Federal Poverty Level Guidelines

The following income levels are used to determine enrollment in Wisconsin's health care plans. To see if you may be able to enroll, go to ACCESS.wi.gov and apply today.

Effective February 1, 2021

Family Size Annual 100% FPL 120% FPL 135% FPL 150% FPL 185% FPL 200% FPL 250% FPL 300% FPL
1 $12,880 $1,073.33 $1,288.00 $1,449.00 $1,610.00 $1,985.66 $2,146.66 $2,683.33 $3,219.99
2 $17,420 $1,451.67 $1,742.00 $1,959.75 $2,177.51 $2,685.59 $2,903.34 $3,629.18 $4,355.01
3 $21,960 $1,830.00 $2,196.00 $2,470.50 $2,745.00 $3,385.50 $3,660.00 $4,575.00 $5,490.00
4 $26,500 $2,208.33 $2,650.00 $2,981.25 $3,312.50 $4,085.41 $4,416.66 $5,520.83 $6,624.99
5 $31,040 $2,586.67 $3,104.00 $3,492.00 $3,880.01 $4,785.34 $5,173.34 $6,466.68 $7,760.01
6 $35,580 $2,965.00 $3,558.00 $4,002.75 $4,447.50 $5,485.25 $5,930.00 $7,412.50 $8,895.00
7 $40,120 $3,343.33 $4,012.00 $4,513.50 $5,015.00 $6,185.16 $6,686.66 $8,358.33 $10,029.99
8 $44,660 $3,721.67 $4,466.00 $5,024.25 $5,582.51 $6,885.09 $7,443.34 $9,304.18 $11,165.01
9 $49,200 $4,100.00 $4,920.00 $5,535.00 $6,150.00 $7,585.00 $8,200.00 $10,250.00 $12,300.00
10 $53,740 $4,478.33 $5,374.00 $6,045.75 $6,717.50 $8,284.91 $8,956.66 $11,195.83 $13,434.99
Each additional person $4,540 $378.33 $454.00 $510.75 $567.50 $699.91 $756.66 $945.83 $1,134.99
Program Limits  

QMB

MAPP Premium Threshold

SLMB SLMB+     QDWI and Lower MAPP  

These amounts are based on federal guidelines, which may change each year.

Last Revised: February 1, 2021