Alyssa Lane
The Oregon Health Plan (OHP) is a program that provides health care coverage for low-income Oregonians. It is a state Medicaid program funded by the State of Oregon and the US Government's Medicaid program. OHP covers doctor visits, prescriptions, hospital stays, dental care, mental health services, addiction treatment, glasses, hearing aids, medical equipment, home healthcare, and transportation to healthcare appointments. OHP is available to people of all ages and immigration statuses who meet certain income and other criteria.
| Characteristics | Values |
|---|---|
| Name | Oregon Health Plan (OHP) |
| Type | Medicaid managed care system |
| Coverage | Physical, dental and mental health care, substance use disorder treatment, check-ups, prescriptions, glasses, lab tests, X-rays, hospital care, transportation to appointments, interpreter services |
| Eligibility | Income, age, mental and physical condition, residency in Oregon |
| Funding | State of Oregon and US Government's Medicaid program |
| Immigration Status | Covers undocumented immigrant children and teens in Oregon |
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What You'll Learn
- OHP is free health coverage for Oregonians who meet income and other criteria
- OHP covers doctor visits, prescriptions, hospital stays, dental care, and mental health services
- OHP provides transportation to healthcare appointments
- OHP covers substance use disorder treatment services
- OHP covers Oregon residents, citizens or otherwise
OHP is free health coverage for Oregonians who meet income and other criteria
The Oregon Health Plan (OHP) is a program that provides free health coverage for Oregonians who meet certain income and other criteria. It was established in 1993 by then-state senator and emergency room doctor John Kitzhaber and Portland activist Dr. Ralph Crawshaw. The plan aimed to increase healthcare accessibility for the working poor while also rationing benefits.
OHP covers a range of services, including doctor visits, prescriptions, hospital stays, dental care, mental health services, substance use disorder treatment, and assistance with addiction to cigarettes, alcohol, and drugs. It also provides glasses, hearing aids, medical equipment, home healthcare, and transportation to healthcare appointments. OHP is funded by the State of Oregon and the US Government's Medicaid program.
Eligibility for OHP is based on income, age, mental and physical condition, and residency in Oregon. As of July 1, 2023, people of all ages who meet the income and other criteria qualify for full OHP benefits, regardless of their immigration status. OHP offers assistance with care coordination for children who are not in a Coordinated Care Organization (CCO).
CCOs are local health plans that help OHP members access healthcare services, integrating physical, mental, and dental care to improve health outcomes and reduce costs. They focus on illness prevention and managing existing health conditions. OHP members can contact the organization via phone or email to make changes to their personal information, such as address and phone number.
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OHP covers doctor visits, prescriptions, hospital stays, dental care, and mental health services
The Oregon Health Plan, or OHP Insurance, is a program that covers healthcare costs for low-income Oregonians. It is funded by the State of Oregon and the US Government's Medicaid program. OHP covers a wide range of healthcare services and items, including:
Doctor Visits
OHP covers the cost of visiting a doctor, ensuring that those who are covered can access primary care services without financial burden.
Prescriptions
Prescription medications are covered by OHP, which helps to ensure that those who need regular or long-term medications can afford them.
Hospital Stays
The costs of hospital stays are covered by OHP, providing peace of mind for those who may require hospitalisation due to illness, injury, or other health concerns.
Dental Care
Basic and preventive dental care is included in OHP coverage, promoting oral health and allowing individuals to access necessary dental treatments.
Mental Health Services
OHP recognises the importance of mental health by covering mental health services, helping to ensure that individuals can access the support and treatment they need for their mental well-being.
In addition to these core services, OHP also provides assistance with addiction to cigarettes, alcohol, and drugs. It can also cover the cost of glasses, hearing aids, medical equipment, home healthcare, and even transportation to healthcare appointments.
As of July 1, 2023, the "Healthier Oregon" program allows people of all ages who meet income and other criteria to qualify for full OHP benefits, regardless of their immigration status.
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OHP provides transportation to healthcare appointments
The Oregon Health Plan (OHP) is a government-funded program that covers healthcare costs for low-income Oregonians. OHP is funded by the State of Oregon and the US Government's Medicaid program. It provides coverage for a wide range of services, including doctor visits, prescriptions, hospital stays, dental care, mental health services, and addiction treatment. OHP also offers additional benefits such as providing glasses, hearing aids, medical equipment, and home healthcare.
One of the critical benefits provided by OHP is transportation assistance for healthcare appointments. OHP members can avail themselves of free rides to their healthcare appointments through the OHP program. This service is available in various parts of Oregon, ensuring that individuals can access the healthcare they need without worrying about transportation costs or arrangements.
