Frequently Asked Questions

• 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 Insurance Pool Governing Board, Oregon Medical Insurance Pool (OMIP) and the Family Health Insurance Assistance Program (FHIAP).

Oregon's state Medicaid program extends eligibility to all 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 185% of the federal poverty level. About 300,000 of OHP members have the OHP Plus benefit package. 50,000 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 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.

• 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.dhs.state.or.us/healthplan/index.html and fill out the on-line application.