Health coverage in Wisconsin
Wisconsin is the only state in the country with this arrangement, and it is better for the people who live here than either of the usual two. Here is why.
Has Wisconsin expanded Medicaid?
No. Wisconsin has not expanded Medicaid under the Affordable Care Act.
It is also the one state where that does not leave anybody stranded, which is the unusual part.
Is there a coverage gap in Wisconsin?
No. Wisconsin has no coverage gap.
BadgerCare covers adults with a household income up to 100% of the federal poverty level. That is exactly where help with a Marketplace premium begins, so the two meet with nothing in between.
Why is that combination unusual?
Most states get one of the two, not both.
Where Medicaid was widened to 138% of the poverty level, nobody is left without a route to coverage — but the 100% to 138% band is a Medicaid band there, so the Marketplace's largest help with the premium reaches nobody in it.
Where Medicaid was not widened, that band stays on the Marketplace with the largest help attached, and the price of it is a group of people below the poverty level who can get neither.
Wisconsin took the second route and still covers people below the poverty level through BadgerCare. It keeps the band and strands nobody. No other state does both.
How many people used the Marketplace in Wisconsin?
CMS counted 84,398 new Marketplace consumers in Wisconsin for 2026.
Can this page tell me which one applies to me?
No. It still depends on your household size and your exact income, and this page cannot work that out for you.
In Wisconsin there is usually a path either way — BadgerCare below the line, a Marketplace plan with the strongest help just above it. A licensed agent can tell you which one fits.
Which parts of Wisconsin do you cover?
All 72 counties. Wherever you are in Wisconsin, your details go to an agent who holds a licence in Wisconsin — that is the only agent this system will route you to.
The county count comes from the US Census Bureau's ZIP-code-to-county relationship file, 2020 geographies.
The other states we work in
The rules are not the same in each one, so each state has its own page.
Have a licensed agent call you
Tell us how to reach you and which state you live in. An agent licensed in your state will get in touch. Speak to an agent today, risk-free. There is no obligation.