Learning Center . BadgerCare Plus . Pregnancy

Health insurance when you’re pregnant

Pregnant and need health insurance?

BadgerCare Plus is full healthcare coverage through Wisconsin Medicaid. For people who are pregnant or were pregnant in the last 60 days, it also pays for:

Doctor appointments and tests
Prenatal vitamins and prescriptions
Labor and delivery
Coverage benefits are available for 12 months after your pregnancy ends

A female doctor with glasses and a stethoscope in a white lab coat talking to a woman with shoulder-length brown hair wearing a red and gray striped sweater in a medical office.

What if I already have health insurance?

You may still qualify for BadgerCare Plus pregnancy and postpartum benefits even if you have other health insurance. Eligibility depends on income.

After your pregnancy:

Apply for BadgerCare Plus for your baby, and see if any other family members qualify.

When to apply:

Apply for BadgerCare Plus if:

You are pregnant or were pregnant in the last 60 days
You live in Wisconsin
Have a Social Security Number
Your monthly household income is equal to or lower than:

    Household Size:
    2
    3
    4
    5
    6
  


    Income before taxes:
    $0 - $5,518
    $0 - $6,967
    $0 - $8,415
    $0 - $9,863
    $0 - $11,312
  

To apply for BadgerCare Plus:

Apply online: access.wi.gov
In-Person: Call (877) 942-6837 and ask for local help near you.
By Phone: Visit the DHS website to find your local county office phone number

If you don’t qualify for BadgerCare Plus:

If you do not qualify for BadgerCare Plus because you are in prison or jail or because of your immigration status, apply for the BadgerCare Plus Prenatal Plan. You don’t need a Social Security Number to apply.

BadgerCare Plus Prenatal Plan is full healthcare coverage during your pregnancy and covers labor and delivery. You are covered until the end of your pregnancy.

You may qualify for BadgerCare Plus Prenatal Plan if:

You live in Wisconsin
Are not offered or covered by a full-benefit health insurance plan
You do not qualify for BadgerCare Plus due to immigration status OR because you are in jail or prison
Your monthly household income is equal to or lower than:

    Household Size:
    2
    3
    4
    5
    6
  


    Income before taxes:
    $0 - $5,518
    $0 - $6,967
    $0 - $8,415
    $0 - $9,863
    $0 - $11,312
  

After your pregnancy:

If you have a medical emergency within 60 days of the end of your pregnancy, you can get BadgerCare Plus Emergency Services Medicaid coverage.

BadgerCare Plus Emergency Services Medicaid:

Covers all services needed to treat the medical emergency
The benefits start the first day you get medical care for the emergency
The benefits end when your condition is no longer a medical emergency

HealthCare.gov Health Insurance

If anyone in your family does not qualify for BadgerCare Plus, they might qualify for financial help from the Marketplace.

Sign up within 60 days of the baby’s birth or during Open Enrollment from November 1 - January 15.

To sign up go online: HealthCare.gov

A cartoon girl with red hair, freckles, and green eyes, points upward with her right hand and is wearing a red and black plaid shirt. She is superimposed over an outline of the state with a background of an autumn forest and a winding road. A speech bubble reads, 'Did ya know?'

You can download a printable PDF of this information

Click the image to download a copy in English and Spanish.