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Oregon Medicaid

picture of oregonFunded by both the federal and state governments, Medicaid is an important health program for people with lower incomes, elderly people, people with disabilities, and some families with children.

The state Department of Human Services administers the Oregon Health Plan, Oregon’s Medicaid program, and recipients must be American citizens or qualified aliens living in Oregon who fall into certain qualifying categories.

Qualifying categories for Medicaid eligibility include:

      • the elderly
      • the physically disabled
      • the mentally disabled
      • severely disabled children
      • pregnant women
      • low income adults
      • low income children

By 2014, most adults across the country who are under age 65 and have incomes under $15,000 will qualify for Medicaid. To help determine the likelihood of your Medicaid eligibility as of November 2012, however, you should contact the Oregon Health Plan Division of Medical Assistance Programs at (800) 527-5772 (where available) or (503) 945-5772 (TTY: 1-800-375-2863).

Anyone looking into eligibility for Medicaid services in Oregon should consult the Oregon Health Plan website, which provides valuable links and information to help answer many questions concerning eligibility and services. If it appears you meet eligibility requirements, you shouldn’t delay applying for Oregon Medicaid services.
Medicaid in Oregon covers a wide range of medical services including:

      • Laboratory and X-ray services
      • Inpatient and outpatient hospital services
      • Health screenings for children and treatment of detected medical problems
      • Comprehensive dental services for children
      • Adult medical and surgical dental services
      • Nursing facility services for adults
      • Health clinic services
      • Prescription drugs
      • Physical, occupational, or speech therapy for children
      • Eye doctor visits and eyeglasses for children
      • Medically-necessary transportation services

The Oregon Health Plan Client Handbook is a great resource for further information about services covered or not covered by Medicaid in Oregon, copayments, and many other aspects of Oregon Medicaid that you may wish to know more about.

Dual Eligibility

Some people are eligible for both Medicare and Medicaid. In such cases, Medicare is the primary payer. If you are a Medicare dual eligible individual, looking into Medicare Advantage plans may be a wise move and a good investment. Call MedicareMall toll-free at 1-877-413-1556 and we’ll be glad to help you determine whether Medicare Advantage is right for you.

For further information about Medicaid coverage in Oregon, contact the Oregon Health Plan toll-free at 1-800-359-9517. If you have any further questions about senior healthcare including Original Medicare (Medicare Part A and Part B), Medicare supplement plans, or Medicare Advantage, contact a licensed, bonded MedicareMall representative and let us lead you with confidence through the Medicare maze!

Medicare Advantage Plans Index | Oregon Medigap