New Member Checklist

Each general checklist is grouped by the type of plan you have with CareOregon: CareOregon OHP/Medicaid or CareOregon Advantage Medicare.

CareOregon OHP/Medicaid Plan Members

• Call Customer Service and give us the name of your Primary Care Provider (PCP). Don’t have a PCP? Find a doctor who is open to new patients by using our Provider Search or by calling Customer Service.
  Note: If you are a new patient, please call your PCP to establish care even if you’re not sick.
• If you are pregnant, then you can search for a doctor (obstetrician) who handles Prenatal Care before the baby arrives. Or, call Customer Service.
  • Call your OB provider to establish Prenatal Care as soon as possible.
  • You’ll also want to establish or maintain a patient relationship with your PCP.

• Make sure all of your providers have your new coverage information. Show them your CareOregon ID card.
• If you take medications, then talk to your PCP about what medications your plan covers, or check our web site for drug coverage information. You can also call Customer Service.
  • As a new member, if you have trouble filling a prescription for a medication you’ve been taking, call us. We may be able to help you with a transitional supply.

• If you have diabetic supply needs, then tell your PCP what they are.
  • As a new member, if you have trouble getting diabetic supplies, call us. We may be able to help you get a transitional supply.

• If you need to know where you can get medical supplies or equipment, or want to set up mail order for your diabetic supplies, you can find a vendor by using our provider search.  You can also call Customer Service.

• Call to let us know who your Primary Care Provider (PCP) is. Don’t have a PCP? Search for doctors who are open to new patients by using our Provider Search, or call Customer Service for help.
• Effective January 1, 2011, for PCP and specialist office visits in Oregon and Washington: A PCP or specialist will not need to be in-network for office visits. Please let us know, if your primary care will be provided by an out of network provider.
• Communicate your new coverage information to all your providers, including your pharmacy. Show your CareOregon Advantage ID card.
• If you take medications, then ask your PCP which medications your plan covers, or get the same information through our drug coverage list.
  • As a new member, if you have trouble filling for a medication you have been taking, call Customer Service. We may be able to help you get a transitional supply.
• If you have diabetic supply needs, tell your PCP.
  • As a new member, if you have trouble getting diabetic supplies, call Customer Service. We may be able to help you with a transitional supply.
• To find out where you can get medical supplies or equipment, or to set up a mail order for your diabetic supplies, call Customer Service.