Oregon Health Authority : OHP Forms and Publications - State of Oregon 2026

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  2. Begin by entering your personal information in the designated fields. Ensure that all answers are typed for clarity, or handwritten in print if necessary.
  3. Fill out the 'Adult visitor information' section, including your name, gender, mailing address, and contact preferences. Remember to provide your date of birth and any previous names used.
  4. If applicable, indicate your relationship to the patient and whether you are a current or past OSH employee. This information is crucial for processing your application.
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If you are 65 or older, blind or have a disability: You can qualify even if you are working. You get these benefits through the Oregon Department of Human Services (ODHS) and Area Agencies on Aging (AAAs).
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.
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
Are you eligible? Persons in familyMonthly 1 $2,510 2 $3,407 3 $4,303 4 $5,2002 more rows

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