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BadgerCare Plus Medical Status Codes

Information on medical status codes may change. Please check this page for the most up-to-date information.

#	Med Stat	Description	BadgerCare Plus Plan Information
1	BA	pregnant woman	BC+ Standard Plan — No Copay
2	AB	pregnant woman	BC+ Standard Plan — No Copay
3	BB	pregnant woman	BC+ Benchmark Plan + dental, No Copay
4	AA	pregnant woman	BC+ Benchmark Plan + dental, No Copay
5	PS	pregnant woman, deductible	BC+ Benchmark Plan + dental, No Copay
6	PM	pregnant minor, under age 19	BC+ Benchmark Plan + dental
7	TP	pregnant minor, under age 19 — tribal member	BC+ Benchmark Plan + dental, No Copay
8	TB	pregnant minor, under age 19 — tribal member	BC+ Benchmark Plan + dental, No Copay
9	BE	child, under age 19	BC+ Standard Plan — No Copay
10	BJ	child, under age 6	BC+ Standard Plan — No Copay
11	BF	child, ages 6 through 18	BC+ Standard Plan
12	BC	child, under 6	BC+ Standard Plan
13	BG	child, ages 6 through 18	BC+ Standard Plan
14	BH	child, ages 1 through 18	BC+ Benchmark Plan + dental
15	TC	child, ages 1 through 18 — tribal member	BC+ Benchmark Plan + dental, No Copay
16	BI	child, under age 19	BC+ Benchmark Plan + dental
17	BK	child, under age 19, deductible	BC+ Standard Plan
18	BL	parents/caretakers	BC+ Standard Plan
19	BM	caretakers	BC+ Standard Plan
20	BN	caretakers	BC+ Standard Plan
21	1B	parents	BC+ Standard Plan
22	2B	parents	BC+ Standard Plan
23	3B	parents	BC+ Standard Plan
24	B8	parents/caretakers community waiver elig.	BC+ Standard Plan
25	BO	caretakers (self employed & farmers)	BC+ Benchmark Plan
26	4B	parents (self employed & farmers)	BC+ Benchmark Plan
27	BY	youths exiting out of home care	BC+ Standard Plan
28	BP	transitional grandfathering (Prev. elig. under MA or BC up to 130%)	BC+ Standard Plan
29	BQ	transitional grandfathering (Prev. elig. under BC)	BC+ Standard Plan
30	BR	transitional grandfathering (Prev. elig. under BC)	BC+ Standard Plan
31	B9	transitional grandfathering (Prev. elig. under BC) community waiver elig	BC+ Standard Plan
32	BS	nonqualifying pregnant alien	BC+ Standard Plan — No Copay
33	BT	nonqualifying pregnant alien	BC+ Benchmark Plan + Dental, No Copay
34	BX	pregnant inmate	BC+ Standard Plan — No Copay
35	BZ	pregnant inmate	BC+ Benchmark Plan + Dental, No Copay
36	BU	Express Enrollment for a child, age 1 through 18	BC+ Standard Plan — No Copay
37	BV	Express Enrollment for a pregnant woman	BC+ Standard Plan, No Copay, ambulatory services. No inpatient services are payable.
38	BW	Express Enrollment for a pregnant woman	BC+ Benchmark Plan + dental, No copay, ambulatory services. No inpatient services are payable.
39	N1	CEN — mom in SP or MA on DOB	BC+ Standard Plan, No Copay
40	N3	CEN — mom in BMP on DOB	BC+ Benchmark Plan + Dental
41	NC	child, under age 19, inst.	BC+ Standard Plan — No Copay
42	X6	earnings extension — 12 mo	BC+ Standard Plan
43	X8	earnings extension - 12 months child < 19	BC+ Standard Plan — No Copay
44	X9	earnings extension - 4 mo child < 19	BC+ Standard Plan — No Copay
45	X7	child support extension — 4 mo, adult	BC+ Standard Plan
46	C2	child < age 1	BC+ Benchmark Plan + Dental
47	TK	child<19, tribal member	BC+ Benchmark Plan + Dental, No copay
48	5B	Caretakers	BC+ Standard Plan
49	PA	nonqualifying pregnant alien	BC+ Benchmark Plan + Dental, No copay
50	EP	Express enrollment for a pregnant woman	BC+ Benchmark Plan + dental, No copay, ambulatory services. No inpatient services are payable.
51	N4	CEN - mom in SP or MA on DOB	BC+ Standard Plan
52	C3	child, ages 1 through 5	BC+ Standard Plan
53	EC	Express enrollment for a child <ages 1	BC+ Standard Plan - No Copay
54	T1	HCTP, adults	BC+ Benchmark Plan + Dental
55	T2	HCTP, pregnant woman	BC+ Benchmark Plan + Dental
56	T3	HCTP, child <19	BC+ Benchmark Plan + Dental
57	C1	child < age 1	BC+ Standard Plan

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