First week of Affordable Care Act in Wisconsin 2013
BadgerCare requested paystubs for participants with children that are working from December.
Many of these people work in retail and other low wage jobs and during holidays typically are forced to work over time.
BadgerCare calculated household income based on overtime paystubs from participants and then changed the payments from $10 to $95 in one month.
I know of a person that this happened to and when he tried to fix it...he met with angry state workers who were unsympathetic and refused to change working hours to that actual amount and refused to accept anything but the full $90 payment in one payment. He had paid $45 the pervious pay period and was paying the next $45 the day he went in to get the paystub issue resolved. As he really works 30 hours per week 48 weeks per year.
Walker and his cabal of Republicans in the state house have made sure that as many people as possible are cut from the healthcare roles to keep State requirements as low as possible. While they hand over money in tax credits to the wealthy and shove money to private religious schools they cut the roles of BadgerCare.
Rule Changes in Income Reporting these rule changes forced most participants to report income in December 2012 and in doing so any extra/overtime hours worked would be shown as the holidays are the busiest time for retail workers. They then used these numbers to inflate payments and make many ineligible for BadgerCare. So he was forced to report income at a time when his hours spiked and crossed into overtime and as a result was kicked off badgercare. (forced to re-enroll in December 2013 and put on waiting list) THey would not accept his proof of paying 45 dollars earlier and was able to pay second 45 on his visit. THey wanted the full 90 in one payment. So they said he would be off the roles and would have to wait.
From BadgerCare Website:
Income Reporting Rules/Providing Proof
There are new rules for reporting changes in income and providing proof of changes in income. You must report, within 10 days if your income goes over the BadgerCare Plus Program rules. This amount will be listed on your Letters of Enrollment. You will also be required to send proof/verification of the change in income.
BadgerCare Plus Premiums: Effective July 1, 2012
As of July 1, 2012 certain adults will have to start paying monthly premiums or pay higher premiums. The amount will be based on your family’s size and income. Premiums will not change for members age 18 and under.
You will not pay a premium if you are:
A pregnant woman
A person with a disability (must be determined disabled by the Disability Determination Bureau or the Social Security Administration)
An American Indian or child of an American Indian
Age 18 through 21 years of age and were in foster care on your 18th birthday
If you are required to pay a monthly premium and you do not pay your premium, your benefits may end. Adults will not be able to receive health care benefits through BadgerCare Plus for 12 months and children for 6 months.
The charts below show the premium you may be required to pay, depending on your family size and income. The cost of your premium will be based on the income we currently have on file for you and your family. The premium will cover all adults in your family. The higher your income, the more your monthly premium will cost. If you will have a premium or your premium changes, you will get a letter telling you the amount. The income in this chart is based on gross income.
Family of 1 Person
Monthly Family Income Monthly Premium
$0.00 - 1,238.01 No Premium
$1,238.02 - 1,396.24 $37 - 49
$1,396.25 - 1,582.41 $56 - 71
$1,582.42 - 1,861.66 $78 - 108
$1,861.67 - 2,327.07 $117 - 179
$2,327.08 - 2,792.49 $188 - 257
$2,792.50 and over $265 and up
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