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ACA Health Insurance Coverage Options in Wisconsin
Wisconsin uses the federal HealthCare.gov Marketplace for ACA health insurance. Review coverage options and enrollment information for Wisconsin residents.
The new 2027 plans become available November 1, 2026. Call 855-367-1095 now to get a sneak peek at the new plans before then, and we will have your options ready the day they open.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
Wisconsin Medicaid: BadgerCare Plus (Wisconsin Department of Health Services) · 1-800-362-3002 (ForwardHealth Member Services) · dhs.wisconsin.gov/badgercareplus/index.htm
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Eligibility considerations
- No coverage available through an employer, Medicare, or Medicaid
- Interest in comparing Wisconsin Marketplace plans by metal tier
- Uncertainty about premium tax credit eligibility based on household income
Plan tiers
Lower monthly premium; higher cost-sharing when care is used.
The benchmark tier for subsidy calculations; the only tier eligible for additional cost-sharing reductions.
Higher monthly premium; lower cost-sharing at the point of care.
Wisconsin Medicaid and Marketplace information
- Medicaid expansion status
- Not expanded
- Wisconsin Medicaid agency
- BadgerCare Plus (Wisconsin Department of Health Services)
- ACA Marketplace
- HealthCare.gov (federal Marketplace)
Wisconsin counties: ACA open enrollment
Choose your county for the dates, Medicaid status and how to get help.
- Milwaukee County
- Dane County
- Waukesha County
- Brown County
- Racine County
- Outagamie County
- Winnebago County
- Kenosha County
- Rock County
- Marathon County
- Washington County
- La Crosse County
- Sheboygan County
- Eau Claire County
- Walworth County
- Fond du Lac County
- St. Croix County
- Ozaukee County
- Dodge County
- Jefferson County
- Manitowoc County
- Wood County
- Portage County
- Chippewa County
- Sauk County
- Columbia County
- Calumet County
- Grant County
- Waupaca County
- Barron County
- Monroe County
- Dunn County
- Polk County
- Douglas County
- Pierce County
- Marinette County
- Shawano County
- Oconto County
- Oneida County
- Green County
- Clark County
- Vernon County
- Trempealeau County
- Door County
- Lincoln County
- Juneau County
- Waushara County
- Iowa County
- Vilas County
- Adams County
- Jackson County
- Kewaunee County
- Taylor County
- Langlade County
- Green Lake County
- Sawyer County
- Richland County
- Burnett County
- Lafayette County
- Washburn County
- Bayfield County
- Ashland County
- Crawford County
- Marquette County
Common questions
How is ACA Marketplace coverage administered in Wisconsin?
Wisconsin uses HealthCare.gov (federal Marketplace) rather than a state-run exchange. Enrollment, plan comparison, and subsidy determinations run through the federal system.
Has Wisconsin expanded Medicaid under the ACA?
Wisconsin has not adopted the standard ACA Medicaid expansion. Wisconsin has not adopted the standard ACA Medicaid expansion. It covers childless adults and caretaker relatives up to 100% of the federal poverty level through a separate BadgerCare Plus waiver, not the ACA's 138% FPL expansion pathway. Because ACA marketplace subsidies are available starting at 100% FPL, this differs from a state with no expansion program at all.
Is there a cost to speak with a licensed agent?
No. Reviewing ACA Marketplace options by phone with a licensed agent has no cost. Any plan ultimately selected carries its own separate premium, determined by the plan and carrier, not by GetFastRates.com.
Questions are easier by phone.
Call 855-367-1095 to talk through your situation with licensed insurance help.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.