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Oregon Health Plan
 

Other health care coverage resources


Medicare

800-722-4134 or 800-772-1213
TTY: 711


 

Who is eligible for Medicare?

You may be eligible for Medicare if you:

  • Receive Social Security Disability for two years
  • Are over age 65, or
  • Have permanent kidney failure

Cost to you

There are premiums for some parts of the program.



 

Important information about Medicare

Medicare offers its members hospital and medical insurance. Medicare does not cover long-term care or prescriptions and usually does not pay for all of the medical care needed by its members. Medicare members may be eligible for other programs listed in this section.

There are state programs that can help low-income people pay the cost of Medicare. To apply for these programs, call your local Seniors and People with Disabilities (formerly Senior and Disabled Services Division) office or Area Agency on Aging (AAA) office, or 1-800-282-8096 (voice and TTY: 711).

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Oregon Supplemental Income Program Medical (OSIPM)

 

Who is eligible for OSIPM?

You may be eligible for OSIPM coverage if you:

  • Receive Supplemental Security Income (SSI) benefits
  • Need long-term care in your own home or a facility

Cost to you

You may be required to pay co-payments for some services.

Important information about OSIPM

OSIPM may pay for health care you have received in the last 90 days.

To apply for OSIPM, call your local Seniors and People with Disabilities (formerly Senior and Disabled Services Division) office or Area Agency on Aging (AAA) office, or 1-800-282-8096 (voice and TTY: 711).

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Oregon Medical Insurance Pool (OMIP)/Federal Medical Insurance Pool (FMIP)

800-542-3104
TTY: 711 


 

Who is eligible for OMIP/FMIP?

Oregonian residents turned down for health insurance because of preexisting medical conditions.


Cost to you

Costs vary by age and plan type.


 

Important information about OMIP

OMIP/FMIP is not a low-cost health insurance program. FHIAP can help pay the costs for this program.

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Oregon Department of Veterans' Affairs (ODVA)

800-692-9666
In Salem: 503-373-2085
TTY: 711

Who is eligible for veterans' benefits?

Veterans of the U.S. Armed Forces, their spouse, widow, or child.

Cost to you

Free consultation. Some veterans' affairs medical services require a co-payment.

Important information about veterans' benefits

Veterans' benefits include:

  • Medical services
  • Vocational training
  • College tuition assistance
  • Widow's pension
  • Wartime veteran's pension
  • Nursing care
  • Property tax exemption
  • Free copies of military records and discharge papers
The ODVA will help you seek benefits from the federal Department of Veterans' Affairs (VA) and other veterans programs.

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Family Health Insurance Assistance Program (FHIAP)

1-888-564-9669
TTY: 711

 

Who is eligible for FHIAP?

You may be eligible for FHIAP if you:

  • Live in Oregon
  • Are a U.S. citizen or legally present
  • Have a one month income of less than 200 percent of the Federal Poverty Level (FPL)
  • Have been uninsured for the last two months (does not include OHP coverage, or exceptions, like COBRA), and
  • Do not have or are not eligible for Medicare

Cost to you

As a FHIAP member, you will pay a percentage of your insurance premium costs and any co-payments or deductibles that your health insurance plan requires.

Important information about FHIAP

FHIAP will help members pay for health insurance plans offered by employers or the private insurance market.

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Office of Private Health Partnerships (OPHP)

800-542-3104
TTY: 711


 

Who is eligible for OPHP services?

All Oregon small businesses and individuals needing assistance obtaining health insurance.

Cost to you

Free

Important information about OPHP

OPHP provides assistance, education, and agent referrals to all small businesses and individuals in making informed health insurance choices.

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Prescription drug assistance

 

Many prescription assistance programs require certification that the individual does not have prescription drug coverage.

  • If you are current or former OHP client, call OHP Client Services (1-800-273-0557).
  • They can mail certification to the address shown on your case, for you to use when applying for prescription drug assistance.

Program

Phone number

Medicare Part D

1-877-585-0007

Oregon Prescription Drug Program

  • FREE enrollment
  • ALL Oregonians can join
  • Save up to 60% on prescriptions.
  • No paperwork required and no age or income limit.

1-888-411-6737

Oregon Partnership for Prescription Assistance

  • This program that connects qualified, low-income people with discount prescription drugs, direct from the pharmaceutical manufacturer.
  • It also provides links to public programs

1-888-477-2669



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Page updated: November 28, 2011