WI · guidance
Wis. ForwardHealth Online Handbook, Hospice, Topic #225
BadgerCare Plus
Populations Eligible for BadgerCare Plus
The following populations are eligible for BadgerCare Plus:
• Parents and caretakers with incomes at or below 100% of the FPL (Federal Poverty Level).
• Pregnant women with incomes at or below 300% of the FPL.
• Children (ages 18 and younger) with household incomes at or below 300% of the FPL.
• Childless adults with incomes at or below 100% of the FPL.
• Transitional medical assistance individuals, also known as members on extensions, with incomes over 100% of the FPL.
Where available, BadgerCare Plus members are enrolled in BadgerCare Plus HMOs. In those areas of Wisconsin where HMOs
are not available, services will be reimbursed on a fee-for-service basis.
Premiums
The following members are required to pay premiums to be enrolled in BadgerCare Plus:
• Transitional medical assistance individuals with incomes over 133% of the FPL. Transitional medical assistance individuals
with incomes between 100 and 133% FPL are exempt from premiums for the first six months of their eligibility period.
• Children (ages 18 and younger) with household incomes greater than 200% with the following exceptions:
» Children under age 1 year.
» Children who are tribal members or otherwise eligible to receive Indian Health Services.
Provenance
- Source
- www.forwardhealth.wi.gov
- Retrieved
- 2026-10-02
- Edition
- forwardhealth-hospice-2026-10-01
- Content hash
4047d25bce540aa323d9858b8b6bd6141feeceb573ab3cb9a79f6c31bcc8b156
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