Medicaid, known as the Oregon Health Plan (OHP) in Oregon, is designed to support individuals with limited income and resources. It offers long-term care benefits to those who meet specific eligibility criteria. Several programs are available, each with its own set of requirements. These services can encompass assistance with daily activities, health-related tasks, and more, delivered either at home or in a care facility.
Applying for OHP Long-Term Care
To access these vital services, Oregonians can apply through multiple convenient methods:
- By Phone: Connect with the Aging and Disability Resource Connection (ADRC) at 855-673-2372 for guidance and application assistance.
- Online: Utilize the ONE Online portal (Apply online) for a streamlined digital application process. You’ll need to create a ONE Online account to begin.
- In Person: Schedule an appointment at your local Benefits office for personalized, face-to-face application support.
OHP Access for Immigrants and Non-Citizens
The Healthier Oregon Program has broadened access to OHP, ensuring more individuals qualify, regardless of immigration status, provided they meet income criteria.
Healthier Oregon Program
Healthier Oregon for people with developmental disabilities
Important Notice for Immigrants Regarding Public Charge: Generally, Medicaid benefits do not negatively impact an immigrant’s public charge test. However, receiving long-term care in a nursing facility or mental health institution might be considered. For detailed advice on public benefits and immigration, reach out to Oregon Legal Aid at 800-520-5292 or consult their informative flyer, Know the Facts about Public Charge.
Oregon Project Independence (OPI)
For individuals needing support to remain at home and who do not have Medicaid long-term care benefits, Oregon Project Independence (OPI) offers an alternative. OPI services can include home-delivered meals, in-home assistance, personal care, transportation, and respite care.
It’s important to note that some areas may have waiting lists for OPI, with priority given to individuals with the most critical needs who are at risk of losing their independence without adequate support.
Exploring Long-Term Care Insurance
Long-term care insurance is another avenue to consider for covering long-term care expenses, although it may not suit everyone’s circumstances. The Oregon Insurance Division website provides resources to help you determine if this type of insurance aligns with your needs.
Understanding Medicare’s Role
Medicare, a federal health insurance program primarily for those 65 and older and some younger individuals with disabilities, generally does not cover long-term care. However, Medicare can assist with the costs of skilled nursing or home health care required for rehabilitation following a qualifying hospital stay. It’s important to differentiate this from programs designed for ongoing long-term support. While Medicare focuses on shorter rehabilitation periods, programs like Medicaid and OPI are geared towards sustained long-term care needs. It’s crucial to understand these distinctions when planning for health care needs, especially when considering both Short Term Health Care Programs for recovery and long-term solutions for ongoing support.
Visit the federal Medicare website
Get free Medicare help
Free Medicare assistance is available through SHIBA (Senior Health Insurance Benefits Assistance).
