Jeffrey Wade
The Oregon Health Plan (OHP) is the state's free insurance plan for low-income residents. It covers doctor's visits, dental care, mental health care, substance use care, prescriptions, lab tests, x-rays, hospital care, interpretation at visits, and rides to and from appointments. OHP is also available to undocumented immigrant children and teens in Oregon, as well as pregnant people without documentation. To apply for OHP, you can apply online, call OHP Customer Service, or mail in your application.
| Characteristics | Values |
|---|---|
| Application Methods | Online, by phone, by mail, in-person |
| Application Assistance | OHP-certified community partners, OHP Customer Service, La Clinica |
| Application Requirements | Income level, other factors |
| Coverage | Doctor visits, dental care, mental health care, substance use care, prescriptions, lab tests, x-rays, hospital care, interpretation, transportation |
| Renewal | Annual redetermination required |
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What You'll Learn
Eligibility criteria: Income, immigration status, and other factors
The Oregon Health Plan (OHP) is the state's free insurance plan for low-income residents. It covers doctor's visits, dental care, mental health care, substance use care, prescriptions, lab tests, x-rays, hospital care, interpretation at visits, and rides to and from appointments.
OHP is available to Oregon residents with low incomes. Income level is a key factor in determining eligibility, and there are different income thresholds for OHP Plus and OHP Bridge. However, income is not the only factor considered.
Undocumented immigrant children and teens in Oregon are eligible for OHP, which is paid for with state funds. Full coverage is also available to pregnant people without documentation. If you have a child under the age of 18, they can be covered by OHP regardless of their immigration status.
To apply, you will need to provide certain documents, and there are multiple ways to submit your application: online, by mail, or in person with the help of an "Assister" from OHP.
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Application methods: Online, phone, mail, or in-person
The Oregon Health Plan (OHP) offers multiple ways to apply for health insurance. You can choose to apply online, over the phone, by mail, or in person, depending on your preference and circumstances. Each method has its own unique advantages and considerations.
For online applications, visit the official OHP website and have the necessary documents ready. This method offers privacy and convenience, allowing you to apply from the comfort of your home. Additionally, online applications provide a quick and efficient way to submit your information and initiate the enrollment process.
Phone applications offer a more interactive approach. By calling the OHP Customer Service number (800-699-9075 or TTY 711), you can receive guidance and assistance from a representative. This method is particularly useful if you have questions or need help navigating the application process.
If you prefer a more traditional approach, you can choose to apply by mail. Send your completed application and supporting documents to the OHP Customer Service address: OHP Customer Service, P.O. Box 14015, Salem, OR 97309-5032. This method may take longer, but it can be a good option if you want to keep a physical record of your application.
Lastly, in-person assistance is also available. By connecting with an "Assister" from OHP, you can receive one-on-one guidance and support throughout the enrollment process. This method can be particularly helpful if you have specific questions or concerns and prefer a more personalized experience.
Regardless of the application method you choose, it's important to ensure you have all the necessary documents ready. These documents may include proof of income, identification, and other relevant information. Additionally, consider your time frame and privacy preferences when selecting the application method that best suits your needs.
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Required documents: Proof of income and other relevant papers
When applying for the Oregon Health Plan (OHP), you will need to provide certain documents to prove your eligibility. The specific documents required may vary depending on your individual circumstances, but here is a general overview of the types of documents you may need to provide, with a focus on proof of income and other relevant papers:
Proof of Income
- Tax returns: You may be asked to provide copies of your recent tax returns, such as W-2 forms or 1099 forms, to verify your income.
- Pay stubs: Bringing recent pay stubs, typically covering a period of one to three months, can help verify your current income and employment status.
- Bank statements: These can provide additional information about your financial situation, including income deposits and other sources of income.
- Social Security statements: If you receive Social Security benefits, you may need to provide statements or award letters to confirm this income.
Other Relevant Documents
- Identification: Valid government-issued identification, such as a driver's license, state ID, or passport, is typically required to verify your identity.
- Residency documents: Proof of your current address, such as utility bills or lease agreements, may be requested to establish your residency in Oregon.
- Immigration documents: If your immigration status is relevant to your application, you may need to provide documents such as visas, green cards, or naturalization certificates.
- Dependent information: When applying for coverage for dependents, you may need to provide birth certificates, adoption records, or other legal documents that establish the relationship.
It is always a good idea to have these documents readily available when applying for OHP, either online or during an in-person event. Remember that you can always seek assistance from OHP-certified community partners or customer service representatives if you have questions or need help gathering the required documentation.
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Community assistance: Free help from OHP-certified partners
If you need help applying for the Oregon Health Plan (OHP), you can contact a trusted OHP-certified community partner in your area. Their help is free. You can find a complete list of OHP-certified community partners at www.OHPnowCOVERSme.org. You can also call 800-699-9075 or 711 for TTY and ask to be connected to one.
La Clinica is one such community partner. Its staff can help answer your questions about OHP. They are trained to help people apply for OHP in Spanish and English. This is a free service that’s open to anyone in the community, even people who are not La Clinica patients. You can call them at 541-414-1189 to learn more or to make an appointment.
Another option is to work with an "Assister" from OHP. They can guide you through the enrollment process and offer one-on-one help for any questions you may have. You can call OHP Customer Service at 800-699-9075 or TTY 711 to get connected.
If you have Health Share/CareOregon as your CCO, you can also search for a health care provider on their website.
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Renewal process: Annual redetermination and reapplication
The Oregon Health Plan (OHP) requires members to renew their coverage annually. This process, known as redetermination, involves checking that members still meet the eligibility requirements. During the COVID-19 pandemic, the redetermination process was paused due to the Federal Public Health Emergency declaration, but it is expected to resume once the emergency period ends.
Once the Federal Public Health Emergency is over, the Oregon Health Authority (OHA) will have 60 days to initiate the redetermination process. All individuals currently covered by Medicaid will need to undergo redetermination within 14 months of the emergency's conclusion. The OHA aims to complete the redetermination process over a 12-month period, dividing the timeframe by populations or aid eligibility categories.
To ensure a smooth renewal process, it is crucial to maintain up-to-date contact information with OHP. Members will receive a renewal notice informing them of their eligibility status. Keeping contact details current ensures members can receive these important notifications. Members can update their information through the OHP enrollment website or by calling OHP Customer Service at 800-699-9075 (TTY 711). Additionally, they can update their details with Health Share Customer Service by calling 503-416-8090 or toll-free at 888-519-3845 (TTY/TTD 711).
When it is time to renew, members will receive a letter from OHP. They must update their information promptly to maintain their eligibility for health coverage. Renewal forms can be returned by mail or submitted online. During the renewal, members may be asked to provide information to the OHA to continue their coverage. This could include submitting the required eligibility paperwork. It is important to respond to information requests and submit renewal forms as soon as possible to avoid any disruption in coverage.
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