Insurance Enrollment

Medicaid is free health insurance available in every state and publicly funded by the state and federal government. Each state runs its own program and may use a different name. In Washington, Medicaid is called Apple Health. In Oregon, Medicaid is called the Oregon Health Plan. Medicaid helps people get affordable healthcare when private insurance is out of reach. Medicaid in both states covers doctor visits, hospital care, prescriptions, and dental care.  

Our Assisters can help you understand if you qualify. Call or text us at 541-386-6380 to speak with a One Community Health Assister today. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. 

One Community Health has certified enrollment Assisters, specializing in Oregon and Washington Medicaid, who speak both Spanish and English. We have assisted tens of thousands of people with completing their applications and enrolled over 16,000 community members in health insurance. Our team is ready to answer your questions and guide you through the application process. This support is free to anyone in our community. You do not need to be a patient of One Community Health. 

In Washington, Medicaid is called Apple Health. In Oregon, Medicaid is called the Oregon Health Plan. Our Assisters are happy to help you apply. You can call to speak with an assister today 541-386-6380 or schedule an appointment online in English or Spanish. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. 

We ask that you bring your state ID, social security card, and most recent proof of income for one month to your Assister appointment. If applicable, please bring any immigration information as well and the details of any health insurance available to you through your employer. 

Other documents can be used if you do not have an ID such as a birth certificate or public assistance letter. 

Below are some examples of proof of income that you can bring to your appointment: 

• Pension funds 

• VA benefits 

• Disability 

• Self-employment records 

• Wages and salary 

• Unemployment 

• Social Security  

• Award or Benefit Verification Letter 

• Worker’s compensation 

• Public assistance 

Unfortunately, last year’s taxes are NOT an acceptable proof of income. However, we encourage you to bring them to help with your application. 

Please make sure your mailing address and other contact information are up to date with your state’s Medicaid agency. In Washington, Medicaid is called Apple Health. In Oregon, Medicaid is called the Oregon Health Plan. If your address is not up-to-date and your renewal notification is returned, the state may unenroll you from Medicaid if they are unable to contact you.  

Call or text us at 541-386-6380 to speak with a One Community Health Assister today if you need help. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. 

Yes! We are here to help with renewals. Call us at 541-386-6380 or schedule an appointment online in English or Spanish. Both Oregon Health Plan and Washington Apple Health will require more frequent renewals, every 6 months and some people will need to submit information to the work requirements. 

Our Assisters can support anyone in our community with their renewal, free of charge. You can call to speak with an Assister today at 541-386-6380 or schedule an appointment online in English or Spanish. 

The Oregon Veteran Dental Program covers the same dental care that the state provides to Medicaid recipients through the Oregon Health Plan. Annual teeth cleanings, fillings, extractions, some dentures, and emergency care are among the free services available.

Who is eligible?

People who: 

• Live in Oregon;
• Are not eligible for the Oregon Health Plan; 

• Have a household income at or below 400% of the Federal Poverty Level (FPL); and 

• Are a veteran as described in Oregon Revised Statute 408.225; the veteran may be discharged or released under honorable or other conditions. 

Veterans can get help enrolling by connecting with an Assister, free of charge, at One Community Health. You can call to speak with an Assister today at 541-386-6380 or schedule an appointment online in English or Spanish if you need help enrolling in this program.  

Learn more about the Oregon Veteran Dental Program. 

We encourage everyone who is uninsured to meet with an Assister. They can talk through your situation and which programs you may qualify for, whether it is the Oregon Health Plan, Apple Health, a Marketplace plan, Healthier Oregon, the Oregon Health Plan’s Bridge Program, Medicare, Medicare Savings Programs, or One Community Health’s sliding fee discount program. Call to talk to an Assister today at 541-386-6380 or schedule an appointment online in English or Spanish. 

Yes, we are happy to provide more information about the services covered by the Oregon Health Plan or Apple Health. Let us know what questions you have! You can call to speak with an Assister today at 541-386-6380 or schedule an appointment online in English or Spanish. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. 

If you enrolled in Medicaid, the state auto-assigns you a primary care provider. If you are assigned a provider outside of One Community Health and want to transfer your care to us, we can help you. You can call to speak with an Assister today at 541-386-6380. 

Income is defined as total cash before taxes from all sources, which can include:

• • Wages and salaries; 
  • Receipts from self-employment after deductions for normal operating expenses; 
  • Regular payments through public assistance, social security, longevity, unemployment, strike benefits, military allotments, disability, rental income, regular support from an absent family member or someone not living in the household (includes child support), government or private pensions, and regular insurance or annuity payments; 
  • Income from dividends (including permanent fund), interest, rents, royalties, or income from estates or trusts, and savings accounts (average balance of past 6 months activity, divided by 6 months’ equal monthly portion of income).

