Group

100%

120%

133%

135%

150%

185%

200%

250%

size

FPL

FPL

FPL

FPL

FPL

FPL

FPL

    FPL

1

$775.83

$931.00

$1,031.86

$1047.38

$1,163.75

$1435.29

$1,551.67

$1,939.58

2

$1040.83

$1,249.00

$1,384.31

$1,405.13

$1,561.25

$1,925.54

$2,081.67

$2,602.08

3

$1,305.83

$1,567.00

$1,736.76

$1762.88

$1,958.75

$2,415.79

$2,611.67

$3,264.58

4

$1,570.83

$1,885.00

$2,089.21

$2,120.63

$2,356.25

$2,906.04

$3,141.67

$3,927.08

5

$1,835.83

$2,203.00

$2,441.66

$2,478.38

$2,753.75

$3,396.29

$3,671.67

$4,589.58

6

$2,100.83

$2,521.00

$2,974.11

$2,836.13

$3,151.25

$3,886.54

$4,201.67

$5,252.08

7

$2,365.83

$2,839.00

$3,146.56

$3,193.88

$3,548.75

$4,376.79

$4,731.67

$5,914.58

8

$2,630.83

$3,157.00

$3,499.01

$3,551.63

$3,946.25

$4,867.04

$5,261.67

$6,577.08

9

$2,895.83

$3,475.00

$3,851.46

$3,909.38

$4,343.75

$5,357.29

$5,791.67

$7,239.58

10

$3,160.83

$3,793.00

$4,203.91

$4,267.13

$4,741.25

$5,847.54

$6,321.67

$7,902.08

11

$3,425.83

$4,111.00

$4,556.36

$4,624.88

$5,138.75

$6,337.79

$6,851.67

$8,564.58

12

$3,690.83

$4,429.00

$4,908.81

$4,982.63

$5,536.25

$6,828.04

$7,381.67

$9,227.08

13

$3,955.83

$4,747.00

$5,261.26

$5,340.38

$5,933.75

$7,318.29

$7,911.67

$9,889.58

14

$4,220.83

$5,065.00

$5,613.71

$5,698.13

$6,331.25

$7,808.54

$8,441.67

$10,552.08

15

$4,485.83

$5,383.00

$5,966.16

$6,055.88

$6,728.75

$8,298.79

$8,971.67

$11,214.58

16

$4,750.83

$5,701.00

$6,318.61

$6,413.63

$7,126.25

$8,789.04

$9,501.67

$11,877.08

each

additional

person

$265.00

$318.00

$352.45

$357.75

$397.50

$490.25

$530.00

$662.50

· Kids 6

Through

18

· QMB

· SLMB

· Cat

Needy

Pregnant

Women

· PE

· kids <6

· SLMB+

· BC

premium limit

· MAPP The Medicaid Purchase Plan (MAPP) offers people with disabilities who are working or interested in working the opportunity to obtain health care coverage through the Wisconsin Medicaid Program. premium limit

· Med

Needy

Pregnant

Women

· PE

· kids <6

· BC

applicant

premium

limit

· FPW

· QDWI

· BC

recipient

limit

· MAPP