Oregon Medicaid Eligibility Calculator (2026)
The Oregon Health Plan covers adults up to $1,836 a month, and Oregon’s Basic Health Program picks up adults above that to 200% of the poverty line. Children are covered by OHP up to $6,944 for a family of three.
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Eligibility checklist
OHP Bridge between Medicaid and the Marketplace
Adults with income above Medicaid’s 138% and up to 200% of the poverty line are covered by Oregon’s Basic Health Program rather than buying Marketplace plans.[MACPAC] The calculator flags this band when an adult is just over the OHP line.
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 190% | $2,527 | $3,427 | $4,326 | $5,225 | $7,024 |
| Children | 305% | $4,057 | $5,501 | $6,944 | $8,388 | $11,275 |
Children and pregnancy
OHP covers babies to 185% of the poverty line and older children to 133% with regular Medicaid funds, then extends every age to 300% with CHIP funds.[MACPAC] Pregnancy and from-conception coverage both stop at 185%.[MACPAC]
Postpartum
Oregon received approval for 12-month postpartum coverage on May 25, 2022.[KFF] Because Oregon’s Basic Health Program covers adults up to 200% of the poverty line, a mother leaving postpartum Medicaid may land there rather than in a Marketplace plan.[MACPAC]
Applying
Apply through ONE Oregon, run with the Oregon Health Authority. The parent/caretaker group reaches 31% of the poverty line; Oregon is an “SSI criteria” state without a poverty-level or medically needy group for older adults.[MACPAC][MACPAC]
Worked example
A 52-year-old freelance carpenter in Eugene earns $2,400 a month. That is 180.5% of the poverty line for 1.
| Adult 19–64 | over by $564 | $1,836 |
Nearby: Washington · Idaho · Nevada · California. How limits are applied · ONE Oregon · Report a correction