Welcome to the Oregon Health Plan!
Welcome to the Oregon Health Plan (OHP), our state's Medicaid program. OHP provides Oregonians access to coordinated health care. It covers services such as regular check-ups, prescriptions, mental health care, addiction treatment, and dental care.
Most OHP members are enrolled in a coordinated care organization (CCO).
A coordinated care organization (CCO) is a local network of all types of health care providers that include physical health, addictions and mental health, and dental care providers. These providers work together in their communities to serve Oregon Health Plan (OHP) members.
CCOs were created to provide integrated, patient-centered care to all OHP members. Instead of just treating you when you get sick, they can work with you to keep you health and manage any existing health conditions.
For example, CCOs may offer added services for OHP members who have chronic conditions like diabetes, asthma or other health needs. CCOs also focus on prevention, which may lead to fewer unnecessary trips to the hospital or emergency room.
Learn more about coordinated care in Oregon.
Your OHP Welcome letter is on its way
If you have not already received your OHP Welcome letter, it will be in your mailbox soon. Your welcome packet includes your Oregon Health ID card and information about your new health care benefits. Please know that if you are approved for the Oregon Health Plan, but have not received your ID card, you are still covered for services. Your provider can access your OHP record. OHP Welcome packet example
If you are new to the Oregon Health Plan, there are a few things you can do to make sure
you get the care you need, when you need it.
Pick your provider.
Select a primary care provider when you are ready. Contact your coordinated care organization (CCO) to choose health providers such as primary care doctors, nurse practitioners and more. If you don't want to select a provider, your CCO may be able to select one for you to get started. Don't forget you can also choose a dentist and a mental health care provider.
Make an appointment.
You can call and make an appointment when you need to. Getting check-ups will help your primary care provider learn about your medical history before any health issues occur. That way, if you do get sick, your doctor can better provide the care you need.
Ask questions and gather information.
Write down any questions you have for your provider before you go to your first appointment. Also, write down information about your family's health history and any prescription drugs or other medications you take. This will help you and your doctor establish your overall care.
Learn more about the Oregon Health Plan.
Learn more about your benefits. Your welcome letter will include information about your new OHP benefits and what services are covered.
Download the handbook. The Oregon Health Plan Handbook includes more information about OHP health care services, your rights and responsibilities as an OHP client, coordinated care, billing questions, and complaints. The handbook is available to download in English | Spanish | Russian | Vietnamese | Large print. If you would like a copy mailed to you, please call OHP Client Services at 1-800-273-0557 or 711 (TTY).
Questions? We want to make sure you have the information you need. OHP Client Questions has answers to the most frequently asked questions about the Oregon Health Plan. If you still have questions about your OHP coverage, please call us. Use the OHP contact list below to find the best way to reach us.
We’re here to help! The lists below will help you determine the right place to call when you have questions about your Oregon Health Plan coverage.
Most clients are enrolled in a network of providers called a coordinated care organization (CCO). Contact your CCO if you:
- Need help making an appointment.
- Need help finding a provider or want to change your provider.
- Have questions about coverage or services offered.
- Get a bill.
Contact OHP Client Services at 1-800-273-0557 (TTY 711) if you:
- Want to change your coordinated care organization (CCO) or enroll in one.
- Need a new Oregon Health ID card or client handbook.
- Get a bill and are not in a CCO.
- Need help making an appointment and are not in a CCO.
- Have questions about coverage and are not in a CCO.
Contact OHP Customer Service at 1-800-699-9075 (TTY 711) if you:
- Have questions about eligibility.
- Become pregnant or your pregnancy ends.
- Change your mailing address, e-mail address or phone number.
- Need information in another language or another format, such as (but not limited to) large print, Braille, audio recordings, Web-based communications and other electronic formats.
For after-hours assistance, call the OHP Nurse Triage line at 1-800-562-4620.