|
State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
| Group Size | Annual FPL | 100% FPL | 133% FPL | 150% FPL | 156% FPL | 191% FPL | 201% FPL | 300% FPL | 306% FPL |
|
1 |
$15,650 | $1,304.17 | $1,734.55 | $1,956.26 | $2,034.51 | $2,490.96 | $2,621.38 | $3,912.51 | $3,990.76 |
|
2 |
$21,150 | $1,762.50 | $2,344.13 | $2,643.75 | $2,749.50 | $3,366.38 | $3,542.63 | $5,287.50 | $5,393.25 |
|
3 |
$26,650 | $2,220.83 | $2,953.70 | $3,331.25 | $3,464.49 | $4,241.79 | $4,463.87 | $6,662.49 | $6,795.74 |
|
4 |
$32,150 | $2,679.17 | $3,563.30 | $4,018.76 | $4,179.51 | $5,117.21 | $5,385.13 | $8,037.51 | $8,198.26 |
|
5 |
$37,650 | $3,137.50 | $4,172.88 | $4,706.25 | $4,894.50 | $5,992.63 | $6,306.38 | $9,412.50 | $9,600.75 |
|
6 |
$43,150 | $3,595.83 | $4,782.45 | $5,393.75 | $5,609.49 | $6,868.04 | $7,227.62 | $10,787.49 | $11,003.24 |
|
7 |
$48,650 | $4,054.17 | $5,392.05 | $6,081.26 | $6,324.51 | $7,743.46 | $8,148.88 | $12,162.51 | $12,405.76 |
|
8 |
$54,150 | $4,512.50 | $6,001.63 | $6,768.75 | $7,039.50 | $8,618.88 | $9,070.13 | $13,537.50 | $13,808.25 |
|
9 |
$59,650 | $4,970.83 | $6,611.20 | $7,456.25 | $7,754.49 | $9,494.29 | $9,991.37 | $14,912.49 | $15,210.74 |
|
10 |
$65,150 | $5,429.17 | $7,220.80 | $8,143.76 | $8,469.51 | $10,369.71 | $10,912.63 | $16,287.51 | $16,613.26 |
|
11 |
$70,650 | $5,887.50 | $7,830.38 | $8,831.25 | $9,184.50 | $11,245.13 | $11,833.88 | $17,662.50 | $18,015.75 |
|
12 |
$76,150 | $6,345.83 | $8,439.95 | $9,518.75 | $9,899.49 | $12,120.54 | $12,755.12 | $19,037.49 | $19,418.24 |
|
13 |
$81,650 | $6,804.17 | $9,049.55 | $10,206.26 | $10,614.51 | $12,995.96 | $13,676.38 | $20,412.51 | $20,820.76 |
|
14 |
$87,150 | $7,262.50 | $9,659.13 | $10,893.75 | $11,329.50 | $13,871.38 | $14,597.63 |
$21,787.50 |
$22,223.25 |
|
15 |
$92,650 | $7,720.83 | $10,268.70 | $11,581.25 | $12,044.49 | $14,746.79 | $15,518.87 | $23,162.49 | $23,625.74 |
|
16 |
$98,150 | $8,179.17 | $10,878.30 | $12,268.76 | $12,759.51 | $15,622.21 | $16,440.13 | $24,537.51 | $25,028.26 |
|
17 |
$103,650 | $8,637.50 | $11,487.88 | $12,956.25 | $13,474.50 | $16,497.63 | $17,361.38 | $25,912.50 | $26,430.75 |
|
18 |
$109,150 | $9,095.83 | $12,097.45 | $13,643.75 | $14,189.49 | $17,373.04 | $18,282.62 | $27,287.49 | $27,833.24 |
|
19 |
$114,650 | $9,554.17 | $12,707.05 | $14,331.26 | $14,904.51 | $18,248.46 | $19,203.88 | $28,662.51 | $29,235.76 |
|
20 |
$120,150 | $10,012.50 | $13,316.63 | $15,018.75 | $15,619.50 | $19,123.88 | $20,125.13 | $30,037.50 | $30,638.25 |
|
21 |
$125,650 | $10,470.83 | $13,926.20 | $15,706.25 | $16,334.49 | $19,999.29 | $21,046.37 | $31,412.49 | $32,040.74 |
|
22 |
$131,150 | $10,929.17 | $14,535.80 | $16,393.76 | $17,049.51 | $20,874.71 | $21,967.63 | $32,787.51 | $33,443.26 |
|
23 |
$136,650 | $11,387.50 | $15,145.38 | $17,081.25 | $17,764.50 | $21,750.13 | $22,888.88 | $34,162.50 | $34,845.75 |
|
24 |
$142,150 | $11,845.83 | $15,754.95 | $17,768.75 | $18,479.49 | $22,625.54 | $23,810.12 | $35,537.49 | $36,248.24 |
| each additional person | $5,500 | $458.33 | $609.58 | $687.50 | $714.99 | $875.41 | $921.24 | $1,374.99 | $1,402.49 |
| BadgerCare Plus Extensions trigger limit, BadgerCare Plus adults limit | BadgerCare Plus child deductible limit | BadgerCare Plus limit for children 6-18 years old subject to access, backdating, and presumptive eligibility | BadgerCare Plus limit for children 1-5 years old subject to access, backdating, and presumptive eligibility | BadgerCare Plus children premium limit | BadgerCare Plus pregnant women deductible limit | BadgerCare Plus pregnant women, children, and Family Planning Only Services limit |
This page last updated in Release Number: 25-01
Release Date: 02/10/2025
Effective Date: 02/01/2025
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