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State of Wisconsin |
Release 26-02 |
If a payment is made after adverse action of the benefit month the payment is applied to the next month's premium.
| Example 1 |
Alan's daughter Victoria is eligible for BadgerCare Plus, and a $15 premium is charged beginning August 2024. A premium statement is sent to Alan at the end of July with a due date of August 10. Alan does not make a payment by adverse action of August. Victoria remains eligible for BadgerCare Plus. Alan submits the $15 payment on August 21. The payment is applied to the premium for September that is due on September 10. |
If there is no premium for the next benefit month, a payment made after adverse action of the benefit month will be refunded. If the premium for the next benefit month is lower than what is paid, the excess amount will be refunded.
| Example 2 |
Angel's son Felix is receiving BadgerCare Plus and is due for renewal in March 2025. A $15 premium has been charged for Felix during the certification period that ends in March 2025. Angel completes the renewal on March 5, 2025, and Felix is determined eligible for a new certification period starting in April 2025 with a new premium amount of $10. Angel submits a $15 payment on April 1, 2025. This payment exceeds the premium due amount for April by $5, so $10 is applied to the April premium and $5 is refunded to Angel. |
This page last updated in Release Number: 24-01
Release Date: 04/03/2024
Effective Date: 04/01/2024
The information concerning the BadgerCare Plus program provided in this handbook release is published in accordance with: Titles XI, XIX and XXI of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapter 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2 and 101 through 109 of the Wisconsin Administrative Code.
Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.
Publication Number: P-10171