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Pregnant women Oregon · Oregon Health Plan

Medicaid for pregnant women in Oregon

The number

Oregon Health Plan covers pregnant people with income up to 190% of the poverty level, about $51,910 a year for a family of three in 2026.

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What Medicaid covers during pregnancy in Oregon

Oregon Health Plan covers pregnant people up to 190% of the poverty level (about $51,910 a year for a family of three in 2026).

These limits include the 5% income disregard federal rules apply (42 CFR 435.603). The state makes the final decision based on your household and income.

Oregon Medicaid covers people for 12 months after pregnancy ends (since April 2022). Oregon Medicaid covers doula care, including support during labor and birth.

Being enrolled in Medicaid counts as meeting WIC's income test, so you do not need to prove your income again; WIC still checks for a nutrition need (7 CFR 246.7). How to apply for WIC.

During pregnancy and for a year after, CDC asks you to get medical care right away for urgent warning signs such as a headache that won't go away, changes in vision, trouble breathing, chest pain, extreme swelling of the hands or face, or thoughts of harming yourself or your baby. See the full CDC list.

For Black families

Oregon Medicaid pays doulas certified by the state's Traditional Health Worker (THW) Program. Under fee-for-service (Open Card) billing, the global doula benefit covers two visits before delivery, support on the day of delivery and two visits after, paid at $1,505, and the state raised its doula payment from $350 to $1,500 per pregnancy effective July 1, 2022.

Where to get help in Oregon

  • The application line Oregon Health Plan lists on its own pages: 1-800-699-9075.
  • Community health centers in Oregon: /clinics/or/. Federally funded community health centers discount their fees by income, with a full discount at or below the poverty line (42 CFR 51c.303(f)).
  • Health profile for Black residents of Oregon: /health/oregon/.

Free cancer screening in Oregon

WIC for pregnant women in Oregon

Anyone enrolled in Oregon Medicaid is automatically income-eligible for WIC under federal adjunctive eligibility (7 CFR 246.7). WIC adds a monthly food package, breastfeeding peer counseling, and a Cash-Value Benefit for fruits and vegetables on top of Medicaid coverage.

Prenatal HIV testing in Oregon

The CDC recommends HIV testing at the first prenatal visit and a second test in the third trimester for anyone at elevated risk. Testing is free and confidential through Medicaid and every Ryan White-funded clinic. If you test positive during pregnancy, same-day antiretroviral treatment reduces the chance of passing HIV to your baby to less than 1%.

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

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