Wisconsin Medicaid Eligibility Calculator (2026)
Wisconsin never adopted the ACA expansion but has no coverage gap: BadgerCare Plus covers adults and parents up to $1,330 a month for one person — 100% of the poverty line. Babies and pregnancy are covered up to $6,967 for a family of three.
Verified · Wisconsin DHS FPL guidelines
Eligibility checklist
BadgerCare Plus to 100%
Wisconsin covers adults to 95% of the poverty line plus the 5% disregard through a waiver, so everyone below 100% has BadgerCare Plus and everyone above it can use Marketplace tax credits.[MACPAC] Governor Evers proposed full expansion again in February 2025; the Joint Finance Committee removed it in May 2025.[KFF]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 100% | $1,330 | $1,804 | $2,277 | $2,750 | $3,697 |
| Parents | 100% | $1,330 | $1,804 | $2,277 | $2,750 | $3,697 |
| Pregnancy | 306% | $4,070 | $5,519 | $6,967 | $8,415 | $11,312 |
| Children | 306% | $4,070 | $5,519 | $6,967 | $8,415 | $11,312 |
Children and pregnancy
Babies and pregnant women qualify to 301% of the poverty line in Medicaid. Children 1–5 are in Medicaid to 186% and older children to 151% (partly CHIP-funded), and the separate CHIP covers ages 1–18 to 301%.[MACPAC] Wisconsin uses the 2026 poverty guidelines from February 1, 2026 through January 31, 2027.[state]
Postpartum, from July 2026
Wisconsin’s 12-month postpartum extension took effect July 1, 2026, according to the Governor’s office as recorded in KFF’s tracker.[KFF] Mothers who gave birth before that date should confirm their own coverage period with the agency.
Applying
Apply through ACCESS Wisconsin. Older adults have an 81% poverty-level pathway and a medically needy level at 100% of the poverty line.[MACPAC]
Worked example
A 58-year-old in Green Bay with no children at home earns $1,250 a month. That is 94% of the poverty line for 1.
| Adult 19–64 | covered | $1,330 |
Nearby: Minnesota · Iowa · Illinois · Michigan. How limits are applied · ACCESS Wisconsin · Report a correction