Check Your Eligibility

Find out which benefits you may be eligible for in less than one minute using the eligibility questionnaires below.

Employee Assistance Program

Dental, Vision + Hearing, and Employee Assistance Program Benefits

The eligibility requirements are the same for the Dental, Vision + Hearing, and Employee Assistance Program (DVE) benefits. To receive these benefits, you need to work the required hours of covered employment and update your information with Carewell SEIU 503 and the State.

Important Eligibility Information

• You must work at least 40 hours for 2 months in a row to be eligible for these benefits. Once you have met this requirement, there will be a 1-month waiting period after you turn in your timesheets and/or payroll vouchers. During this waiting period, the State, Acumen, or eXPRS will report your hours to Carewell SEIU 503.
• If you report 0 hours 2 months in a row, you may lose eligibility.

If you aren’t receiving these benefits yet, complete the questionnaire to learn if you may be eligible.

Healthcare Cost Assistance Benefits

Carewell SEIU 503 Healthcare Cost Assistance Benefits (HCA) were set up to help homecare and personal support workers who work in Oregon pay for health insurance premiums and out-of-pocket medical expenses.

This benefit is only available to eligible homecare and personal support workers who have Medicare or have purchased an individual Marketplace health insurance plan. In 2023, Healthcare Cost Assistance covers up to $6,900 for out-of-pocket expenses for claims covered under Medicare or an eligible Marketplace health insurance plan. Healthcare Cost Assistance also pays for net monthly premiums for an eligible Marketplace plan, and a portion of Medicare premiums.

Important Eligibility Information

• You must work at least 40 hours for 2 months in a row to be eligible for these benefits. Once you have met this requirement, there will be a 1-month waiting period after you turn in your timesheets and/or payroll vouchers. During this waiting period, the State, Acumen, or eXPRS will report your hours to Carewell SEIU 503.
• You may have to wait until Open Enrollment (Nov. 1 – Dec. 15) before you can enroll in a Marketplace plan and start receiving Healthcare Cost Assistance benefits.
• If you report 0 hours for 2 months in a row, or become eligible for other medical insurance, you may lose eligibility.
• You must submit the Healthcare Cost Assistance Benefits Request form to show proof that you are eligible for this benefit. You must submit the form your first time requesting this benefit and each year you are eligible and are requesting this benefit. To learn more, go to the HCA webpage. 

To see if you may qualify, complete the eligibility questionnaire below.

Starting in April 2023, the Oregon Health Authority (OHA) began redeterminations of eligibility for the Oregon Health Plan (OHP). Redetermination is when OHA reviews your information to figure out if you still qualify for the Oregon Health Plan (OHP).  

If you are on OHP, Apple Health (in Washington), or another Medicaid plan, you might receive a letter letting you know that your medical benefits are ending. If you have questions about this letter, the fastest and best way to get help is to call the phone number in the letter.

However, there are several ways you can update your contact information, including:

• • Online at: benefits.oregon.gov or oregon.gov/or-benefit-changes.
  • Via your coordinated care organization (CCO). Members can find their CCO contact information by visiting: CCO Plans.
  • By mail at: ONE Customer Service Center, PO Box 14015, Salem, OR 97309.
  • By phone at: 1-800-699-9075 or TTY 711. Phone lines are open Monday through Friday 7 a.m. to 6 p.m. PST. Hold times are shortest in the morning from 7 a.m. to 8 a.m.
  • By calling a toll-free language line. Interpreters are available in 16 languages.

If your medical plan is ending, we may be able to help you enroll in a medical plan through the Health Insurance Marketplace (Healthcare.gov). If you’re eligible, we may be able to enroll you in Healthcare Cost Assistance benefits through Carewell—which would pay for your monthly premium and up to $6,900 in out-of-pocket medical costs. Please call 1-844-503-7348, Monday—Friday, 8am—6pm PST to let us know that you are a care provider who is losing medical benefits.