Yes, you can change your physical health and dental health plans. Members can change their plan coverage one time annually. Contact Health Share Customer Service by email or phone: email@example.com or 503-416-8090.
Yes. When you become a Health Share member, your physical health plan will assign you a primary care provider (PCP)—that’s your main doctor. This could be a clinic, doctor, nurse practitioner, or a physician’s assistant. You can change your PCP at any time by calling the physical health plan listed on your Health Share ID Card. All providers are listed online.
You can also choose dentists, therapists and more from your dental and mental health plans. All providers are listed online, or you can call your dental plan or mental health plan listed on your Health Share ID card, and they’ll help you find the support you need.
Health Share can only accept updated member contact information from the Oregon Health Authority. Visit the Oregon Eligibility Portal (ONE) or call Oregon Health Plan (OHP) Customer Service at 800-699-9075 to update your address or other contact information. OHP call wait times can be high, so the portal is recommended.
If you are a new member with Health Share and you need to get prescriptions filled right away, please contact the physical health plan listed on your Health Share ID Card. They will tell you what pharmacies you can use to fill your prescriptions.
To make an appointment for mental health services, call the mental health plan listed on your Member ID card. Tell them what kind of service you’re looking for and they will help you find a provider. You can also view a list of providers online and, for outpatient services such as therapy, contact them directly.
If you need a medical appointment, call your main doctor (also known as your primary care provider or PCP). They’re listed on your Health Share ID card. When you call your PCP for an appointment, be sure to:
- Tell the office or clinic that you are a Health Share member
- Give them the name of the physical health plan listed on your Health Share ID card ( CareOregon, Kaiser, Providence, or Tuality)
- Give them your name and Member Number
- Tell them why you need an appointment
Call in advance for appointments that are not emergencies. If you are sick and need to see someone the same day, tell the clinic’s staff person.
You should be able to get a routine or follow-up appointment within one month. If you have an urgent issue, you should be able to get an appointment within 48 hours.
If you have questions or concerns about getting a timely appointment, please contact Health Share Customer Service for help.
Visit the Oregon Eligibility Portal (ONE) or call Oregon Health Plan (OHP) Customer Service at 800-699-9075 right away to let them know you are pregnant. Pregnant women are eligible for prenatal care including regular appointments with a pregnancy care provider, ultrasounds, labor and delivery, and care after giving birth. They also qualify for added benefits, such as prescriptions for glasses and more dental services.
Need a translator or sign language interpretation? You can have a translator at your appointment, free of charge. Just let your provider’s office or clinic know you need a translator when you call to make an appointment.
Yes. Oregon Health Plan members can request free trips to covered health care appointments. Health Share members can call Ride to Care at 503-416-3955 (local) or toll free at 1-855-321-4899 (TTY/TDD 711) to arrange a ride.
Call the number for your dental plan listed on your Health Share Member ID Card. Your dental plan can help you find a dentist in your area or help you figure out whether you can continue to see your current dentist. You can also look for a dentist on your dental plan’s provider directory.
If you think you need to see a specialist or other provider, make an appointment with your primary care provider (PCP) first. Your PCP will decide which services and tests you may need, and refer you to a specialist or other provider if needed. However, you can see specialists for some kinds of care without seeing your PCP first. You can read more about this in your Health Share Member Handbook.
Health Share reports all verified cases of fraud to the Medicaid Fraud Control Unit (MCFU). We encourage you to report incidents of suspected fraud, waste, or abuse, click here for more information on how to do so.