Medical Benefits

Medicaid

Individuals who meet specific income, resource and age or disability criteria may be eligible for medical benefits through Senior & Disability Services.

Medicare Savings Programs

You may qualify to get help paying for your Medicare premiums. One part of the federal Medicare Savings Programs is QMB or, the Qualified Medicare Beneficiaries program. QMB is a Medicaid program that helps people with Medicare pay for their medical care.

QMB has two benefit packages:

QMB-BAS (basic): 

You will have no deductible, coinsurance or co-payment for Medicare covered services you get from doctors who participate in Medicare or Medicaid, or are in your Medicare private health plan’s network.  This program also pays for Medicare Part B premiums

QMB-SMB and SMF (Specified Low-income Medicare Beneficiaries):

Pays for Medicare Part B premiums only.

For more information or to apply, contact the ADRC at 541.682.3353

External Programs & Resources

Medicare 

The most common insurance coverage that seniors and people with disabilities carry is called Medicare. Medicare is the national health insurance program for people 65 years of age and older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure with dialysis or a transplant, sometimes called ESRD). Senior and Disability Services does not administer this program.

For more information please contact Medicare at 1.800.MEDICARE (633.4227) or visit www.medicare.gov for more information.

Oregon Health Plan

The Oregon Health Plan (OHP) is a medical assistance program for low-income Oregonians administered by the Oregon Health Authority. Covered benefits in the OHP Plus package include physician services, hospital services, limited dental, mental health, immunizations, prescriptions, family planning services, maternity, and most preventive services.

For more information visit http://healthcare.oregon.gov/Pages/index.aspx

Senior Health Insurance Benefits Assistance

The Senior Health Insurance Benefits Assistance (SHIBA) program uses trained volunteers to help people with Medicare make health insurance decisions. They can help you select a Medicare prescription drug plan, find out if you are receiving all possible benefits, compare supplemental health insurance policies and more. View the brochure.

Call 1.800.722.4134 for assistance or visit SHIBA online at www.oregonshiba.org.

Veterans Services

There are many ways that a veteran may qualify to receive quality Veterans Affairs health care. Veterans receive high-quality, low-cost health care from highly trained VA physicians and clinicians with many specialties to serve patients. Veterans may also be able to receive prescription medications.

Contact the local Veterans Service Office at 541.682.4191 for more information.