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Who is eligible?

Three key things determine if your child qualifies for no-cost or low-cost coverage:
1. Age; 2. Residency; and 3. Income
- Child must be under the age of 19 (19th birthday).
- Child must live in Oregon and be a legal resident.
- Your child must have been without health insurance for two months (though there are exceptions to this rule for special circumstances, like a parent’s job loss or a child’s serious medical need).
- For free or low-cost coverage, household income can’t be more than 300 percent of the federal poverty level, which is about $66,000 for a family of four. Income level depends on family size, so for smaller families, income is less. For larger families, income is more. For households with income greater than 300 percent of federal poverty level, there is an option for affordable option coming soon.
Enrollment for 201% - 300% FPL: Enrollment for this population is every month. Completed enrollment paperwork received prior to the 23rd of each month will be processed for an effective date of the first of the following month. For example, completed enrollment paperwork received on 4/23/10 would result in coverage being effective 5/1/10.
Open Enrollment Period for Over 300% FPL:
HKC Enrollment is during open enrollment periods only.
- Open enrollment February 1 to March 15: April 1 effective date.
- Open enrollment August 1 to September 1: October 1 effective date.
Please note: In all cases, you will receive your insurance identification cards directly from the insurance company of your choice. This process may take a couple of weeks. If you don’t receive your cards and need to schedule an appointment with your doctor, please feel free to contact the insurance company directly or contact a HKC Benefit Analyst at 1-888-260-4555.
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