OHP Information for Clients

This page contains information about Oregon Health Plan (Medicaid) benefits, premiums, locally available managed care plans and other details. You will also find where to ask questions or lodge a complaint about OHP services. 

• About your benefits
• Service delivery
• When you need help
• Premium information
• Copayment information
• Other resources 

If you have questions about how to receive OHP services, refer to your OHP Client Handbook first, then your OHP managed care plan. If you still need help, then call OHP Client Services at 800-273-0557.

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About your benefits 

• OHP client handbook (PDF) – Also available in Russian, Vietnamese, Spanish, and English Large Print. If you need a copy of the current OHP Client Handbook, contact OHP Client Services.
• OHP client handbook updates (PDF) - Client information updates since the last publication of the client handbook. Also available in Russian, Vietnamese, and Spanish.
• Recent client announcements – These letters describe changes that affect how clients receive OHP services.
• Pharmacy benefits - Home-delivery pharmacy and the practitioner-managed prescription drug plan (PMPDP)
• Frequently asked questions about benefits and enrollment. 

Service delivery 

• Managed care – Clients enrolled in an OHP managed care plan should contact the plan for specific questions about how to receive services. This page provides contact information for the plans that serve OHP clients.
• Fee-for-Service – Clients not enrolled in managed care can see any provider who will accept their Medical ID.
• Safety net clinics – Community-based providers who offer health services to low-income people, including those without insurance.
• Rural Health Clinics – These clinics increase primary care services for Medicaid and Medicare patients in rural communities.

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When you need help 

When you need help, contact your OHP managed care plan first. If you are a fee-for-service (“open card”) client or you still need help after contacting your plan, you can call OHP Client Services at 800-273-0557.

• Client Services Unit (CSU) – Learn what CSU can and cannot do
• What to do if you receive a bill for OHP services
• Governor's Advocacy Office/Children's Ombudsman 
• OHP Complaint Form (pdf)
• Frequently asked questions about complaints 

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Premium information 

• Most OHP Standard clients pay a monthly premium to remain enrolled in OHP. The OHP Premium Office handles premium billing and processes premium payments for these clients.
• Frequently asked questions about premiums 

Copayment information 

OHP Plus and OHP Plus with Limited Drug clients must pay copayments for certain services. For more information, see the Frequently asked questions about copayments. 

Other resources 

• Other health care coverage resources, such as Medicare, the Family Health Insurance Assistance Program, and the Oregon Medical Insurance Pool.
• Prescription coverage assistance, including HealthyOregon and the Oregon Prescription Drug Program.
• Healthy living resources, such as addiction services, disease management and prevention, and early childhood care.
• Resources in your local Oregon county, such as safety net clinics, rural health clinics, local health departments, and more.
• Statewide resources for Oregonians, such as healthy living, crisis resources, school-based health centers, and more.

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