In Oregon, Medicaid is referred to as the Oregon Health Plan (OHP). This program provides medical and dental coverage to low-income families and individuals living in the state. To be eligible for OHP coverage, seniors must meet income and residency requirements. First, they must be currently living in Oregon. They must also be a U.S. citizen or possess an eligible immigration status, such as LPR, TPS or refugee. To meet the income requirements, senior applicants must have an annual income of $16,146 or less. For seniors who live in a two-person household, the maximum income level is $21,892. Seniors can apply online via the Oregon ONE system or call (800) 699-9075 to request a paper application.
Oregon Health Plan offers several health care programs. Most seniors will qualify for the OHP Plus plan, which covers diagnostic services, preventive services, behavioral health care, dental care, medical care, prescription drugs, rides to appointments and vision care. The plan may not cover certain long-term care options, however, such as assisted living facilities. Portland seniors may need to apply for additional waivers and programs to access long-term care coverage.
Once seniors are accepted into the OHP program, they’ll need to select a coordinated care organization (COO). COOs pair members with health plans, providers and resources. In Portland, the primary COO is the Health Share of Oregon (HSO). This COO gives seniors the option to choose health plans from CareOregon, Kaiser Permanente NW, Providence Health Assurance and Tuality Healthcare. New members can also select a dental plan.
If Portland seniors have questions about their specific health care plan, they can contact their COO by calling (503) 416-8090.