• Assurant
• Health Net
• Kaiser Permanente

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• Providence Health Plan
• Regence BlueCross BlueShield

• Supplemental Medigap Insurance
• Medicare Advantage Insurance
• Health Net

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• Regence BlueCross BlueShield
• SecureHorizons by UnitedHealthcare
• Universal American
• WellCare

Information on the Oregon Medical Insurance Pool

About OMIP

This state program provides health insurance for adults and children who can't get private medical insurance. There are three ways to be eligible. None are based on income. The Family Health Insurance Assistance Program (FHIAP) subsidies may be used to help pay OMIP premiums. OMIP contracts with Regence BlueCross BlueShield to administer this program.

Who Qualifies For OMIP?

Medical eligibility: These individuals can't obtain commercial medical insurance because of health conditions. You can apply to OMIP if an insurance company turns you down for coverage. People with certain medical conditions can apply directly to OMIP. There are four comprehensive health plans. Premiums vary by age and plan. There is a six-month wait for coverage of pre-existing conditions. You may not have this wait if you had health insurance within 63 days of the start of the new OMIP policy.

Portability eligibility: These plans are for people who are leaving group coverage and exhaust COBRA benefits or can't get a portability plan from a commercial insurer. Individuals who are eligible for portability coverage must apply within 63 days of losing their group coverage or exhausting their COBRA coverage. There is no waiting period for coverage of pre-existing conditions.

Health Care Tax Credit (HCTC) eligibility: The U.S. Department of Labor certified that these people lost jobs due to competition from foreign trade. As such, they qualify for a Federal Health Care Tax Credit to subsidize 65 percent of their health insurance premiums. They must enroll in OMIP to get this subsidy. The federal government decides who is eligible for the credit. To qualify for OMIP coverage with this credit, you must apply for OMIP coverage within 63 days of losing your most recent prior health insurance coverage and you must have had the prior coverage for at least 90 days. Enrollees may select from the same four plans as those who are medically eligible.

• www.omip.state.or.us
• 1-800-848-7280