For Ages 19 and 20 Benefits Start Jan. 1, 2025
Starting Jan. 1, 2025, the Oregon Health Plan (OHP) will offer more benefits to young adults ages 19 and 20 who have special health care needs. These needs include:
- Physical, intellectual and developmental disabilities
- Long-standing medical conditions like asthma, diabetes, or spina bifida
- Behavioral or mental health conditions like depression or substance use disorder
Oregon plans to also cover people ages 21 through 25. Expanding this coverage in future years is subject to funding availability. Oregon is committed to ensuring availability of YSHCN benefits as planned.
What Are The Benefits?
Things like free air conditioners or help finding safe and low-cost housing. These are
health-related social needs benefits.
The same benefits available to OHP members under age 21. These benefits will continue until their 26th birthday:
- Extra vision and dental services
- All medically necessary and medically appropriate care (also known as
EPSDT)
Who Qualifies?
To qualify, young adults ages 19 and 20 must have:
- At least one qualifying health care need that began before age 19, and
- Individual or family income up to 305 percent of the
Federal Poverty Level.
Current OHP members who qualify will automatically receive these benefits starting January 1. Young adults will also be able to complete a short set of questions in the OHP application to qualify. More information about eligibility coming soon.