Oregon Presumptive Eligibility for Pregnant Women FAQ

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The PE for Pregnant Women program allows Qualified Providers (QPs) to grant immediate, temporary Medicaid coverage for ambulatory prenatal care and prescription drugs for conditions related to pregnancy to low-income, pregnant patients, pending their formal Medicaid application.
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FAQ

The Oregon Health Plan provides health insurance specifically designed for low-income residents. It offers comprehensive coverage, including treatment for physical and mental health needs, preventive care, and emergency services. This plan aims to ensure that all eligible residents have access to necessary healthcare, driving towards a healthier community. For further insights, consult the Oregon Presumptive Eligibility for Pregnant Women FAQ.

Non-citizens may be eligible for the Oregon Health Plan under certain conditions. For instance, pregnant women can qualify for the Oregon Health Plan through the Oregon Presumptive Eligibility for Pregnant Women FAQ, regardless of their citizenship status. This program helps ensure that all pregnant women receive necessary medical care during their pregnancy. It’s essential to verify eligibility and understand the specific requirements that may apply.

Call: 1-800-699-9075 (toll-free) from 8 a.m.to 5 pm.

Oregon Health Plan/Medicaid offers free or low-cost health insurance coverage for lower income residents and the unemployed: In Oregon, Oregon Health Plan (OHP) coverage includes OHP Plus, OHP Plus Supplemental, OHP with Limited Drug, CAWEM and Qualified Medical Beneficiary.

Your medical care during your pregnancy from head to toe is covered. Physical health, behavioral health, dental care, prenatal vitamins, immunizations, quitting tobacco it's all covered. And after your baby is born, you're still covered for two more months. Maybe longer, if you reapply to the Oregon Health Plan.

To qualify for OHP individuals and families must meet income and residency requirements. People may also qualify based on age and disability status. To see if you qualify: Applying for OHP is the best way.

Pregnant individuals in households that earn up to: $2,730 a month for a single pregnant person (plus unborn baby) $4,858 for a family of four (plus unborn baby)

It may be up to 45 calendar days after they get your completed application. If ODHS has to make an eligibility decision based on a disability, it may take longer. If you do not receive anything after 45 days, you can ask about the status of your application. To do this, contact the office where you applied.

Your medical care during your pregnancy from head to toe is covered. Physical health, behavioral health, dental care, prenatal vitamins, immunizations, quitting tobacco it's all covered. And after your baby is born, you're still covered for two more months. Maybe longer, if you reapply to the Oregon Health Plan.

Key health insurance rules Under Federal and Oregon law: People with pre-existing health conditions will not be denied coverage or charged more to be enrolled.

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Oregon Presumptive Eligibility for Pregnant Women FAQ