The Healthier Oregon program offers free health coverage through the Oregon Health Plan for people who live in Oregon and meet income and other criteria, no matter their immigration status. Our Assisters can help you understand if you are eligible. You can call to speak with an Assister today at 541-386-6380 or schedule an appointment online in English or Spanish. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. 

Oregon Health Plan (OHP) Bridge is health coverage for adults in Oregon with annual income between 133 and 200 percent of the federal poverty level.  ​ 

OHP Bridge will cover adults up to age 65 who: 

• Have household income between 133 to 200 percent of the federal poverty level,  

• Do not have access to affordable health insurance, and 

• Have an eligible immigration status to qualify. 

One Community Health’s Assister team can help you understand if you qualify. Call or text us at 541-386-6380 to speak with a One Community Health Assister today. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. 

Learn more about the OHP Bridge. 

Medicare is the federal health insurance program primarily for: 

• Adults age 65 and older, 

• Some younger people with long-term disabilities, and 

• People diagnosed with end-stage renal disease or ALS. 

Our Assisters can help you understand if you qualify. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. Call or text us at 541-386-6380 to speak with an Assister today.  

Medicare is divided into four parts, each covering different types of health care services. 

Part A: Hospital Insurance 

Part A primarily covers care when you are admitted to a facility. It includes: 

• Inpatient hospital stays 

• Skilled nursing facility care (after a qualifying hospital stay) 

• Hospice care 
• Some home health care services 

Many people do not pay a monthly premium for Part A if they or their spouse paid Medicare taxes long enough while working. 

Part B: Medical Insurance 

Part B covers outpatient and preventive medical care, including: 

• Doctor visits
• Outpatient care 
• Preventive services (screenings, vaccines, wellness visits) 
• Durable medical equipment (wheelchairs, walkers, oxygen equipment, etc.) 
• Some home health services 

Most people pay a monthly premium for Part B. 

Part C: Medicare Advantage 

Part C, also called Medicare Advantage, is an alternative way to receive your Medicare benefits through a private insurance company approved by Medicare. 

Most Medicare Advantage plans: 

• Include everything covered by Parts A and B 
• Usually include Part D prescription drug coverage 
• May offer additional benefits, such as dental, vision, hearing, and fitness programs 

These plans often use provider networks and may have different costs and rules than Original Medicare. 

Part D: Prescription Drug Coverage 

Part D helps pay for: 

• Prescription medications 
• Many recommended vaccines 

Part D plans are offered by private insurance companies that contract with Medicare. If you have Original Medicare (Parts A and B), you can purchase a standalone Part D plan. 

Learn more here. Call or text us at 541-386-6380 to speak with a One Community Health Assister today about Medicare. Assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health.

Original Medicare 

• Original Medicare includes Part A and Part B. 

• You can join a separate Medicare drug plan to get Medicare drug coverage (Part D). 

• You can use any doctor or hospital that takes Medicare, anywhere in the U.S. 

• You can also shop for and buy supplemental coverage that helps pay your out-of-pocket costs (like your 20% coinsurance). 

Medicare Advantage (also known as Part C) 

• Medicare Advantage is an alternative to Original Medicare for your health and drug needs. You get benefits through a private health plan that Medicare has approved. These “bundled” plans include Part A, Part B, and usually Part D. 

• You likely need to use doctors in the plan’s network and get approval for certain drugs or services before you get them. 

• Medicare Advantage has different out-of-pocket costs than Original Medicare, often including a limit on out-of-pocket costs. 

• Most plans offer benefits that Original Medicare doesn’t cover— like vision, hearing, dental, and more, but are likely subject to network restrictions. 

Learn more here. Call or text us at 541-386-6380 to speak with a One Community Health Assister today. Our assistance is free and open to anyone in the community – you do not have to be a patient of One Community Health. Assisters cannot recommend which plan to choose, but they can help explain plan features, costs, and differences so you can make an informed decision. 

The Low-Income Subsidy (LIS), also called Extra Help, is a federal Medicare program that helps people with limited income and resources pay for their Medicare Part D prescription drug coverage. Extra Help helps with Part D premiums, deductibles, and copayments. LIS does NOT pay for Medicare Part A, B, or C costs.

People with incomes of up to 150% of the Federal Poverty Level (FPL) are eligible for the Low Income Subsidy/Extra Help.  

If you’re enrolled in both Medicare and Medicaid, you receive Supplemental Security Income, or you qualify for one of the Medicare Savings Programs, you’ll be enrolled in LIS/Extra Help automatically and receive a letter from the Centers for Medicare & Medicaid Services confirming your enrollment. 

If you do not qualify for automatic enrollment, you’ll need to apply for Extra Help through the Social Security Administration. Applications can be submitted both online or via a paper application you can pick up at your local Social Security Administration office.  

One Community Health Assisters can help walk you through this process for free. Call to speak with someone today at 541-386-6380.

Medicare Savings Programs are state programs that help people with low income pay for Medicare costs. These programs can cover things like premiums, deductibles, coinsurance, or copayments, making Medicare more affordable. You must have Medicare Part A (hospital insurance benefits) and your income must be within certain limits. Those limits change each year in March. 

