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Oregon Health Fund Board Eligibility and - State of Oregon - oregon

Oregon Health Fund Board Eligibility and - State of Oregon - oregon 2025

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The document presents the recommendations of the Eligibility and Enrollment Committee to the Oregon Health Fund Board, focusing on affordability, eligibility requirements, and enrollment procedures for the Oregon Health Fund program. Key themes include shared responsibility among individuals, employers, and the state; ensuring equitable access to health care for all residents regardless of income; and implementing a sliding-scale cost-sharing structure to enhance affordability. The committee emphasizes the importance of outreach, streamlined application processes, and mechanisms to support low-income individuals while maximizing federal matching funds. Recommendations also address issues related to employer-sponsored insurance, residency requirements, and continuous enrollment periods.

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Who is eligible for healthier Oregon?

People of Any Age or Immigration Status May Qualify for Full Oregon Health Plan (OHP) Benefits. As of July 1, 2023, people of all ages who meet income and other criteria qualify for full OHP benefits and other services and supports, no matter their immigration status.

Do I have to pay for an Oregon Health Plan?

The cost of the Oregon Health Plan is based on your income and household size. Most people who enroll in the program will not have to pay any monthly premiums, but there may be co-payments for some services.

Who is eligible for the healthier Oregon program?

Medicare-Medicaid enrollees are low-income seniors and people with disabilities. Qualified Disabled and Working Individuals (QDWIs) are Partial Benefit enrollees who receive assistance from Medicaid to pay Medicare premiums only.

Do I qualify for OHP Bridge?

OHP Bridge is a new health coverage benefit for adults with income just above the traditional OHP Plus limit. Adults with income between 138 and 200 percent of the federal poverty level (FPL) will have access to quality health insurance through OHP Bridge.

What is the income limit for an Oregon Health Plan?

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

Who is eligible for both Medicare and Medicaid in Oregon?

Verify member eligibility, benefits and enrollment at At the main menu, click Eligibility. Enter the members Oregon Health ID number or Social Security number, plus name or date of birth, then click search.

Oregon Health Fund Board Eligibility and - State of Oregon - oregon 2025

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