BadgerCare Plus Monthly Premiums Amounts — Effective February 1, 2013
BadgerCare Plus monthly premiums are based on family
size, income and Federal Poverty Level (FPL) guidelines. The premium
amount listed for your family size and income amount will cover all
adults in the family. If you have children in the family, with income
over 200% of the FPL, you will also be required to pay a premium for
that child. To see what percent of the FPL your family's income is at,
click here.
The following tables lists the BadgerCare Plus monthly
premium amounts for:
-
Children (age 18 and under) with family income over
200% of the FPL
-
Adults with family income over
133% of the FPL
-
Self-employed parents or an adults who cares for a
related child
BadgerCare Plus Monthly Premiums for Children
|
| Family Income |
200% to
230% |
230% to
240% |
240% to 250% |
250% to 260% |
260% to 270% |
270% to 280% |
280% to 290% |
290% to 300% |
300% and
Over |
| Monthly Premium Amount
for Each Child |
$10 |
$15 |
$23 |
$34 |
$44 |
$55 |
$68 |
$82 |
$97.53 |
Family Size: 1 Person,
2 People, 3 People, 4 People,
5 People, 6 People,
7 People, 8 People ,
9 People, 10 People
BadgerCare Plus Monthly Premiums for
Adults
|
|
Family Size of 1 Person |
| Monthly Family Income |
Monthly Premium |
$ 1,273.49 - 1,436.24
$ 1,436.25 - 1,627.74
$ 1,627.75 - 1,914.99
$ 1,915.00 - 2,393.74
$ 2,393.75 - 2,872.49
$ $2,872.50 and over |
$ 38 - 50
$ 57 - 73
$ 80 - 111
$ 121 - 184
$ 194 - 264
$ 273 and up |
|
Family Size of 2 People |
| Monthly Family Income |
Monthly Premium |
$ 1,719.04 - 1,938.74
$ 1,938.75 - 2,197.24
$ 2,197.25 - 2,584.99
$ 2,585.00 - 3,231.24
$ 3,231.25 - 3,877.49
$ 3,877.50 and over |
$ 52 - 68
$ 78 - 99
$ 108 - 150
$ 163 - 249
$ 262 - 357
$ 368 and up |
|
Family Size of 3 People |
| Monthly Family Income |
Monthly Premium |
$ 2,164.59 - 2,441.24
$ 2,441.25 - 2,766.74
$ 2,766.75 - 3,254.99
$ 3,255.00 - 4,068.74
$ 4,068.75 - 4,882.49
$ 4,882.50 and over |
$ 65 - 85
$ 98 - 125
$ 136 - 189
$ 205 - 313
$ 330 - 449
$ 464 and up |
|
Family Size of 4 People |
| Monthly Family Income |
Monthly Premium |
$ 2,610.14 - 2,943.74
$ 2,943.75 - 3,336.24
$ 3,336.25 - 3,924.99
$ 3,925.00 - 4,906.24
$ 4,906.25 - 5,887.49
$ 5,887.50 and over |
$ 78 - 103
$ 118 - 150
$ 163 - 228
$ 247 - 378
$ 397 - 542
$ 559 and up |
|
Family Size of 5 People |
| Monthly Family Income |
Monthly Premium |
$ 3,055.69 - 3,446.24
$ 3,446.25 - 3,905.74
$ 3,905.75 - 4,594.99
$ 4,595.00 - 5,743.74
$ 5,743.75 - 6,892.49
$ 6,892.50 and over |
$ 92 - 121
$ 138 - 176
$ 191 - 267
$ 289 - 442
$ 465 - 634
$ 655 and up |
|
Family Size of 6 People |
| Monthly Family Income |
Monthly Premium |
$ 3,501.24 - 3,948.74
$ 3,948.75 - 4,475.24
$ 4,475.25 - 5,264.99
$ 5,265.00 - 6,581.24
$ 6,581.25 - 7,897.49
$ 7,897.50 and over |
$ 105 - 138
$ 158 - 201
$ 219 - 305
$ 332 - 507
$ 533 - 727
$ 750 and up |
|
Family Size of 7 People |
