Medical Health Benefits | Health Share of Oregon
Medical Health Benefits
Medical Health Benefits
Be well with Health Share
As a Health Share member, you are eligible for all benefits covered by the Oregon Health Plan (OHP), at no cost.
Your benefits include:
- Primary care services
- Doctor visits
- Prescription drugs
- Pregnancy Care
- Some vision services
- And more
Download a Member Handbook to see all the benefits available to you.
Your Medical Health Plan
You can change your primary care provider—that's your main doctor or clinic—if you want. Just call the contact number for your medical health plan listed on your Member ID Card.
Find Pharmacies and Prescriptions
Learn more about the pharmacies and prescriptions available to you on our Pharmacies + Prescriptions page.
Advance Directives
An Advance Directive is a written statement of a person's wishes regarding medical treatment. It is made to ensure those wishes are carried out should the person be unable to communicate them to a doctor. Members can contact Health Share Customer Service at (503) 416-8090, toll free 1-(888)-519-3845 or TTY/TTD 711 for help to learn more about Advanced Directives and/or get an Advanced Directive form or contact the plans directly below.
Advance Directives Information
Find more information about OHSU Advance Directives here.
For more information about Kaiser Advance Directives, click here.
End of life decisions and Advance Directives (living wills) Adults 18 years and older can make decisions about their own care, including refusing treatment. It’s possible that someday you could become so sick or injured that you can’t tell your providers whether you want a certain treatment or not. If you have written an Advance Directive, also called a living will, your providers may follow your instructions.
If you don’t have an Advance Directive, your providers may ask your family what to do. If your family can’t or won’t decide, your providers will take the usual steps in treating your conditions. If you don’t want certain kinds of treatment, like a breathing machine or feeding tube, you can write that down in an Advance Directive. It lets you decide your care before you need that kind of care - in case you are unable to direct it yourself, such as if you are in a coma. If you are awake and alert your providers will always listen to what you want.
You can get an Advance Directive form at no cost by calling CareOregon Customer Service at 800-224-4840, TTY 711. You can also get it from Oregon Health Decisions by calling toll-free 800-422-4805. If you write an Advance Directive, be sure to talk to your providers and your family about it and give them copies. They can only follow your instructions if they have them. Some providers and hospitals will not follow Advance Directives for religious or moral reasons. You should ask them about this. If you change your mind, you can cancel your Advance Directive anytime. To cancel your Advance Directive, ask for the copies back and tear them up, or write CANCELED in large letters, sign and date them.
If you think CareOregon did not follow Advance Directive requirements, or if your provider does not follow your wishes in your Advance Directive, you can complain. A form for this is at healthoregon.org/hcrqi Send your complaint to: Health Care Regulation and Quality Improvement Mail: 800 NE Oregon St, #305 Portland, OR 97232 Email: Mailbox.hcls@state.or.us Fax: 971-673-0556 Phone: 971-673-0540 TTY: 971-673-0372 For questions or more information contact Oregon Health Decisions at 800-422-4805 or 503-241-0744, TTY 711.
For more information about Legacy Health Advance Directives click here.
Click here for more information on Advance Care Planning.
Early and Periodic Screening, Diagnosis, and Treatment of Members
Oregon Health Plan (including Health Share and our plan partners) will cover all Early Periodic Screening, Diagnosis, and Treatment (EPSDT) required services for children and youth up to age 21 and for Youth with Special Health Care Needs (YSHCN) to age 26. This will increase access to the full breadth of preventive, dental, mental health, developmental, and specialty services for children, adolescents, and young adults to age 21 in the state with extended coverage for YSHCN until age 26. The EPSDT program, also known as "well-child" visits, are visits for children and youth at these visits your child may be screened and diagnosed for physical or mental issues and provided needed follow up to support their growth and development.
These visits are vital. They can help treat and stop medical problems. They are also free to OHP members. If you need help getting to these visits, you can learn more about how to set up a ride on our Ride to Care page.
More Information
Call your primary care provider to ask for a screening. You can have as many screenings as you need.
You can get a screening from a doctor. You can also get one from a nurse practitioner. Licensed physician assistants and continuing care providers can also give screenings.
If you (or your child) have a primary care provider, you can get screened and diagnosed. You can also get treated and referred for a follow-up. The only care you can't get is required dental care. But, your provider can refer (send) you to a dentist. The dentist can give dental care. They will give the care according to OHA's OHP Dental Periodicity Schedule.
You can view the schedule at: https://www.oregon.gov/oha/HSD/OHP/Tools/OHP-Recommended-Dental-Periodicity-Schedule.pdf.
Health Share can also help you get dental care.
At your visit, your provider can maintain (keep up) your consolidated (shortened) health history. This can be made up of information from other providers.
You can also get physicians' services (care) for acute, episodic, or chronic (life-long) illnesses.
AAP Periodicity Schedule available here: https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf
EPSDT Fact Sheet: https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCAC/EPSDT%20fact%20sheet-OR%20Final.pdf
If you have any questions, contact Health Share Customer Service.
You may be referred (sent) to another provider. This may happen if a medical, mental health, substance use, or dental issue is found. The provider screening you will explain why. The other provider can help treat the issue. If you agree to the referral, they will help you make an appointment. If you need care coordination, Health Share and OHA will make sure you have it. Health Share can help you if need a referral for social services, education programs, and nutritional assistance programs.
After your screening, you can get your recommended services. These will take no longer than six months to get after a request is filed.
Yes, some services are not covered. These include the Supplemental Nutrition Assistance Program (SNAP), and other social service programs. To learn more about how to access services not covered, call Health Share Customer Service at 503-416-8090.
Discover the best birth control for you. Your insurance through the Oregon Health Plan covers all options that are available, all at no cost.