Oregon Health Authority : Oregon Health Plan (OHP) Eye and Vision Care : Oregon Health Plan : State of Oregon (2024)

FAQs

Does OHP cover vision for adults in Oregon? ›

OHP covers medical eye exams for any eye condition. Diagnostic services are also covered. OHP covers routine vision exams for "disorders of refraction and accommodation" (e.g., nearsightedness, farsightedness, astigmatism): Once every 24 months for adults age 21 or older.

Benefits. OHP covers doctor visits, prescriptions, hospital stays, dental care, mental health services, and help with addiction to cigarettes, alcohol and drugs. OHP can provide glasses, hearing aids, medical equipment, home healthcare, and transportation to healthcare appointments.

The Oregon Health Plan (OHP) is Oregon's Medicaid program. There are several health care programs available for low-income Oregonians through OHP.

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.

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.

If you don't qualify for OHP, you may qualify for a Medicare Savings Program. These programs can help pay premium costs. Learn more about Medicare Savings Programs​. To apply, older adults and people with disabilities should call the Aging and Disability Resource Connection (ADRC) at 1-855-ORE-ADRC (855-673-2372).

The Oregon Health Plan (OHP) is free health coverage from the State of Oregon. People who meet income and other requirements can get the Oregon Health Plan. OHP covers medical, dental, and mental health care.

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.

Can I use OHP out of state? ›

​OHP may pay for services you get outside Oregon when: ​It is a medical emergency or. The service is not readily available in Oregon, and your CCO or OHA approved the service.

Kaiser Permanente is the best health insurance company in Oregon. Kaiser has the cheapest average rate for Silver plans. It also has excellent customer satisfaction and high plan quality.

Diagnostic Services

If you have a health problem, we will pay for services to find out what is wrong. Some examples of diagnostic services: Health care visits to find out if you have a health problem. Blood tests, lab services, X-rays.

CareOregon puts the care in health care. We are a nonprofit providing health insurance services to meet the health care needs of low-income Oregonians. We serve about one quarter of Oregon Health Plan members plus members in our Medicare plan.

Oregon Health Plan (Medicaid)

People of all ages and any immigration status can qualify. OHP provides free health coverage. OHP may cover medical, dental, mental health care and help with substance use disorders or addiction. The Oregon Department of Human Services (ODHS) will check to make sure you qualify for OHP.

Some plans offer vision insurance plans starting at $16 to $18 per month, and VSP offers plans starting at less than $17 per month per person. In addition to a monthly premium, you'll likely pay a portion of costs for visits, exams, and glasses or contacts.

OHP is Oregon's Medicaid program. It provides free coverage for people in Oregon who meet eligibility criteria. Coverage includes doctor visits, hospital care, mental health services, dental, and some vision care.

People with pre-existing health conditions will not be denied coverage or charged more to be enrolled.

For Adults (age 19-64)

OHP is available to adults who earn up to 133 percent of the Federal Poverty Level.