What health benefits will I receive? Most people will qualify for the Oregon Health Plan’s full benefit package called OHP Plus. Below is a list of some OHP Plus benefits: Doctor visits Mental health care Addictions treatment Basic dental services: cleaning, fillings and extractions Hearing aids and hearing aid exams Coordinated care Most Oregon Health Plan members are served by local coordinated care organizations. A coordinated care organization (CCO) is a network of all types of health care providers who work together in their local communities. CCOs are focused on prevention and helping people manage chronic conditions. All CCOs have high standards for quality and care coordination. Information is posted online about how CCOs are improving health care for Oregonians. Oregon Health Plan Health care coverage for Oregonians Immunizations and vaccines Medical equipment and supplies Visit www.ohp.oregon.gov Medical transportation Physical therapy Prescription drugs Some vision services for eye health www.ohp.oregon.gov This document can be provided upon request in alternative formats for individuals with disabilities. Other formats may include (but are not limited to) large print, Braille, audio recordings, Web-based communications and other electronic formats. Call 1-800-699-9075 to arrange for the alternative format that will work best for you. OHA 3256 (rev. 7/2015) Oregon Health Plan (OHP) What is the Oregon Health Plan? What are the income limits? The Oregon Health Plan (OHP) is Oregon’s Medicaid program for children, adults and families. OHP covers doctor visits, preventive care, mental health care, addiction treatment, basic dental care and more. To qualify for OHP, the income limits are different for adults and children. Who qualifies for the Oregon Health Plan? Oregon Health Plan coverage is based on household income and state residency. You may qualify for OHP even if you have been denied coverage in the past. Adults For example, any Oregon adult (age 19 and older) who earns up to $1,305 a month for a single person or $2,688 a month for a family of four may qualify for OHP Children For example, any Oregon child (age 18 and younger) whose family earns up to $3,983 a month for a family of two (parent and child) or $6,063 for a family of four (adult(s) and children) may qualify for OHP. Note: These income levels are approximate. Qualification is based on Federal Poverty Levels. For children, it is 300 percent of the Federal Poverty Level. Effective January 1, 2014, the income limit for adults is 138 percent of Federal Poverty Level. How do I apply for the Oregon Health Plan? Apply online. Go to ohp.oregon.gov to learn more about the Oregon Health Plan and how to apply. Get free help in your area. Certified community partners across the state can help you fill out an application. Go to ohp.oregon.gov to find a list of community partners in your area. You can also find an application at any Oregon Department of Human Services (DHS) office. For DHS locations, go to: ohp.oregon.gov
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