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entire bill. The hospital bill is applied to the deductible first before counting any other medical costs that were incurred during the hospital stay. Example 1 Linda submits a $2,000 bill toward her deductible, for hospitalization from July 12 through July 14. She also submits a physician bill for $2,500 with a date of service of July 12. Apply the $2,000 hospital bill to the deductible first. 17.5.2 Pregnancy Fees Many providers charge a flat fee for pregnancy related services. The single fee includes all prenatal care, office visits, delivery, and postnatal care. The entire "global” pregnancy fee is counted as an expense as of the date an agreement was signed. This page last updated in Release Number: 07-01 Release Date: 10/29/07 Effective Date: 02/01/08 17.6 Prepaying a Deductible Anyone can prepay a BadgerCare Plus deductible for their self or for someone else. It can be paid in installments or all at once. A prepaid deductible may be refunded if the member requests a refund of the prepayment prior to the begin date of the corresponding deductible period. Instruct the member to make the payment payable to the local Income Maintenance Agency. Report the receipt on the Community Aids Reporting System (CARS) labeled as a Medical Refund. With the payment, include: 1. Documentation that the payment is voluntary. 2. The member’s name and BadgerCare Plus ID number. 17.6.1 Insufficient Funds If the deductible is paid with a check that is returned for insufficient funds, discontinue the person's eligibility, determine if an overpayment occurred and if so, establish a claim for benefit recovery. 17.6.2 Payment of Entire Deductible Amount If the entire deductible amount is paid at any point during the deductible period, eligibility begins on the first date of the deductible period. Example 1 Laura’s deductible period is from March 1 through August 31. The total deductible amount is $1,000. Laura submits payment of $1,000 on August 15. Laura’s BadgerCare Plus eligibility begins on March 1. 17.6.3 Combination of Payment and Incurred Expenses If the deductible is met through a combination of payment and incurred medical expenses, count the incurred medical expenses first. Eligibility, by paying the remaining deductible amount, can begin no earlier than the last date of incurred medical expense within the deductible period. Example 1 Gloria’s deductible period is from March 1 through August 31. The total BadgerCare Plus deductible amount is $1,800. Gloria submits a medical bill with a March 8 date of service for $800. On July 15, she submits payment of $1,000. Gloria’s BadgerCare Plus eligibility begins March 8. A BadgerCare Plus