There are four different Medicare Savings Programs.  

• Qualified Medicare Beneficiary (QMB) Program helps pay for Part A and Part B premiums, deductibles, and coinsurance. 

• Specified Low-Income Medicare Beneficiary (SLMB) Program helps pay for Part B premiums. 

• Qualified Individual Program (QI-1) helps pay Part B premiums. 
• Qualified Disabled Working Individual (QDWI) helps pay Part A premiums. 

Learn more about Oregon Medicare Savings Programs

Learn more about Washington Medicare Savings Programs

Our Assisters can help anyone in our community understand if they qualify and enroll in these programs for free – you do not need to be a patient of One Community Health. Call or text us at 541-386-6380 to speak with a One Community Health Assister today. 

Yes, someone with Medicare can also qualify for Medicaid if they meet the eligibility requirements. Many people, especially those with disabilities or who are 65 and older, qualify for both programs. 

One Community Health Assisters can help you enroll in Medicaid and support you in your Medicare decisions for free. Call or text us at 541-386-6380 to speak with a One Community Health Assister today. 

IMPORTANT: Your Medicare Advantage plan may include dental benefits, but it may not cover dental care at One Community Health.

What You Should Know Before Your Dental Visit

Many Medicare Advantage plans include dental benefits, but coverage at One Community Health (OCH)
depends on your specific dental plan and network.

Why might OCH not be covered?

• Some Medicare Advantage plans use a separate company to manage dental benefits.
• Each dental plan has its own network of dentists and clinics.
• Some plans limit which dental providers can participate in their network.

Before Your Appointment

Call the phone number for Dental Benefits on your insurance card and ask:

1. Is One Community Health in my dental network?
2. If not, will my plan still help pay for services at OCH?
3. What costs will I be responsible for?

If OCH Is Out of Network

Even if OCH is not in your plan’s network, your insurance may still cover part of the cost.
You may have higher out-of-pocket expenses.

Ask us about our

Sliding Scale Discount (SSD)

program. If you qualify, it may help reduce the amount you owe.

We’re here to help you understand your options. We can provide an SSD application and schedule a free appointment with an OCH Assister who can help guide you through the process. Please note that only your insurance company can confirm your exact dental benefits and coverage.

The Marketplace provides the opportunity to shop, compare plans and enroll while also applying for financial assistance.

The Washington Healthplanfinder will help you compare available plans in Washington.

Beginning Nov. 1, 2026, people in Oregon can use Explore Health to shop for health coverage, find out if they qualify for financial assistance and enroll in a Marketplace plan.

The Marketplace is primarily for people who don’t have affordable health insurance through an employer or a government program. You don’t have to be uninsured today to use it. Many people use Marketplace plans when they’re losing other coverage or when employer coverage is too expensive.

Our certified Assisters can help anyone in our community enroll in the Oregon or Washington Marketplace plans – you do not need to be a patient of One Community Health. Call or text us at 541-386-6380 to speak with a One Community Health Assister today. Assisters cannot recommend which plan to choose, but they can help explain plan features, costs, and differences so you can make an informed decision.

Marketplace open enrollment is November 1 – January 15. You can also enroll in a Marketplace plan if you have had a recent life event that qualifies you for a Special Enrollment Period. Examples include getting married, having or adopting a child, getting divorced, or losing health insurance.

Note, Tribal members are not subject to the Marketplace enrollment period. You can enroll at any point during the year and can change your plan once a month.

Learn more about Washington benefits for Tribal members.

Learn more about Oregon benefits for Tribal members.

Our certified Assisters can help anyone in our community enroll in the Oregon or Washington Marketplace plans for free – you do not need to be a patient of One Community Health. Call or text us at 541-386-6380 to speak with a One Community Health Assister today.

The Marketplace is primarily for people who don’t have affordable health insurance through an employer or a government program. You don’t have to be uninsured today to use it. Many people use Marketplace plans when they’re losing other coverage or when employer coverage is too expensive.

You can enroll in a Marketplace plan if you are eligible and either:

• Currently uninsured and need coverage.
• Losing other coverage, such as employer insurance, Medicaid, or COBRA, and need a new plan.
• Already have a Marketplace plan and want to renew or switch plans during Open Enrollment.
• Have certain life changes (moving, marriage, birth of a child, loss of coverage, etc.) that qualify you for a Special Enrollment Period.

Note, Tribal members are not subject to the Marketplace enrollment period. You can enroll at any point during the year and can change your plan once a month.

Learn more about Washington benefits for Tribal members.

Learn more about Oregon benefits for Tribal members.

Our certified Assisters can help anyone in our community enroll in the Oregon or Washington Marketplace plans for free – you do not need to be a patient of One Community Health. Call or text us at 541-386-6380 to speak with a One Community Health Assister today.