|
State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
|
2022 Per-Member Copay Limits |
|||||||||||
| Status |
Assistance Group Income Tier as Percentage of the Federal Poverty Level |
||||||||||
|
0-50% |
>50-100% |
>100-150% |
>150-200% |
>200-250% |
>250-300% |
>300-350% |
>350-400% |
>400-450% |
>450-500% |
>500% |
|
| Individual |
$0 |
$26 |
$53 |
$79 |
$106 |
$132 |
$159 |
$186 |
$212 |
$239 |
$265 |
| Prorated (split between counted spouses) |
$0 |
$13 |
$26.50 |
$39.50 |
$53 |
$66 |
$79.50 |
$93 |
$106 |
$119.50 |
$132.50 |
This page last updated in Release Number: 22-01
Release Date: 04/04/2022
Effective Date: 04/04/2022
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