Changes to your Oregon Health Plan:
During the COVID-19 pandemic, most Oregon Health Plan (OHP) members kept their health benefits even if they had a change in their life, such as a temporary change in income or turning 65 or qualifying for Medicare.
As the COVID-19 emergency phases out, policies will change again. The state will contact you to explain what you need to do to keep your health benefits. The state may need more info to see if you still qualify for OHP and other benefits. If the state can’t reach you, you could lose your benefits, even if you still qualify. That’s why it’s important to update your mailing address, phone number, and email address. If you need help and would like us to speak with someone else about your benefits, you can assign an authorized representative who can be a family member or friend you choose to help you.
What does this mean for Yamhill CCO members?
You will receive a letter in the mail from the state of Oregon. To make sure that you receive the letter, please maintain the following:
• Keep your mailing address, phone number, and email address current to ensure you receive vital information about your benefits.
• Watch for letters about your benefits from the state.
• Provide the information the state needs to help you continue to receive benefits or connect with other resources when they don’t qualify or see a reduction in benefit
Updating Contact Information
Below are options to update your contact information:
• Create an account or log into your existing account
• Available in English or Spanish
1. Customer Service Center
• 1-800-699-9075 (all relay calls accepted)
• Monday-Friday, 7 a.m. to 6 p.m. Pacific Time
• Interpreters are available. You can also get an interpreter in your preferred language before talking with staff. Find a language line at benefits.oregon.gov.
2. Yamhill, Washington, and Polk Community Partners
OHP Assistance in Yamhill County
OHP Assistance Marion and Polk Counties
As a Coordinated Care Organization (CCO), Yamhill Community Care can’t directly assist members with redetermination, but Customer Service can help you update your contact info and help you find assistance.
Oregon Health Plan Programs
The Oregon Health Plan is Oregon’s Medicaid program. There are several health care programs available for low-income Oregonians through OHP.
- OHP Plus for children ages 0-18 and adults ages 19-64
- OHP Plus Supplemental for pregnant adults age 21 or older
- OHP with Limited Drug for adults who qualify for both Medicaid and Medicare Part D
- Other medical programs available include Citizen Alien Waived Emergent Medical (CAWEM) and Qualified Medicare Beneficiary.
OHP Applying and Changes to Current Enrollment
Applying for Health Coverage
You can apply for the Oregon Health Plan at any time of the year. Enrollment is always open for the Oregon Health Plan.
You can apply for the Oregon Health Plan (OHP) online. Go to ONE.Oregon.gov to login or create an account. You can use the online Oregon Eligibility (ONE) system to apply or renew your OHP and report changes.
To learn more about applying online and using ONE, watch the ONE video or read these guides:
- Set up an account (English) (Spanish)
- Use your online account dashboard (English) (Spanish)
- Apply for OHP online (English) (Spanish)
- Renew your OHP online (English) (Spanish)
Learn more about how to use ONE, including browser requirements and frequently asked questions.
Not sure if OHP is right for you? Go to OregonHealthCare.gov and answer the screening questions. This will help you find the application that works best for you and your family.
Trained community partners across the state can help you fill out an application. It’s free. Visit OregonHealthCare.gov to find community partners in your area.
You can also learn more about how to fill out the application in the Application Guide.
You can also apply for the OHP with a paper application. Paper applications are available in multiple languages.
You can download and print an application or have an application mailed to you. Request a paper application by calling OHP Customer Service at 1-800-699-9075 or 711 (TTY).
Do I qualify?
To qualify for OHP, individuals and families must meet income and residency requirements. Oregonians may also qualify based on age and disability status. The best way to see if you qualify is to submit an application. Go to ONE.Oregon.gov to login or create an account. You may qualify for OHP, even if you have been denied in the past.
Changes to Current Enrollment
To make changes to your current enrollment. Please report changes within 30 days of the change.
You can call 1-800-699-9075 or by secure email firstname.lastname@example.org you need to include your full name, date of birth, OHP ID number and phone number.
If you do not use secure email your information may not be protected.
- A claim for a personal injury
- A change in mailing address or residence
- The birth of a child
- A change of legal name for anyone receiving the Oregon Health Plan
- If anyone in your household has a change in circumstance that means they can get health coverage a different way, such as a new job
- When you get or lose other health coverage or if any other health coverage you have changes (This includes employer-sponsored health insurance)
- When someone becomes pregnant and when a pregnancy ends
- A death in the household
- Changes in your household, including if someone moves in or out
- Changes in tax filing status or who is claimed as a tax dependent
Individuals 19 and older who are receiving health coverage are also required to tell OHP about the following changes:
- A change in the source of income
- A change in employment status
- A change in earned income of more than $100
- A change in unearned income of more than $50
You can also visit a local office and report your change in person. To find an office near you check the list of local offices at https://www.oregon.gov/DHS/Offices/Pages/Self-Sufficiency.aspx
OHP Telephone Customer Service is available Monday through Friday, 8 am to 5 pm and wait times may be long.
OHP Information for currently enrolled members
- Are you trying to re-enroll on OHP?
- Want to know more about your benefits?
- Want to see a list of what the OHP does and doesn’t cover?
- Need to know the latest announcements from OHP?
OHP Information for potential members