CHIP in Wisconsin

Wisconsin at a glance

Wisconsin is home to about 306,979 foreign-born residents (5.2% of the state’s 5,914,872 people) and 471,930 residents of Hispanic or Latino origin (8.0%), per the U.S. Census Bureau’s American Community Survey (2024 5-year estimates). The procedures below apply to everyone in Wisconsin regardless of immigration status unless noted.

CHIP covers health insurance for uninsured children from families earning too much for Medicaid but unable to afford private insurance.

CHIP eligibility limits in Wisconsin (verified data)

Source: Kaiser Family Foundation (KFF) — CHIP data by state

Verified on: 2026-05-25

Children’s health coverage in Wisconsin

Child ageMedicaid (% FPL)
Infants 0-1 yearup to 306% FPL
Children 1-5 yearsup to 191% FPL
Children 6-18 yearsup to 133% FPL

CHIP upper income limit in Wisconsin: 306% of FPL

CHIP-funded prenatal coverage (conception to end of pregnancy): up to 306% of FPL

How to apply for CHIP in Wisconsin

  1. Combined Medicaid+CHIP application via healthcare.gov
  2. Wisconsin state application (some states have own portal)
  3. By phone: 1-877-KIDS-NOW (1-877-543-7669)

Wisconsin adopted CHIPRA Option

Wisconsin adopted the CHIPRA option, eliminating the 5-year bar for permanent-resident children. This means a child with a new green card (under 5 years in US) can qualify for CHIP in Wisconsin without waiting.

How to apply for CHIP in Wisconsin

  1. Visit Healthcare.gov or Wisconsin’s Medicaid/CHIP portal
  2. Complete the application — ONE application covers both Medicaid AND CHIP automatically
  3. Wisconsin determines if your child qualifies for one or the other

Typical coverage

State CHIP plans cover doctor visits, vaccines, hospitalization, prescriptions and mental health care. Dental is required by federal law — coverage of dental services “necessary to prevent disease and promote oral health, restore oral structures to health and function, and treat emergency conditions” (42 U.S.C. 1397cc(c)(6)(A)). Vision and hearing are not required. The statute puts prescription drugs, vision services and hearing services in a separate list of “categories of additional services” (42 U.S.C. 1397cc(c)(2)). Whether your state’s CHIP covers eye exams and glasses is a state benefit choice, not a federal guarantee.

Income limits

Generally 200-300% federal poverty level. Against the 2026 HHS poverty guidelines, 100% of the poverty level for a household of four in the 48 contiguous states and DC is $33,000 , so a 200-300% range is about $66,000 -$99,000 a year. The limit that decides your case is the state figure in the table above.

Costs

CHIP has low co-pays (sometimes $0) and, in states that charge them, low monthly premiums; federal rules cap a family’s total CHIP cost-sharing at 5% of its income over the child’s eligibility period (42 CFR 457.560).

Last verified: 2026-09-24.