State of Wisconsin Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

07-01 Version of 19.4 Premium Payment Methods

Upon request from the member, the fiscal agent (1-888-907-4455) will provide members with instructions for choosing their preferred payment method from the list below.  

Approved payment methods include:

1. Direct payment by check or money order.

2. Electronic Funds Transfer (EFT).

3. Wage withholding from each paycheck received.

Agencies are responsible to provide members with the Wage Withholding (F-13025) and EFT (F-13026) forms upon request, to facilitate the choice of payment method other than direct payment.  Instruct the member to mail the completed forms to the address listed on the forms once he or she has chosen a payment method.  Direct premium payments must be made until the fiscal agent informs the family the EFT and wage withholding has been set up.

This page last updated in Release Number: 07-01
Release Date: 10/29/07
Effective Date: 02/01/08

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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.

Publication Number: P-10171