Applying for Medicaid in Oregon is simpler than many people think. Oregon calls its Medicaid program the Oregon Health Plan, or OHP, and the state has made enrollment accessible through an online portal, by phone, by mail, and in person. Whether you are uninsured, recently lost your job, or just want to see if you qualify for free or low-cost health coverage, this guide walks you through every step of the process.
Not sure if you qualify? Try our free eligibility screener to find out in just a few minutes. You can also visit our Oregon Benefits Overview for a full look at all the programs available to Oregon residents.
What Is the Oregon Health Plan (OHP)?
The Oregon Health Plan is the state's Medicaid program, run by the Oregon Health Authority (OHA). OHP provides free or low-cost health coverage to qualifying low-income Oregonians, including doctor visits, hospital care, prescription drugs, mental health services, dental care, and vision care.
Oregon is a Medicaid expansion state, which means adults without children can qualify for OHP if their income falls at or below 138% of the Federal Poverty Level (FPL). This is a significant benefit, as some states do not cover childless adults at all.
Oregon also offers the OHP Bridge program, which extends transitional health coverage to adults with incomes between 133% and 200% of FPL. This helps people who earn slightly too much for traditional Medicaid but still need affordable coverage.
Who Is Eligible for OHP?
Eligibility for the Oregon Health Plan depends on your age, household size, income, and immigration status. Here are the main groups that may qualify:
- Adults ages 19 to 64 with income at or below 138% FPL
- Children and teens under 19 with family income at or below 305% FPL
- Pregnant women with income at or below 185% FPL
- Seniors age 65 and older who meet income and resource requirements
- People with disabilities who meet specific criteria
One standout feature of Oregon's program is that children can qualify for OHP regardless of immigration status, as long as income requirements are met. This makes Oregon one of the most inclusive states for children's health coverage.
OHP Income Limits for 2025 to 2026
The following table shows the annual and monthly income limits for the major OHP eligibility categories. These figures are based on the 2025 Federal Poverty Level guidelines.
Adults (Ages 19 to 64) at 138% FPL
| Household Size | Annual Income Limit | Monthly Income Limit |
|---|---|---|
| 1 | $21,597 | $1,800 |
| 2 | $29,297 | $2,441 |
| 3 | $36,997 | $3,083 |
| 4 | $44,697 | $3,725 |
| 5 | $52,397 | $4,366 |
| 6 | $60,097 | $5,008 |
Children (Under 19) at 305% FPL
| Household Size | Annual Income Limit | Monthly Income Limit |
|---|---|---|
| 1 | $47,733 | $3,978 |
| 2 | $64,758 | $5,397 |
| 3 | $81,783 | $6,815 |
| 4 | $98,808 | $8,234 |
| 5 | $115,833 | $9,653 |
| 6 | $132,858 | $11,072 |
Pregnant Women at 185% FPL
| Household Size | Annual Income Limit | Monthly Income Limit |
|---|---|---|
| 1 | $28,953 | $2,413 |
| 2 | $39,283 | $3,274 |
| 3 | $49,613 | $4,134 |
| 4 | $59,943 | $4,995 |
| 5 | $70,273 | $5,856 |
| 6 | $80,603 | $6,717 |
OHP Bridge Program (133% to 200% FPL)
Adults with income between approximately $20,815 and $31,300 per year (for a single person) may qualify for OHP Bridge. This program launched in July 2024 and provides coverage for people transitioning off traditional Medicaid.
Note: These are estimates. Actual eligibility is determined by the Oregon Department of Human Services (ODHS) when you apply. Use our free screener to get a quick estimate before applying.
How to Apply for Medicaid in Oregon: Step by Step
Oregon offers four ways to apply for the Oregon Health Plan. Choose whichever method works best for your situation.
Option 1: Apply Online Through ONE Oregon
The fastest way to apply is through the ONE Oregon portal. ONE stands for Oregon Eligibility, and it is the state's unified system for applying to multiple benefit programs at once, including OHP, SNAP (food benefits), TANF (cash assistance), and childcare assistance.
- Go to one.oregon.gov
- Create an account with your name, email, and a password
- Start a new application and select "Health Coverage" (you can also apply for other benefits at the same time)
- Enter information about every member of your household, including names, dates of birth, and Social Security numbers (if available)
- Provide details about your income, including wages, self-employment, and any other sources
- Upload or indicate that you will mail any required documents
- Review your application and submit it electronically
- Save your confirmation number so you can check your status later
After you submit, you can log back into your ONE Oregon dashboard to track the progress of your application.
Option 2: Apply by Phone
If you prefer to apply over the phone, call the ONE Customer Service line:
- Phone: 1-800-699-9075
- Hours: Monday through Friday, 7 a.m. to 6 p.m. Pacific Time
- TTY: 711
A representative will walk you through the application and enter your information on your behalf.
Option 3: Apply by Mail or Fax
You can download a paper application from the Oregon Health Authority website or request one by calling 1-800-699-9075. Complete the form and mail it to your local ODHS office. You can find your local office at one.oregon.gov.
