Oregon Health Insurance Marketplace: Your Guide to the 2023 Open Enrollment

Introduction

The Oregon Health Insurance Marketplace is a one-stop shop for individuals and families to purchase affordable health insurance plans. The marketplace is a key component of the Affordable Care Act (ACA), which aims to expand access to healthcare coverage for all Americans.

Eligibility

To be eligible for coverage through the Oregon Health Insurance Marketplace, you must:

• Be a resident of Oregon
• Not be incarcerated
• Not be eligible for Medicare or Medicaid
• Meet income requirements (see below)

Income Requirements

To qualify for subsidies to help pay for health insurance, your household income must be between 138% and 400% of the federal poverty level (FPL). For 2023, the FPL is $13,590 for an individual and $27,750 for a family of four.

Open Enrollment

Open enrollment for the 2023 Oregon Health Insurance Marketplace runs from November 1, 2022, to January 15, 2023. During this time, you can enroll in a health insurance plan or make changes to your existing plan.

Plans and Costs

The Oregon Health Insurance Marketplace offers a variety of health insurance plans from different insurance companies. Plans are categorized into four tiers: bronze, silver, gold, and platinum. Bronze plans have the lowest premiums but the highest deductibles, while platinum plans have the highest premiums but the lowest deductibles.

The cost of a health insurance plan depends on a number of factors, including:

• Your age
• Your location
• Your tobacco use
• The plan you choose
• The number of people in your household

Subsidies

If you qualify for subsidies, you may be able to receive financial assistance to help pay for health insurance. The amount of your subsidy will depend on your household income and the plan you choose.

Enrollment

You can enroll in a health insurance plan through the Oregon Health Insurance Marketplace in three ways:

• Online: Visit the Oregon Health Insurance Marketplace website at OregonHealthCare.gov.
• By phone: Call the Marketplace hotline at 1-855-268-4636.
• In person: Contact a certified insurance agent or broker.

Special Enrollment Periods

If you miss the open enrollment period, you may be able to enroll in a health insurance plan during a special enrollment period. Special enrollment periods are available for individuals and families who have experienced certain life events, such as:

• Losing your job
• Getting married
• Having a baby

Common Mistakes to Avoid

When enrolling in a health insurance plan through the Oregon Health Insurance Marketplace, it is important to avoid the following common mistakes:

• Not comparing plans: Take the time to compare different plans and choose the one that best meets your needs and budget.
• Not understanding your coverage: Make sure you understand what your plan covers and what your out-of-pocket costs will be.
• Not enrolling on time: Open enrollment is a limited time period, so make sure you enroll on time to avoid being uninsured.

Conclusion

The Oregon Health Insurance Marketplace is a valuable resource for individuals and families who need affordable health insurance coverage. By understanding the eligibility requirements, open enrollment periods, and plans available, you can choose a plan that meets your needs and budget.

Additional Resources

• Oregon Health Insurance Marketplace
• Oregon Health Plan
• Centers for Medicare & Medicaid Services

Tables

Table 1: Oregon Health Insurance Marketplace Plan Categories

Table 2: Oregon Health Insurance Marketplace Income Eligibility

Table 3: Oregon Health Insurance Marketplace Premiums for a 40-Year-Old Non-Smoker

Table 4: Oregon Health Insurance Marketplace Subsidies