What is the Oregon Health Plan (OHP)?
The Oregon Health Plan (OHP)/Medicaid provides health care coverage including medical, dental and mental health care, and substance abuse treatment for low-income adults and children living in Oregon.
There are several health care programs available for low-income Oregonians through OHP.
1. OHP Plus for children ages 0-18 and adults ages 19-64
2. OHP Plus Supplemental for pregnant adults age 21 or older
3. OHP with Limited Drug for adults who qualify for both Medicaid and Medicare Part D
To qualify for OHP, individuals and families must meet income and residency requirements. Residents of Oregon may also qualify based on age and disability status.
1. You MUST live in Oregon
2. You MUST meet the income bracket:
Other factors that also may influence OHP/Medicaid eligibility include other health care resources and disability status. The best way to see if you qualify is to apply.
Still not sure if OHP is right for you? Go to OregonHealthCare.gov and answer the screening questions. This will help you find the application that works best for you and your family.
What is the applicant portal?
You can also learn more about how to fill out the application in the Application Guide.
What dental benefits are covered?Here are some of the things that are covered. There may be a limit on how often you can have each one. Call your dental plan to learn more. If you do not know who your dental plan is, call your CCO or OHP Client Services.
How do I find a dentist?
If you have a coordinated care organization (CCO):
Most Oregon Health Plan members have a coordinated care organization (CCO). A CCO connects your insurance plan and your doctors so all your care works together.
If you have fee-for-service OHP (FFS, also called Open Card)
If you do not know if you have a CCO or FFS:
(The Citizen Alien Waived Emergent Medical (CAWEM) program covers dental emergencies only. CAWEM Plus for pregnant women has full dental coverage. Please report your pregnancy to OHP to get CAWEM Plus.)
Learn more about dental emergencies.