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Cost & Benefits

Benefits / Wisconsin

Medicaid eligibility in Wisconsin

The 2026 poverty guideline for four people in Wisconsin is $33,000. Wisconsin has a partial adult pathway. The substitute income limit is not stored, so we do not guess it. This site does not approve or deny benefits. A missing figure stays blank. We do not guess it. Read the sources on this page before you rely on a number.

Simple answer

Full adult Medicaid expansion is not in place here.

Wisconsin has not fully expanded Medicaid. We do not guess the adult cutoff. Children and pregnant people still have a path.

Who is inside Medicaid or CHIP on the rules we can verify? A household of four is measured against $33,000. Wisconsin has not adopted the full ACA Medicaid expansion.

The largest 2-bedroom Fair Market Rent gap among ranked metros in Wisconsin is $471: Minneapolis at $1,734 and Milwaukee at $1,263.

Wisconsin taxes wages at rates up to 7.65%. Combined state and local sales tax is 5.7%. The ACS effective property tax rate is 1.25%.

A household of four with $48,000 of income is about 145 percent of the $33,000 poverty guideline and is a maybe for Medicaid and CHIP. Maybe — a state pathway is unverified or only part of the household fits.

Limits behind the page

2026 poverty guideline in Wisconsin
Household100%138%185%
1$15,960$22,025$29,526
2$21,640$29,863$40,034
3$27,320$37,702$50,542
4$33,000$45,540$61,050

An illustrative household

Two adults, ages 34 and 32, filing jointly, plus children ages 8 and 3. Gross income $48,000 a year, about 145 percent of the poverty guideline in Wisconsin. They rent. Nobody is marked disabled or pregnant.

Medicaid and CHIP

Maybe

Maybe — a state pathway is unverified or only part of the household fits

  • This household is at 145 percent of the 2026 poverty guideline for Wisconsin ($33,000). 138 percent of that guideline is $45,540.
  • Children above 138 percent of poverty may still qualify for CHIP. The CHIP ceiling in Wisconsin is not verified in the dataset.
  • Wisconsin has not adopted the full ACA expansion. KFF reports it is outside the coverage gap because some adults under the poverty level have a pathway. The exact income limit is not stored.
See Medicaid and CHIP on HealthCare.gov

Check my household · Privacy

Related guides in Wisconsin

Last checked: October 15, 2026

Sources

What changed
  • October 15, 2026. The benefit rules file was checked against the sources listed here.
  • January 15, 2026. HHS published the 2026 poverty guidelines in the Federal Register.

Other programs in Wisconsin

Large metros in Wisconsin

Medicaid and CHIP in other states