Oregon Health Plan (OHP)
The Oregon Health Plan (OHP) offers a wide range of low- or no-cost medical services to people who have been without private health insurance for at least the last 6 months.
OHP / Medicaid offers 2 benefit packages - OHP Plus and OHP Standard.
Oregon Health Plan Plus
OHP Plus is for people who are elderly, sight impaired, disabled, under age 19, pregnant or receiving Temporary Assistance for Needy Families (TANF) benefits. To qualify for OHP Plus, you must:
Be blind or disabled; have adjusted income below the current standard, or receive SSI or Medicaid long-term care services; or
Be age 65 or older; and receiving SSI or Medicaid long term care services; or
Receive Temporary Assistance to Needy Families (TANF); or
Be a child under 6 years of age, with household income under 133 percent of Federal Poverty Level (FPL) or a child under age 19 with household income under 100 percent FPL; or
Be a pregnant woman with household income under 185 percent of FPL; and
Meet other eligibility criteria, including residency, citizenship, and asset tests.
People who receive OHP Standard will have a leaner benefit package (less services covered) and pay premiums and co-pays for services much like a commercial insurance plan.
To qualify for OHP Standard, a person must:
Not meet the requirements for OHP Plus (usually single adults / childless couples)
Have a gross income of less than 100% of FPL
Meet other eligibility criteria, including residency, citizenship, and asset tests