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COFA Premium Assistance Program

The Compact of Free Association (COFA) Premium Assistance Program provides free insurance to low-income citizens of the Federated States of Micronesia, Republic of the Marshall Islands, and the Republic of Palau who live in Oregon and entered the U.S. under the compact. Adults from the COFA nations are not eligible for full Medicaid (Oregon Health Plan).

Eligibility criteria

If you are at least 19 years old, not pregnant, do not have access to other health coverage, and your income is less than the amount in the table for your family size, you may be eligible for the COFA Premium Assistance Program.

Family sizeAnnual gross income limit


Steps to apply

Step 1: Call 855-268-3767 and select COFA in the menu or go to and select COFA Premium Assistance Program to find a community partner or agent to help you for free.

Step 2: Apply for Oregon Health Plan (OHP). If you are denied OHP, you can apply for the COFA Premium Assistance Program. You may also receive Citizen/Alien-Waived Emergency Medical (CAWEM) emergency benefits.

Step 3: Complete an application for financial help at and enroll into a COFA Program-approved health plan (standard silver plan).

Step 4: Complete an application to the COFA Premium Assistance Program with copies of the applicant's most recent I-94, passport, and proof of Oregon residency.

Step 5: Provide the COFA Program a copy of your eligibility notice and plan enrollment.

Services covered by all health plans

Routine health care includes:

  • Screenings and tests
  • Check-ups
  • Patient counseling to prevent illnesses, disease, or other health problems
  • Vaccinations, including the flu shot

Tests and screenings are no cost when they are recommended for you by your doctor.

When you are enrolled with the COFA Premium Assistance Program, you can see doctors and other health care providers with your new insurance. The COFA Program may pay you back for things you pay for first (doctor visits, lab tests, and medications).

Find free help

Visit to find free local help from an expert and to watch informational videos in Chuukese, Marshallese, Palauan, and Pohnpeian languages.