Member FAQ
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Eligibility and Address Q & A
Our program is for Oregon Health Plan Fee For Service Members. Most people on the Oregon Health Plan are enrolled in Coordinated Care Organizations (CCOs). Your Oregon Health Plan Member Card will tell you if you are Fee For Service.
There are times when members are in both Fee For Service and CCOs. If you are one of those members, your Oregon Health Plan Member Card will tell you which benefit plans you belong to. If you have questions about your coverage, please contact member services at (800) 699-9075 (TTY 711).
For information about becoming an Oregon Health Plan member, please click here
1. By telephone (toll-free): 800-699-9075
2. By email: oregonhealthplan.changes@state.or.us
3. Online: www.one.oregon.gov
For questions about eligibility, application status, billing, claims, to notify OHP of an address change, to order ID cards, or a plan change reach out to the Client at 800-273-0557.
For questions about eligibility, application status, billing, claims, to notify OHP of an address change, to order ID cards, or a plan change reach out to the Client at 800-273-0557.
The Oregon Health Plan Care Coordination (OHPCC) program will help you with your healthcare needs and support you in having the best health possible. A team of healthcare providers, including a nurse health coach, will work with you to achieve these goals.
It is important for you to know your rights while participating in this program.
You have the right to:
- Get information about the Oregon Health Plan Care Coordination services and programs.
- Talk to a nurse day or night, about my healthcare.
- Get the names and contact information of my nurse or health coach. I can also ask to talk with their boss.
- Have my information remain private. OHPCC will only use my records for providing health services. OHPCC can only release my information according to State and Federal laws.
- Be treated with respect as an individual.
- Get these services regardless of my:
- Race
- Ethnicity
- National origin
- Religion
- Gender
- Marital status
- Sexual preference
- Age
- Disability
- Be involved in making decisions about my health. As allowed by law, a family member or guardian may represent me.
- Speak with OHPCC staff in my own language. If needed, OHPCC will get me a translator for free.
- Choose to not be in the program. If I join, I may quit at any time.
- Be told of the benefits for participating in the OHPCC.
- Be educated on how people are chosen for the program.
- Have an honest talk about all health services that might help me and information on available options and alternatives.
- To receive information in a way I can understand.
- Be informed of new health benefits and programs from OHP Care Coordination.
- Know if this program changes or ends.
- Talk openly about the OHPCC Program, and my rights. I also have the right to state my opinion without fear of punishment or discrimination.
- To continue to receive all other DHS and OHP benefits whether or not I participate in this program.
- Exercise all my rights without fear of being treated differently by the OHPCC Program.
The Nurse Advice Line helps you get the help you need. It is not medical treatment. You may call your doctor with any questions you have about your treatment or care. If you think you may have a life or limb threatening emergency, call your doctor or 911 immediately.