The Oregon Health Plan is a state-funded medical coverage program that targets people with low income and limited resources. It provides vital healthcare benefits to children, pregnant women, adults, and other vulnerable populations. If you’re considering signing up for the program, here are five things you need to know:
1. Eligibility Criteria
To be eligible for the Oregon Health Plan, you need to meet certain income and residency requirements. For instance, you must be a resident of Oregon and have an income at or below 138% of the Federal Poverty Level. Additionally, you must be a US citizen, legal permanent resident, or meet other immigration criteria. You can apply for the program through the Oregon Health Authority’s website or by completing a paper application.
2. Benefits and Services
The Oregon Health Plan provides a range of healthcare benefits and services, including doctor visits, hospital stays, dental care, vision care, prescription drugs, behavioral health treatment, and more. It also covers preventive services like immunizations, well-child visits, and cancer screenings. However, some services may be subject to co-payments or deductibles.
3. Plans and Providers
The Oregon Health Plan has different plans based on your level of income and healthcare needs. The plans include the CCO, FamilyCare, and Open Card. Each plan has a network of healthcare providers, including doctors, clinics, hospitals, and pharmacies. You can choose a primary care provider within the network and receive all your medical care from them. You can also change providers at any time.
4. Renewal and Re-enrollment
The Oregon Health Plan requires annual renewal to keep your coverage active. You will receive a renewal notice 60 days before your coverage expires, and you need to complete the renewal process by the deadline to avoid losing your benefits. You also need to re-enroll if you have a change in your income or other circumstances that affect your eligibility.
5. OHP Plus
OHP Plus is an additional program that provides extra benefits to people with specific health conditions or needs. It includes services like specialized behavioral health treatment, dental care for pregnant women, and transportation assistance for medical appointments. You can qualify for OHP Plus by meeting certain criteria and receiving a referral from your healthcare provider.
In conclusion, the Oregon Health Plan is a vital resource for people with low income and limited resources. It provides comprehensive healthcare benefits and services to help you stay healthy and manage your medical conditions. By understanding the eligibility criteria, plans and providers, benefits and services, renewal and re-enrollment, and OHP Plus, you can make informed decisions about your healthcare coverage.
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