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28.1 Overpayments

An “overpayment” occurs when BC+ benefits are paid for someone who was not eligible for them or when BC+ premium calculations are incorrect.  The amount of recovery may not exceed the amount of the BC+ benefits incorrectly provided.  Some examples of how overpayments occur are:

 

  1. Concealing or not reporting income.

  2. Failure to report a change in income.

  3. Providing misinformation at the time of application regarding any information that would affect eligibility.

 

Note: Overpayments can only be recovered if the member failed to report a change for which they were notified they were required to report.

 

 

 

 

 

his page last updated in Release Number: 13-02

Release Date: 10/25/13

Effective Date: 10/01/13