Oregon Medicaid Application

In 2014, that Oregon Medicaid coverage reached 21 percent, which is an increase of 139,100 people covered under the state-funded program.

The state of Oregon was early to the game in regards to offering expanded Medicaid benefits to the state’s residents. Enrollment was stopped between 2004 and 2008, but growth led to coverage of taxpayers earning 133 percent of the federal poverty level getting medical insurance benefits.

The federal government agreed to foot the bill for the Medicaid expansion entirely, through 2016, but then will cover at least 90 percent of their costs.

What’s Covered Under Medicaid

Under the Oregon Health Plan, insured participants have access to the following list of medical care providers:

• Chemical addiction care providers
• Cosmetic
• Hearing
• Home health
• Hospital maintenance providers
• Hospice
• Immunizations
• Laboratory evaluations and x-rays
• Durable medical equipment and supplies
• Medical transport
• Regular checkup from physicians, nurse practitioners, or physician assistants
• Prescription medicines
• Vision care providers
• Labor and delivery services for pregnant women

Who’s Covered Under Medicaid

The Oregon Health Plan provides medical benefits to the following people:

• Aged, blind, and disabled individuals in the country
• People whose family income does not exceed 133 percent of the federal poverty level
• Pregnant women and babies whose family income does not exceed 185 percent of the federal poverty level
• Kids whose household income does not exceed 300 percent of the federal poverty level

Qualification for the Oregon Health Plan is strictly based on earnings and the medically needy.

To apply for coverage under the Oregon Health Plan, you may apply online using the nation’s site. To be given a paper application, call 1-800-699-9075 and ask to receive one through the mail. Programs can be downloaded using the connected application. Completed and signed applications must be sent to another address:

OHP Client Service

P.O. Box 14015

Completed and signed applications may also be sent via facsimile to 503-378-5628. To request help completing the application, call 1-800-699-9075 and any family or income changes can be reported to the identical number.

After the Medicaid Application

After your submittal of the Medicaid program, you’ll be informed via email as to whether you’ve been approved for coverage. In the event you were approved for coverage, you’ll be given a health card to be used at any healthcare providers’ offices. You should be given a decision on your application within 45 days of the application date.

When seeking out health care services, you need to provide your health care card and any additional medical insurance information to the receptionist at the physician’s office. In the event your card gets lost or stolen, it’s your responsibility to request a replacement card by calling the OHP Customer Service section.

Hearings on Program Decisions

People who have received a denial letter may call 1-800-699-9075 to supply additional information regarding the application or ask questions concerning eligibility for Medicaid coverage.

A hearing must be requested within the span of 90 days after the receipt of a denial letter or it is final. Contacting the OHP Customer Support section doesn’t alter the due date for requesting a hearing at all.

If you don’t qualify for coverage under the Oregon Health Plan, you may continue to have the ability to get medical insurance on a national level. In case you’ve been denied coverage and have received a letter, you can use the healthcare.gov website to attempt and qualify for private medical insurance coverage.

Individuals and families who live in the state of Oregon have the ability to apply for coverage at any time during the year. If you’re qualified to receive medical benefits under the program, your policy will generally start automatically.

When it’s time to renew your medical benefits under the program, you will be given a notification via the mail. Renewal forms can be found together with the Oregon Health Plan’s official site together with renewal applications if needed.

Under the advantages provided, residents can’t be turned down for health insurance benefits under OHP due to a preexisting medical condition. To learn whether a service is covered, contact OHP Client Services in 1-800-273-0557.