive health care benefits through BadgerCare Plus for 12 months and children for 6 months.

Click here for addition info on changes to Badger Care »