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During the COVID-19 public health emergency (PHE), the federal government extended health coverage, services and supports for people with disabilities and older adults and provided extra food benefits. Some of these flexibilities and temporary programs will end as the federal COVID-19 PHE phases out.
Oregon is planning for how these changes will affect people, with a goal of keeping as many people as possible connected to benefits and covered by a health plan. Check this page for updates.
The main thing you can do is to keep your contact information up to date, so you can get messages about your benefits, and read your notices carefully to see if you need to respond. Respond to information requests and submit renewal forms right away if you get them.
From April 1, 2023 to Jan. 2024, OHP will send notices to Oregonians who are enrolled in medical benefits. OHP enrollees will have 90 days to submit information to redetermine their eligibility for OHP.
If you are no longer eligible for OHP benefits, you will receive a 60-day closure notice. OHP will share data with the federal Marketplace and the Oregon Health Insurance Marketplace about enrollees who are no longer eligible for OHP benefits. The Marketplace will contact clients to advise of coverage options.
If you lose OHP benefits because you are no longer eligible, you will be eligible for a special enrollment period (SEP) to purchase a coverage through the Marketplace. In the past couple of years, financial assistance eligibility expanded to more people. Find out how much you can save.
If you are determined to be no longer eligible for OHP benefits, you will receive a 60-day closure notice which will clearly state a closure date.
The Marketplace will send information to you shortly after you receive your closure notice from OHP. The information will let you know about the coverage options you have through the Marketplace. If you do not enroll through the Marketplace, you will receive a second notice from the HealthCare.gov about 30 days before your OHP benefits end.
OHP notices will be sent based on the preferred communications methods selected during the OHP application process. Notices will also be available through the ONE system.
Marketplace notices will be sent by postal mail. Additional contacts will include text messaging, email, and phone calls, depending on communications preferences.
A new special enrollment period (SEP) called an “Unwinding SEP” is available for people who lose OHP benefits between March 31, 2023 and July 31, 2024. This new SEP allows you to enroll in Marketplace health coverage outside of the annual open enrollment period. HealthCare.gov will be updated so if you submit a new application or update an existing application between March 31, 2023 and July 31, 2024 and report a last date of OHP coverage within the same time period, you will automatically be found eligible for an Unwinding SEP. If you are eligible for the Unwinding SEP, you will have 60 days after you submit their application to select a Marketplace plan. Coverage will start the first day of the month after you select a plan. You may apply for Marketplace coverage and report your loss of coverage up to 60 days before their last day of OHP.
No, but HealthCare.gov has made updates to the existing application questions that asks about a recent loss of Medicaid or CHIP (OHP) coverage. HealthCare.gov has updated existing functionality to grant the Unwinding SEP if you are eligible. You can also be determined eligible for the Unwinding SEP through existing questions on applications completed with an insurance agent/broker.
The Unwinding SEP will be available to you if you qualify for Marketplace coverage if you:
To help avoid gaps in coverage during unwinding, it is recommended that you act as soon as possible if you have received a notice from OHP that you are no longer eligible for benefits.
You are not required to submit documentation of a qualifying life event to be eligible for the Unwinding SEP. You will be required to attest to a loss of Medicaid or CHIP coverage as part of the application.
It is essential that OHA and ODHS has current contact information for you to communicate effectively. Please update your contact information by logging in to ONE.Oregon.gov or calling 800-699-9075 (toll-free).
You may email firstname.lastname@example.org.
You may also reach the Marketplace by calling 833-699-6850 (toll-free).
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