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What is the Oregon Health Plan?
The Oregon Health Plan (OHP) consists of several programs; however, when people talk about OHP they are usually referring to the state Medicaid program. Other programs included under the Oregon Health Plan are the Office of Private Health Partnerships (OPHP), Oregon Medical Insurance Pool (OMIP) and the Family Health Insurance Assistance Program (FHIAP).
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Oregon's state Medicaid program extends medical services to eligible Oregonians who have incomes at or below 100% of the federal poverty level. It also covers pregnant women and children whose incomes are up to 200% of the federal poverty level. About 300,000 of OHP members have the OHP Plus benefit package. Fifty thousand of OHP recipients who fall into the Families and Adult/Couples categories have a benefit package called OHP Standard, which covers fewer services than OHP Plus.
Many people who qualify for OHP Medicaid benefits received health services through a managed care plan, although some people receive services through fee-for-service.
How is CareOregon Different from the Oregon Health Plan?
CareOregon is a managed care health plan that contracts with the state to serve people who have the OHP Plus or Standard benefit packages. If a person meets the enrollment requirements for OHP Plus or Standard, CareOregon is one of their choices for a managed care plan.
Our graphic explains
how CareOregon works with OHP.
How Do I Get on CareOregon?
To get on CareOregon you must first be enrolled on the Oregon Health Plan and have the OHP Plus or Standard benefit package. To get an Oregon Health Plan application, call
1-800-359-9517, or visit
http://www.oregon.gov/DHS/healthplan/app_benefits/main.shtml and fill out the on-line application.
