Medicaid Office

Oregon Medicaid Income Limits

Updated August 2026

Oregon uses MAGI (Modified Adjusted Gross Income) rules for OHP Plus and most other OHP programs. MAGI counts wages, self-employment income, unemployment, Social Security income, and most other taxable income. There is no asset test for OHP Plus, OHP Bridge, or the children's and pregnant coverage groups.

OHP income limits by coverage group (2026 approximate)

Adults 19–64 — OHP Plus

FPL %
138% FPL
~Monthly limit (1 person)
~$1,732/mo
~Monthly limit (family of 4)
~$3,588/mo

Pregnant people — OHP Plus

FPL %
185% FPL
~Monthly limit (1 person)
~$2,321/mo
~Monthly limit (family of 4)
~$4,815/mo

Children 0–18 — OHP Plus / CHIP

FPL %
Up to 300% FPL
~Monthly limit (1 person)
~$3,765/mo
~Monthly limit (family of 4)
~$7,800/mo

Adults above 138% FPL — OHP Bridge

FPL %
State-funded; varies
~Monthly limit (1 person)
Contact OHA
~Monthly limit (family of 4)
Contact OHA

Seniors 65+ and people with disabilities

FPL %
Non-MAGI rules
~Monthly limit (1 person)
Separate rules
~Monthly limit (family of 4)
Varies

No asset test — and how MAGI income is counted

OHP Plus, OHP Bridge, and the coverage groups for children and pregnant people have no asset test. Savings, a car, or home equity do not affect eligibility. This is different from long-term care Medicaid, which uses separate non-MAGI rules that do include asset limits.

Oregon's MAGI calculation excludes certain income types. Child support received does not count. One-time tax refunds do not count. Some self-employment deductions reduce countable income. OHA does not count the income of household members who are not in your tax filing unit. If you are unsure whether a specific income source counts, apply anyway — OHA will make the determination.

OHP Bridge: coverage above 138% FPL

OHP Bridge is a state-funded program for adults who earn more than the standard 138% FPL threshold and do not qualify for federally funded Medicaid. Bridge provides benefits similar to OHP Plus. It is not funded by federal Medicaid dollars, which means Oregon bears the full cost of the program.

Bridge eligibility thresholds and benefits may differ from OHP Plus, and the program is subject to Oregon legislative funding decisions. Contact OHA at 1-800-699-9075 or apply through ONE.Oregon.gov to determine if you qualify for Bridge. Adults who earn above the Bridge limit may qualify for subsidized AMP marketplace coverage at healthcare.gov.

Seniors and long-term care: income rules differ

Oregonians applying for Medicaid based on age (65+) or disability status face more complex eligibility rules that include both income and asset tests. The MAGI thresholds in the table above do not apply to these groups. To understand eligibility for long-term care Medicaid, nursing facility coverage, or home and community-based waiver programs, contact the Aging and Disability Resource Connection (ADRC) at 1-855-673-2372. ADRC staff provide free counseling statewide.

Medicare Savings Programs (QMB) in Oregon

Oregon residents searching "Oregon QMB income limits" are looking for one of three Medicare Savings Programs the Oregon Health Authority runs for people enrolled in both Medicare and OHP. Unlike most OHP applications, which go through the ONE.Oregon.gov portal, Medicare Savings Program applications are handled by the Aging and Disability Resource Connection (ADRC) — the same office that manages OHP long-term care and waiver eligibility.

QMB

Situation
Individual
Monthly income limit
$1,350/mo

QMB

Situation
Married couple
Monthly income limit
$1,824/mo

SLMB

Situation
Individual
Monthly income limit
$1,616/mo

SLMB

Situation
Married couple
Monthly income limit
$2,184/mo

QI

Situation
Individual
Monthly income limit
$1,816/mo

QI

Situation
Married couple
Monthly income limit
$2,455/mo

Qualified Medicare Beneficiary (QMB) is the tier that matters most. In 2026, an individual qualifies with income up to $1,350/mo and resources up to $9,950; a married couple qualifies up to $1,824/mo in income and $14,910 in resources. QMB pays your Part A premium if you owe one, your full Part B premium ($202.90/mo in 2026), and every Medicare deductible, coinsurance charge, and copayment — and no Medicare provider, in Oregon or anywhere else, is legally allowed to bill a QMB enrollee for that cost-sharing.

Specified Low-Income Medicare Beneficiary (SLMB) and Qualifying Individual (QI) sit at higher income levels and pay only the Part B premium — SLMB up to $1,616/mo individual ($2,184/mo couple), QI up to $1,816/mo individual ($2,455/mo couple), using the same resource limits as QMB. QI funding is capped annually and awarded first-come, first-served, so QI enrollees have to reapply every year.

All three tiers include automatic Extra Help enrollment, which limits covered Part D drug copays to $12.65 each in 2026. To apply, contact ADRC at 1-855-673-2372 (1-855-ORE-ADRC) — ADRC staff specifically handle Medicare Savings Programs alongside OHP's other non-MAGI programs, separate from the standard ONE application described earlier on this page.

Oregon Health Plan (OHP)

Visit the official Oregon Medicaid website

Income Limits in Nearby States

Utah Washington Wyoming Alaska Arizona

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