|
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 |
$12,760 |
$1,063.33 | $1,414.23 | $1,595.00 | $1,658.79 | $2,030.96 | $2,137.29 | $3,189.99 | $3,253.79 |
| 2 | $17,240 | $1,436.67 | $1,910.77 | $2,155.01 | $2,241.21 | $2,744.04 | $2,887.71 | $4,310.01 | $4,396.21 |
| 3 | $21,720 | $1,810.00 | $2,407.30 | $2,715.00 | $2,823.60 | $3,457.10 | $3,638.10 | $5,430.00 | $5,538.60 |
| 4 | $26,200 | $2,183.33 | $2,903.83 | $3,275.00 | $3,405.99 | $4,170.16 | $4,388.49 | $6,549.99 | $6,680.99 |
| 5 | $30,680 | $2,556.67 | $3,400.37 | $3,835.01 | $3,988.41 | $4,883.24 | $5,138.91 | $7,670.01 | $7,823.41 |
| 6 | $35,160 | $2,930.00 | $3,896.90 | $4,395.00 | $4,570.80 | $5,596.30 | $5,889.30 | $8,790.00 | $8,965.80 |
| 7 | $39,640 | $3,303.33 | $4,393.43 | $4,955.00 | $5,153.19 | $6,309.36 | $6,639.69 | $9,909.99 | $10,108.19 |
| 8 | $44,120 | $3,676.67 | $4,889.97 | $5,515.01 | $5,735.61 | $7,022.44 | $7,390.11 | $11,030.01 | $11,250.61 |
| 9 | $48,600 | $4,050.00 | $5,386.50 | $6,075.00 | $6,318.00 | $7,735.50 | $8,140.50 | $12,150.00 | $12,393.00 |
| 10 | $53,080 | $4,423.33 | $5,883.03 | $6,635.00 | $6,900.39 | $8,448.56 | $8,890.89 | $13,269.99 | $13,535.39 |
| 11 | $57,560 | $4,796.67 | $6,379.57 | $7,195.01 | $7,482.81 | $9,161.64 | $9,641.31 | $14,390.01 | $14,677.81 |
| 12 | $62,040 | $5,170.00 | $6,876.10 | $7,755.00 | $8,065.20 | $9,874.70 | $10,391.70 | $15,510.00 | $15,820.20 |
| 13 | $66,520 | $5,543.33 | $7,372.63 | $8,315.00 | $8,647.59 | $10,587.76 | $11,142.09 | $16,629.99 | $16,962.59 |
| 14 | $71,000 | $5,916.67 | $7,869.17 | $8,875.01 | $9,230.01 | $11,300.84 | $11,892.51 | $17,750.01 | $18,105.01 |
| 15 | $75,480 | $6,290.00 | $8,365.70 | $9,435.00 | $9,812.40 | $12,013.90 | $12,642.90 | $18,870.00 | $19,247.40 |
| 16 | $79,960 | $6,663.33 | $8,862.23 | $9,995.00 | $10,394.79 | $12,726.96 | $13,393.29 | $19,989.99 | $20,389.79 |
| 17 | $84,440 | $7,036.67 | $9,358.77 | $10,555.01 | $10,977.21 | $13,440.04 | $14,143.71 | $21,110.01 | $21,532.21 |
| 18 | $88,920 | $7,410.00 | $9,855.30 | $11,115.00 | $11,559.60 | $14,153.10 | $14,894.10 | $22,230.00 | $22,674.60 |
| 19 | $93,400 | $7,783.33 | $10,351.83 | $11,675.00 | $12,141.99 | $14,866.16 | $15,644.49 | $23,349.99 | $23,816.99 |
| 20 | $97,880 | $8,156.67 | $10,848.37 | $12,235.01 | $12,724.41 | $15,579.24 | $16,394.91 | $24,470.01 | $24,959.41 |
| 21 | $102,360 | $8,530.00 | $11,344.90 | $12,795.00 | $13,306.80 | $16,292.30 | $17,145.30 | $25,590.00 | $26,101.80 |
| 22 | $106,840 | $8,903.33 | $11,841.43 | $13,355.00 | $13,889.19 | $17,005.36 | $17,895.69 | $26,709.99 | $27,244.19 |
| 23 | $111,320 | $9276.67 | $12,337.97 | $13,915.01 | $14,471.61 | $17,718.44 | $18,646.11 | $27,830.01 | $28,386.61 |
| 24 | $115,800 | $9,650.00 | $12,834.50 | $14,475.00 | $15,054.00 | $18,431.50 | $19,396.50 | $28,950.00 | $29,529.00 |
| Each Additional Person | $4,480.00 | $373.33 | $496.53 | $560.00 | $582.39 | $713.06 | $750.39 | $1,119.99 | $1,142.39 |
| 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 |
For an online tool to calculate the FPL using household income in dollars, go to www.safetyweb.org/fpl.php.
This page last updated in Release Number: 20-02
Release Date: 02/20/2020
Effective Date: 02/01/2020
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