Wisconsin Medicaid
Wisconsin
What is Wisconsin Medicaid?
Wisconsin Medicaid is a health insurance program for people aged 65 or older or those who are blind or have disabilities.
Some benefits covered through Wisconsin Medicaid may include:
• Routine check-ups
• Doctor and clinic visits
• Urgent care and emergency room visits
• Hospital care and outpatient care
• Prescriptions
• Immunizations
• Dental and vision care
• Laboratory and X-ray services
• Medical supplies and equipment
Some Medicaid programs also cover long-term care services, such as:
• Care/case management
• Community support programs
• Skilled nursing services
• Specialized medical equipment and supplies
• Supportive home care
Administration
Wisconsin Medicaid is administered by Wisconsin.
Program Requirements
Qualification Requirements Last Updated on 2025-03-01
You must be a Wisconsin resident and a U.S. citizen or qualifying immigrant* to be eligible for Wisconsin Medicaid. You also need to be in one of these groups:
• Aged 65 or older.
• Determined disabled by the Disability Determination Bureau.
• Determined blind by the Disability Determination Bureau.
*If you are not a U.S. citizen or qualifying immigrant, you may be able to get help through Emergency Services. DHS will not share your immigration status with the U.S. Citizenship and Immigration Services (USCIS).
Wisconsin has many different types of health care programs. If you are not eligible for Wisconsin Medicaid, you may be eligible for another program, such as BadgerCare Plus. Wisconsin also has programs that help with paying for food or child care, finding a job, and more. Before applying, go to access.wi.gov and click “See if you can get help” to learn about available programs.
Income and asset limits vary by Medicaid program. Learn more about the federal poverty level limits used for Wisconsin Medicaid.
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $20,030 |
| 2 | $27,186 |
| 3 | $34,341 |
| 4 | $41,496 |
| 5 | $48,652 |
| 6 | $55,807 |
| 7 | $62,963 |
| 8 | $70,118 |
Application Details
What is the application process for Wisconsin Medicaid?
Apply online: Go to access.wi.gov and log in or create an ACCESS account. This is the fastest and easiest way to apply for benefits. You can apply for multiple programs at the same time.
Apply by mail: Fill out and mail a paper application.
Apply over the phone or in person: You can apply through your local county or tribal agency.
Visit Apply for Benefits to learn more.
Contact Info
1-800-362-3002