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Reapplying for Oregon Health Plan Benefits

 

Renewing your Oregon Health Plan and Healthy Kids benefits

When it is your turn to renew your benefits, OHP will send you a letter.

Every year, Oregon Health Plan (OHP) and Healthy Kids members must update their information to make sure they still qualify for health benefits. Not everyone will renew at the same time. When it is time to renew your benefits, OHP will send you a letter telling you know how to renew.

Most OHP and Healthy Kids members can renew their benefits by filling out a simple form. The form lets us know if there has been a change in your household information. Some members who have had a change or members that signed up through the fast-track process will need to fill out a full application. 

Learn more information about the renewal process in the Background for 2014 Oregon Health Plan RenewalsPDF

Are you an Oregon Health Plan partner? Please help us spread the word about OHP renewals. You can find tools for your website, social media accounts, newsletters, posters, and more in the OHP Partner Toolkit.

How should I renew my benefits?

Not everyone will renew at the same time. When it is your turn to renew, we will send you more information in the mail. You will receive a letter asking you to do one of the following when it is time to renew your OHP or Healthy Kids benefits:

Renew with a simple form

Most OHP members will renew with a simple form.

The simple, expedited form lets us know if you have had a change in your household information.

To renew your benefits, fill out and return the form* that comes with your Renewal Notice letter.

You can also call 1-800-699-9075, or 711 (TTY), to renew over the phone.

English - Sample Expedited Renewal letter PDF
Spanish - Sample Expedited Renewal letter PDF
Russian - Sample Expedited Renewal letter PDF
Vietnamese - Sample Expedited Renewal letter PDF
Chinese- Sample Expedited Renewal letter PDF
Somali - Sample Expedited Renewal letter PDF

Reapply with a full application

If you are an adult who applied for OHP through "fast-track" because we already had your SNAP or Healthy Kids information, reapply with a full application.

When it is your turn to renew, you will reapply for OHP with a full application. Just fill out the paper application that comes with your letter.

You can also apply online at www.CoverOregon.com or call 1-800-699-9075, or 711 (TTY), to apply over the phone.

English - Sample Full Application reapply letter PDF
Spanish - Sample Full Application reapply letter PDF
Russian - Sample Full Application reapply letter PDF
Vietnamese - Sample Full Application reapply letter PDF


*If your household size or income has changed, you may have to fill out a full application to see if you still qualify for OHP benefits. After you submit your renewal form, we will process it. If we determine that you need to fill out a full application, you will receive one in the mail.
 

Frequently asked questions

Download or print a copy of the Fact Sheet: Renewing your Oregon Health Plan and Healthy Kids benefits​ PDF

When should I renew my benefits?

When it is your turn to renew your OHP or Healthy Kids benefits, you will get a renewal notice in the mail. when it is time to renew your OHP or Healthy Kids benefits. Please respond before the date at the top of that letter. If you did not receive such a letter, then you do not need to do anything at this time.​

What if I do not receive a letter asking me to renew my benefits?

If you do not receive a renewal letter, then it is not your turn to renew your benefits. Not everyone will renew at the same time. If you do not receive a renewal letter, your benefits are active and you do not need to do anything at this time.

Do I need to fill out a full application?

Only if you receive a letter that asks you to reapply with a full application. Some OHP or Healthy Kids members who have had a change in their household information or members who signed up through the fast-track process will need to fill out a full application. You will receive a letter that lets you know if we need a full application from you.

Why do I need to renew my benefits?

Every year, OHP and Healthy Kids members must update their application to make sure they still qualify for health benefits. Updating your information lets us know if there has been a change in your household size or monthly income.

I qualified for OHP through the fast-track option, do I need to renew my benefits?

Yes. If you receive a letter that says it’s time to reapply for your health coverage, please reapply before the date stated at the top of the letter. All OHP members who qualified for coverage through the fast-track process must reapply with a full application when it is their turn to renew. The fast-track process was made available to adults who already submitted their household information through the Supplemental Nutrition Assistance Program (SNAP) or Healthy Kids. Learn more about the fast-track process

What happens after I renew my benefits?

After you renew your benefits, we will process your updated information. When we finish processing it, we will send you more information in the mail.

When will I hear back after I renew my benefits?

We should get back to you within 45 days from the date you submit your renewal or full application. If you don’t hear back from us within 45 days from the date you submit your renewal or full application, please call 1-800-699-9075. You also have the right to a hearing if you do not hear from us within 45 days from the date you submit your renewal or full application.

What if I lose or misplace my renewal form?

If you lose or misplace your renewal form, you can update your information over the phone by calling 1-800-699-9075 or 711 (TTY), Monday through Friday, 7 a.m. to 6 p.m.

Can I keep my doctor or provider if I still qualify?

Most OHP members are members of local health plans called coordinated care organizations (CCOs). When you reapply and qualify for coverage, your CCO and dental plan will likely stay the same. It may change if you have moved out of the CCO’s service area or your benefits change.

Will my health benefits stay the same if I still qualify?

Some people may see an increase in benefits, some may see a decrease in benefits and some people will see no change in benefits. If you still qualify for OHP or Healthy Kids, your approval letter will let you know what your benefits are. If you have any questions about your benefits, please call OHP Client Services at 1-800-273-0557.

When do my benefits end?

Please renew or reapply by the date stated in your letter. If you do not respond by this date, your benefits could end. If your benefits end, you will receive a letter telling you of the exact end date.

I have a health appointment scheduled, but my benefits will end before my appointment. Can I still go to my appointment?

If you have a health appointment scheduled for a time after your benefits end, please renew or reapply now. If you have any questions, please call us at 1-800-699-9075 or 711 (TTY), Monday through Friday 7 a.m. to 6 p.m.

What happens if I don’t renew or reapply for coverage?

If you do not renew or reapply, your benefits will end. Please respond when you receive a renewal or reapplication letter. If we do not hear from you, we will send you a notice that your benefits are ending.

 

If you have any further questions, please call us at 1-800-699-9075 or 711 (TTY), Monday through Friday 7 a.m. to 6 p.m.