Oregon Health Plan Members
Understanding Health Share and Oregon Health Plan insurance
The Oregon Health Plan (OHP) and Health Share work together with OHSU Health Services on different parts of your healthcare needs. OHP provides insurance. Health Share coordinates your services. OHSU Health Services works with providers to deliver your medical care needs.
OHSU Health Services is a new system of care, with over 45 locations and thousands of providers across the metro area. With partners OHSU Health Hillsboro Medical Center and Adventist Health in East Portland, OHSU Health Services is ensuring every Portland area neighborhood has access to OHSU’s innovations and treatments.
The Oregon Health Plan (OHP) is the Medicaid program for the state of Oregon. This program provides healthcare coverage for low-income residents of Oregon.
Who does the Oregon Health Plan serve?
- Families
- Children
- Pregnant women
- Single adults
For more information, visit the Oregon Health Plan website. If you already have OHP, you can visit Oregon Health Plan Benefits under our Oregon Health Plan Members dropdown menu to get to your member handbook.
Your medical, mental, and dental benefits from the Oregon Health Plan (OHP) are coordinated through Health Share. OHSU Health Services works with Health Share to deliver the medical care you deserve and give you information about healthy living. Health Share organizes your care into three categories to help with all your health needs: Physical, Mental and Dental. View the back or inside of your Health Share ID card to locate the plan you have been assigned to. The plans are listed below. To contact Health Share for more information call 503-416-8090 or visit www.healthshareoregon.org.
Health Share ID Cards (OHP Members)
You can use OHSU Health Services if your Health Share ID card lists OHSU Health Services as your physical health plan. Your physical health plan is listed on the back or inside of your Health Share ID card.
Beginning in April 2023, there will be new information guidelines about when and how often plan members will need to reapply for benefits. The best source of information at this time is this Redetermination FAQ provided by Health Share of Oregon.
Schedule a ride
Ride to Care gets a lot of Health Share members to their Oregon Health Plan appointments. You can plan a trip as far ahead as 90 days. When possible, call two business days ahead of your trip or ride. At this site, you can:
- Plan a trip
- Cancel a trip
- File a grievance
For details, visit this page for a riders guide, how to check on a ride and more.
Contact information for Ride to Care
- Regular business hours: 8 a.m.-5 p.m., Monday through Friday, except holidays.
- Portland metro area: 503-416-3955, (TTY/TDD 711)
- icaltransportation@careoregon.org
At-home COVID tests for members
OHSU Health Services members can get at-home COVID-19 test kits at no cost. OHSU Health Services cannot reimburse members for over the counter at-home tests purchased on their own.
- If you have not already, go to the U.S. government website to order 4 free tests per mailing address.
- Go to your local in-network pharmacy to buy at-home tests using your pharmacy benefit at point of sale.
- OHSU Health Services covers at-home COVID-19 antigen testing kits through pharmacy point-of-sale (POS) for members who have symptoms consistent with COVID-19 or who have had confirmed or suspected exposure to COVID-19.
- This coverage is for home tests as a diagnostic tool, not a general screening tool; and does not replace coverage for COVID-19 testing done in clinics and labs.
- OHSU Health will cover up to four units per month without a primary care provider’s (PCP) order or prior authorization.
- If you need more than four tests per month, contact your PCP. OHSU Health Services may cover more than four units per month when ordered by the PCP as a necessary component of an individualized care plan.
Please note the following:
- One test is the collection and processing of one sample, regardless of package size or packaging directions.
- For example, a product that comes in a package with two tests and directs the user to use the second test 36 to 72 hours after the first is counted as two tests.
- All other COVID-19 home test products require PCP order and prior authorization.
If you have any questions, please call OHSU Health Services Customer Service at 1-844-827-6572. TTY users, please call 711. The office is open Monday through Friday, 7:30 a.m. to 5:30 p.m. PST.
