An official website of the State of Oregon
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As soon as you know you are or will be on Medicare, ask your local Aging and People with Disabilities or Area Agency on Aging for help. They will help you with this change.
Medicare acts as the member’s main health coverage. If you have both Medicare and OHP:
OHP and Medicare benefits can work together. Your medical, dental, and mental health benefits can be covered by one plan called a coordinated care organization (CCO). Read the OHP and Medicare brochure to learn more. You do not have to get medical care through your CCO.
If you get Medicare while you have OHP, your CCO will not change.
Your OHP benefits do not include drugs that are covered by Medicare Part D. If you qualify for Medicare Part D but choose not to enroll, you will have to pay for drugs that Medicare Part D would cover if you had it.
Ask your CCO about Medicare Advantage plans.
Not in a CCO? Ask your local Oregon Department of Human Services office for help.
These include your Medicare ID, Oregon Health ID, Medicare Advantage ID, CCO/plan ID, Medigap card and Medicare Part D plan card.
If you are a Qualified Medicare Beneficiary (QMB), you are not responsible for Part A or B copays, deductibles or coinsurance charges. You also do not have to pay for any services covered by Medicare Part A or B.
Medicare Part D has copayments on covered drugs.
OHP does not pay Medicare premiums, deductibles or copayments for Medicare Part D drug plans or services.
The Estate Recovery Program may collect money from your estate when you die. This money will help repay the state for your care.
The Oregon Health Plan (OHP) is Oregon's Medicaid program. There are several health care programs available for low-income Oregonians through OHP.
Other medical programs available include OHP Dental (dental-only benefits for Oregon Veterans and Compact of Free Association citizens), and Qualified Medicare Beneficiary.
Medicare is health insurance for:
If you have questions, please contact your local office. You can find your local office on the Oregon Department of Human Services website.
Words to know
Aging and Disability Resource Connection: 855-673-2372
Local Aging and People with Disabilities offices
Medicare Savings Programs
Oregon Money Management Program: Help with Income Cap Trusts and other services
Senior Health Insurance Benefits Assistance (SHIBA): 800-722-4134
We want to make sure you have the information you need.
Talk to your CCO
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