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.

Within the OHP, there are two plans that Oregonians can qualify for: OHP Plus and OHP Bridge. The differences in these plans are small and eligibility for both are based mainly on income levels. But there also could be other factors that determine eligibility for either plan.

See the grid below for more information on what kind of income levels will determine if you qualify for either OHP Plus or OHP Bridge. And for more information on these two OHP plans, visit our Benefit Overview web page.

Do I qualify?

The chart below shows the highest income levels you can have to see if you qualify for the Oregon Health Plan. But remember, this isn’t the only thing that decides if you’re eligible. There are other factors that aren't listed here. The best way to find out if you qualify is to apply. You might be able to get coverage, even if you were turned down before. For more information, check out the Oregon Health Plan website

Maximum Monthly Income by Applicant Type and Family Size
Family size	Adults (19-64)		Children (0-18)	Pregnant Individuals	Parent or caretaker
Family size	OHP Plus	OHP Bridge	Children (0-18)	Pregnant Individuals	Parent or caretaker
1	$1,732	$2,510	$3,828	$2,385	$399
2	$2,351	$3,407	$5,196	$3,237	$515
3	$2,970	$4,304	$6,563	$4,089	$611
4	$3,588	$5,200	$7,930	$4,940	$747
5	$4,207	$6,097	$9,298	$5,792	$872
6	$4,826	$6,994	$10,665	$6,644	$998

Ways to apply

There are several different ways to apply for OHP:

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

Online:
One.Oregon.gov

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

What information and documents do I need when I 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 me?

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:

Table header is decorative
	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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