How To Find the Best Health Insurance in Oregon

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Comparing rates from multiple carriers can help you find the best deal on an Oregon health insurance plan that meets your budget and coverage needs. Since the average premium of health insurance  in the “Beaver State” is higher-than-average, you will want to shop around and save where possible.

Keep reading to learn about Oregon health insurance, the most affordable plans, the cost in some of the state's largest cities and the available health care options.

Key Takeaways

  • The average monthly cost of a benchmark Marketplace health plan is $488 in Oregon.
  • Oregon doesn’t levy any penalties or fines for not having health insurance coverage.
  • Blue Cross Blue Shield typically offers the cheapest silver plan, though PacificSource may provide lower rates in rural counties.
  • Open enrollment in Oregon lasts from November 1st to January 15th, with coverage starting on January 1st if you make a plan selection by December 15th.
  • Oregon’s Medicaid programs offer financial assistance for healthcare to qualifying individuals who meet specific income requirements and other criteria.

Is Health Insurance Required in Oregon?

Health insurance isn’t required by law in Oregon.[1] Initially, the Affordable Care Act (ACA) made it so American taxpayers were legally required to enroll in a health insurance plan with minimum essential health benefits, or they’d receive a federal tax penalty. However, as of the 2018 tax year, federal tax penalties no longer apply for those who opt out of a health insurance plan, although a state-level penalty may apply in certain states (which does not include Oregon).[2]

Oregon Health Insurance Rankings

The Commonwealth Fund ranked Oregon 13th out of 51 in a state-by-state analysis that took a holistic look at the health care systems in each U.S. state and Washington, D.C. Oregon ranked 22nd in healthy lives and fourth, the state’s highest score, in avoidable hospital use and cost. When considering all metrics, the state ranked third among six Western states, which include California and Washington.[3]

Below is an overview of Oregon’s national rank in each of the dimensions analyzed by the Commonwealth Fund:[3]

Dimension

National Rank

Reproductive & Women’s Health

9

Access & Affordability

17

Prevention & Treatment

20

Avoidable Hospital Use & Cost

4

Healthy Lives

22

Income Disparity

12

Racial & Ethnic Health Equity

15

How Much Does Health Insurance Cost in Oregon?

OR Monthly Premium for Lowest-Cost Plan by Metal Tier

Marketplace benchmark plans in Oregon cost $488 per month on average, which is more expensive than the nationwide average of $477 per month. On average, Oregon residents pay a monthly premium of $365 for the lowest-cost bronze plan available in the state, $479 for the lowest-cost silver plan and $526 for the lowest-cost gold plan.[4]

Average Cost Benchmark Premium by State

Cheapest Health Insurance Options in Oregon

Between all health insurance plan tiers, also called metal levels or categories, bronze-tier Marketplace plans generally have the lowest monthly health insurance premiums in Oregon. While bronze plans often come with higher deductibles, copays and coinsurance, their monthly premiums are typically lower, which can benefit those who anticipate minimal health care needs.[5] However, if you expect to need health care services frequently throughout the year, you may be better off purchasing a gold or platinum plan with a higher monthly premium to help you save on out-of-pocket costs.

health insurance tiers

You could also save by opting into a health maintenance organization (HMO) plan over a preferred provider organization (PPO) plan, as they typically have lower monthly premiums. However, keep in mind HMOs often have fewer benefits than PPOs. For example, HMOs may require a referral from your primary care doctor to see a specialist, may have smaller provider networks and have limited to no out-of-network coverage.

What Is the Average Cost of Health Insurance in Oregon by City?

Below, we’ll review the median monthly rates across all metal tiers for individual health insurance plans for 30-year-olds making $40,000 per year in five major cities in Oregon before considering premium tax credits.[6]

City, Zip Code

Quote

Portland, 97229

$431.00

Beaverton, 97006

$431.00

Bend, 97701

$479.00

Salem, 97301

$475.22

Eugene, 97402

$472.50

OR Median Monthly Rates in Major Cities

Which Health Insurance Companies Are the Most Affordable in Oregon?