Option 4: Apply in Person
Visit your local Oregon Department of Human Services (ODHS) office to apply with help from a caseworker. You can also get help from community organizations, hospitals, and certified application assistors throughout the state.
To find in-person help, call 1-800-699-9075 or visit the OHA website.
Documents You Will Need
Before you begin your application, gather the following information for every household member applying for coverage:
- Full legal name and date of birth
- Social Security Number (for those who have one)
- Proof of income such as pay stubs, tax returns, or a letter from your employer
- Proof of citizenship or immigration status (birth certificate, passport, green card, or other documentation)
- Contact information including a valid mailing address
- Information about current health coverage, if any (such as Medicare or employer insurance)
- Tax filing information, including who you claim as dependents
You do not need to have all documents ready to submit your application. ODHS may follow up to request additional documentation if needed.
What Happens After You Apply
Once ODHS receives your completed application, here is what to expect:
- Application review: ODHS will verify your identity, income, and household information
- Processing time: Expect a decision within 45 calendar days of submitting a complete application. If a disability determination is required, it may take longer.
- Notification: You will receive a letter in the mail (or a notification in your ONE Oregon account) telling you whether you have been approved or denied
- If approved: Your coverage begins on the date of your application or the date you became eligible, whichever is later. You will be assigned to a Coordinated Care Organization (CCO) that manages your health care.
- If denied: The letter will explain why and how to appeal the decision. You have the right to request a hearing.
You can check your application status at any time by logging into one.oregon.gov or calling 1-800-699-9075.
Tips for a Smooth Application
- Apply for multiple programs at once. The ONE Oregon system lets you apply for OHP, SNAP, TANF, and childcare assistance on one application. Even if you are only interested in health coverage, checking for other programs costs nothing and could save you hundreds per month.
- Report income accurately. Use your most recent pay stubs or tax return. Underreporting or overreporting can delay your application.
- Respond quickly to requests. If ODHS asks for additional documents, submit them as soon as possible to avoid delays.
- Keep copies of everything. Save your confirmation number, copies of documents you submit, and any letters you receive.
- Ask for help if you need it. Community health workers, application assistors, and ODHS staff are available to help you at no cost.
OHP Coverage: What Is Included?
Once approved, OHP covers a wide range of services at no cost to most members:
- Doctor and specialist visits
- Hospital and emergency care
- Prescription medications
- Mental health and substance use treatment
- Dental care (through OHP dental plans)
- Vision exams and glasses
- Lab tests and X-rays
- Preventive care and immunizations
- Maternity and newborn care
- Transportation to medical appointments
Most OHP members pay no premiums, no copays, and no deductibles. This makes it one of the most comprehensive and affordable health coverage options available.
Special Situations
Recently Moved to Oregon
If you had Medicaid in another state, it does not automatically transfer. You need to apply for OHP in Oregon and contact your previous state to cancel that coverage. You can apply for OHP as soon as you move to Oregon.
Already Have Private Insurance
You can have both OHP and private insurance. When you have both, your private insurance is billed first, and OHP can cover remaining costs like copays and deductibles.
Children Regardless of Immigration Status
Oregon covers children under 19 through OHP regardless of immigration status, as long as income requirements are met. For help with children's enrollment, call 833-OHP-FORU (833-647-3678).
Frequently Asked Questions
How long does it take to get approved for OHP?
Most applications are processed within 45 calendar days. If your application requires a disability determination, it may take longer. You can check your status online at one.oregon.gov.
Can I apply for OHP at any time of year?
Yes. Unlike marketplace health insurance, Medicaid (OHP) has no open enrollment period. You can apply year-round.
What if my income is too high for OHP?
If your income is above OHP limits but below 200% FPL, you may qualify for the OHP Bridge program. If your income is above 200% FPL, you may be eligible for subsidized marketplace coverage through HealthCare.gov. Use our free screener to check all your options.
Do I need a Social Security Number to apply?
A Social Security Number is requested but not required for all household members. Children can qualify regardless of immigration status. You should provide SSNs for anyone who has one to help verify eligibility.
Is there an asset or resource limit for OHP?
No. Oregon does not impose an asset limit for most OHP eligibility categories. Your home, car, and savings generally do not affect your eligibility.
What is a Coordinated Care Organization (CCO)?
A CCO is a network of health care providers that manages your OHP benefits in your area. Once enrolled, you will choose or be assigned a CCO and a primary care provider. Your CCO coordinates all your care, including physical health, mental health, and dental services.
Can I apply for OHP and food stamps at the same time?
Yes. The ONE Oregon system allows you to apply for OHP, SNAP (food benefits), TANF, and childcare assistance on a single application.
Get Started Today
Applying for the Oregon Health Plan does not cost anything, and the process can be completed in under 30 minutes online. If you qualify, you could have access to comprehensive health coverage with no premiums and no copays.
Ready to see what you qualify for? Check your eligibility now using our free screening tool, or visit one.oregon.gov to start your OHP application today.
For a complete overview of all benefit programs available in Oregon, visit our Oregon Benefits Overview.
