Wisconsin MedicaidUpdated April 8, 2021 Medicaid
Wisconsin Medicaid is a health care program for people with disabilities, people 65 years and older. The program offers free or low-cost health care coverage to many Wisconsin residents.
|Program Name||Wisconsin Medicaid|
|Appeal a Denial||Request a Hearing|
|Find a Local Office||County Contact Information|
To be eligible for Wisconsin Medicaid, you must be a resident of the state of Wisconsin, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:
- Be responsible for a child 18 years of age or younger
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
Annual Household Income Limits (before taxes)
|Household Size*||Maximum Income Level (Per Year)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Chiropractic services||Nursing services|
|Dental services||Optometric services, including eyeglasses|
|Family planning||Pharmacy services|
|Home health services||Physical and occupational therapy|
|Hospice care||Physician services|
|Hospital services||Podiatry services|
|Laboratory and X-ray services||Rural health clinic services|
|Maternity services||Speech, hearing, and language therapy|
|Medical supplies and equipment||Substance abuse treatment|
|Mental health services||Transportation to medical appointments|
You may have to pay copays if your monthly income is more than the amount listed in the table below for your family size.
|Family Size||Monthly Income|
Copays for Wisconsin Medicaid are based on the cost of the service.
|Up to $10.00||$0.50|
|From $10.01 to $25.00||$1.00|
|From $25.01 to $50.00||$2.00|
Copayments are not required for the following:
- Children under age 19
- Children in foster care
- Children in adoption assistance
- Pregnant women during the pregnancy and for at least 60 days postpartum
- American Indians or Alaska Natives
- People getting hospice care who are terminally ill
- Nursing home residents