OPAR

Frequently Asked Questions

Does everyone on the insurance policy have to be covered by Medicaid?
No. All that is required is that at least one person on the insurance also be covered by Medicaid. 

Does the policyholder have to live in the same household as the Medicaid recipient?
No. Policyholders do not have to live in the same household as the Medicaid recipient. A parent or guardian policyholder who is paying for insurance for a child that does not live with them can still apply.  

I just learned about HIPP and I’ve had the insurance for a long time. Will the state retro HIPP back to when my insurance first started?
No, HIPP payments begin the month after you are approved.

If I keep my private health insurance will I still be able to have Medicaid?
In most cases, you can have Medicaid and private health insurance. When you have private or employer-sponsored insurance it is the primary payer for your health care. Medicaid is the secondary payer for anything that the private health insurance does not cover.

What are examples of when you can’t have third party insurance and Medicaid?
Two examples are policyholders receiving tax credits for insurance purchased through the Federal Health Exchange and children in higher income levels covered by the Children’s Health Insurance Program (CHP). 

If approved how do I get my premium reimbursement?
If approved, the state will mail you a check each month as long as your insurance is active and the insurance is cost-effective.

What should I do if my insurance changes?
If the policy or premium amount changes you are required to report the change as soon as it occurs. You can report changes to your insurance at www.reportTPL.org or you can email a premium reimbursement coordinator at reimbursements.hipp@state.or.us

How often do I have to re-certify?
Re-determinations are usually done annually but could be more frequent. When it’s time for you to re-certify you will receive information in the mail.

What should I do if I didn’t receive my check?
It’s unlikely that you would not receive the check, but it could happen if there was a problem with your Medicaid eligibility, the insurance ended or a system issue occurred. If your check is more than a week late you should contact us at reimbursements.hipp@state.or.us so we can research your case.

Can HIPP checks be directly deposited to my bank?
No. Direct deposit is not available for HIPP.

I forgot to report that my insurance ended and I got a reimbursement check. What do I need to do?
If you receive a check for insurance that is no longer active, the payment must be returned to the state. Failure to return the payment will result in an overpayment, which could lead to collection activities. The best thing to do if you get a premium reimbursement check and the insurance has terminated is to contact us right away to let us know. You can email a premium reimbursement coordinator at reimbursements.hipp@state.or.us.

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