FAQ: Benefits
Other FAQs for applicants: Applying • Enrollment • Benefits • Access • Premiums
Who gets the OHP Standard benefit package?
How will I know which benefit package applies to a member of my household or me?
Do all the OHP benefit packages cover the same services?
Q. Who gets the OHP Standard benefit package?
A. OHP Standard is a limited benefit package provided under a specific medical program. The program covers only a limited number of uninsured adults who are not eligible for traditional Medicaid programs. Most adults who get OHP Standard must pay monthly premiums. OHP Standard does not have copayments.
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Q. How will I know which benefit package applies to a member of my household or me?
A. Your maroon-and-white OMAP Medical Care Identification will show this information. It shows each eligible household member’s name, recipient identification number, and date of birth. It will also list their benefit package, dates of coverage, and copayments. It will identify their managed care plans and any other non-Medicaid insurance (“third party resources”).
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Q. Do all the OHP benefit packages cover the same services?
A. No. All benefit packages are based on the Prioritized List of Health Services. (The Health Services Commission creates the list. The Oregon Legislature adopts the list.) The OHP Standard and OHP with Limited Drug benefit packages do not cover some services covered by the OHP Plus benefit package. Our Client Handbook (PDF) has more detail on services provided under each benefit package.
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This page updated Sept. 2006
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