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Questions
BadgerCare Plus Prenatal Program
Q: Who is eligible for the BadgerCare Plus Prenatal Program?
A: The BC+ Prenatal Program (BC+PP) provides coverage under the BC+ Program
for women who:
- Meet the non-financial and financial eligibility requirements for BC+,
- Have verified pregnancies, and
- Are not eligible for BC+ because they are either inmates of a public
institution or non-qualifying immigrants Non-qualifying immigrants are
individuals that are not eligible for BC+ due to immigration status.
Q: What changes have been made to the Prenatal Program?
A: The begin date and end date for BadgerCare Plus Prenatal Program (BC+PP)
coverage are the same as under the BadgerCare Prenatal Program.
- BC+PP coverage begins on the first of the month in which a valid
application is received and the pregnancy is verified.
- BC+PP benefits continue through the end of the month after delivery
following timely notice requirements. If a non-qualifying immigrant loses
her eligibility for the BC+PP when her pregnancy ends for any other reason
than moving out of state, she may be eligible for Emergency Services (ES).
If you compare the old BadgerCare PP to the current BadgerCare Plus PP, the
eligibility requirements and coverage period are the same, but the main changes
are related to income limits and premium payment by employers:
- To receive BC+PP, the woman must meet the non-financial and
financial eligibility requirements for BC+; have a verified pregnancy; and be ineligible for
BC+ because they are either inmates of a public institution or non-qualifying
immigrants (same as with BC PP)
- For BC+PP, the applicant’s net income must not exceed 300% of FPL (was
185%), and assistance groups with incomes in excess of 200% of FPL must pay
premiums (was 150%).
- Details about the premium amount paid by the employer was added (italics):
The applicant must not have access to an employer’s health insurance
benefit where the employer pays 80% or more of the premium cost.
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