19.7 Refunds

Contact the BadgerCare Plus Unit at 1-888-907-4455 to issue a refund if the premium was paid and is for a month in which the:

Individual/family was ineligible for BadgerCare Plus.

The group’s countable income decreased and they no longer owe a premium, if the income change was reported timely.

A lower premium amount is due to a change in circumstances which was in effect for the entire month as long as the change was reported within ten days of the date it occurred. The lower premium amount due is the first day of the month in which the change was reported. A refund for the difference will be issued.

Example: A child without any income is added to the BadgerCare Plus group. Based on the group's income compared to the new group size, a premium is no longer owed. The fiscal agent will refund the premium that has already been paid.

Note: Premium payments may not be made in advance.

This page last updated in Release Number: 17-01

Release Date: 04/11/2017

Effective Date: 04/11/2017

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