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New to OHP

Welcome to the Oregon Health Plan!

Welcome to the Oregon Health Plan (OHP). OHP is Oregon's Medicaid and Children's Health Insurance Program. It provides free health coverage, with no fees or cost-sharing. People who meet income and other requirements can get OHP. OHP covers medical, dental, and mental health care. It also covers help with addictions.  

New OHP members first get an approval letter, then an OHP welcome letter. The welcome letter includes your Oregon Health ID card and information about your new health care benefits. 

Please know that if you are approved for OHP, but have not received your ID card, you are still covered for services. 

  • Your provider can look up your OHP record using your name and date of birth.
  • You can also look up your member ID in your Oregon Eligibility (ONE) account (look under "Current Benefits").

Follow These Steps to Start Using Your OHP:

​OHP has local health plans that help you use your benefits. These plans are called coordinated care organizations or CCOs.

Most OHP members are enrolled in a CCO. Your CCO:

  • Can help you get the care you need. 
  • Works with providers like doctors, counselors, nurses, pharmacies and dentists near you. 

Find your CCO's website, provider directory, dental plans, and more. If you don't know your current CCO, you can look in your dashboard at ONE.Oregon.gov (click "Change my medical plan").

If you are new to OHP, your CCO will send you a welcome letter and ID card about two weeks after you get OHP. 

If you need to get care before then, you can contact any provider that takes OHP.

Don't have a CCO?​

You may not be in a CCO because you are new to OHP, have other insurance or have a medical reason for not using a CCO.  ​If you are not in a CCO:

  • OHA pays for your care. This is called having an open card or fee-for-service​.
  • You will need to find providers who accept open card and can bill OHA for services they provide.

If you want to enroll in a CCO, find your local CCO to see if they are accepting members. Ask OHP Client Servic​es​ (800-273-0557) about your options.

A primary care provider is who you will see for regular visits, prescriptions and care. You can pick one, or your CCO can help you pick one.

Primary care providers can be doctors, nurse practitioners and more. Don’t forget to ask your CCO about a dentist, mental health provider, and pharmacy.

If you do not pick a provider you want to see, your CCO will pick one for you. Your CCO will send you a letter with your provider’s information. Some CCO ID cards also list your provider.

Your CCO has a list of providers. Find your CCO and click “Provider Directory.”

Don’t have a CCO?

To find a dentist, find your OHP dental plan​ and click "Provider Directory." You can also call the plan for help finding a dentist. 

To find other providers, you can call 800-562-4620 to get help finding  fee-for-service ("open card") providers. You can also try using these online resources, then contact the provider to see if they are accepting new patients.

You can make an appointment with your provider as soon as you pick one.

When you make the appointment, tell your provider about your OHP, CCO and any other health coverage you have. Have your ID cards ready when you call.

  • If you need an interpreter, your providers can ​help you get one. Tell them what language is best for you. Do this at least one or two days before your appointment. Still need help? Call 844-882-7889.​
  • If you need a ride to or from your appointment, call the OHP ride service in your area.

At the appointment:

  • Bring a list of questions to ask your provider. 
  • Be ready to talk about your family’s health history, and any prescriptions, vitamins or other medicines you take.

Your provider may give you a prescription or instructions to follow later. If you don’t understand, ask questions. Your provider is there to help.

Learn More about Using Your OHP Benefits:

You may need to download Adobe Reader to view these guides.

Need help? Tr​y the Oregon Health Plan Quick Start Guide. The guide will help you learn how to:

  • Use OHP and how to get help when you need it. 
  • Pick a provider, make an appointment, report changes and more.
Need the guide in another language? It's available in: 

Would you like the handbook mailed to you? Please call OHP Client Services at 800-273-0557 or 711 (TTY).


OHP.Oregon.gov

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Questions?

We want to make sure you have the information you need. 

Talk to your CCO

 Call 1-800-273-0557

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