Oregon health plan form 2025

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  1. Click ‘Get Form’ to open the Oregon Health Plan application in the editor.
  2. Begin by providing your personal information in Step 1. Fill in your legal name, Social Security number (if applicable), birthdate, and contact details. Ensure accuracy as this will be used for communication.
  3. In Step 2, list additional household members applying for coverage. Include their names, relationships, and relevant details like Social Security numbers and birthdates.
  4. Proceed to Step 3 to report income and deductions. Clearly indicate monthly income from jobs and any other sources of income. Be thorough to avoid delays in processing.
  5. Complete Step 4 by answering additional household questions regarding pregnancy, disabilities, or other relevant health conditions.
  6. In Step 5, provide information about current health insurance coverage for each applicant. This includes types of insurance and enrollment status.
  7. Finally, review all sections for completeness before signing the application in Step 6. Submit your application via mail or fax as instructed at the end of the form.

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Do I qualify? Maximum Monthly Income by Applicant Type and Family Size Family sizeAdults (19-64)Children (0-18) 1 $1,732 $3,828 2 $2,351 $5,196 3 $2,970 $6,5634 more rows
What are the income limits for health insurance subsidies? To qualify for health insurance subsidies, youll typically need to earn between $15,060 and $60,240 as a single person or between $31,200 and $124,800 as a family of four.
To apply for OHP online, go to ONE.Oregon.gov and click Apply Now. You will need to create a new ONE account if you dont already have one.
Oregon Health Plan (Medicaid) People of all ages and any immigration status can qualify. OHP provides free health coverage. OHP may cover medical, dental, mental health care, and help with substance use disorders or addiction. The Oregon Department of Human Services (ODHS) makes sure people qualify for OHP.