Why are we here?
We are committed to improving and protecting the health of Oregonians on the Oregon Health Plan (OHP) and/or Medicare.
What is the Oregon Health Plan?
The Oregon Health Plan is the state’s Medicaid program paid for by federal and state taxes. Benefits and coverage are determined by the state, based on budget decisions made by the legislature. CareOregon serves OHP members in many counties through Coordinated Care Organizations (CCOs) as well as members in counties that do not have a CCO.
What is a Coordinated Care Organization (CCO)?
CCOs are community-based health plans that roll all of your OHP health services (physical, mental, dental) into one. As a partner, CareOregon teams with several CCOs across the state to provide OHP benefits to members living in those communities.
What is a Dental Care Organization (DCO)?
DCOs are dental organizations that are contracted with the Oregon Health Plan to provide dental care services to members on the OHP. CareOregon Dental is a DCO owned by CareOregon that provides services for OHP members in the tri-county area (Multnomah, Clackamas, Washington counties).
What is Medicare?
Medicare is the federal program providing health benefits for seniors and disabled members. CareOregon provides Medicare Advantage programs to people on Medicare (through CareOregon Advantage Star HMO-POS) and people eligible for both Medicaid and Medicare (through CareOregon Advantage Plus HMO-POS SNP). For more information about these plans, go to the CareOregon Advantage website for more details.
CareOregon and the OHP
How Does CareOregon Work with OHP to Serve You?
Limited-income Oregonians may be eligible for the OHP (Medicaid) program administered by the Oregon Health Authority.
All applications come from the state. Call 1-800-699-9075 to receive an application or to reapply.
What's special about the OHP:
The following are examples of what may be covered by OHP. CareOregon members do not have a copayment requirement.
- Prescription drug coverage
- Routine annual physical/preventative care
- Vision exam
- Family planning services
- Maternity, prenatal and newborn services
Available in the following Oregon counties:
Clackamas, Clatsop, Columbia, Jackson, Josephine, Marion, Multnomah, Polk and Washington.
If you have Medicare coverage, live in the covered counties and don’t have End Stage Renal Disease (ESRD) you are eligible to join CareOregon Advantage.
What's special about CareOregon Advantage:
- $0 Copay for diabetic testing supplies
- $0 Copay for lab tests
- Vision exam and eyeglasses coverage