Medicaid Eligibility CalculatorsWisconsin Medicaid eligibility at a glance
- BadgerCare PlusProgram
- Not adoptedExpansion status
- 100% FPLPeople under 65
- 100% FPLParents and caretakers
- 306% FPLPregnancy
- 306% FPLChildren (up to)
- 800-362-3002Agency phone
- Official siteAgency website
Wisconsin income limits for ages 19–64, 2026 (100% FPL)
| Household size | Monthly limit | Yearly limit |
|---|---|---|
| 1 | $1,330 | $15,960 |
| 2 | $1,803 | $21,640 |
| 3 | $2,277 | $27,320 |
| 4 | $2,750 | $33,000 |
| 5 | $3,223 | $38,680 |
| 6 | $3,697 | $44,360 |
| 7 | $4,170 | $50,040 |
| 8 | $4,643 | $55,720 |
Wisconsin Medicaid income limits by group, 2026
| Household | Parents /mo | Pregnancy /mo | Teens 6–18 /mo | Children, top /mo |
|---|---|---|---|---|
| 1 | $1,330 | — | — | — |
| 2 | $1,803 | $5,518 | $2,813 | $5,518 |
| 3 | $2,277 | $6,967 | $3,552 | $6,967 |
| 4 | $2,750 | $8,415 | $4,290 | $8,415 |
| 5 | $3,223 | $9,863 | $5,028 | $9,863 |
| 6 | $3,697 | $11,312 | $5,767 | $11,312 |
Children, pregnancy and parent limits use the Medicaid.gov eligibility levels table (state decisions as of December 1, 2023, the latest shown there), plus the 5% disregard, converted to dollars with 2026 poverty guidelines. States can change these, so confirm with your agency.
Wisconsin's children's limit of up to 306% of poverty ranks above most states, and its pregnancy limit of 306% is among the highest in the country. Compare all states' income limits.
Who qualifies for Medicaid in Wisconsin?
- People: Wisconsin has not adopted expansion, but BadgerCare Plus covers people with income up to 100% of the federal poverty level.
- Parents: with one child and a household of two, the parent limit is about $1,803 a month.
- Pregnant people: a household of two (you and your expected baby) can qualify up to about $5,518 a month.
- Children: a family of four can have up to about $4,290 a month for teens under Medicaid, and up to $8,415 depending on age and program.
- Seniors and people with disabilities: a common benchmark is $1,014 a month and $2,000 in assets for one person. Wisconsin's rules may differ, so confirm with the agency.
Wisconsin Medicaid examples
- A single person earning $1,230 a month is under the $1,330 limit, so likely eligible.
- A single person earning $1,530 a month is over the limit and should compare Marketplace plans.
- A pregnant person in a household of three earning $6,767 a month is within the pregnancy limit.
- A family of four earning $4,090 a month has teens within the Medicaid limit, even if the parents are over theirs.
Federal poverty levels used for Wisconsin
| Household | 100% FPL | 138% FPL | 150% FPL | 200% FPL |
|---|---|---|---|---|
| 1 | $15,960 | $22,025 | $23,940 | $31,920 |
| 2 | $21,640 | $29,863 | $32,460 | $43,280 |
| 3 | $27,320 | $37,702 | $40,980 | $54,640 |
| 4 | $33,000 | $45,540 | $49,500 | $66,000 |
| 5 | $38,680 | $53,378 | $58,020 | $77,360 |
| 6 | $44,360 | $61,217 | $66,540 | $88,720 |
| 7 | $50,040 | $69,055 | $75,060 | $100,080 |
| 8 | $55,720 | $76,894 | $83,580 | $111,440 |
Yearly dollars from the 2026 HHS poverty guidelines for the 48 contiguous states and DC. Divide by 12 for a monthly figure.
How to apply for Medicaid in Wisconsin
- Check your estimate with the Wisconsin Medicaid calculator above.
- Gather proof of identity, address, income and household.
- Apply through the Wisconsin Medicaid agency, by calling 800-362-3002, or at HealthCare.gov. Applying is free.
- Answer any requests for more information before the deadline.
- Look for a decision, usually within 45 days, or 90 days if it depends on a disability.
See our full Medicaid application guide and who qualifies.
What BadgerCare Plus covers
Like every state, Wisconsin must cover hospital care, doctor visits, lab tests and X-rays, nursing facility care, home health, family planning, rides to medical care and EPSDT services for children. Optional benefits, such as dental care for people 21 and older and eyeglasses, are up to the state. Ask the agency or your health plan for the current Wisconsin benefit list.
The coverage gap in Wisconsin
Because Wisconsin has not adopted full expansion, some people aged 19–64 earn too little for Marketplace premium tax credits, yet don't qualify for Medicaid. If that describes you, ask about community health centers and hospital financial aid. Check again if you become pregnant, get a disability diagnosis, or if your income rises to about 100% of the poverty level, when Marketplace savings may begin.
Seniors and long-term care in Wisconsin
Older people and people with disabilities in Wisconsin may qualify for coverage, help with Medicare costs, nursing home care or home care through waiver programs. These use separate income, asset and care-need rules, and a 60-month look-back on asset transfers applies to long-term care. See our guide to Medicaid for seniors.
Keeping your Wisconsin coverage
- Update your address with the agency when you move.
- Respond to every renewal letter by its deadline.
- Report changes in income or household as required.
- If you're denied, read the notice and ask about a fair hearing, usually within 90 days.
Free help in Wisconsin
Trained helpers can assist with applications at no cost. Dial 211, or find a local navigator at LocalHelp.HealthCare.gov. Be careful of anyone charging a fee to apply. Wisconsin residents on Medicaid can also check Lifeline phone discounts and food programs.
Wisconsin Medicaid FAQs
What is the Medicaid income limit in Wisconsin for 2026?
Wisconsin has not adopted full expansion. Parents can qualify at about 100% of poverty, pregnant people at 306% and children up to 306%.
Did Wisconsin expand Medicaid?
No. Wisconsin is one of 10 states that have not adopted expansion. Wisconsin still covers people up to 100% of poverty.
How do I apply for BadgerCare Plus?
Apply online through the state agency or HealthCare.gov, or call 800-362-3002. It is free and you can apply at any time.
Can pregnant women get Medicaid in Wisconsin?
Yes. The published limit is about 306% of poverty, or $5,518 a month for a household of two.
Does Wisconsin cover children through Medicaid or CHIP?
Wisconsin covers children through Medicaid and a separate CHIP program, up to about 306% of poverty.
Is the Wisconsin Medicaid calculator official?
No. It is an independent estimate. Only the Wisconsin Medicaid agency can make a decision.
Agency details from Medicaid.gov. Check the agency site for current contact information.
Other state Medicaid calculators
Benefits to know about in Wisconsin
Free Rides with Medicaid
Medicaid must help eligible members get to medical care if they have no other way.
Free Phone with Medicaid
Medicaid qualifies you for Lifeline, a federal phone and internet discount.
Free Eyeglasses with Medicaid
Children on Medicaid can get needed eyeglasses; older enrollees depend on the state.