OregonHealthCare.gov : What is OHP, the Marketplace, and Medicare? : Blog : State of Oregon (2024)

What is the Oregon Health Plan?

The Oregon Health Plan (OHP) is free health coverage from the State of Oregon. People who meet income and other requirements can get the Oregon Health Plan. OHP covers medical, dental, and mental health care. It also covers help with addictions.

You can apply for the Oregon Health Plan at any time of the year. Enrollment is always open for OHP. When it is time to renew your OHP benefits, OHP will send you a letter.

All children and teens up to age 19 may qualify to receive OHP, regardless of immigration status, as long as they meet income criteria.

For adults, OHP is available from ages 19 through 64. Adults must meet immigration status and income requirements, unless they are pregnant. Any pregnant individuals may qualify, regardless of immigration status, if they meet income guidelines.

What is Medicare?

Medicare is the federal health insurance program for people age 65 and older. Certain people younger than age 65 can qualify for Medicare, including those who receive Social Security Disability Income and those who have permanent kidney failure. Because Medicare is health insurance, you share the costs of your care.

Your initial enrollment period is the seven months surrounding your 65th birthday. In this period, you can enroll in Parts A, B, C, and D. If you receive Medicare due to Social Security disability, your Parts A and B automatically start in your 25th month of disability income. The initial enrollment for Parts C and D starts in the 21st month and ends in the 28th month.

If you miss your initial enrollment period, you may have to wait until the annual enrollment period (Oct. 15 to Dec. 7) to sign up for Medicare Advantage (Part C) or prescription drug coverage (Part D). Coverage begins Jan. 1.

What is the Marketplace?​

Private health insurance plans, and financial help with your coverage, are available through HealthCare.gov. Private health insurance plans in every Oregon county are offered on HealthCare.gov. All the plans include comprehensive health benefits, and the Oregon Health Insurance Marketplace makes sure the plans meet state and federal requirements. HealthCare.gov is the only place to get help paying for coverage when you buy insurance for yourself or your family.

What coverage and savings can you get?

You can find out what coverage and savings are available to you and your family by answering a few quick questions at OregonHealthCare.gov/WindowShop.

OregonHealthCare.gov : What is OHP, the Marketplace, and Medicare? : Blog : State of Oregon (2024)

FAQs

What is the income limit for OHP in Oregon? ›

Do you qualify?
Maximum Monthly Income by Applicant Type and Family Size
Family sizeAdults (19-64)Children (0-18)
1$2,510$1,670
2$3,407$2,266
3$4,304$2,862
3 more rows

Can seniors get OHP in Oregon? ›

You can get OHP if you meet income and other requirements. People of all ages and any immigration status can qualify.

Does Oregon use the federal or a state marketplace for health insurance purchases? ›

Many people find that an ACA Marketplace (exchange) plan, often called Obamacare, is a cost-effective choice. Oregon operates a state-run health insurance Marketplace but uses the HealthCare.gov enrollment platform (ie, an SBE-FP).

How much money can you have in the bank to qualify for Medicaid in Oregon? ›

Contrary to how income is counted, all resources are counted regardless of whether they belong to the applicant, the spouse or both of them. The resource limit for a single person is $2,000. If the Medicaid applicant is married, his or her spouse is allowed to retain an additional amount between $25,728 and $128,640.

Does OHP look at bank accounts? ›

When determining OHP eligibility, calculate the amount of the eligibility group's countable resources by counting only cash and types of resources that can be readily converted to cash; i.e., bank accounts, stocks and bonds.

How does OHP verify income? ›

To complete your OHP Redetermination, you will need to provide the following information: Proof of income: You will need to provide documentation of your income, such as pay stubs, tax returns, or bank statements. Make sure you have copies of these documents ready to submit.

Can you have OHP and Medicare at the same time? ›

Medicare acts as the member's main health coverage. If you have both Medicare and OHP: OHP can help pay for things like Medicare premiums, deductibles, and coinsurance. OHP also covers things Medicare does not, such as rides to appointments and dental care.

What age is considered elderly in Oregon? ›

Oregon Department of Human Services : Older Adult Services (Age 60+) : Aging and Disability Services : State of Oregon.

Does social security count as income for Medicaid in Oregon? ›

Nearly all income that a Medicaid applicant receives is counted towards the income limit. Countable income includes employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends.

What is the best health insurance in Oregon? ›

Kaiser Permanente offers the best health insurance in Oregon for 2024. MoneyGeek's guide identifies the top-rated providers according to premiums, age, maximum out-of-pocket cost, plan flexibility and claims management.

Does Oregon have free health insurance? ›

The Oregon Health Plan (OHP) is free health coverage from the State of Oregon. People who meet income and other requirements can get the Oregon Health Plan. OHP covers medical, dental, and mental health care. It also covers help with addictions.

What is the health care for low income people in Oregon? ›

The Oregon Health Plan (OHP) is Oregon's medical assistance program. It provides health care coverage for people from all walks of life. This includes working families, children, pregnant adults, single adults and seniors. Apply for OHP today.

How much money can I have in the bank if I have Medicare? ›

On January 1, 2024 the asset test to qualify for a Medicare Savings Program was eliminated. This means individuals can have any amount of assets and still qualify for a Medicare Savings Program. Assets are things that you own, such as bank accounts, cash, second homes and vehicles.

Is OHP based on gross or net income? ›

Income criteria are based on modified adjusted gross income (MAGI).

What is the Oregon Supplemental income Program? ›

OSIPM is a program that provides Oregon Health Plan coverage to people with limited income and financial resources, who are also over 65, blind, or have physical or developmental disabilities.

What is Oregon expanded income guidelines? ›

How does the Oregon EIG Reimbursem*nt Program work? Oregon Department of Education (ODE) reimburses participating schools for the reimbursable breakfasts and lunches they serve at no charge to students from households with incomes greater than 185 percent, but not more than 300 percent, of the federal poverty level.

What is considered high income in Oregon? ›

How much does an Upper Class make in Oregon? As of Jun 14, 2024, the average annual pay for an Upper Class in Oregon is $54,208 a year. Just in case you need a simple salary calculator, that works out to be approximately $26.06 an hour. This is the equivalent of $1,042/week or $4,517/month.

What is the poverty level income for Oregon? ›

In 2022, household costs in every county in Oregon were well above the Federal Poverty Level of $13,590 for a single adult and $27,750 for a family of four.

Top Articles
Latest Posts
Article information

Author: Sen. Ignacio Ratke

Last Updated:

Views: 5637

Rating: 4.6 / 5 (56 voted)

Reviews: 95% of readers found this page helpful

Author information

Name: Sen. Ignacio Ratke

Birthday: 1999-05-27

Address: Apt. 171 8116 Bailey Via, Roberthaven, GA 58289

Phone: +2585395768220

Job: Lead Liaison

Hobby: Lockpicking, LARPing, Lego building, Lapidary, Macrame, Book restoration, Bodybuilding

Introduction: My name is Sen. Ignacio Ratke, I am a adventurous, zealous, outstanding, agreeable, precious, excited, gifted person who loves writing and wants to share my knowledge and understanding with you.