Oregon Health Care Benefit Plan Agreement

State:
Multi-State
Control #:
US-EG-9384
Format:
Word; 
Rich Text
Instant download

Description

Agreement between Blue Cross and Blue Shield Association and Blue Cross and Blue Shield of Missouri regarding providing health care benefits to subscribers dated 00/00. 2 pages.

The Oregon Health Care Benefit Plan Agreement is a comprehensive healthcare coverage program offered to residents of Oregon, ensuring access to various medical services and treatments. It is designed to provide affordable and comprehensive health insurance options, promoting the well-being and overall health of Oregonians. The plan is regulated by the Oregon Health Authority (OHA) and governed by specific guidelines and policies. It aims to ensure that individuals and families can obtain the necessary medical care and services they need, regardless of their financial status or pre-existing conditions. The Oregon Health Care Benefit Plan Agreement is available to all eligible Oregon residents, covering a wide range of healthcare needs. There are multiple types of Oregon Health Care Benefit Plan Agreements to cater to different groups and circumstances. Some common variations include: 1. Oregon Health Plan (HP): This program is specifically designed for low-income individuals and families who meet certain eligibility criteria. It provides comprehensive coverage for essential health services such as doctor visits, prescription medications, hospital stays, preventive care, mental health services, and more. 2. Oregon Health Plan Plus (HP Plus): HP Plus is an extension of the Oregon Health Plan, offering additional benefits and coverage to eligible children under the age of 19. It includes dental care, vision care, and other specialized services that cater specifically to the needs of children. 3. Premium Assistance Program: This program assists individuals and families who are eligible for employer-sponsored health insurance plans by providing financial assistance with premium payments. It ensures that the cost of health insurance remains affordable for those who meet the program's income requirements. 4. Oregon Medical Assistance Program (MAP): MAP is designed to provide coverage for specific groups such as pregnant women, breast and cervical cancer survivors, as well as refugees and immigrants who meet certain qualifications. It offers a range of medical services, including prenatal care, maternity care, family planning, cancer screenings, and treatment. 5. Health Share of Oregon: Health Share is a coordinated care organization that manages Oregon Health Plan benefits for eligible Medicaid recipients in the Portland metro area. It works with a network of healthcare providers, clinics, hospitals, and community organizations to ensure coordinated and effective healthcare delivery. Overall, the Oregon Health Care Benefit Plan Agreement aims to improve access to quality healthcare services and promote the well-being of all Oregon residents. Through various program options, it provides comprehensive coverage to individuals and families, ensuring their healthcare needs are met without undue financial burden.

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FAQ

If you don't know if you still have OHP, you can view your dashboard at ONE.Oregon.gov (look under "Current Benefits"). You can also call ONE Customer Service at 800-699-9075.

Do you qualify? Maximum Monthly Income by Applicant Type and Family SizeFamily sizeAdults (19-64)Children (0-18)1$1,677$3,7062$2,268$5,0133$2,859$6,3193 more rows

To complete your OHP Redetermination, you will need to provide the following information: Proof of income: You will need to provide documentation of your income, such as pay stubs, tax returns, or bank statements. Make sure you have copies of these documents ready to submit.

You're automatically renewed for OHP or other Medicaid benefits. Review the information to make sure everything is correct. Be sure to reply if there are any changes. You need to provide more information to see if you're still eligible.

The Oregon Health Plan (OHP) is free health coverage from the State of Oregon.

Every year, Oregon Health Plan (OHP) and Healthy Kids members must update their information. This helps us know if you still qualify for health benefits. When it is time to renew your benefits, OHP will send you a letter with renewal instructions.

Do you qualify? Maximum Monthly Income by Applicant Type and Family SizeFamily sizeAdults (19-64)Children (0-18)1$1,677$3,7062$2,268$5,0133$2,859$6,3193 more rows

Countable Resources When determining OHP eligibility, calculate the amount of the eligibility group's countable resources by counting only cash and types of resources that can be readily converted to cash; i.e., bank accounts, stocks and bonds.

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... and how to bill using the Oregon Medicaid Provider Portal. Use the search field to find resources by topic, keyword or document name. For example: Enter ... Learn more about completing the OHA 2080 (Trading Partner Agreement) on the Electronic Data Interchange page. Search. Search Clear. sort Sort. Form Number (A-Z) ...If an OHP or CWM member wants a service that their benefits do not cover: The member must sign an Agreement to Pay form. It must contains all the elements ... Jan 1, 2020 — The client agrees to pay for service(s) not covered by the Oregon Health Plan ... and to complete a separate Agreement to Pay form. Provider name ... Jan 1, 2023 — ▫ Managed care: The health plans that cover benefits for OHP ... The “Reason for letter” section tells you what changed. About your Oregon Health ... If they want health coverage, they must fill out a separate applicafion. Please write clearly and provide as much information as possible about each person when ... CareOregon is proud to be part of the Health Share of Oregon coordinated care organization (CCO). CCOs are companies that contract with the state of Oregon to ... (b) A carrier offering a small employer health benefit plan shall file with ... and conditions of the health plan, insurance policy or other benefit agreement. What is Health Share? Your medical, mental and dental benefits from the Oregon Health Plan (OHP) are coordinated through Health Share of Oregon. OHSU Health ... To view, fill out and print the forms on this page ... Providence Health Assurance is an HMO, HMO‐POS and HMO SNP with Medicare and Oregon Health Plan contracts.

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Oregon Health Care Benefit Plan Agreement