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Emergency updates

Coverage and COVID-19 related costs

Under an agreement between the state and health insurance companies, there is no co-payments, co-insurance, or deductibles related to COVID-19 for testing at an in-network provider, in-network urgent care center, or emergency room, or COVID-19 immunization when it becomes available.

Lab and other services: Individual and small group market issuers are generally required to include laboratory services as a category of essential health benefits. Coverage for a specific diagnostic or laboratory service can vary by plan, so check with your health insurance company about its coverage for lab tests and related services for diagnosis and treatment of COVID-19. Standard cost sharing may apply. This is also true for your health plan's coverage for physician and hospital services related to the diagnosis and treatment of COVID-19.

Telehealth: Telehealth services or home health visits may already be covered by many health insurance companies. You should check with your health insurance company to determine whether these services are covered and what you will pay.

Enrolling in coverage: If you are not currently enrolled in coverage, you can see if you qualify for a special enrollment period. As a reminder, federal law and regulations provide protections against pre-existing condition exclusions in health insurance coverage. If you are eligible, health plans must permit you to enroll, regardless of health status, age, gender, or other factors that might predict the use of health services. Marketplace plans cannot terminate coverage due to a change in health status, including diagnosis or treatment of COVID-19.

COVID-19 vaccine information

COVID vaccines will be free for you. You do not need health insurance. If you have health insurance, vaccine providers may charge your insurance company an administration fee for giving you the vaccine. This means that you might be asked for your insurance information when you get the COVID vaccine. Vaccine providers cannot charge you for giving you a vaccine, but it is important that you bring your insurance information if you have health insurance.

Want more information? Visit covidvaccine.oregon.gov or reach out to 211info for help: 
  • Text ORCOVID to 898211
  • Email ORCOVID@211info.org
  • Call 211 or 1-866-698-6155 (toll-free) 

Displaced by wildfires, disasters

Oregon is currently facing far more evacuations and displacements than recorded history has shown. As such, many Oregonians applying for coverage through the Oregon Health Insurance Marketplace and Medicare plans must take note of how to accurately report their address on the application.

It is important for those displaced by wildfires to be aware of how and where they may retrieve their mail. The United States Postal Service (USPS) has issued information about relocated operations due to wildfires. 

Use current address

When completing the Marketplace application, consumers should use their current address, based on where they intend to reside.

  • If they have not officially moved, they may continue to use the address where they intend to reside.
  • If they are displaced because they no longer have a permanent address, they may select that they do not have a permanent physical address and provide a mailing address for contact purposes.
  • It should not be necessary to provide proof of address.
  • Current enrollees should update their current address, if their permanent address has changed. Plan options may be different if they are residing in a new area.

Marketplace enrollment due to national emergency, major disaster

Oregonians affected by the wildfires can use the federal emergency declaration by the Federal Emergency Management Agency (FEMA) to take advantage of an exceptional circumstances special enrollment period (SEP). FEMA has issued emergency declarations for Oregon wildfires in 2021. See if you're affected by an emergency declaration on the FEMA website.

Oregonians will have up to 60 days from the end of the FEMA-designated incident period to select a new health insurance plan through HealthCare.gov or make changes to their existing health insurance plan. People who experienced a life change are eligible for a standard special enrollment period that allows them to sign up for a plan 60 days before or 60 days after their life change to enroll in a plan. Examples of a life change include loss of coverage due to loss of employment, marriage, addition of a new family member, gaining lawful immigration status, and moving homes.

Oregonians who were eligible for a standard special enrollment period, but missed this window due to the Oregon wildfires, can use the FEMA SEP to enroll in a plan. Applications are being accepted at HealthCare.gov if the life change is a loss in coverage and at 800-318-2596 (toll-free) for all other life changes.

  • The FEMA SEP due to the Oregon wildfires is available for people who qualified for a special enrollment period from the initiation of a FEMA emergency declaration through up to 60 days after the FEMA emergency has ended.  
  • The FEMA SEP due to COVID-19 is available for people who qualified for a special enrollment period from Jan. 1, 2020, through up to 60 days after the national public health emergency has ended. The current national declaration is set to end in late October.

For more information, visit HealthCare.gov/SEP-List.

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