Oregon Services Request Cover Sheet

State:
Multi-State
Control #:
US-143-AZ
Format:
Word; 
PDF; 
Rich Text
Instant download

Description

This form is a business type form that is formatted to allow you to complete the form using Adobe Acrobat or Word. The word files have been formatted to allow completion by entry into fields. Some of the forms under this category are rather simple while others are more complex. The formatting is worth the small cost.

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FAQ

With a 24 hour nurse line, you can call 7 days a week, 365 days a year to ask basic health questions and address concerns such as: Your symptoms. 24 hour nurse line: Your access to healthcare information bcbs.com ? articles ? 24-hour-nurse-line-yo... bcbs.com ? articles ? 24-hour-nurse-line-yo...

Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). CareOregon - Home careoregon.org careoregon.org

Call Oregon Eligibility (ONE) Customer Service at 800-699-9075 (TTY 711) if you: Have questions about eligibility. Become pregnant or your pregnancy ends. Need help using the ONE system.

Do you qualify? Maximum Monthly Income by Applicant Type and Family SizeFamily sizeAdults (19-64)Pregnant Individuals3$2,859$3,9374$3,450$4,7505$4,042$5,5643 more rows Am I Eligible For the Oregon Health Plan (OHP)? - CareOregon careoregon.org ? am-i-eligible careoregon.org ? am-i-eligible

?Your number is on your Oregon Health ID card. You can also find your ID number in your dashboard at ONE.Oregon.gov (look under "Current Benefits"). Note: Your OHP provider does not need your ID number to verify your OHP benefits. They can use your name and date of birth to look up your OHP record.

Call OHP Care Coordination at 800-562-4620 if you: The Nurse Advice Line is open 24 hours a day, every day.

If you have questions about your OHP benefits, welcome packet or ID cards, please contact the Client Services Unit at 1-800-273-0557. If you have questions about eligibility, applications or related issues, please contact OHP Customer Service at 1-800-699-9075. Contact OHPB : Oregon Health Policy Board oregon.gov ? oha ? ohpb ? pages ? contact-us oregon.gov ? oha ? ohpb ? pages ? contact-us

By telephone (toll-free): 800-699-9075 Existing members can call OHP for any of the following: Change your address, phone number, family status, CCO or other information. Replace a lost OHP Card.

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Oregon Services Request Cover Sheet