Regence Blue Cross Blue Shield (BCBS) of Oregon offers the state's most affordable health insurance plans in the silver tier. That said, while BCBS typically offers the cheapest rates in the Portland metro area, those living in more rural counties may find PacificSource offers a lower premium.[7]

Below is an overview of Oregon health insurers with silver plan ranges that cost below $750 before premium tax credits for 40-year-old individuals.[7]

Health Insurance Company

Cost Range

Regence Blue Cross Blue Shield of Oregon

$442 to $668

Providence Health Plan

$447 to $728

Kaiser Permanente

$462 to $563

Moda Health Plan, Inc.

$469 to $633

PacificSource Health Plans

$516 to $631

BridgeSpan Health Company

$537 to $697

When Is Open Enrollment for Health Insurance in Oregon?

Residents can enroll in an Oregon health insurance Marketplace plan via HealthCare.gov during the designated open enrollment period from November 1 to January 15. To guarantee coverage starting January 1, ensure you choose your health insurance plan by December 15. If you wait beyond that date, your coverage won’t begin until February 1.[8]

Specific qualifying life events may initiate a special enrollment period if you missed the open enrollment window, enabling you to enroll outside the typical timeframe. These events include relocating to a new area, getting married, having children or losing employer-sponsored health insurance. Following most qualifying events, this special enrollment period generally spans 60 days before or after.[8]

What Types of Health Insurance Are Available in Oregon?

Some of the major types of medical insurance you can purchase in Oregon include the following:

How To Get Health Insurance in Oregon?

Collecting suitable health insurance quotes from at least three to five insurance providers can help increase your chances of getting a good deal and help you better understand your range of options. Gathering quotes from insurance carriers one by one can take a lot of time and become tedious, but you can speed things up using an insurance marketplace such as SmartFinancial.

After you answer a brief questionnaire, we’ll connect you with a licensed insurance agent to help you find affordable health plans that suit your unique needs. Click here to get a free Oregon health insurance plan quote today!

Get a Free Quote for Oregon Health Insurance Today!

FAQs

Is health insurance expensive in Oregon?

Yes, on average, the cost of health insurance Marketplace plans in Oregon is slightly higher than the national average, with benchmark plans costing $11 more monthly in 2024.[4]

Is Medicare available in Oregon?

Yes, you can enroll in Original Medicare or Medicare Advantage plans in Oregon if you meet the eligibility requirements.

Have health insurance rates gone up in Oregon?

Yes, the average benchmark premium in Oregon increased by $44 between 2022 and 2024.[4]

What happens if I don’t sign up for health insurance in Oregon?

There are no fines for not having health insurance in Oregon, but any medical bills will need to be paid out of pocket without coverage. If you don’t enroll in a plan, you’ll need to wait for the next open enrollment period (November 1 to January 15) unless you qualify for a special enrollment period.[8]

Is there access to free health care in Oregon?

Oregon’s Medicaid services program, called the Oregon Health Plan, provides healthcare for eligible low-income individuals.[9] In addition, eligible low-income families and pregnant women can buy coverage for their children through the Children’s Health Insurance Program and the cost cannot exceed 5% of the household income.[10]

Sources

  1. KFF. “I’m Uninsured. Am I Required To Get Health Insurance?” Accessed Oct. 9, 2024.
  2. HealthCare.gov. “Exemptions from the Fee for Not Having Coverage.” Accessed Oct. 9, 2024.
  3. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Oregon,” Page 1. Accessed Oct. 9, 2024.
  4. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2024.” Accessed Oct. 9, 2024.
  5. HealthCare.gov. “Bronze Health Plan - Glossary.” Accessed Oct. 10, 2024.
  6. HealthCare.gov. “Health Insurance Plans & Prices.” Accessed Oct. 9, 2024.
  7. ValuePenguin. “Best Cheap Health Insurance in Oregon.” Accessed Oct. 9, 2024.
  8. Oregon.gov. “About Marketplace Coverage.” Accessed Oct. 11, 2024.
  9. Health Plans in Oregon. “Oregon Health Plan.” Accessed Oct. 9, 2024.
  10. National Academy for State Health Policy. “Oregon CHIP Fact Sheet.” Accessed Oct. 10, 2024.

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