STAY COVERED

Check your eligibility for Oregon Health Plan today

The state of Oregon has changed eligibility for
Oregon Health Plan (OHP)

Here you’ll find important information, the steps you need to take to renew, and options to maintain healthcare coverage (whether you’re eligible for OHP or not). We got you covered.

Step 01

Stay Up to Date

Make sure your contact information is current and correct with the state.

Step 02

Watch Your Mailbox

Oregon Health Plan is sending every member a renewal notice. Keep an eye out for yours.

Step 03

Respond if Asked

You may be asked to send additional information to the state. You will lose coverage if you don’t respond.

Step 04

Sit Tight

Once you’ve completed the first steps you can sit back and wait to hear about your eligibility from the state.

Update your contact information at ONE Oregon Eligibility

What do I do when I hear from the state?
Here are the most common next steps

If you’re no longer eligible

If Asked

  • writing
    If asked, reapply for Oregon Health Plan. Follow the instructions sent by the state.

If Eligible

  • badge
    If eligible, continue your Oregon Health Plan coverage – you’re good, no more action!

And here are some frequently asked questions

What if you’re 65 or older?

  • Medicare Perk Free Service
    If you are 65 or older, it’s time to transition to Medicare.

    Original Medicare comes with great benefits (especially when combined with a Medicare Advantage Plan from Providence). If you are eligible, you should transition from OHP to Medicare as soon as possible to maintain coverage.

    *Note that there will be changes in coverage and out-of-pocket costs under Medicare compared to Oregon Health Plan

  • There are several ways to sign-up:

    Call: 800-MEDICARE (TTY: 877-486-2048)
    Click: Medicare.gov
    Visit: Medicare.gov/Care-Compare

Why is eligibility changing?

  • icon of a piece of paper
    With the COVID-19 Emergency Declaration ending, eligibility rules for the Oregon Health Plan are changing.

    Federal Medicaid funding is returning to its pre-pandemic budget and scope. This means some current OHP members will no longer qualify for coverage.

What if I am a Medicare Savings Program Member?

  • question icon
    Respond to requests for additional information from Medicare.

    Federal Medicaid funding is returning to its pre-pandemic budget and scope. This means some current OHP members will no longer qualify for coverage. If you don’t respond, your benefits may expire, even if you are still eligible.

  • There are several ways to learn more and contact Medicare Savings Program:

    Log in: Healthcare.Oregon.gov
    Call: 800-699-9075

What if I receive services and supports for People with Disabilities and Older Adults?

  • icon of an envelop with a star ticket inside
    Look for an update from the State of Oregon by mail.

    If you are no longer financially eligible for services and support for People with Disabilities and Older Adults, you may lose health coverage as well as payments for other supports you receive (including housing if you live in a licensed care setting). You will receive a separate notice if any of these services are ending with next steps and resources.

    If you are no longer eligible, be sure to contact the state as there is no equivalent benefit, state Basic Health Program, or other payer source available for services and supports for People with Disabilities and Older Adults.

    If you are still financially eligible, no further action is needed.

  • There are several ways to learn more and get in contact:

    Log in: Oregon.gov/DHS/Seniors-Disabilities
    Call: 503-945-5600 (TTY: 503-945-6214)

Need help?

Spread the word

If you know any other OHP members, share this page to help them stay informed and follow the steps too.

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Need more help?

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Learn More
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