B Premium Billing and Payment

Policy

The AHCCCS Division of Business and Finance (DBF) receives premium information and mails a bill for the premium to the customer on the 1st day of each month.  When the 1st day of the month is a weekend or holiday, the bills are mailed on the first working day.

The monthly billing statement notifies the customer of:

·        The children enrolled in KidsCare;

·        The date covered;

·        The total amount due; and

·        Premium due date.

1)    When Are Premium Payments Due?

Premiums are due by the 15th of the month for the current month’s eligibility.

When the balance is not paid before the first of the following month, the next premium billing statement includes the:

·        Current month’s premium(s);

·        Past due amount; and

Information about the premium hardship waiver (MA1204D) if there is a past due amount for the child’s premium.

See MA1204C for additional information about non-payment of premiums.

2)    How Can Payments be Made?

The customer or anyone else may pay the premium by:

·        Cashier’s check;

·        Personal check;

·        Money order; or

·        Credit or debit card.

NOTE      The AHCCCS website (azahcccs.gov) allows customers to pay their premiums on-line using either a debit card, credit card, or a bank account.

Premiums may be made in advance.  For example, the customer may pay quarterly, bi-annually or annually.

3)    Premium Changes

A change in income, number of members in the household, or the number of children who are KidsCare eligible may affect the premium amount.

When there is a decrease in premium and the change is verified by the 25^th day of the month, the change is effective the month following the month the change is verified.  When there is a decrease in premium and the change is verified on or after the 26^th day of the month, the change is effective the second month following the month the change is verified.  However, when the premium amount increases, a letter must be issued to inform the household of the increase at least 10 days before the first day of the following month.  When the letter is issued less than 10 days before the first of the following month, the increase does not take effect until the first day of the month after that.

Definitions

Legal Authority