The Oregon Health Plan is Oregon's Medicaid program. The program pays for health care and other service needs of its clients. To get this help, individuals must meet certain income and asset requirements and other non-financial eligibility requirements such as residency and citizenship status.

Oregon Health Plan services are based on a prioritized list of medical conditions and treatments, the world's first such priority list for medical services.

Program NameOregon Health Plan
Expanded MedicaidYes
Websiteoregon.gov
Phone800-359-9517
Apply Onlinehttps://one.oregon.gov/
Appeal a DenialComplaints and Appeals
Find a Local OfficeSelf-Sufficiency Programs Offices

Eligibility Requirements

To be eligible for Oregon Medicaid, you must be a resident of the state of Oregon, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 17 years of age or younger
  • Have a disability or a family member in your household with a disability

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size*Maximum Income Level (Per Year)
1$17,131
2$23,169
3$29,207
4$35,245
5$41,284
6$47,322
7$53,360
8$59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

AmbulanceLaboratory tests and X-rays
DentalMaternity services
Doctor visitsMedical equipment and supplies
Emergency servicesMedical transportation
HearingMental health care
Home healthPhysical and occupational
Hospital carePrescription drugs
Immunizations and vaccinesVision

Copayments

The Oregon Health Plan does not charge copays.