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Wisconsin Medicaid Eligibility

Not Expanded

Program: BadgerCare Plus

$1,255/mo
Individual income limit
$2,583/mo
Family of 4 income limit
100% FPL
FPL threshold
⚠
Wisconsin has not expanded Medicaid
Non-disabled adults without dependent children generally cannot qualify for Medicaid in Wisconsin regardless of income. Children, pregnant women, seniors, and people with disabilities may still be eligible under separate rules.

Key Facts for Wisconsin

  • ✓Wisconsin has not formally expanded Medicaid under the ACA
  • ✓BadgerCare Plus covers adults up to 100% FPL (close to expansion)
  • ✓Wisconsin declined federal expansion funding but covers similar population
  • ✓Apply through ACCESS Wisconsin

What BadgerCare Plus Covers

✓ Doctor visits
✓ Hospital care
✓ Prescription drugs
✓ Mental health
✓ Dental
✓ Vision

Who Qualifies in Wisconsin?

Children
Most children under 19 may qualify depending on state rules, immigration category and residency through CHIP or Medicaid.
Pregnant women
Pregnant women typically qualify at higher income limits than standard Medicaid in Wisconsin.
Low-income adults
Wisconsin has not expanded Medicaid under the ACA (one of 10 non-expansion states). Non-disabled adults without children or a disability generally cannot qualify for Medicaid regardless of income. Children, pregnant women, seniors, and people with disabilities may still qualify under separate eligibility rules.
Seniors & disabled
Adults 65+ and people with disabilities may qualify through SSI-related Medicaid programs.

Check your eligibility

Find out if you qualify for BadgerCare Plus in 60 seconds. Free, no obligation.

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Apply directly in Wisconsin

You can also apply directly through the state portal — though our enrollment specialists can help you navigate the process for free.

Apply at state portal →
⚠ Not an Expansion State

Wisconsin has not expanded Medicaid. Eligibility is more restricted for adults.