SCHIP Guidelines for Oregon

The Oregon Children's Health Insurance Program is a federally subsidized program -- formerly known as the State Children's Health Insurance Program -- that helps families with children and modest incomes obtain affordable basic medical coverage for their children. The program generally targets families that don't qualify for traditional Medicaid because their incomes are too high. The Oregon version of CHIP is called the Healthy Kids Program.

Healthy Kids Program Overview

• The Healthy Kids program covers all Oregon residents under the age of 19. Families may apply for coverage and receive subsidies on a sliding scale, based on the family's income. Note that you don't have to be poor to benefit; even middle income families can qualify to receive benefits under the Healthy Kids Program.

Eligibility

• Generally, your child must have not had health insurance coverage for two months prior to applying for the Healthy Kids program. However, Oregon does make exceptions in case of job loss or hours reduction or serious medical needs. The child must be a legal resident of the state of Oregon.

Types of Plans

• Depending on your family size and income, your child may qualify for no-cost, partially subsidized, or full-cost health insurance. All eligible families can qualify at least for the full-cost program, no matter how high the family income.

What's Covered

• Healthy Kids covers physician fees, preventative care and doctor visits. It also includes prescription drug costs and durable medical equipment, such as oxygen tanks. Oregon also covers mental health care, and drug and alcohol treatment for children under age 19 who are enrolled. Dental and vision care is also covered.