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Wisconsin Medicaid

BadgerCare Plus

No Medicaid expansion 60-day postpartum Doula pending

BadgerCare Plus covers pregnant women up to 306% of the federal poverty line, roughly $79,010 annual income for a family of three in 2025. The state has not adopted Medicaid expansion.

On maternal health specifically: BadgerCare Plus has still ends postpartum Medicaid at 60 days, below the federal 12-month option adopted by the vast majority of states, and has a doula Medicaid benefit pending CMS approval.

Wisconsin covers childless adults up to 100% of the federal poverty line through BadgerCare Plus Core, the only non-expansion state with a direct adult benefit, but has declined the ACA's enhanced match. Wisconsin also has not adopted the federal 12-month postpartum option; coverage still ends at 60 days. ABC for Health and Wisconsin Alliance for Women's Health have pushed for both changes.

Ways to apply for BadgerCare Plus

These are the channels Wisconsin names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

access.wi.gov

In person
Local county or Tribal agency during office hours. Find an office
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Wisconsin's agency.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 306% FPL ($79,010 for a family of three in 2025).
  • Children 0-5 eligible up to 306% FPL ($79,010 for a family of three).
  • Parents eligible up to 100% FPL only, no expansion adult category.
  • Postpartum Medicaid still ends at 60 days.

For Black families

Roughly 175,000 Black residents are enrolled in BadgerCare Plus, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Wisconsin covers childless adults up to 100% of the federal poverty line through BadgerCare Plus Core, the only non-expansion state with a direct adult benefit, but has declined the ACA's enhanced match. Wisconsin also has not adopted the federal 12-month postpartum option; coverage still ends at 60 days. ABC for Health and Wisconsin Alliance for Women's Health have pushed for both changes.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/wi/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

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