The Public Health Emergency (PHE) was declared by the President at the start of the pandemic. The federal government also created the “Family First Coronavirus Response Act”, which made it easier for people to enroll in Medicaid and the Oregon Health Plan.

During the PHE, Oregon paused the re-enrollment process. People enrolled in the Oregon Health Plan (OHP) during the PHE kept their benefits even if they did not meet eligibility requirements.

In January the government signed a new, large bill into law that removed the Family First Coronavirus Response Act from the Public Health Emergency.  This put an end to the PHE as well as any special programs or supports that were in place because of the pandemic. 

Because the program is over, that means Oregon will now need to make sure everyone that is on the Oregon Health Plan qualifies for it. They will be reaching out to everyone that is now enrolled, asking them to verify their information.

Re-enrollment - also known as re-determination or “unwinding” - began April 1. The process will be done in groups but every person currently enrolled in Medicaid/the Oregon Health Plan will be reviewed for eligibility.

There are many things that are considered when determining if you are eligible for OHP. Income, disability status and age are just a few. Immigration status is not a determining factor for receiving health care.

If you are not sure where you fall in these categories, and are a patient of Virginia Garcia, please reach out to your clinic to arrange time to meet with one of our Outreach Coordinators. They can help you walk through the process.

If you are not a Virginia Garcia patient, there is information available here:
https://www.oregon.gov/oha/hsd/ohp/pages/eligibility.aspx

No. You can view your letter in your ONE profile. You do not have to wait to receive the letter to update their information or take action.

You can also renew your OHP in the following ways:

• Renew online; OR
• Get help from a local certified community partner; OR
• Call us at 800-699-9075 (TTY 711). Wait times may be long.

You may need to fill out the OHP Part 2 Renewal form

You will have 90 days (3 months) to respond to the letter. If you do not respond, OHA will make the decision based on the information they have, which may result in you losing your OHP coverage.

Virginia Garcia has Outreach staff that are certified assisters. They will be available to assist most patients with the re-enrollment process.

The Marketplace is a one-stop shop to compare plans, networks and insurance companies available in Oregon.

For individuals that no loner qualify for OHP The Marketplace will review their information and reach out directly to discuss options (most likely by letter). There may be financial assistance through tax-credits and cost-sharing discounts available.

How much you will pay for insurance and the discounts you receive will depend on income, dependents and age.

You can find out more here:
https://www.healthcare.gov/create-account?state=OR