The Cover Oregon Board of Directors has decided to stop further development on the current state website for private health insurance. Instead, beginning with the November open enrollment period, Cover Oregon will use the federal exchange technology to sign people up for private plans

Additionally, the Oregon Health Authority will take over Oregon Health Plan (Medicaid) eligibility determinations later this year. Until the transition occurs, Cover Oregon will continue to be the portal for new OHP enrollments.

If you are one of the more than 240,000 Oregonians enrolled in coverage through Cover Oregon, you do not need to do anything different right now. Our goal is to make this transition as easy as possible for consumers, and we will have more information in the coming weeks and months about what Cover Oregon will look like in the future.



I am enrolled in a private plan. What do I need to do?

Here’s what consumers need to know.  If you’ve enrolled in coverage through Cover Oregon, you do not need to do anything different right now. Our goal is to make this transition as easy as possible for consumers when it’s time to re-enroll in the fall. We are exploring options right now and will have more information for consumers well before the beginning of the next open enrollment period in November.

I submitted an application to Cover Oregon last week. Do I need to apply again at HealthCare.Gov?

No. Cover Oregon is still open for business and will process your application. There is no need to apply again.

Will people still be able to apply through Cover Oregon for private plans and the Oregon Health Plan?

Our goal is to make the process as seamless as possible for consumers whether they are buying private plans or are eligible for the Oregon Health Plan (OHP). We will have more information in the coming weeks and months about what that will look like. In the meantime, people who still have not applied for insurance can do so at CoverOregon.com.

Is the website going away?

No. Customers are still be able to go to CoverOregon.com and fill out an application, find agents or community partners, and access the information that is currently on the website.

Will OHP clients who enrolled through Cover Oregon have to do anything?

They won’t. Current OHP clients are already in the Oregon Health Authority (OHA) computer system. When it is time for their annual redetermination, OHA will send them a notice with information about what to do.

Will people still be able to enroll online for the Oregon Health Plan?

They will. OHA will have a client-facing website where Oregonians can enroll in OHP (Medicaid) online.

Do I need to reapply for coverage during the next open enrollment period?

As with any other health insurance plans, each year you need to re-enroll in a plan.  Our goal is to make this transition as easy as possible for consumers when it’s time to re-enroll in the fall. We are exploring options right now and will have more information for consumers well before the beginning of the next open enrollment period in November.

Does this mean that my coverage is going to end?

No. Your coverage will not be affected by the decision. As with any other health insurance plans, each year you need to re-enroll in a plan. Our goal is to make this transition as easy as possible for consumers when it’s time to re-enroll in the fall. We are exploring options right now and will have more information for consumers well before the beginning of the next open enrollment period in November.

Will I still be able to get a tax credit?

Yes.

Does this mean that Cover Oregon goes away? Will it shut down?  Will there be restructuring? Layoffs?

Cover Oregon will no longer be in the technology business but will retain front-end customer outreach and education, initial management of private insurance plans and some oversight of those private plans.  At the May 8 Board meeting, Hamstreet and Associates will make their recommendations to the Board on a staffing and organizational structure for Cover Oregon that can best carry out the Board’s decision.

How does this affect the insurance companies? Agents? Other stakeholders?

This decision will impact Cover Oregon’s stakeholders.  Some of the impacts are known.  Some require further analysis.  We are committed to communicating with our stakeholders and the public and will have more information at the May 8 Board meeting.