|
State of Wisconsin |
Release 24-03 |
| Group Size | Annual FPL | 100% FPL | 133% FPL | 150% FPL | 156% FPL | 191% FPL | 201% FPL | 300% FPL | 306% FPL |
|
1 |
$15,060 | $1,255.00 | $1,669.15 | $1,882.50 | $1,957.80 | $2,397.05 | $2,522.55 | $3,765.00 | $3,840.30 |
|
2 |
$20,440 | $1,703.33 | $2,265.43 | $2,555.00 | $2,657.19 | $3,253.36 | $3,423.69 | $5,109.99 | $5,212.19 |
|
3 |
$25,820 | $2,151.67 | $2,861.72 | $3,227.51 | $3,356.61 | $4,109.69 | $4,324.86 | $6,455.01 | $6,584.11 |
|
4 |
$31,200 | $2,600.00 | $3,458.00 | $3,900.00 | $4,056.00 | $4,966.00 | $5,226.00 | $7,800.00 | $7,956.00 |
|
5 |
$36,580 | $3,048.33 | $4,054.28 | $4,572.50 | $4,755.39 | $5,822.31 | $6,127.14 | $9,144.99 | $9,327.89 |
|
6 |
$41,960 | $3,496.67 | $4,650.57 | $5,245.01 | $5,454.81 | $6,678.64 | $7,028.31 | $10,490.01 | $10,699.81 |
|
7 |
$47,340 | $3,945.00 | $5,246.85 | $5,917.50 | $6,154.20 | $7,534.95 | $7,929.45 | $11,835.00 | $12,071.70 |
|
8 |
$52,720 | $4,393.33 | $5,843.13 | $6,590.00 | $6,853.59 | $8,391.26 | $8,830.59 | $13,179.99 | $13,443.59 |
|
9 |
$58,100 | $4,841.67 | $6,439.42 | $7,262.51 | $7,553.01 | $9,247.59 | $9,731.76 | $14,525.01 | $14,815.51 |
|
10 |
$63,480 | $5,290.00 | $7,035.70 | $7,935.00 | $8,252.40 | $10,103.90 | $10,632.90 | $15,870.00 | $16,187.40 |
|
11 |
$68,860 | $5,738.33 | $7,631.98 | $8,607.50 | $8,951.79 | $10,960.21 | $11,534.04 | $17,214.99 | $17,559.29 |
|
12 |
$74,240 | $6,186.67 | $8,228.27 | $9,280.01 | $9,651.21 | $11,816.54 | $12,435.21 | $18,560.01 | $18,931.21 |
|
13 |
$79,620 | $6,635.00 | $8,824.55 | $9,952.50 | $10,350.60 | $12,672.85 | $13,336.35 | $19,905.00 | $20,303.10 |
|
14 |
$85,000 | $7,083.33 | $9,420.83 | $10,625.00 | $11,049.99 | $13,529.16 | $14,237.49 |
$21,249.99 |
$21,674.99 |
|
15 |
$90,380 | $7,531.67 | $10,017.12 | $11,297.51 | $11,749.41 | $14,385.49 | $15,138.66 | $22,595.01 | $23,046.91 |
|
16 |
$95,760 | $7,980.00 | $10,613.40 | $11,970.00 | $12,448.80 | $15,241.80 | $16,039.80 | $23,940.00 | $24,418.80 |
|
17 |
$101,140 | $8,428.33 | $11,209.68 | $12,642.50 | $13,148.19 | $16,098.11 | $16,940.94 | $25,284.99 | $25,790.69 |
|
18 |
$106,520 | $8,876.67 | $11,805.97 | $13,315.01 | $13,847.61 | $16,954.44 | $17,842.11 | $26,630.01 | $27,162.61 |
|
19 |
$111,900 | $9,325.00 | $12,402.25 | $13,987.50 | $14,547.00 | $17,810.75 | $18,743.25 | $27,975.00 | $28,534.50 |
|
20 |
$117,280 | $9,773.33 | $12,998.53 | $14,660.00 | $15,246.39 | $18,667.06 | $19,644.39 | $29,319.99 | $29,906.39 |
|
21 |
$122,660 | $10,221.67 | $13,594.82 | $15,332.51 | $15,945.81 | $19,523.39 | $20,545.56 | $30,665.01 | $31,278.31 |
|
22 |
$128,040 | $10,670.00 | $14,191.10 | $16,005.00 | $16,645.20 | $20,379.70 | $21,446.70 | $32,010.00 | $32,650.20 |
|
23 |
$133,420 | $11,118.33 | $14,787.38 | $16,677.50 | $17,344.59 | $21,236.01 | $22,347.84 | $33,354.99 | $34,022.09 |
|
24 |
$138,800 | $11,566.67 | $15,383.67 | $17,350.01 | $18,044.01 | $22,092.34 | $23,249.01 | $34,700.01 | $35,394.01 |
| each additional person | $5,380 | $448.33 | $596.28 | $672.50 | $699.39 | $856.31 | $901.14 | $1,344.99 | $1,371.89 |
| 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: 24-01
Release Date: 04/03/2024
Effective Date: 02/01/2024
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.
Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.
Publication Number: P-10171