OHP Information for Clients

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This page contains information about Oregon Health Plan (Medicaid) benefits, premiums, locally available OHP medical, dental and mental health plans, and other details. You will also find where to ask questions or lodge a complaint about OHP services. You can view the most recent client updates.

• About your benefits
• Announcements 
• 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 medical, dental or mental health plan. If you still need help, then call OHP Client Services at 800-273-0557.

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• About your coverage letter and OHP benefit packages
• OHP client handbook (July 2007 - contains Dec. 2009 updates) - 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 (Dec. 2009) - Client information updates since the last publication of the client handbook. Also available in Russian, Vietnamese and Spanish 
• OHP Dental Benefits - In English and Spanish 
• Recent client announcements - These letters describe changes that affect how clients receive OHP services.
• Pharmacy benefits - Home-delivery pharmacy
• Frequently asked questions about benefits and enrollment. 

• Oregon Health Plan Care Coordination - Free 24-hour nurse advice line for clients not enrolled in an OHP medical plan; additional programs for clients with more complex conditions.

• OHP Tobacco Cessation Services - Learn about the tobacco dependence and cessation services your OHP medical and dental plans offer. 

Service delivery 

• OHP medical, dental and mental health plans - If you are enrolled in an OHP medical, dental, and/or mental health plan, your coverage letter will list the plan name(s) and phone number(s). If you have questions about how to receive services from your OHP medical, dental, or mental health plan, contact the plan. This page provides contact information for the plans that serve OHP clients.
• Fee-for-Service ("open card") - If you are not enrolled in an OHP medical, dental, and/or mental health plan, your coverage letter will not list such a plan. When no plan is listed for a health plan type, this means you would need to find a provider for that health service who accepts your Medical ID.
• Frequently Asked Questions about service delivery 
• 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 

• Free 24-hour nurse advice line: Clients not enrolled in an OHP medical plan can call 1-800-562-4620 anytime you are sick, hurt or want to talk to a nurse.

• Oregon Tobacco Quit Line: Call 1-800-QUIT-NOW (Espanola 1-877-2NO-FUME) for free and friendly help to quit smoking or chewing.

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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 

• Find your local health department
• Other health care coverage resources, including Medicare, the Oregon Family Health Insurance Assistance Program, the Oregon Medical Insurance Pool, and help with prescription drug coverage.
• Resources for Healthy Living and Staying Healthy.  
• Resources in your local Oregon county
• Statewide resources for Oregonians

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