Health Insurance Options
Learn about the health insurance options that might be available to you by answering the questions below:
#1: Health insurance from your job
Does your job offer "affordable" health insurance?
If the monthly amount you pay for your plan is less than 9.96% of your family's income, it is considered affordable.
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Talk to your employer about the plans available and how to sign up.
Do you qualify for health insurance from your job?
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Click Here to find out if you qualify for Medicare
#2: Medicare
To qualify for Medicare you must be 65 or over, OR receiving Social Security Disability, OR have end-stage kidney disease.
Do you qualify for Medicare?
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To sign up for Medicare, call 1-800-242-1060 or medicare.gov
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Click Here to find out if you qualify for BadgerCare Plus
#3: BadgerCare Plus
This program is for low-income adults, parents, and children.
Check the chart to see if you qualify based on your monthly income. You can sign up at any time if you qualify.
Household size is who you file taxes with
Household income is before taxes
Example: A family of 3 makes less than $2,152/mo.
Everyone would qualify.
| Household Size | Adults | Pregnant Women | Children (under age 19) |
|---|---|---|---|
| 1 | $0 - $1,330/mo | Mom + Baby ↓ | $0 - $4,070/mo |
| 2 | $0 - $1,803/mo | $0 - $5,518/mo | $0 - $5,518/mo |
| 3 | $0 - $2,277/mo | $0 - $6,967/mo | $0 - $6,967/mo |
| 4 | $0 - $2,750/mo | $0 - $8,415/mo | $0 - $8,415/mo |
| 5 | $0 - $3,223/mo | $0 - $9,863/mo | $0 - $9,863/mo |
Do you qualify for BadgerCare Plus?
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Sign up for BadgerCare Plus by going to access.wi.gov or schedule a free appointment with a Navigator
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Click Here to find out if you qualify for HealthCare.gov financial assistance.
#4: HealthCare.gov
Almost everyone can get a plan from HealthCare.gov, but financial help is based on income. Check the chart to see if you qualify based on your yearly income.
Even if your income is higher, you may still qualify for financial help. HealthCare.gov enrollment is November 1 - December 15.
If you missed the enrollment deadline, click here to learn about Special Enrollment Periods.
If you can get affordable insurance from a job, you will not get financial help on HealthCare.gov.
| Household Size: | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| Yearly income estimate: | $15,960 - $63,840 | $21,640 - $86,556 | $27,320 - $109,284 | $33,000 - $132,000 | $38,680 - $154,716 |
Do you qualify for financial help on HealthCare.gov?
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Sign up on HealthCare.gov or call 1-800-318-2596 between November 1 and January 15.
Did you miss the enrollment period? You may qualify for a Special Enrollment Period.
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We suggest scheduling a free appointment with a Navigator to discuss your options further.
There may be other options available to you such as a Special Enrollment Period.
You can download a printable PDF of this information
Click the image to download a copy in English and Spanish.
