Get paid to care for family in Union County
Most of the 5,770 people in Union County who are 65 or older are cared for at home, by a relative. Oregon Medicaid can pay you for that work.
Union County at a glance
- Aged 65+
- 5,770
- Aged 85+
- 615
- Rank in OR
- 24th
- Median age
- 40.0
22% of residents
when daily help usually starts
of 36 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Union County is a rural county (Rural-Urban Continuum Code 7).
- 50 + DC
- states covered
- 3,144
- counties with local data
- $0
- it is always free to apply
- 2 min
- to see if you qualify
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
Care in Union
What being a paid caregiver looks like here
About 5,770 people in Union County are 65 or older — 22% of everyone who lives here. That is an older county than Oregon overall, so more families here are already doing this work. Roughly 615 are 85 or older, the age when daily help usually starts. In a rural county, an agency aide may be a long drive away — when one is available at all. That is exactly why the state lets you be the paid caregiver instead.
Statewide, 850,800 people in Oregon are 65 or older — 20% of the state, across 36 counties.
What Oregon pays family caregivers
$21.25–$25.25/hr
Source: Oregon Medicaid program data · Updated September 2026
Oregon's programs at a glance
- Independent Choices Program (ICP)
- Spousal Pay Program
- Consumer-Employed Provider program
- Spouse paid?
- Yes
- Parent paid for a child?
- Sometimes
- Waitlist
- Some programs have no waitlist.
These rules are set by the state, so they are the same in every county. Read the full Oregon guide →
Towns and cities in Union County
Oregon sets eligibility, not your town — so a family in La Grande and a family at the far edge of the county apply the same way. The largest communities in Union County:
- La Grande13,058
- Union2,123
- Elgin1,694
- Island City1,131
- Cove617
- North Powder498
- Imbler242
- Summerville121
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Union apply
You do not need a county office to start. Families in Union County start with Oregon's program:
Contact the local Area Agency on Aging / APD office or call ODHS at 800-282-8096 (ADRC 1-855-673-2372) to request an assessment and ask for Independent Choices or Spousal Pay.
Or skip the phone tag — our free 2-minute check tells you which Oregon program fits your family, then we help with the forms.
See if you qualify →Union questions, answered honestly
Can I get paid to care for a family member in Union County?
Yes. Oregon runs real Medicaid programs — like Independent Choices Program (ICP) — that pay family caregivers, and they cover families in Union County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Union County?
Family caregivers in Oregon typically earn $21.25–$25.25/hr. The rate is the same across the state, including Union County.
Where do families in Union County apply?
Families in Union County start with the state, not the county. Contact the local Area Agency on Aging / APD office or call ODHS at 800-282-8096 (ADRC 1-855-673-2372) to request an assessment and ask for Independent Choices or Spousal Pay.
Can I get paid to care for my spouse in Union County?
Yes — a spouse can be paid here. The fine print for Oregon: yes — spouses can be hired under ICP and the dedicated Spousal Pay Program (spouse must enroll as a provider with the Oregon Home Care Commission)
How many people in Union County might need this?
5,770 residents of Union County are 65 or older and about 615 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. Oregon's programs exist to pay for exactly that care.
Which towns in Union do you cover?
All of Union County — including La Grande, Union, Elgin, Island City and Cove. Eligibility is set by Oregon, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Oregon's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
Guides
For families in Union County
Start with the Oregon caregiver program, then read how the pieces fit together.
Nearby
Counties next to Union
The counties Union touches, by Census boundaries — a few of those borders run across water.
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