๐ŸฅHealthcare

Medicaid in
Oregon

Oregon expanded Medicaid, so adults qualify for Oregon Health Plan at 138% of the federal poverty level โ€” about $2,969 a month for a household of three, with or without children.

$1,732/mo
Income Limit, 1 Person
15โ€“45
Days to Process
12 mo
Renewal

Who Qualifies for Oregon Health Plan in Oregon?

Oregon expanded Medicaid

Adults aged 19โ€“64 in Oregon qualify for Oregon Health Plan on income alone, at or below 138% of the federal poverty level, whether or not they have children and with no asset test for this group.

Household SizeMonthly LimitAnnual Limit
1 person$1,732$20,783
2 people$2,351$28,207
3 people$2,969$35,632
4 people$3,588$43,056
5 people$4,207$50,480
6 people$4,825$57,905
7 people$5,444$65,329
8 people$6,063$72,754

Limits shown at 138% of the federal poverty level for Oregon โ€” the level a parent or caretaker adult is measured against. Source: state Medicaid eligibility levels as most recently published (2024); states may revise them. Children, pregnant women and people who are 65+, blind or disabled use different and generally higher limits.

Eligibility Requirements

Here's what you need to qualify for Medicaid in Oregon.

๐Ÿ’ต

Income Limit

$2,969/mo for a household of three (138% FPL)

๐Ÿฅ

Adults Without Children

Covered in Oregon up to 138% of the federal poverty level

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Citizenship

U.S. citizen, permanent resident, or qualified non-citizen

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Non-expansion states limit adults to ~100% FPL.

Required Documents

Have these ready before you start your Medicaid application.

๐Ÿ“„Proof of identity
๐Ÿ“„Proof of residency
๐Ÿ“„Proof of income
๐Ÿ“„Citizenship documents
๐Ÿ“„Social Security numbers

How to Apply

Follow these steps to apply for Medicaid in Oregon.

1

Gather your documents

Collect all required documents listed above before starting.

2

Submit your application

Apply online through Benefits.Oregon.gov (ONE), or by phone at 800-699-9075. Oregon Health Authority handles Oregon applications.

3

Wait for processing

Processing takes 15โ€“45 days. Keep copies of everything.

Frequently Asked Questions

What is the income limit for Medicaid in Oregon in 2026?

Oregon expanded Medicaid, so an adult under 65 qualifies for Oregon Health Plan with monthly income at or below 138% of the federal poverty level: about $1,732 a month for one person, $2,969 for a household of three and $3,588 for four โ€” $20,783 and $35,632 a year respectively. Children, pregnant women and people who are 65+, blind or disabled are measured against different and generally higher limits.

Can I get Medicaid in Oregon if I have no children?

Yes. Because Oregon expanded Medicaid, adults aged 19โ€“64 with no children qualify for Oregon Health Plan on income alone, at or below 138% of the federal poverty level. You do not need to be disabled, pregnant or a parent.

How do I apply for Medicaid in Oregon?

Apply for Oregon Health Plan online through Benefits.Oregon.gov (ONE) at www.oregon.gov/oha/hsd/ohp, run by the Oregon Health Authority, or by phone at 800-699-9075. Medicaid has no open-enrolment window โ€” you can apply any day of the year, and coverage can be backdated up to three months if you were eligible then.

How long does Oregon take to approve Medicaid?

15โ€“45 days is the normal range. Federal rules give Oregon 45 days to decide most applications and 90 days when a disability determination is required. Coverage, once granted, is generally backdated to the first day of the month you applied.

What if I earn too much for Medicaid in Oregon?

Children are covered at much higher incomes than adults everywhere โ€” Oregon covers children through Medicaid and CHIP well above the adult limit, so apply for them separately even if you are denied. Pregnancy coverage also uses a higher limit. Above those, a Marketplace plan with a premium tax credit is the next step, and people who are 65+ or on Medicare should check the Medicare Savings Programs instead.

FREE ELIGIBILITY CHECK

Don't Leave Money on the Table

The average household qualifies for $14,200 in benefits. Answer 9 simple questions to see what you're owed.

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