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June 25, 2024

Media contacts:

Erica Heartquist, Oregon Health Authority, Erica.J.Heartquist@oha.oregon.gov, 503-871-8843

Jake Sunderland, Oregon Department of Human Services, Jake.Sunderland@odhs.oregon.gov, 503-877-0170

Oregon begins the remaining pandemic unwinding renewals with new changes helping Oregonians keep coverage

SALEM, Ore. — With over 91 percent of the state’s 1.5 million renewals complete, more than four out of five Oregonians are keeping their Oregon Health Plan (OHP) or other Medicaid benefits.

There are four monthly “waves” of renewals left in the unwinding process. The first of these remaining four batches started this month, asking for a response by the end of September.

An update in May to the ONE Eligibility system people use to apply for and manage their medical benefits enabled Oregon to use an improved process for the remaining renewals. These changes are a substantial set of small adjustments that together will make it easier for the people of Oregon to keep their medical benefits. This includes changes to make medical eligibility and renewal notices easier to read and to give more details about decisions. People in the June “wave” of renewals are the first to experience these process improvements.

Oregon’s 82.5 percent renewal rate continues to be the third highest in a national comparison of state renewal rates by KFF, a nonpartisan health policy organization. Oregon’s high renewal rates are due to proactive efforts by the state to keep people covered, including extended response timelines, and the upcoming launch of OHP Bridge for adults with higher incomes.

Members who have not received a renewal yet should:

• Keep their address and contact information up to date.
• Check their mail or ONE Online account for their renewal letter.
• Do what the renewal letter asks as soon as possible. Anyone concerned they missed their letter should get help with their renewal using one of the options listed below.
• Members who did not respond to renewals can still re-open their case three months after it closes if they are still eligible, and they can reapply at any time.

June OHP renewal data

As of June 18, 2024, 1,330,708 people have completed the renewal process. This represents around 91.7 percent of all OHP and Medicaid members.

• 1,097,801 people (82.5 percent) were renewed and kept their benefits.
• 221,958 people (16.7 percent) were found ineligible.
• 10,949 people (0.8 percent) had a reduction in their benefits. Most of these members lost full OHP but were able to continue Medicare Savings Programs that help pay their Medicare costs.

Although most people are keeping coverage during the post-pandemic medical renewals, approximately 234,000 people have or will need to consider other coverage options due to lost or reduced benefits.

• People who do not have coverage through an employer or Medicare may be able to enroll through the Oregon Health Insurance Marketplace and get financial help. Most people who enroll through HealthCare.gov qualify for this help.
• The Marketplace is sending information to people who are no longer eligible for OHP benefits, advising of other potential coverage options.
• People who have recently lost OHP benefits can enroll anytime until November 30, 2024, or within 60 days of their benefits ending.
• For more information and ways to get help signing up for Marketplace, Medicare, or employer coverage, see “What to do if OHP is ending” below.

Need help renewing your benefits?

1. Learn more about how to renew your Oregon Health Plan medical coverage.  You can log into your online portal and complete your redetermination work at benefits.oregon.gov.
2. Call the ONE Customer Service Center at 800-699-9075. All relay calls are accepted, and help is available in multiple languages. Wait times are lowest between 7 and 8 a.m., PST.
3. Visit or call a local Oregon Department of Human Services (ODHS) office. People can find their local office at https://www.oregon.gov/odhs/Pages/office-finder.aspx.
4. Visit a community partner for free, in-person help. To find one near you visit OregonHealthCare.gov/GetHelp (English) or orhim.info/ayuda (Spanish).
5. Download the Oregon ONE Mobile app via the app store to keep track of your renewal, find a local office, or upload a document.

What to do if your OHP is ending:

• First, review the case summary in your letter to make sure the information used to make the decision was correct. If that information has changed, notify the state via one of the options above If the information on file for you is correct and you disagree with the decision, you can request a hearing. Learn more about hearings.
• Explore options through an employer. If you, your spouse or a parent are working, you may be eligible for health coverage through that employer. Talk to your manager or Human Resources department to see if you qualify. You will have a special enrollment period to enroll mid-year due to loss of OHP benefits.
• If you have or are eligible for Medicare: For help understanding and choosing the right Medicare options, go to https://OregonHealthcare.gov/GetHelp to find an insurance agent or a counselor at the Senior Health Insurance Benefits Assistance Program (SHIBA). You can also call SHIBA at 800-722-4134.

If you need to sign up for Medicare for the first time, contact the Social Security Administration (SSA) at 800-772-1213 to enroll by phone or find a local office. You can also enroll in Medicare online at ssa.gov/medicare/sign-up.

• Nearly 80 percent of Oregonians qualify for financial help through the Oregon Health Insurance Marketplace. Visit OregonHealthCare.gov/WindowShop to answer a few quick questions, find out how much you can save and find out how much coverage may cost you. You can also call the Marketplace Transition Help Center at 833-699-6850 (toll-free, all relay calls accepted).
• Need free local help finding other coverage? Visit OregonHealthCare.gov/GetHelp to find professional help near you.

OHA and ODHS are committed to transparency and will continue to send monthly information about medical coverage among Oregonians. Check our ONE Eligibility Operations Dashboards for more frequent updates on medical renewal data and wait times for callers to the ONE Customer Service Center.

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