OregonHealthCare.gov : Health coverage in Oregon : State of Oregon

Not sure what coverage you qualify for? Preview plans and savings through the storefront tool.

Oregon Health Plan (OHP)

ohp is oregon’s medicaid program. Provides free coverage to people in Oregon who meet eligibility criteria. coverage includes doctor visits, hospital care, mental health services, dental care, and some vision care. learn more about oregon health plan coverage.

Reading: How do i get health insurance in oregon

Private health insurance through the Marketplace

Individual health plans, also called private health coverage, are available through the marketplace. people in all oregon counties can buy 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 purchase private health plans directly through an insurance company, financial assistance is only available through the Marketplace. obtain information about the coverage of the market.

tribe icon.png Special savings for members of tribes

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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 Alaskan Natives who purchase coverage through the Marketplace can enroll in a zero-cost-share plan if their income is at or below the limit for their family size. This means they don’t have to pay deductibles, copays, coinsurance, or prescriptions. they can also sign up for coverage at any time of the year and can change plans up to once a month. Learn about savings for tribal members.

Medicare

Medicare is available to people age 65 and older through the Social Security Administration. Some people under age 65 also qualify for Medicare because of disability, end-stage renal disease (ESRD), or amyotrophic lateral sclerosis (ALS). Medicare doesn’t cover everything, and there is cost sharing involved. It’s important to consider additional coverage when you’re enrolled in Medicare.

the oregon senior health insurance benefits assistance program (shiba) can give you more information about your medicare options.

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Call shiba at 1-800-722-4134 (toll free) or visit shiba’s website.

small business icon.png Health coverage for small businesses

Any small business in Oregon with one to 50 employees can purchase a certified plan directly from one of the participating insurers. Small businesses with fewer than 25 full-time employees may be eligible for the small business health care tax credit. The Oregon Health Insurance Marketplace plays a role in some of the key steps for your business to qualify for credit. Learn about small business coverage.

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 outpatient clinics (cbocs). Learn more about VA coverage at the Oregon Department of Veterans Affairs website.

See also: ​Understanding health insurance

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