Oregon Health Plan (OHP) Coverage Letter

Coverage Letters Tell You about Your Benefits

You will get a coverage letter from the Oregon Health Authority (OHA) when:

You first get benefits
Your benefits change
You join a new coordinated care organization (CCO)
You get or lose other health insurance
You have changes in your name or household members
You ask for a new Oregon Health ID card or coverage letter

If you do not get a letter within two weeks of getting benefits, call OHP Client Services at 800-273-0557 (TTY 711).

Sample Letter

English English Large Print Español / Spanish Español / Spanish Large Print Русский / Russian Tiếng Việt / Vietnamese اللغة العربية / Arabic 简体中文 / Simplified Chinese 繁體中文 / Traditional Chinese 한국어 / Korean Af Soomaali / Somali Lus Hmoob / Hmong foosun Chuuk / Chuukese Kajin Majol / Marshallese Português / Portuguese (Brazilian)

What Is in the Coverage Letter?

There are three types of benefits that may be on a coverage letter:

Qualified Medicare Beneficiary: Covers only Medicare cost-sharing.
Oregon Health Plan (OHP): OHP Plus, OHP with Limited Drug and OHP Supplemental benefits
OHP Dental: Dental-only benefits for COFA Dental Program and Veteran Dental Program members

Most people with OHP benefits are enrolled in a CCO. Your CCO pays for your health care. Your CCO can help you with travel to get health care services. For most people, the CCO pays for medical, dental and behavioral health (mental health and substance use disorder treatment) services.

Your coverage letter lists the type of care your CCO covers:

CCOA: Medical, dental and behavioral health care
CCOB: Medical and behavioral health care. OHA pays for dental care
CCOG: Dental and behavioral health care. OHA pays for medical care
CCOE: Behavioral health care only. OHA pays for medical and dental care.
CCOF: Dental care only. OHA pays for medical and behavioral health care for most members. OHA does not pay for medical and behavioral health care for COFA Dental Program or Veteran Dental Program members.

If we know about your insurance, it will be listed as a letter in the “Managed Care/TPR enrollment" box on page 2 of your coverage letter.

Learn more about OHP and private health insurance.

When you first join, you get an ID card for each person in your family. This is the last page of the coverage letter.

The ID card looks like this.

Did you get yours in the mail? We will send you a new card if:

Your name changes
Your ID number changes or
You ask for a new card.

If you are not enrolled in a CCO, you may use your Oregon Health ID card to see any provider that agrees to bill OHA for services.

If your Oregon Health ID card is not correct or you do not get one after joining OHP, call OHP Client Services right away. See the OHP Contacts page to learn more about when to call.