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Am I eligible for the Oregon Health Plan?

Columbia Pacific CCO is a coordinated care organization (CCO) that connects you to physical, dental and mental health care and other services within the Oregon Health Plan (OHP).

Within the OHP, there are two plans that Oregonians can qualify for: OHP Plus and OHP Bridge. The differences in these plans are small and eligibility for both are based mainly on income levels. But there also could be other factors that determine eligibility for either plan.

See the grid below for more information on what kind of income levels will determine if you qualify for either OHP Plus or OHP Bridge. And for more information on these two OHP plans, visit our Member resources web page.

 

 

Do I qualify?

The chart below shows the highest income levels you can have to see if you qualify for the Oregon Health Plan. But remember, this isn’t the only thing that decides if you’re eligible. There are other factors that aren't listed here. The best way to find out if you qualify is to apply. You might be able to get coverage, even if you were turned down before. For more information, check out the Oregon Health Plan website

 

Maximum Monthly Income by Applicant Type and Family Size

Family size

Adults (19-64)

Children (0-18)

Pregnant Individuals

Parent or caretaker

OHP Plus

OHP Bridge

1

$1,732

$2,510

$3,828

$2,385

$399

2

$2,351

$3,407

$5,196

$3,237

$515

3

$2,970

$4,304

$6,563

$4,089

$611

4

$3,588

$5,200

$7,930

$4,940

$747

5

$4,207

$6,097

$9,298

$5,792

$872

6

$4,826

$6,994

$10,665

$6,644

$998


Ways to apply

There are several different ways to apply for OHP:

call-oha

Call OHA:
Call OHP Customer Service at 800-699-9075 or TTY 711.

Online:
One.Oregon.gov

on-paper

On paper:

Download application

OHP Fax number: 503-378-5628

Mail applications to: OHP Customer Service, P.O. Box 14015, Salem, OR 97309-5032

In-person assistance:

An “Assister” from OHP, or a helper at a community health center will guide you through the enrollment process.

Oregon Health Plan events

List of community health centers



What information and documents do I need when I apply?

Even when your income qualifies you for the Oregon Health Plan, the state asks you to provide certain documents. 

Have these with you when you apply online, or bring them with you to an in-person event.

  • Birthdate (birth certificate, if available)
  • Social Security number (for those who have one)
  • Income and deduction information (for example, pay stubs)
  • Immigration documentation (if applicable)
  • Information about health insurance available to you through an employer (if any)

 

Which OHP application method is best for me? 

The OHP application method you use depends on how much time you have, how much privacy you have at your location and when you need your coverage to start. Overall, working with an assister seems to take the least amount of time from application through enrollment and offers one-on-one help for any questions you may have.

Take a look at the chart below to see what makes sense for you:

 

Get help

Do it yourself

 

Call OHA

Work with an Assister

Apply online

Apply on paper

Time required

  • Long wait time on phone is possible during heavy call volume
  • Time with representative: approx. 30 mins
  • 20-40 min. session on average
 *Times may vary
  • 30 mins. to 1 hour on average to complete application
  • 30 mins to 1 hour on average to complete application
  • If mailed or dropped off at DHS office, allow extra days for mailing and sorting

What you will need (in addition to documentation)

  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number
  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number
  • Internet connection
  • Laptop/desktop needed
  • Email account
  • If mailing: a stamped envelope, return address, OHP processing center address
  • If faxing: fax machine, OHP processing center fax number: 503-378-5628

When will your OHP coverage start?

  • You may be granted instant eligibility
  • Enrollment within 45 days (may be faster depending on complexity of application)
  • Enrollment within 3 weeks (may be faster depending on complexity of application)
  • Enrollment within 45 days
  • Enrollment within 45 days of application arrival at OHP processing center

What works well

  • Instant eligibility status if qualified
  • Personal connection with an OHP representative
  • Getting the most accurate and updated info on your case
  • Income is easier to verify vs. online form -especially for self-employed
  • Personal advocate to contact with follow-up questions and concerns
  • Fast and convenient
  • Flexibility with appointment scheduling
  • Additional safety net resources and referrals available
  • Income is easier to verify vs. online form, especially for self-employed
  • Online application is available in many languages
  • Application can be saved and continued
  • Can be done any time
  • Application is available in many languages
  • Can be done any time

 





Click an option below to learn more about it and see what makes sense for you:

Time required
  • Long wait time on phone is possible during heavy call volume
  • Time with representative: approx. 30 mins

What you will need (in addition to documentation)
  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number

When will your OHP coverage start?
  • You may be granted instant eligibility
  • Enrollment within 45 days (may be faster depending on complexity of application)

What works well
  • Instant eligibility status if qualified
  • Personal connection with an expert
  • Getting the most accurate and updated info on your case
  • Income is easier to verify vs. online form -especially for self-employed

Time required
  • 20 min. session on average

What you will need (in addition to documentation)
  • Quiet space (to share personal info)
  • Interpreter
    (if needed)
  • Call back number

When will your OHP coverage start?
  • Enrollment within 3 weeks (may be faster depending on complexity of application)

What works well
  • Personal advocate to contact with follow-up questions and concerns
  • Fast and convenient
  • Flexibility with appointment scheduling
  • Additional safety net resources and referrals available
  • Income is easier to verify vs. online form, especially for self-employed

Time required
  • 30 mins. to 1 hour on average to complete application

What you will need (in addition to documentation)
  • Internet connection
  • Laptop/desktop needed
  • Email account

When will your OHP coverage start?
  • Enrollment within 45 days

What works well
  • Online application is available in many languages
  • Application can be saved and continued
  • Can be done any time

Time required
  • 30 mins to 1 hour on average to complete application
  • If mailed or dropped off at DHS office, allow extra days for mailing and sorting

What you will need (in addition to documentation)
  • If mailing: a stamped envelope, return address, OHP processing center address
  • If faxing: fax machine, OHP processing center fax number

When will your OHP coverage start?
  • Enrollment within 45 days of application arrival at OHP processing center

What works well
  • Application is available in many languages
  • Can be done any time

See our "Am I eligible?" handout

Find this information in a simple, one-page handout. Click on a language below to download:

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