Coverage For Individuals and Families
Health care coverage, or health insurance, helps pay your medical bills when you seek medical care. The right health care coverage for you and your family can make a huge difference. Everyone will need medical care at some point. Health care coverage can protect you from unexpected expenses. You can visit the doctor when you need to. In short, it can improve your quality of life and that of your family. Learn more about the benefits of having health insurance (healthcare.gov)
Most people must have health care coverage. Learn more about health coverage requirements and possible penalties for not being covered (oregonhealthcare.gov)
Types of Coverage Available
Most Oregonians can enroll in either private health insurance through HealthCare.gov or free or low-cost coverage through the Oregon Health Plan (Medicaid). All Oregonians can apply for coverage, and no one can be denied coverage because of a pre-existing health condition.
Oregon Health Plan
Free or low-cost coverage is available to people who meet requirements for income, household size, and other factors. Adults and children who qualify will be enrolled in the Oregon Health Plan, Oregon’s Medicaid program. Coverage through the Oregon Health Plan (oregon.gov) includes doctor visits, hospital care, mental health services, and more.
Private Health Insurance
Many of the top insurance companies in Oregon offer health insurance plans through HealthCare.gov, where you can browse, compare, and purchase a plan. All plans available include comprehensive health benefits (healthcare.gov) and have been certified by the Oregon Insurance Division. Many people who qualify for private health insurance will also qualify for a tax credit to help pay for coverage. Learn more about financial assistance (oregonhealthcare.gov)
Call our trained qualified assisters: 503-842-3924.
Para Español: Llame a Anadelia Aguilar al 503-842-3924.
Necesita renovar o aplicar para el Oregon Health Plan (OHP) o para un plan de salud por medio del Mercado? Llame a Anadelia Aguilar al 503-842-3924 para asistencia en Español!
Oregon Health Plan (OHP)
To qualify for OHP, individuals and families must meet income and residency requirements. Oregonians may also qualify based on age and disability status.
Adults – OHP is available to adults who earn up to 138 percent of the Federal Poverty Level. That’s about $17,600 a year for a single person or $36,150 a year for a family of four
Children – Healthy Kids is available to kids and teens (0-18) whose family earns up to 300 percent of the Federal Poverty Level. That’s about $52,584 a year for a family of two or $79,920 a year for a family of four.
The best way to see if you qualify is to submit an application. Go to OregonHealthCare.gov to get connected to the best application for you and your family. You may qualify for OHP, even if you have been denied in the past.
Need Help? Our qualified trained assisters can help! Call 503-842-3900 ext. 4008 or 503-842-3924 to schedule an appointment. Appointments available in English and Spanish.
Coronavirus update: For the safety of community members and our staff, all OHP assistance appointments will be over the phone. Visit https://www.oregon.gov/oha/HSD/OHP/Pages/ohp-covid-19.aspx for the latest OHP specific information related to COVID-19.
Need to renew your Oregon Health Plan Benefits?
Every year, Oregon Health Plan (OHP) and Healthy Kids members must update their information to make sure they still qualify for health benefits. If you do not receive a letter, then you do not have to renew your benefits at this time.
Here’s what you should do if you get a renewal letter:
- Fill out the requested information for your household
- Sign the form or application.
- Send it back in the envelope included with the letter.
We’re here to help. Contact us at 503-842-3924 to help you through the renewal process.
More information about the renewal process is available at www.ohp.oregon.gov.
After you submit your updated information, OHP will process your renewal.
You should hear back within 45 days from the date you submitted your renewal form or application.
Health Insurance Marketplace
Need Health Insurance? – 2022 Open Enrollment Now!
¿Necesita seguro médico? – 2022 INSCRIPCIÓN ABIERTA
The Marketplace helps uninsured people get health coverage. Generally, you can buy a Marketplace health plan only during the yearly Open Enrollment period.
- Sign up to get emails or texts with the latest news and reminders of important dates.
- If you have Marketplace Coverage now, review your application at Healthcare.gov to make sure it’s up-to-date and report any life changes.
- If you don’t have Marketplace coverage now, create an account and see what coverage or help with costs you may qualify for.
- Apply and enroll in health coverage.
Did You Experience a Life Change?
You can still get Health Coverage if you got married, had a baby, lost other coverage or moved. To see if you qualify visit www.healthcare.gov