OHP information

OHP information for current and new members

 Do I qualify? I have questions about joining the Oregon Health Plan (OHP). Scroll down to read more! I’m a current Oregon Health Plan (OHP) member looking for information. Click here! 


Becoming an OHP member

You may qualify for OHP benefits based on your income or other factors. CareOregon provides medical care as part of Health Share, the coordinated care organization (CCO) in the Portland metro area. Together, we make it easy for you to get comprehensive physical, dental and mental health coverage, and substance use treatment, at no cost. We're here to make sure you and your family get the best care possible. Click on a topic below to learn more.

If you’re wondering whether you qualify for the Oregon Health Plan, we can help. The information below can help you decide on your next step.

Who is covered:

Adults (age 19-64) in households that earn up to:

  • $1,468 a month for a single person
  • $3,013 for a family of four

Children (age 0-18) in households that earn up to:

  • $4,383 a month for a family of two
  • $6,660 for a family of four

Pregnant individuals in households that earn up to:

  • $2,730 a month for a single pregnant person (plus unborn baby)
  • $4,858 for a family of four (plus unborn baby) 

Immigration status
If you have a child under age 18, they can be covered regardless of immigration status. This includes youth with Deferred Action for Childhood Arrivals (DACA) and those prior to 2018 who only qualified for emergency Medicaid, or CAWEM.

Even when your income qualifies you for the Oregon Health Plan, the state asks you to provide certain documents.

 

Have these handy when you apply online, or bring them with you to an in-person event.

  • Birthdate (birth certificate, if available)
  • Social Security number (for those who have one)
  • Income and deduction information (for example, pay stubs)
  • Immigration documentation (if applicable)
  • Information about health insurance available to you through an employer (if any)

You have many options for enrolling in the Oregon Health Plan, and you don’t have to do it by yourself. If you ever have questions or need assistance, we’re here to help.

Online: One.Oregon.gov

On paper: Download application (PDF)

In person assistance:

 

Learn about the application process:

 

Need help?

CareOregon's  Connect to Care outreach program brings our services out to the community. Find an upcoming date near you or call Customer Service and ask for help.

OHP information for current members 

Customer service and changing information

There are three ways to contact OHP for questions or to make updates to your current information:

1. By telephone (toll-free): 800-699-9075

This is the best method if you have a question. Existing members can call OHP for any of the following:

  • Change your address, phone number, family status, CCO or other information
  • Replace a lost OHP Card
  • Check the status of your application
  • See if you or your children are still covered by OHP
  • Change plans
  • Solve a problem or make a complaint
  • Get an OHP Handbook

2. By email: oregonhealthplan.changes@state.or.us

Existing members can email OHP to change your address, phone number, family status, CCO or other information.

Note: This email address is for changes only. When you send your email to OHP, you must include your full name, date of birth, medical ID number and phone number.

3. Online: Most OHP members can report changes online at ONE.Oregon.gov. The online site supports the following browsers. (If you don't know your browser version, click your browser's Help menu, then click About.)

  • Windows (PC): Internet Explorer 11, Internet Explorer 10, Internet Explorer 9, Internet Explorer 8, Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0.
  • Macintosh: Firefox 39.0 and 43.0 and Chrome 43.0 and 44.0. Safari is not supported.
  • Smartphone browsers are not supported.

Need help?

Other OHP information for currently enrolled members:

Frequently asked questions

Click on a question below to see its answer.

A: OHP is free health coverage for Oregonians who meet income and other criteria. It covers physical, dental and mental health care substance use disorder treatment. All covered services are free. To learn more, go to http://www.oregon.gov/oha/HSD/OHP/Pages/Benefits.aspx

A: January 1, 2018, through fee-for service OHP.

On March 5, 2018, impacted members began receiving their health care through a coordinated care organization (CCO) in their area. CCOs are local health plans that help OHP members get the health care services they need.

A: OHP is free health coverage for Oregonians who meet income and other criteria. It covers physical, dental and mental health care substance use disorder treatment. All covered services are free. To learn more, go to http://www.oregon.gov/oha/HSD/OHP/Pages/Benefits.aspx

A: You can contact a trusted OHP-certified community partner in your area who can help answer your questions, and help you apply. Their help is free. Find the complete list of OHP-certified community partners at www.OHPnowCOVERSme.org. You can also call 800-699-9075 or 711 for TTY and ask to be connected to one.

A:  It covers physical, dental and mental health care and substance use disorder treatment services. For example, check-ups, tooth fillings, counseling, glasses and prescriptions. It also covers lab tests, X-rays and hospital care. It even pays for interpreters at appointments, and rides to and from the doctor’s office. You can see all the benefits in the OHP Handbook.

A: The CCO your child is assigned to can help you find a doctor, dentist or specialist who is accepting new patients, and who meets your needs. This includes getting access to the right kind of doctor, dentist or specialist in a convenient location and who has staff that meet your language needs and preferences.

If you have Health Share/CareOregon as your CCO, you can search for a health care provider on our website.

A: The OHP that is now available to undocumented immigrant children and teens in Oregon is paid for using state funds only.