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Health coverage in Oregon

If you live in Oregon and you are not offered coverage from an employer, it is important to consider your health coverage options. Below are summaries of each health plan option; more information is available through the links below.

Not sure what coverage you qualify for?

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OHP logo Oregon Health Plan (OHP)

OHP is Oregon's Medicaid program. It provides free coverage for people in Oregon who meet eligibility criteria. Coverage includes doctor visits, hospital care, mental health services, dental, and some vision care. Learn about Oregon Health Plan coverage.

Apply for OHP

 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. OHP Bridge will cover medical, dental and behavioral health care. Members will have access to additional benefits, like transportation to medical appointments and health-related services. However, OHP Bridge will not cover long-term services and supports or climate and housing benefits. Just like OHP Plus, OHP Bridge has no member costs. That means no premiums, no co-payments, no coinsurance and no deductibles. Learn about OHP Bridge.

Apply for OHP Bridge

OHIM logo Private health insurance through the Marketplace

Individual health plans, also called private health coverage, are available through the Marketplace. People in every county of Oregon can purchase a plan through the Marketplace. All plans sold through the Marketplace include a comprehensive set of essential health benefits and are regulated by the State of Oregon. Although you can buy private health plans directly through an insurance company, financial assistance is available only through the Marketplace. Learn about Marketplace coverage.

Apply for Marketplace coverage

tribe icon.png Special savings for members of tribes

Health plans available through the Marketplace include special savings for American Indians who are enrolled in a federally recognized tribe, band, or pueblo, and Alaska Native Claims Settlement Act shareholders.

Enrolled Tribal members and Alaska Natives who buy coverage through the Marketplace can enroll in a zero cost-sharing plan if their income is at or below the limit for their family size. This means they do not have to pay for deductibles, co-pays, co-insurance, or prescriptions. They also can enroll in coverage any time of year and can change plans up to once a month. Learn about savings for Tribal members.

Apply for Marketplace coverage

SHIBA program logo Medicare

Medicare is available to people who are 65 and older through the Social Security Administration. Some people who are younger than 65 also qualify for Medicare due to disability, end-stage renal disease (ESRD), or amyotrophic lateral sclerosis (ALS). Medicare does not cover everything, and there is cost sharing involved. It is important to consider additional coverage when you are enrolled in Medicare.

The Oregon Senior Health Insurance Benefits Assistance (SHIBA) program can tell you more about Medicare options.

Call SHIBA at 1-800-722-4134 (toll-free) or go to the SHIBA website.

Apply for Medicare coverage

small business icon.png Health coverage for small businesses

Any small business in Oregon with one to 50 employees can directly purchase a certified plan from one of the participating insurers. Small businesses with fewer than 25 full-time employees could be eligible for the Small Business Health Care Tax Credit. The Oregon Health Insurance Marketplace plays a role in some of the key steps toward your business qualifying for the credit. Learn about coverage for small businesses.

ODVA logo.png Health coverage for service members

The federal VA operates a robust and comprehensive health care system for veterans in Oregon, consisting of three full-service Medical Centers and numerous Community-Based Outpatient Clinics (CBOCs). Learn more about VA coverage on the Oregon Department of Veterans' Affairs website.