Moving between Marketplace health coverage and Oregon Health Plan (OHP)

If something changes in your life, you need to let Explore Health know within 30 days. Here are some changes you should report:

• Someone joins your family, like through birth, adoption, or marriage. 
• Someone leaves your family because they turn 26, pass away, or you get divorced.
• Your income changes. 
• You get offered other health coverage, like through a job or Medicare. 
• You move to a new home. 
• Your citizenship or immigration status changes. 
• You go to jail or get released. 

When you report a change, Explore Health will check if you're still eligible for your current health plan or if you qualify for state programs like OHP or OHP Bridge. This check happens every time you update your Explore Health information. Here's what could happen: 

1. You may still qualify for Explore Health coverage, and you can review and confirm your plan with any updated financial help. 
2. You may become eligible for OHP or OHP Bridge, but don't cancel your Explore Health plan until you get a notice from the state with a start date for OHP or OHP Bridge. 

What happens after you report a change? 

1. When you report a change to Explore Health, we will check to see if you might qualify for OHP or OHP Bridge. 
2. If you are found potentially eligible for OHP or OHP Bridge, Explore Health securely sends your information to ONE Online. 
3. ONE Online reviews your information to see if you qualify for OHP programs.
• ONE Online may send you a letter asking for more information. If you don't respond, ONE Online will assume you don't qualify for benefits. 
4. ONE Online will send you a letter telling you if you qualify or not, with a start date if you do qualify.
• If you're approved for OHP or OHP Bridge, come back to Explore Health and report your new coverage. This will let you end your Explore Health plan. 
• If you're not approved for OHP or OHP Bridge, come back to Explore Health and report that you weren't eligible. This will help you stay in your Explore Health plan and might increase your financial help. 

Important things to remember 

1. Don't cancel your Explore Health coverage until you know when your new benefits will start. If you cancel too early and then find out you don't qualify for OHP or OHP Bridge, you might not be able to get back into the Explore Health plan until the next open enrollment period. 
2. Explore Health won't cancel your plan for you. If you qualify for OHP or OHP Bridge, it's your job to report your new coverage to Explore Health and ask us to cancel your old plan. 
3. You can't get financial help from Explore Health if you qualify for OHP or OHP Bridge. These programs are free and meet the health coverage rules. If you don't tell Explore Health about your new OHP or OHP Bridge coverage, you might have to pay back any financial help you got while you had both OHP/OHP Bridge and Explore Health coverage. 

Need help? 

Switching between health programs can be tricky. We suggest getting help from a trained expert to guide you through the process. Find free local help.

Moving to OHP? 

You will likely be assigned a Coordinated Care Organization (CCO). OHP's website includes CCO information. On this website you can:

• Find contact information for your CCO
• See if your preferred provider is in-network and find a new provider
• See your CCO's member handbook
• Check if your medication is covered