|
|
Wisconsin Department of Health and Family Services |
|
|
Wisconsin Department of Health and Family Services |
| group
size |
100%
FPL |
120%
FPL |
133%
FPL |
135%
FPL |
150%
FPL |
175%
FPL |
185%
FPL |
200%
FPL |
250%
FPL |
| 1 | $816.67 | $980.00 | $1,086.17 | $1,102.50 | $1,225.00 | $1,429.17 | $1,510.83 | $1,633.33 | $2,041.67 |
| 2 | $1,100.00 | $1,320.00 | $1,463.00 | $1,485.00 | $1,650.00 | $1,925.00 | $2,035.00 | $2,200.00 | $2,750.00 |
| 3 | $1,383.33 | $1,660.00 | $1,839.83 | $1,867.50 | $2,075.00 | $2,420.83 | $2559.17 | $2,766.67 | $3,458.33 |
| 4 |
$1,666.67 |
$2,000.00 |
$2,216.67 |
$2,250.00 |
$2,500.00 |
$2,916.67 |
$3,083.33 |
$3,333.33 |
$4,166.67 |
| 5 |
$1,950.00 |
$2,340.00 |
$2,593.50 |
$2,632.50 |
$2,925.00 |
$3,412.50 |
$3,607.50 |
$3,900.00 |
$4,875.00 |
| 6 |
$2,233.33 |
$2,680.00 |
$2,970.33 |
$3,015.00 |
$3,350.00 |
$3,908.33 |
$4,131.67 |
$4,466.67 |
$5,583.33 |
| 7 |
$2,516.67 |
$3,020.00 |
$3,347.17 |
$3,397.50 |
$3,775.00 |
$4,404.17 |
$4,655.83 |
$5,033.33 |
$6,291.67 |
| 8 |
$2,800.00 |
$3,360.00 |
$3,724.00 |
$3,780.00 |
$4,200.00 |
$4,900.00 |
$5,180.00 |
$5,600.00 |
$7,000.00 |
| 9 |
$3,083.33 |
$3,700.00 |
$4,100.83 |
$4,162.50 |
$4,625.00 |
$5,395.83 |
$5,704.17 |
$6,166.67 |
$7,708.33 |
| 10 |
$3,366.67 |
$4040.00 |
$4,477.67 |
$4,545.00 |
$5,050.00 |
$5,891.67 |
$6,228.33 |
$6,733.33 |
$8,416.67 |
| 11 |
$3,650.00 |
$4,380.00 |
$4,854.50 |
$4,927.50 |
$5,475.00 |
$6,387.50 |
$6,752.50 |
$7,300.00 |
$9,125.00 |
| 12 |
$3,933.33 |
$4,720.00 |
$5,231.33 |
$5,310.00 |
$5,900.00 |
$6,883.33 |
$7,276.67 |
$7,866.67 |
$9,833.33 |
| 13 |
$4,216.67 |
$5,060.00 |
$5,608.17 |
$5,692.50 |
$6,325.00 |
$7,379.17 |
$7,800.83 |
$8,433.33 |
$10,541.67 |
| 14 |
$4,500.00 |
$5,400.00 |
$5,985.00 |
$6,075.00 |
$6,750.00 |
$7,875.00 |
$8,325.00 |
$9,000.00 |
$11,250.00 |
| 15 |
$4,783.33 |
$5,740.00 |
$6,361.83 |
$6,457.50 |
$7,175.00 |
$8,370.83 |
$8,849.17 |
$9,566.67 |
$11,958.33 |
| 16 |
$5,066.67 |
$6,080.00 |
$6,738.67 |
$6,840.00 |
$7,600.00 |
$8,866.67 |
$9,373.33 |
$10,133.33 |
$12,666.67 |
| 17 |
$5,350.00 |
$6,420.00 |
$7,115.50 |
$7,222.50 |
$8,025.00 |
$9,362.50 |
$9,897.50 |
$10,700.00 |
$13,375.00 |
| 18 |
$5,633.33 |
$6,760.00 |
$7,492.33 |
$7,605.00 |
$8,450.00 |
$9,858.33 |
$10,421.67 |
$11,266.67 |
$14,083.33 |
| each additional
person |
$283.33 |
$340.00 |
$376.83 |
$382.50 |
$425.00 |
$495.83 |
$524.17 |
$566.67 |
$708.33 |
| • Kids 6 through 18
• QMB |
• SLMB | • Cat Needy Pregnant
Women • PE • kids <6
|
•SLMB+ | • BC premium limit
• MAPP premium limit
|
• ALMB | • Med Needy Pregnant
Women • PE • kids <6 • BC applicant limit |
• QDWI
• BC recipient limit
|
• MAPP |
This page last updated in Release Number: 06-01
Release Date: 03/13/06
Effective Date: 02/01/06
