If you currently have coverage through the Oregon Health Plan (OHP), the Oregon Health Authority (OHA) encourages you to make sure that your contact information is up to date. OHA will be reviewing eligibility for all 1.47 million OHP members to verify they continue to qualify for existing benefits by June.
“Health care is vital to Oregon families and we want to maintain the coverage they depend on,” said interim OHA Director James Schroeder. “Our goal is to make sure that everyone who is eligible for benefits, stays covered. Keeping your contact information up to date and responding quickly to further requests will help your renewal go faster and avoid any preventable disruptions in your care.” Members will receive a notice between April 2023 and January 2024 regarding their benefits, renewal forms and any requests for information from OHA.
Members will be required to respond in a timely manner and people can update their contact information in a variety of ways–online, by phone, by mail, through their coordinated care organization (CCO), by contacting an OHP-certified Community Partner or in person at ONE Office Locations. Details for these methods can be found at bit.ly/OHPChanges.
OHA expects some members to be automatically renewed without any action necessary. If additional information is needed, however, a notification will be sent to the OHP member, who will then have 90 days to complete the renewal form and provide additional information to verify their eligibility. If someone is determined to be no longer eligible for OHP, they will have 60 days before their OHP benefits end.
State health officials want anyone who no longer qualifies for OHP coverage to know that they still have affordable health coverage options. The Oregon Health Insurance Marketplace (OHIM) will send information to people who are no longer eligible for OHP benefits and advise them of potential coverage options and financial help through the Marketplace. People who do not enroll through the Marketplace will receive a second notice 30 days before their special enrollment period ends, based on the date their OHP benefits conclude. The Marketplace Transition Help Center will help people understand their options, how to transition to the Marketplace and to find help from local health coverage experts.
The large number of OHP redeterminations is expected to cause greater wait times, delays and possible interruptions to people’s OHP benefits. OHP members are encouraged to respond quickly if they receive a request for information to avoid any possible delays.