Oregon residents aged 65 and older may qualify for Medicaid, known as the Oregon Health Plan (OHP). Administered by the Oregon Health Authority (OHA), the Oregon Health Plan is open to applicants who meet specific eligibility requirements that include permanent residency in Oregon, proof of citizenship or alien status and possession of a valid Social Security number.
Seniors who have already been deemed eligible for Supplemental Security Income (SSI) are automatically qualified for coverage under the OHP. As an income cap state, seniors who apply for Oregon Medicaid Long-Term Care benefits must have a monthly income no greater than $2,313 (single/individual) or $4,626 combined with a spouse from all sources including pensions, wages, stock dividends, alimony and life insurance with a face value higher than $1,500.
Applicants must also meet asset limits, which are $2,000 for an individual and $4,000 for a married couple and includes cash, bonds and all real estate other than the primary place of residence valued at less than $585,000. Personal belongings, household items and one vehicle are also exempt,
If only one married spouse requires Medicaid Long-Term Care coverage, the non-applicant spouse may be able to retain up to $126,420 in joint assets under the Oregon Supplemental Income Program – Medical. This program is designed to protect the spouse who doesn’t require long-term care, known as the community spouse, from becoming impoverished if their spouse needs long-term services in a nursing home or assisted living facility.
To learn more about the Oregon Health Plan (Medicaid), visit the OHP website, or call OHP customer service at (800) 699-9075.