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Eligibility Requirements
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There are many ways that you may be eligible for OHP if you live in Oregon
and are a U.S citizen or an eligible non-citizen.
Follow the steps below to see if all or part of your family qualifies for OHP.
NOTE: It is always best to contact an Eligiblity Specialist even if you are
not sure that you meet the income criteria because there are many different
ways of determining eligibility.
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Instructions for reading current income chart :
- Using the Income Guidelines chart below, find your family size in
the first column. Include everyone who lives in your home. If you
are pregnant, include the unborn child as a family member.
- Follow that row across until you find your family’s “average” gross monthly income.
- Read explanations for Column A,B or C to see what applies to you or your family members.
- Add $283 for each additional
family member.
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| # IN FAMILY | Column A 100% | Column B 133% | Column C 185% |
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| 1 |
$816 |
$1,087 |
$1,511 |
| 2 |
$1,100 |
$1,463 |
$2,035 |
| 3 |
$1,383 |
$1,839 |
$2,559 |
| 4 |
$1,667 |
$2,217 |
$3,084 |
| 5 |
$1,950 |
$2,594 |
$3,608 |
| 6 |
$2,233 |
$2,970 |
$4,131 |
| 7 |
$2,517 |
$3,348 |
$4,656 |
| 8 |
$2,800 |
$3,724 |
$5,180 |
Federal
Poverty Level (FPL) effective 02/13/2006
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Column A:
Everyone in your family may be eligible if you have less than $2,000 in resources
(this does not apply to pregnant women or children under 19). Your home and car
do not count as resources.
Exceptions:
This exception only applies to the family member who is a full-time higher education student.
- Have an Expected Family Contribution
(EFC) of less than $3,851 (for
the 06/07 school year) and
- Have not been covered by major medical health insurance or an HMO in the last
six months (other than OHP coverage) and are under the age of 19 years..
Column B:
Children under age six, and pregnant women and their unborn children may be eligible.
Children age six through 18 may also be eligible (subject to available State funds) if they:
- Are currently uninsured, and
- Have been uninsured for the last six months (not including OHP coverage)
- This rule does not apply to children with life-threatening or disabling conditions.
Column C:
Pregnant women and their unborn children may be eligible for the OHP.
Children from birth through 18 may also be eligible (subject to available state funds) if they:
- Have less that $10,000 in resources
- Are currently uninsured, and
- Have been uninsured for the last six months (not including OHP coverage)
- This rule does not apply to children with life-threatening or disabling conditions.
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