Oregon Medicare Insurance Plans
Medicare is a federally sponsored health insurance program available to those over the age of 65, as well as to individuals who have certain disabilities. At the state level, however, there exist specific organizations that help beneficiaries better understand the Medicare process, and Medicare recipients may even qualify to receive state subsidies, depending on their circumstances. Consider the following information if you are interested in obtaining Medicare coverage in the state of Oregon.
Medicare Supplement (Medigap) Policies
Oregon is a state that requires Medigap insurance companies to sell you a Medigap insurance policy, even if you’re under 65. Learn more about Medigap policies at CMS.gov.
Mini-COBRA Policies (Small Group)
Oregon has a continuation state law that states if your employer has less than 20 employees, you may be eligible for coverage for up to six months. Contact your previous employer for continuation. You will be charged the entire premium plus the administration fee. Find more details about COBRA and mini-COBRA here.
State Pharmaceutical Assistance Program
Oregon offers a Pharmaceutical Assistance program for those who need help paying for HIV-AIDS drugs, with their various Oregon medicare insurance plans.
Medicare Savings Programs In Oregon
Oregon has four Medicare Savings Programs.
*The following data is from 2016 and is based on federal amounts. These amounts may increase in 2017. If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.
- *Qualified Medicare Beneficiaries (QMBs): For individuals with a monthly income under $1,010 and for couples with monthly income under $1,355, the state pays all premiums for Part B and all Co-Pays and Deductibles for Parts A & B
- *Specified Low-Income Medicare Beneficiaries (SLMBs): For individuals with a monthly income under $1,208 or couples with monthly income under $1,622, the state pays premiums for Part B.
- *Qualified Individuals (QIs): For individuals with a monthly income under $1,.57 or for couples with monthly income under $1,823, the state pays premiums for Part B.
- *Qualified Disabled and Working Individuals (QDWIs) – For individuals with a monthly income under $4,045 or couples with a monthly income under $5,425.
*Data from Medicare.gov
According to ssa.gov, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.
Senior Health Insurance Benefits Assistance program (SHIBA)
The Senior Health Insurance Benefits Assistance program (SHIBA) is a statewide network of trained volunteers who educate, assist, and serve as advocates for people in Oregon with Medicare. SHIBA volunteers help people with Medicare understand their rights and options in health insurance so that they can make informed choices. SHIBA provides Medicare recipients with the most up-to-date information on Medicare and related insurance through trained volunteers, as well as through education and outreach. The program is funded in part by the Department of Consumer and Business Services.
Low-Income Subsidy (“extra-help”) for Prescription Drugs
In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple)
If you live in Oregon, you can consult with one of our licensed sales agents to compare Medicare insurance plans. One of our licensed sales agents can compare plans in your area and help you find the Medicare insurance benefits that best fit your needs.