Your doctor is your primary care provider (PCP). Your provider’s name and phone number are on your ID card. Unless it’s an emergency, call your doctor first. If you need care from any other provider, hospital or clinic, your PCP is able to assist in coordinating services.
Your dentist will work with you to meet your oral health care needs. Be sure to call your dental office to schedule a cleaning and exam. Your dental care organization is on your ID card. If you have tooth pain, call your dentist right away.
Contact us to find a doctor or dentist, understand your benefits, and understand your bill. We can help you connect with an interpreter that will translate for you at your doctor or dentist appointment. You can also have an interpreter when you call us. If you need a ride to a medical, dental, or mental health appointment, call Ride Line. They can arrange transportation for you that is covered by your health plan.
If you are unhappy, you can complain or file a grievance. We will try to make things better. If a decision has been made to deny, stop or reduce your care, you have the right to appeal those decisions. We will call or write back within a week to let you know that we are working on it.
If you have a new address, phone number, or a new person in the family, please let us know. These are changes we need to know in order to better serve you. A few months before your coverage ends each year, you will receive a letter from the Oregon Health Authority telling when you need to renew your coverage. Be sure to take steps to renew so you are not stuck without insurance.