I could get more coverage for less money if I did not get medicare. ck this out. 3 ways to help you pay for coverage Individuals and families will find out if they are eligible for advance payment of premium tax credits (APTC) or public programs through a simple application process on the Cover Oregon website. To qualify for help, you must be an Oregon resident and U.S. citizen or legal immigrant. The type and amount of financial help you receive is based on household income, family size, and age. The types of financial help are: Advance Payment of Premium Tax Credit (APTC) Oregon Health Plan (Medicaid) Healthy Kids (CHIP) Take a closer look We will help you find out if you and your family qualify for any of these programs during the Cover Oregon application process. APTC Advance Payment of Premium Tax Credits (APTC) help offset the monthly costs of health insurance premiums. The amount you will receive is based on household income and family size. See the illustrations to see estimated maximum monthly payments for an individual and family of 4. APTC can be refundable and/or advanceable. A refundable APTC is available to an individual even if you do not owe any taxes. An APTC allows an individual to receive help at the time of purchase rather than paying their premium out of pocket and waiting to be reimbursed when filing their annual tax returns. INDIVIDUALS Annual Income Before Taxes Max Monthly Payment $15,860 - $17,253 $57 $17,253 - $22,980 $121 $22,980 - $28,725 $193 $28,725 - $34,470 $273 $34,470 - $45,960 $364 FAMILY OF 4 Annual Income Before Taxes Max Monthly Payment $32,499 - $35,325 $118 $35,325 - $47,100 $247 $47,100 - $58,875 $395 $58,875 - $70,650 $559 $70,650 - $92,400 $746 Oregon Health Plan The Oregon Health Plan (OHP) provides health coverage to low‐income Oregonians through programs administered by the Division of Medical Assistance Programs (DMAP). Healthy Kids Healthy Kids (Oregon’s Medicaid/CHIP coverage) provides no-cost health coverage options for uninsured children and teens up to 19 years of age. This comprehensive coverage includes provider visits, prescriptions, behavioral care, dental services and preventative care. A family’s income determines whether a child is eligible to participate. Ready to get started? If you think you will need help with your application, start by finding an agent or community partner. Cover Oregon agents and community partners provide support and guidance to make it easier for you to enroll in health coverage. Use our financial help calculator to find out if you might qualify, and if so, an estimate of the assistance you may expect. Still have questions? See our list of FAQs about financial help for individuals.
Posted on: Sat, 30 Nov 2013 18:00:57 +0000