Premium Requirements

Section 128.330  Premium Requirements a)         Veterans enrolled in Veterans Care must pay a monthly premium of $20.  The veteran may choose to enroll the eligible spouse for an additional $20 per month.  For any backdated months prior to December 1, 2012, premiums shall be as follows: 1)         If the Veteran's income is equal to or less than 25 percent of the Federal Poverty Level plus the Veterans Administration Geographic Means Test threshold, the premium is $40 per month. 2)         If the Veteran's income is more than 25 percent of the Federal Poverty Level plus the Veterans Administration Geographic Means Test threshold and equal to or less than 50 percent of the Federal Poverty Level plus the Veterans Administration Geographic Means Test threshold, the premium is $70 per month. 3)         There are no backdated months for an eligible spouse prior to December 1, 2012.  Premiums for any backdated months after December 1, 2012 for an eligible spouse are $20 per month. b)         Premiums are billed by and payable to the Department, or its authorized agent, on a monthly basis. c)         The premium due date is the 20 th day of the month preceding the month of coverage. d)         The premium may increase during the eligibility period if the Department makes a decision to increase premiums to keep the program costs within available funding. e)         Premiums for backdated months must be received by the 90 th day after the date of eligibility determination.  Coverage for backdated months is not provided if the payment is not received by the due date.