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Am I Eligible For the Oregon Health Plan (OHP)?

CareOregon provides physical, dental and mental health care and substance use treatment through the Oregon Health Plan (OHP) as part of Health Share of Oregon, one of two coordinated care organizations (CCOs) serving the tri-county area. You may be eligible for OHP based on your income or other factors.

 

Do you qualify?

The chart below offers a quick reference for whether you’re eligible for OHP. But it’s not the final word. Eligibility is based on several factors not shown here. The best way to find out if you’re eligible is to apply. You may qualify, even if you’ve been denied in the past. Visit the Oregon Health Plan website for more eligibility details.

Maximum Monthly Income by Applicant Type and Family Size

Family size

Adults (19-64)

Children (0-18)

Pregnant Individuals

Parent or caretaker

1

$2,510

$1,670

$2,322

$399

2

$3,407

$2,266

$3,152

$515

3

$4,304

$2,862

$3,981

$611

4

$5,200

$3,458

$4,810

$747

5

$6,097

$4,055

$5,640

$872

6

$6,994

$4,651

$6,469

$998

 


Ways to apply

There are several different ways to apply for OHP:

call-oha

Call OHA:
Call OHP Customer Service at 800-699-9075 or TTY 711.

on-paper

On paper:

Download application

OHP Fax number: 503-378-5628

Mail applications to: OHP Customer Service, P.O. Box 14015, Salem, OR 97309-5032

In-person assistance:

An “Assister” from OHP can guide you through the enrollment process.

Oregon Health Plan events



Information and documents you need to apply 

Even when your income qualifies you for OHP, the state still asks you to provide certain documents.

Have these with you when you apply online, or bring them with you to an in-person event.

  • Birthdate (birth certificate, if available)
  • Social Security number (for those who have one)
  • Income and deduction information (for example, pay stubs)
  • Immigration documentation (if applicable)
  • Information about health insurance available to you through an employer (if any)

Which OHP application method is best for you? 

The OHP application method you use depends on how much time you have, how much privacy you have at your location and when you need your coverage to start. Overall, working with an assister seems to take the least amount of time from application through enrollment and offers one-on-one help for any questions you may have.

Take a look at the chart below to see what makes sense for you:

 

Get help

Do it yourself

 

Call OHA

Work with an Assister

Apply online

Apply on paper

Time required

  • Long wait time on phone is possible during heavy call volume
  • Time with representative: approx. 30 mins
  • 20-40 min. session on average
 *Times may vary
  • 30 mins. to 1 hour on average to complete application
  • 30 mins to 1 hour on average to complete application
  • If mailed or dropped off at DHS office, allow extra days for mailing and sorting

What you will need (in addition to documentation)

  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number
  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number
  • Internet connection
  • Laptop/desktop needed
  • Email account
  • If mailing: a stamped envelope, return address, OHP processing center address
  • If faxing: fax machine, OHP processing center fax number: 503-378-5628

When will your OHP coverage start?

  • You may be granted instant eligibility
  • Enrollment within 45 days (may be faster depending on complexity of application)
  • Enrollment within 3 weeks (may be faster depending on complexity of application)
  • Enrollment within 45 days
  • Enrollment within 45 days of application arrival at OHP processing center

What works well

  • Instant eligibility status if qualified
  • Personal connection with an OHP representative
  • Getting the most accurate and updated info on your case
  • Income is easier to verify vs. online form, especially for self-employed
  • Personal advocate to contact with follow-up questions and concerns
  • Fast and convenient
  • Flexibility with appointment scheduling
  • Additional safety net resources and referrals available
  • Income is easier to verify vs. online form, especially for self-employed
  • Online application is available in many languages
  • Application can be saved and continued
  • Can be done any time
  • Application is available in many languages
  • Can be done any time

 





Click an option below to learn more about it and see what makes sense for you:

Time required

  • Long wait time on phone is possible during heavy call volume
  • Time with representative: approx. 30 mins

What you will need (in addition to documentation)

  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number

When will your OHP coverage start?

  • You may be granted instant eligibility
  • Enrollment within 45 days (may be faster depending on complexity of application)

What works well

  • Instant eligibility status if qualified
  • Personal connection with an expert
  • Getting the most accurate and updated info on your case
  • Income is easier to verify vs. online form -especially for self-employed

Time required

  • 20 min. session on average

What you will need (in addition to documentation)

  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number

When will your OHP coverage start?

  • Enrollment within 3 weeks (may be faster depending on complexity of application)

What works well

  • Personal advocate to contact with follow-up questions and concerns
  • Fast and convenient
  • Flexibility with appointment scheduling
  • Additional safety net resources and referrals available
  • Income is easier to verify vs. online form, especially for self-employed

Time required

  • 30 mins. to 1 hour on average to complete application

What you will need (in addition to documentation)

  • Internet connection
  • Laptop/desktop needed
  • Email account

When will your OHP coverage start?

  • Enrollment within 45 days

What works well

  • Online application is available in many languages
  • Application can be saved and continued
  • Can be done any time

Time required

  • 30 mins to 1 hour on average to complete application
  • If mailed or dropped off at DHS office, allow extra days for mailing and sorting

What you will need (in addition to documentation)

  • If mailing: a stamped envelope, return address, OHP processing center address
  • If faxing: fax machine, OHP processing center fax number

When will your OHP coverage start?

  • Enrollment within 45 days of application arrival at OHP processing center

What works well

  • Application is available in many languages
  • Can be done any time

See our "Am I eligible?" handout

Find this information in a simple, one-page handout. Click on a language below to download:

 

 

Need Assistance?

If you are interested in applying and need some assistance with the application call our customer service line at 503-416-4100 or 800-224-4840 and they will connect you with a certified OHP application assistor.
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