If your doctor is a part of OHSU, Adventist Health Portland, or OHSU Health Hillsboro Medical Center then your doctor is part of OHSU Health Services in Health Share. You can go here to look up all providers in our network.
If you see a doctor at OHSU, OHSU Doernbecher Children’s Hospital, Adventist Health Portland or OHSU Health Hillsboro Medical Center and you are matched with Health Share by the State of Oregon, there is nothing you need to do.
If you see a doctor at OHSU, OHSU Doernbecher Children’s Hospital, Adventist Health Portland, or OHSU Health Hillsboro Medical Center, and want to see a new doctor, please call 844-827-6572.
If you wish to see a doctor who is not part of OHSU Health Services, you will need to select another plan that covers that doctor. Visit the Oregon Health Plan website for additional information or call 877-647-0027.
Your PCP (Primary Care Provider) provides most of your healthcare. Sometimes, on your Health Share ID card you will see a clinic listed under PCP. If that is on your card that means that there is a team of physicians that can serve as your PCP at that clinic. Every OHP member is assigned to a PCP or a clinic with a team of providers. If you have a concern that might require a specialist your PCP is the person that can write you a referral.
Yes. Each covered family member can select his or her own PCP.
No, health benefits remain the same.
To update your contact information call the Oregon Health Authority, a customer service line for OHP members, at 1-800-699-9075. This is important so you can get notices about your coverage and other information about your healthcare.
Any condition that is a non-emergency situation, but needs prompt healthcare service is an “urgent” care.
A few examples of urgent care needs include ear infections, sprains, high fevers, and vomiting. Call your clinic or PCP first to see if there are appointments available. If there are no appointments or you are experiencing an immediate medical condition you can visit an urgent care clinic. It is a good idea to look for your nearest urgent care clinic ahead of time, so you know which urgent care clinics are easy for you to get to. For a list of urgent care locations visit our “Find a Provider” section under Oregon Health Plan Members. It is a good idea to keep the address of your PCP or the closest urgent care in your wallet in case you’re not home if an urgent healthcare need arises.
Seek qualified help immediately. You and your family members are covered for emergency medical services anywhere, 24 hours a day. An emergency is a sudden and unexpected onset of an injury or serious illness that, if not treated immediately, may result in serious medical complications, loss of life or permanent impairment of bodily functions. Some examples include (but are not limited to) chest pains, loss of consciousness, excessive bleeding, broken bones, loss of breathing or convulsions. In an emergency, call 911 or go to the nearest hospital emergency room immediately.
Family practice is qualified to care for the entire family (all age groups). Pediatrics specializes in children. Most pediatricians can treat children from birth to adolescence.
As an OHP member you can get free transportation to medical appointments. To get a ride to an appointment contact Ride to Care, a non-emergency medical transportation service.
When you request services they will ask you the following information: your name, your OHP number, the time and date of your appointment, your complete address and phone number, your medical provider information (address or general information).
You can get free help from a certified insurance agent, community partner, or customer service representative by visiting www.oregonhealthcare.gov. Or you can call the Oregon Health Authority (OHP Customer Service) at 1-800-699-9075 to get a list of agents who can assist you with the Oregon Health Plan application process. Assistance is available in multiple languages.
If your application was submitted online, an e-mail confirmation should have been sent to you confirming that the application was received. If your application was mailed, or if you have not received a response regarding coverage, contact the Oregon Health Authority (OHP customer service) at 1-800-699-9075 to verify the status of your application.
Please call the Oregon Health Authority (OHP customer service) at 1-800-699-9075, and they can assist you with canceling your OHP plan.
You should receive a letter from OHP letting you know when it is time to reapply. You can always call the Oregon Health Authority (OHP customer service) at 1-800-699-9075, and they will let you know when you need to reapply. If you move, remember to change your address with them so that they will send notices about coverage to the correct address.
If you are an OHP member you do not pay for services. OHSU Health Services member benefits are paid by the Oregon Health Plan insurance.
Call 844-827-6572 to speak with a representative. Hours of operation are 7:30 a.m. to 5:30 p.m., weekdays