FPEP ELIGIBILITY

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Enrollment Form Pages 1,2, & 3 are required. You may fill out pages one or two in English or in Spanish. Page three is available only in English:

What are FPEP eligibility requirements?

You will be eligible for this program if:

  • You are eligible to use the University Health Center. A mandatory Health Fee will be assessed for each term you are registered or a Stop-out fee will be assessed if you had been enrolled in the prior term and not currently enrolled.
  • You must show proof of citizenship and identity.  How to Obtain Proof of Citizenship and Identity Documents or FAQs about ordering Vital Records.
  • You are a U.S. Citizen or a lawful Permanent Resident who has resided in the US for a minimum of 5 years on the date services were provided. Individuals on temporary work permits or students visas DO NOT qualify.
  • You are a Resident of the State of Oregon. You qualify if you currently have an Oregon address, even though part of the time you reside elsewhere. EXAMPLE: As a college student, you live or work outside of Oregon during school breaks.
  • You have a Social Security Number.
  • Your gross income is less than 185% of Federal Poverty guidelines.
  • You are a Woman--56 Years of Age and younger.
  • You are a Man--No age restriction.

NOTE: You are NOT eligible for this program if:

  • You have coverage on the Oregon Health Plan
  • You have insurance that covers contraceptive management
  • You were sterilized more than 6 months ago
  • You cannot show proof of citizenship or identity

What is the duration of eligibility?

Eligibility, once determined, will remain effective for one year (12 months) from date of initial determination. Eligibility determined at one site is accepted at all FPEP sites in Oregon.

When can eligibility screening be done for FPEP?

Eligibility screening for the FPEP program must be done prior to making an appointment or using the Pharmacy. You must complete and sign the FPEP Enrollment Form and provide appropriate documents to the University Health Center Reception Desk anytime during operating hours. Eligibility will be verified and you will be notified within a few days of this determination. If you met FPEP eligibility, you will be instructed to pick up your FPEP enrollment card at the University Health Center Reception Desk. You can then make an FPEP appointment to be seen. Eligibility is valid for one (1) year.

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Latest Revision - 12/4/2007