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Moving Your Care to IHN-CCO

For members moving from Trillium or Willamette CCO plans

On Jan. 1, 2020, the Oregon Health Plan (OHP) is moving coverage for some members from the Trillium and Willamette CCO plans to IHN-CCO. These members have received letters from OHP and IHN-CCO explaining this change.

IHN-CCO is working with both CCO plans to make sure these members can get care from the same group of providers. We want to make your move to IHN-CCO as easy as possible.

Important to know about your care

Physical health: If your Primary Care Provider (PCP) is in-network for IHN-CCO nothing will change. You can keep seeing them. If your PCP is out-of-network for IHN-CCO, you will be able to see them for up to 90 days. IHN-CCO will work with you to choose a new in-network PCP. 

Mental health: If your Behavioral Health Provider (which includes mental health and substance treatment) is in-network for IHN-CCO nothing will change. You can keep seeing them. If your Behavioral Health Provider is out-of-network for IHN-CCO, you will be able to see them for up to 180 days. IHN-CCO will work with you to choose a new in-network Behavioral Health Provider.

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Frequently asked questions

What is changing for me?

You are still covered by OHP. The benefits and services you get from OHP do not change. The only change is that now IHN-CCO will be in charge of your OHP coverage.

Will I get a new ID card?

Your new ID card will be sent to you within two weeks of your start date. If you need health care or prescription drugs before you get your ID card, you can still get it. Your PCP or pharmacist can call Customer Service to verify your coverage.

Can I keep seeing my doctor?

If your Primary Care Provider (PCP) is in-network for IHN-CCO, you can still see them. If your PCP is out-of-network for IHN-CCO, you can to see them for up to 90 days. We will work with you to find a new in-network PCP.

What does in-network mean?

In-network means your provider has a contract with IHN-CCO and you can keep seeing them.

Are there any changes to my benefits?

No, you still have the same OHP physical, dental and mental health benefits. Some CCO plans have extra services. IHN-CCO might have other extra services than your previous CCO. These extra services are called Health Related services.

What if my doctor is out-of-network?

If your PCP is out-of-network for IHN-CCO, you will be able to see them for up to 90 days. If your Behavioral Health Provider is out-of-network for IHN-CCO, you will be able to see them for up to 180 days. IHN-CCO will work with you to help you find a new in-network provider.

Will my pharmacy need to change?

If your pharmacy is out-of-network, contact Customer Service and we will help you find an in-network pharmacy that can get you your medications. Sometimes, we may allow you to fill your medications at an out-of-network pharmacy for a short time.

How can I find out if my prescriptions are covered?
You can check the formulary (list of drugs covered by the plan) or contact Customer Service for help to find out if your prescriptions are covered.

What if my prescription isn’t covered?

If your prescriptions are not covered by IHN-CCO contact Customer Service. We will allow you to get your medication while your PCP requests an approval.

Who do I contact if I have a question about my benefits?

Contact IHN-CCO Customer Service at Monday through Friday from 8 a.m. to 8 p.m. at 800-832-4580, TTY users should call 800-735-2900.

Who do I contact if I need to change/update my address?

Do one of the following:

  • Send the change through your free, secure online account at ONE.Oregon.gov. To learn how to sign up for and use your ONE account, visit OHP.Oregon.gov (click “Learn more about ONE”).
  • Ask a community partner for help. To find a partner near you go to OregonHealthCare.gov and click “Find local help.” You can search by ZIP code for partners near you.
  • Call 800-699-9075 and listen carefully to find out which number to press for address changes.