| Monthly Family Income |
Monthly Premium |
$ 3,946.79 - 4,451.24
$ 4,451.25 - 5,044.74
$ 5,044.75 - 5,934.99
$ 5,935.00 - 7,418.74
$ 7,418.75 - 8,902.49
$ 8,902.50 and over |
$ 118 - 156
$ 178 - 227
$ 247 - 344
$ 374 - 571
$ 601 - 819
$ 846 and up |
|
Family Size of 8 People |
|
Monthly Family Income |
Monthly Premium |
|
$ 4,392.34 - 4,953.74
$ 4,953.75 - 5,614.24
$ 5,614.25 - 6,604.99
$ 6,605.00 - 8,256.24
$ 8,256.25 - 9,907.49
$ 9,907.50 and over |
$ 132 - 173
$ 198 - 253
$ 275 - 383
$ 416 - 636
$ 669 - 911
$ 941 and up |
|
Family Size of 9 People |
| Monthly Family Income |
Monthly Premium |
$ 4,837.89 - 5,456.24
$ 5,456.25 - 6,183.74
$ 6,183.75 - 7,274.99
$ 7,275.00 - 9,093.74
$ 9,093.75 - 10,912.49
$ 10,912.50 and over |
$ 145 - 191
$ 218 - 278
$ 303 - 422
$ 458 - 700
$ 737 - 1,004
$ 1,037 and up |
|
Family Size of 10 People |
| Monthly Family Income |
Monthly Premium |
$ 5,283.44 - 5,958.74
$ 5,958.75 - 6,753.24
$ 6,753.25 - 7,944.99
$ 7,945.00 - 9,931.24
$ 9,931.25 - 11,917.49
$ 11,917.50 and over |
$ 159 - 209
$ 238 - 304
$ 331 - 461
$ 501 - 765
$ 804 - 1,096
$ 1,132 and up |
Self-Employed Parents and Relative Caretakers Premiums
— Effective February 1, 2013.
|
|
Family Size |
200 to 210% |
210 to 220% |
220 to 230% |
230 to 240% |
240
to 250% |
250
to 260% |
| 1 |
$95 |
$100 |
$105 |
$110 |
$114 |
$119 |
| 2 |
$129 |
$135 |
$142 |
$148 |
$155 |
$161 |
| 3 |
$162 |
$170 |
$179 |
$187 |
$195 |
$203 |
| 4 |
$196 |
$206 |
$215 |
$225 |
$235 |
$245 |
| 5 |
$229 |
$241 |
$252 |
$264 |
$275 |
$287 |
| 6 |
$263 |
$276 |
$289 |
$302 |
$315 |
$329 |
| 7 |
$296 |
$311 |
$326 |
$341 |
$356 |
$370 |
| 8 |
$330 |
$346 |
$363 |
$379 |
$396 |
$412 |
| 9 |
$363 |
$381 |
$400 |
$418 |
$436 |
$454 |
| 10 |
$397 |
$417 |
$436 |
$456 |
$476 |
$496 |
| Family Size
|
260 to 270%
|
270 to 280% |
280 to 200% |
290 to 300%
|
300% |
| 1 |
$124 |
$129 |
$134 |
$138 |
$143 |
| 2 |
$168 |
$174 |
$180 |
$187 |
$193 |
| 3 |
$211 |
$219 |
$227 |
$235 |
$244 |
| 4 |
$255 |
$264 |
$274 |
$284 |
$294 |
| 5 |
$298 |
$310 |
$321 |
$333 |
$344 |
| 6 |
$342 |
$355 |
$368 |
$381 |
$394 |
| 7 |
$385 |
$400 |
$415 |
$430 |
$445 |
| 8 |
$429 |
$445 |
$462 |
$478 |
$495 |
| 9 |
$472 |
$491 |
$509 |
$527 |
$545 |
| 10 |
$516 |
$536 |
$556 |
$576 |
$595 |
Please Note: If you have a premium, you will get
a BadgerCare Plus Premiums slip each month. You should mail your premium
to the address on the slip. If you do not have your slip, mail your
premium to the following address:
BadgerCare Plus
C/O Wisconsin Department of Health Services
PO Box 93187
Milwaukee, WI 53293-0187
If you are required to pay a BadgerCare Plus monthly
premium and you fail to pay it, you will not be able to enroll in
BadgerCare Plus for 12 months if you are age 19 and over or 6 months if
you are age 18 and under.
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Information
Last Revised:
February 21, 2013 |