For instance, PacificSource, a healthcare provider in Oregon, offers free rides to healthcare appointments for its members covered through OHP. To avail of this service, members need to provide their pick-up address and the time and location of their appointment. They can also specify any special needs or additional passengers during the booking process. While it is advisable to plan rides in advance, same-day transportation may be available in urgent cases.
Additionally, members may be eligible for reimbursement of mileage costs incurred while travelling to and from their healthcare appointments. To initiate the reimbursement process, individuals should contact their ride provider to obtain the necessary form, which must be submitted within a specified timeframe, typically within 45 days of the appointment.
The transportation benefits offered by OHP play a vital role in ensuring that individuals can access healthcare services without transportation barriers. By providing free rides and reimbursing mileage costs, OHP helps improve healthcare accessibility and ensures that low-income individuals can receive the medical care they need.
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OHP covers substance use disorder treatment services
The Oregon Health Plan (OHP) is a government-funded program that provides healthcare coverage for low-income Oregonians. It is funded by the State of Oregon and the US Government's Medicaid program. OHP covers a wide range of healthcare services, including substance use disorder treatment.
Mental health services are an important aspect of OHP, and this includes substance use treatment and recovery support. OHP members can access a range of services without the need for a referral, including withdrawal management (detox), medication, residential treatment, and recovery support services such as peer support and community group assistance. For many of these services, members can simply call the provider directly to schedule an appointment.
OHP's coverage of substance use disorder treatment services is part of its broader mental health care offerings. This includes counseling, case management, medications, and specialty mental health services such as psychiatry. These services can often be accessed via phone or video call (telehealth), and many primary care clinics have behavioral health clinicians on staff who can provide this care.
Additionally, OHP covers other healthcare services such as doctor visits, prescriptions, hospital stays, dental care, and assistance with addiction to cigarettes, alcohol, and drugs. It also provides glasses, hearing aids, medical equipment, home healthcare, and transportation to healthcare appointments.
As of July 1, 2023, people of all ages who meet the income and other criteria are eligible for full OHP benefits, regardless of their immigration status. This program is known as "Healthier Oregon."
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OHP covers Oregon residents, citizens or otherwise
The Oregon Health Plan (OHP) is a form of health insurance that covers doctor visits, prescriptions, hospital stays, dental care, mental health services, and addiction treatment for low-income Oregonians. OHP covers Oregon residents, citizens, and non-citizens. To be eligible for medical benefits, applicants must be US citizens or meet alien status requirements. However, CAWEM applicants are not required to provide proof of citizenship or immigration status. As of July 1, 2023, people of all ages who meet the income and other criteria are eligible for full OHP benefits, regardless of their immigration status, under the "Healthier Oregon" program.
Oregon residents are defined as individuals aged 21 or older who intend to reside in the state permanently or for an indefinite period. Residency requirements may be waived if the individual has been receiving continuous medical assistance in Oregon since November 1, 1981, or if they are from a state with which Oregon has an interstate agreement. Individuals receiving medical assistance from another state may receive duplicate medical assistance from Oregon if they are eligible and would otherwise be unable to access medical care.
Non-citizen residents of Oregon can be eligible for OHP benefits. Lawful permanent residents who do not meet the non-citizen status requirement due to insufficient quarters of coverage may still be provisionally certified for SNAP benefits while their eligibility is investigated. This provisional certification can last up to six months.
OHP provides essential healthcare coverage for Oregon residents, ensuring access to necessary medical services regardless of income or immigration status. By covering a range of services, including doctor visits, hospital stays, and prescriptions, OHP helps improve the health and well-being of eligible individuals across the state.
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Frequently asked questions
OHP stands for Oregon Health Plan. It is Oregon's state Medicaid program overseen by the Oregon Health Authority.
OHP covers doctor visits, prescriptions, hospital stays, dental care, mental health services, and help with addiction to cigarettes, alcohol, and drugs. It also provides glasses, hearing aids, medical equipment, home healthcare, and transportation to healthcare appointments.
Eligibility for OHP is based on income, age, mental and physical condition. Children with certain developmental disabilities, including Intellectual Disabilities and Autism Spectrum Disorder, may qualify regardless of income. As of July 1, 2023, people of all ages who meet income and other criteria qualify for full OHP benefits, regardless of their immigration status.
You can apply for OHP by visiting the Oregon Health Plan website or contacting Trillium Member Services at 1-877-600-5472. You can also find information on how to apply at www.oregonhealthcare.gov.
CCO stands for Coordinated Care Organization. It is a network of healthcare providers working together for people receiving health care coverage under the Oregon Health Plan. CCOs integrate physical, mental, and dental care to improve health, enhance care, and lower costs.
