Health Insurance for Tribal Community Members in Oregon

Sign up, renew, or change plans at HealthCare.gov.

Find in-person help to sign up at your Tribal organization or clinic, or visit OregonHealthCare.gov/gethelp.

www.OregonHealthCare.gov | 1-855-268-3767

Brought to you by the State of OregonThe State of Oregon is working with HealthCare.gov to help people living in Oregon get health insurance. HealthCare.gov is part of the Affordable Care Act (ACA) and helps more people have health insurance.

Get free local help• Visit your local tribal organization or clinic.

• Find a community partner who can answer questions and help you sign up. Visit OregonHealthCare.gov/gethelp or call 1-855-268-3767 (toll-free) between 8 a.m. and 5 p.m. Monday through Friday.

Health insurance covers the cost for the care you and your family get outside of your Tribal or Urban Indian clinic.

Oregon Health PlanThe Oregon Health Plan (OHP) is Oregon’s Medicaid program and is available for tribal members who qualify.

For more information or to see if you are eligible, visit OregonHealthCare.gov or call Oregon Health Plan (OHP) at 1-800-699-9075 (toll-free).

If you are already enrolled in OHP, you will get a letter telling you when and how to renew.

Private insuranceVisit HealthCare.gov to find private insurance and financial help to pay for it. This is a resource for people who:

• Receive services at a tribal or Urban Indian clinic and do not have insurance coverage.

• Do not have private health insurance or coverage through a public medical program such as OHP or Medicare.

• Cannot get affordable health insurance through work.

• Buy their own health insurance and want more choices.

SHOP AND ENROLL

Sign up, renew, or change health plans at HealthCare.gov

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Thank you to Oregon’s tribal communities for their collaboration creating this brochure.

Get help paying for health insurance Your premium is the amount you pay each month to have health insurance. There are two ways you may be able to get help paying for your premium.

Financial help Many people can get tax credits to help pay premiums. You may also qualify for a zero-cost- sharing plan, which means you do not have to pay out-of-pocket costs such as deductibles, co-payments, and co-insurance.

If you earn less than the maximum yearly income shown below, you might qualify for tax credits.

Benefits for American Indians and Alaska NativesMembers of federally recognized tribes of Alaska Native Claims Settlement Act (ANCSA) Corporation stakeholders may qualify for the following benefits:

• No penalty: Under the federal law, most people have to pay a fee if they do not have health insurance. You do not have to pay the fee if you are American Indian or Alaska Native, or if you are eligible for services through the Indian Health Service, tribal programs or Urban Indian program.

• No changes in care: If you sign up for a plan at HealthCare.gov, you can continue to get care from your tribal or Urban Indian clinic or from other providers, specialists, clinics, and hospitals.

• No payments for services: You may not have to pay for services at a tribal or Urban Indian clinic. Call your clinic to get information specific to you and your family.

• No deadline: Sign up for health insurance or change plans at any time.

Household size

1

2

3

4

5

6

Earn less than this each year? You may get financial help.

$47,520

$64,080

$80,640

$97,200

$113,760

$130,320