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FAQs for OHP applicants: premiums and premium debts


Other FAQs for applicants: Applying • Enrollment • Benefits • Access • Premiums

Q. Do I have to pay premiums for the OHP Standard benefit package?

A. Most people who receive the OHP Standard benefit package must pay a premium. You do not pay premiums if you are a Native American or Alaskan Native and are a member of a federally recognized Indian tribe or eligible for benefits through Indian Health Services. You do not pay premiums if your household income is 10 percent or less of the federal poverty level at the time of enrollment.


Some members of your household may be enrolled in the OHP Plus or OHP with Limited Drug benefit package - They do not have premiums. Other members of your household may be enrolled in the OHP Standard benefit package. Check your OMAP Medical Care Identification to see which benefits each person receives.

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Q. How much is my premium?

A. Your premium will range from $9 to $20 per person per month. The amount is based on your income and the size of your family. You will receive a premium bill each month telling you the premium amount for your household. If you have questions about how your premium amount was calculated, talk to your worker.

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Q. When do my OHP Standard premiums start?

A. We will begin charging you premiums on the date your coverage begins.
 

Q. Will my OHP Standard premium change?

A. Usually, your premium will not change during the first six months of coverage, but it may change when someone gains or loses eligibility for the OHP Plus benefit package. For example, a woman on OHP Standard who reported and verified she was pregnant would no longer be charged OHP premiums. She would become eligible for OHP Plus benefit package in the month her pregnancy was verified. She would get OHP Plus benefits for the rest of her pregnancy and for two months after delivery.

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Q. When are my OHP Standard premiums due?

A. Your premiums are due on the 20th of each month. We consider a premium paid when the OHP Billing Office gets it. A premium bill is mailed to you at the beginning of each month. The bill states the amount you must pay and when the payment needs to be received.

 

If you do not get a premium bill, you can call the OHP billing office at (541) 523-3602 (Baker City), toll-free at 1(888) 647-2729, or TTY at (866) 203-8931 or you can send an email to Support@OHPBilling.com

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Q. How are my OHP Standard premiums billed?

A. The premiums are computed per person, but the household gets only one bill each month. The bill includes the premiums for all household members enrolled in the OHP Standard benefit package.

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****This page was updated March 2008
 
Page updated: March 04, 2008

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