State of Wisconsin
Department of Health Services

HISTORY

The policy on this page is from a previous version of the handbook. 

50.1 Federal Poverty Level Table

Group Size

Annual FPLFederal Poverty Level

100% FPL

133% FPL

150% FPL

156% FPL

191% FPL

201% FPL

300% FPL

306% FPL

1

$11,880

$990.00

$1,316.70

$1,485.00

$1,544.40

$1,890.90

$1,989.90

$2,970.00

$3,029.40

2

16,020

$1,335.00

$1,775.55

$2,002.50

$2,082.60

$2,549.85

$2,683.35

$4,005.00

$4,085.10

3

20,160

$1,680.00

$2,234.40

$2,520.00

$2,620.80

$3,208.80

$3,376.80

$5,040.00

$5,140.80

4

24,300

$2,025.00

$2,693.25

$3,037.50

$3,159.00

$3,867.75

$4,070.25

$6,075.00

$6,196.50

5

28,440

$2,370.00

$3,152.10

$3,555.00

$3,697.20

$4,526.70

$4,763.70

$7,110.00

$7,252.20

6

32,580

$2,715.00

$3,610.95

$4,072.50

$4,235.40

$5,185.65

$5,457.15

$8,145.00

$8,307.90

7

36,730

$3,060.83

$4,070.91

$4,591.25

$4,774.90

$5,846.19

$6,152.28

$9,182.50

$9,366.15

8

40,890

$3,407.50

$4,531.98

$5,111.25

$5,315.70

$6,508.33

$6,849.08

$10,222.50

$10,426.95

9

45,050

$3,754.17

$4,993.04

$5,631.25

$5,856.50

$7,170.46

$7,545.88

$11,262.50

$11,487.75

10

49,210

$4,100.83

$5,454.11

$6,151.25

$6,397.30

$7,832.59

$8,242.68

$12,302.50

$12,548.55

11

53,370

$4,447.50

$5,915.18

$6,671.25

$6,938.10

$8,494.73

$8,939.48

$13,342.50

$13,609.35

12

57,530

$4,794.17

$6,376.24

$7,191.25

$7,478.90

$9,156.86

$9,636.28

$14,382.50

$14,670.15

13

61,690

$5,140.83

$6,837.31

$7,711.25

$8,019.70

$9,818.99

$10,333.08

$15,422.50

$15,730.95

14

65,850

$5,487.50

$7,298.38

$8,231.25

$8,560.50

$10,481.13

$11,029.88

$16,462.50

$16,791.75

15

70,010

$5,834.17

$7,759.44

$8,751.25

$9,101.30

$11,143.26

$11,726.68

$17,502.50

$17,852.55

16

74,170

$6,180.83

$8,220.51

$9,271.25

$9,642.10

$11,805.39

$12,423.48

$18,542.50

$18,913.35

17

78,330

$6,527.50

$8,681.58

$9,791.25

$10,182.90

$12,467.53

$13,120.28

$19,582.50

$19,974.15

18

82,490

$6,874.17

$9,142.64

$10,311.25

$10,723.70

$13,129.66

$13,817.08

$20,622.50

$21,034.95

each additional person

$4,160

$346.67

$461.07

$520.00

$540.80

$662.13

$696.80

$1,040.00

$1,060.80

 

BadgerCare Plus Extensions Trigger BadgerCare Plus Adults Limit

BadgerCare Plus Extension Six-Month Premium Limit

BadgerCare Plus Child Deductible Limit

BadgerCare Plus Limit for Children 6–18 Years Old Subject to Access, Backdating, and PEpresumptive eligibility

BadgerCare Plus Limit for Children 1–5 Years Old Subject to Access, Backdating, and PE

BadgerCare Plus Children Premiums Limit

BadgerCare Plus Pregnant Women Deductible Limit

BadgerCare Plus Pregnant Women Children/FPOSFamily Planning Only Services - This plan provides certain services and supplies to people who are of childbearing or reproductive age to prevent unplanned pregnancies. Limit

 

An FPL calculator can be found at www.safetyweb.org/fpl.php.

 

 

 

This page last updated in Release Number: 16-01

Release Date: 02/15/2016

Effective Date: 02/01/2016


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