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3. If the assistance group's total countable income includes the income of someone other than the pregnant woman, her spouse, or, if she is younger than 19 years old, her parents, subtract the income of that person(s), but do not change the size of the assistance group. 4. Compare the total income of each month with 300% of the FPL. If any month's income is less than or equal to 300% of the FPL, ignore it. If any month's income is more than the income limit, find the excess income by subtracting the income limit from the income of that month. 5. Add together the excess income of the months in the deductible period. The result is the pregnant woman’s BadgerCare Plus deductible amount. When calculating a deductible amount for backdated months, use the actual, not prospective, income received in the backdated months. This page last updated in Release Number: 26-03 Release Date: 08/12/2026 Effective Date: 06/01/2026 17.3 Children Under 19 Children (younger than 19 years old) with income over 306% of the FPL may become eligible for BadgerCare Plus by meeting a deductible. Children with income over 156% of the FPL who are denied BadgerCare Plus solely due to current employer-sponsored health insurance coverage may also become eligible for BadgerCare Plus by meeting a deductible. The deductible amount is calculated for a six- month period using the amount of income that exceeds 150% of the FPL. To meet the deductible, the child or their parents included in the child’s BadgerCare Plus group must incur medical bills equal to the deductible amount. Deductible-based eligibility is not extended to other children or members of the original assistance group. The parents’ medical expenses may be used for meeting the deductible of more than one child at a time. Medical expenses of siblings may not be used for a child's deductible. 17.3.1 Deductible Period The child under 19 can choose to begin the BadgerCare Plus deductible period as early as three months prior to the month of application and as late as the month following the month of application. Example 1 On November 1, John’s mother and stepfather apply for BadgerCare Plus for themselves, John, and John’s two stepbrothers. The family’s countable income is 225% of the FPL. John’s mother has employer-sponsored insurance that covers her and John. John is ineligible for BadgerCare Plus due to having current employer-sponsored health insurance coverage. John’s stepbrothers are eligible for BadgerCare Plus with a premium. Because the health insurance does not cover all of John’s medical expenses, in December, John’s mother requests a deductible for John. The deductible period is December through May. John has medical bills that will meet the deductible as of January 1. John will be covered under BadgerCare Plus with no premium from January through May. The BadgerCare Plus deductible period for a child can include a month in which they would have been ineligible for a non-financial reason other than having current employer-sponsored health insurance coverage, with one exception. A deductible period may not begin with a month in which the child is non- financially ineligible for a reason other than having current employer-sponsored health insurance coverage. Although excess income is still calculated over a six-month period, the child may only be certified for BadgerCare Plus during the dates when they met all non-financial criteria other than having current employer-sponsored health insurance coverage.