As of July 1, 2023, People of Any Age or Immigration Status May Be Eligible for Full OHP Benefits!
OHP covers medical, dental, prescription and behavioral health care at no cost to members. Learn more about OHP benefits.
Do you qualify for OHP?Use this tool to see if you qualify for OHP or other health coverage. It can help you find theapplication that works best for you and your family.
You Can Apply for OHPat Any Time of the Year.
OHP is Oregon's Medicaid and Children's Health Insurance Program.Enrollment is always open for OHP.
Medicare and private health insurance plans have open enrollment in the fall.
How to Apply
Apply Online:
To apply for OHP online,go to ONE.Oregon.govand click "Apply Now."You will need to create a new ONE account if you don't already have one.
Apply at ONE.Oregon.gov Learn more about using ONE
Apply on the OHP Application Form:
You can also apply using the OHP application form. You can download the formin these languages:
- OHPApplication
- Solicitud de Cobertura de Salud (Spanish)
- Заявление на русском языке (Russian)
- Đơn bằng tiếng Việt(Vietnamese)
- 简体中文申请表 (Simplified Chinese)
- 俄勒岡州健康計劃福利申請表 (Traditional Chinese)
- Somali
- Arabic
- Farsi
- Dari
- Pashto/Pashtu
- Korean
- Kosrean
- Palauan
- Pohnpeian
To have an application mailed to you,callONE Customer Service at 1-800-699-9075. Helpis available in many languages. All relay calls are accepted.
In person:
Finda local Oregon Department of Human Services(ODHS) office orOHP-certified community partner to apply.
By phone:
Call ONE Customer Service at 1-800-699-9075. You can also call a local ODHS office to apply.
Frequently Asked Questions
The Oregon Health Plan (OHP)is Oregon's Medicaid program. There are several health care programs available for low-income Oregonians through OHP.
- OHP Plusfor children ages 0-18 and adults ages 19-64
- OHP Plus Supplementalfor pregnant adults age 21 or older
- OHP with Limited Drugfor adults who qualify for both Medicaid and Medicare Part D
Other medical programs available include OHP Dental (dental-only benefits for Oregon Veterans and Compact of Free Association citizens), and Qualified Medicare Beneficiary.
Yes.OHP with Limited Drugoffers OHP Plus medical, dental and behavioral health coveragefor adults who qualify for both Medicaid and Medicare Part D. Learn more about OHP and Medicare.
If you don't qualify for OHP, you may qualify for a Medicare Savings Program. These programs can help pay premium costs.Learn more about Medicare Savings Programs.
To apply, older adults and people withdisabilities should call theAging and Disability Resource Connection (ADRC) at1-855-ORE-ADRC (855-673-2372).
Learn more about Medicaid for older adults and people with disabilities.
Often, you can qualify for OHP and keep your private health insurance. If this happens, health care providers need to bill your insurance first. OHP then pays copays, deductibles and services your insurance does not cover.
Learn more about OHP and private health insurance.
Medicaid benefits do not travel from state to state.This means:
- To get Medicaid in Oregon, you need to apply for OHP.
- To cancel your Medicaid in another state, you need to contact that state's Medicaid program. Find your state's program.
There are many different requirementsand different programs covered under OHP.OHA's Oregon Administrative Rules for medical programs list these requirements.
To qualify for OHPindividuals and families must meet income and residency requirements.
To see if you qualify:
- Applying for OHP is the best way.
- You can use this tool to enter yourhousehold's income, ages and other information to see if applying for OHP is right for you.
People may also qualify based on age and disability status. To apply,older adults and people withdisabilities should call theAging and Disability Resource Connection (ADRC) at1-855-ORE-ADRC (855-673-2372).
Learn more about Medicaid for older adults and people with disabilities.
Income limits change every year.
- This chart(page 4) lists the income limits for OHP.
- This rule explains how OHP usesincome to make eligibility decisions.
- You can use this tool to enter your household income and see if applying for OHP is right for you.
Requirements for older adults and people withdisabilities are more complex. To learn more,call theAging and Disability Resource Connection (ADRC) at1-855-ORE-ADRC (855-673-2372).
Learn more about Medicaid for older adults and people with disabilities.
Report it as a change to OHP. Learn how to report changes to OHP.
To complete an application, you will need information about you and the members of your household who want benefits, such as:
- Name
- Date of birth
- Social Security Numbers for everyone who hasan SSN
- Contact Information, including a valid mailing address
- Proof of naturalization orimmigration status
- Income, expenses, and tax deductions for everyone on your federal income tax return
- Any other health coverage, such as Medicare or private health insurance
If you appliedwithODHS, your worker will let you know. It may be up to45 calendar days after theygetyourcompleted application. If ODHS has to make an eligibility decision based on a disability, it may take longer.
If you do not receive anything after 45 days, you can ask about the status of your application. To do this, contact the office where you applied.
If you applied by mail, you can call ONECustomer Service at 1-800-699-9075.
If you applied online, you can viewthe status of your applicationinyour dashboard atONE.Oregon.gov.
Medicare is for people who are age 65 and older, are blind, or have a disability.
Private health plans and financial help arefor people who earn too much for OHP.
The Oregon Prescription Drug Program is for people who areuninsured or underinsured for prescription drug coverage.
211 infohas a listother health care resources throughout Oregon.
