Oregon · FIPS 41005

Clackamas County, OR — ACA coverage

Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Clackamas County, Oregon. Updated 2026-06-08.

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Clackamas County coverage highlights

Est. marketplace enrollees
3,880
2025 plan year — Oregon total 139,688 ÷ 36 counties.
Premium tax credit
100–400%+ FPL
Benchmark Silver premium capped at 0%–8.5% of household income. Sourcei
Medicaid expansion
Adopted
Adults up to 138% FPL eligible. Sourcei
CHIP (Oregon Health Plan (OHP) for Kids)
305% FPL
Pregnancy Medicaid to 190% FPL. Sourcei
Carriers on marketplace
6
Statewide issuer count — county availability may vary. Sourcei
Medicare 5★ MA-PD (2026)
Not in county
No CMS 5-star MA-PD contract serves this county. Sourcei

Enrollee count is an estimate derived by evenly distributing the state's CMS plan-select total across counties; actual county enrollment varies with population.

How the Clackamas County estimate is calculated

Methodology: ACA Beacon does not have county-level enrollment dashboards for every U.S. county. To give you a directional sense of marketplace activity in Clackamas County, we take the most recent state-wide Open Enrollment Period (OEP) plan-selection total reported by CMSi (or the state-based marketplace) and divide it evenly by the number of counties in Oregon.

Formula used here: 139,688 total state signupsi ÷ 36 Oregon countiesi = ~3,880 estimated enrollees for Clackamas County.

Uncertainty & limitations: Counties vary widely in population, income, and insurer participation. Urban counties typically enroll far more residents than rural ones. This number is a simple average, not a forecast or official CMS county report. Use it as a rough indicator of statewide penetration, not a precise local count.

Last updated 2026-06-08. Data source: CMS OEP state-level plan-selection reports.

ACA marketplace in Clackamas County

Residents of Clackamas County shop and enroll in ACA marketplace plans at oregonhealthcare.gov/. Plans are rated by county, so available carriers and prices in Clackamas may differ from elsewhere in Oregon.

Carriers currently selling in Oregon include: BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Regence BlueCross BlueShield of Oregon. The final 2027 carrier list for Clackamas County is confirmed when Oregon filings finalize in summer 2026.

Premium tax credit eligibility

Premium tax credits (APTC) cap your monthly premium for a benchmark Silver plan at a percentage of household income — currently 0% at 150% FPL up to 8.5% at 400%+ FPL while Inflation Reduction Act enhancements remain in effect. Cost-sharing reduction (CSR) Silver plans further reduce deductibles for households under 250% FPL.

Use our free subsidy calculator or see the full Oregon subsidy & income tables.

Medicaid & CHIP in Clackamas County

Clackamas County residents may qualify for Medicaid up to 138% of the Federal Poverty Level under Oregon's adopted ACA Medicaid expansion.

Oregon Health Plan (OHP) for Kids covers children up to 305% FPL; pregnancy Medicaid covers up to 190% FPL. Apply year-round at www.oregon.gov/oha/HSD/OHP/Pages/index.aspx · 1-800-699-9075.

Open Enrollment & SEP

2026 OEP in Oregon: November 1, 2026December 15, 2026. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Oregon OEP & SEP details.

Other Oregon counties

Sources

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.