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Welcome Members

Advanced Health members have access to all medical, dental, behavioral health, and transportation benefits covered under the Oregon Health Plan (see member handbook). This includes doctor visits, prescriptions and medical equipment, dental and eye care, hospital stays and mental health and addiction services. Free transportation is also available to get you to medical visits.

Our Provider Network is here to provide members with great local service and quality care. Use our Find A Provider tool to find providers in your area.

If you would like a printed copy of our provider directory, member handbook, or any other information from the website, it is available to you at no charge and will be provided to you within 5 business days of your request.

As an Advanced Health Member, you have access to the services of Traditional Health Workers. To learn more about Traditional Health Workers and how to receive their services, please call Member Services at 541-269-7400,
1-800-264-0014 or TTY at 711 or 800-735-1232.

If you have any other questions, please call Member Services at 541-269-7400, 1-800-264-0014 or TTY at 711 or
800-735-1232.

What the New H.R. 1 Changes Mean for OHP Members

A new federal law called H.R. 1 will change some Oregon Health Plan (OHP) rules. Most members will keep their OHP benefits, but some members will need to take extra steps to keep their coverage. The changes will begin in late 2026 and continue through 2028.

What is changing?

  • More frequent renewals: Some adults will need to renew their OHP coverage every six months instead of every two years. Other members will need to renew once a year.
  • New work or activity rules: Starting in 2027, some adults ages 19 to 64 will need to show that they work, go to school, volunteer, or take part in other approved activities. Some members may not have to meet these rules.
  • Changes for some members: Some members may see changes to their coverage or how they get care.
  • Less time to cover past medical bills: Starting in 2027, OHP will cover a shorter period of past medical bills for some people who apply for coverage.

What should members do?

  • Keep your mailing address, phone number, and email up to date.
  • Read all letters and notices from OHP.
  • Watch for renewal dates and send in any forms or proof that OHP asks for.
  • Ask for help if you do not understand the new rules.

Need help? Call OHP at 800-699-9075 or visit the Oregon Health Authority’s H.R. 1 webpage  for more details.

Remember: These changes will not affect every member in the same way. Check your OHP notices to learn what rules apply to you.

What the new HOP changes mean for OHP members

Starting January 1, 2027, members who get their Oregon Health Plan (OHP) coverage through the Healthier Oregon Program (HOP) will move to a new type of OHP coverage called OHP Open Card.

Here is what this means for members:

  • Your benefits stay the same. You will still have the same covered OHP health benefits.
  • Your health care providers may change. Not all doctors, clinics, or other providers accept OHP Open Card.
  • Check with your providers. Ask if they will accept OHP Open Card starting January 1, 2027.
  • Find a new provider if needed. Visit OHPOpenCard.org  to search for providers. You can also call 800-562-4620 for help.

 

What should members do now?

Keep your contact information up to date and watch for letters from OHP. If you get a notice about this change, read it carefully and follow any steps listed.

The main thing to know: Your covered benefits will stay the same, but you may need to find a new doctor or clinic that accepts OHP Open Card.

For more details, visit the Oregon Health Authority’s Healthier Oregon page .

  • Fact sheets that explain changes in plain language:

Your Benefits

Find out what’s covered and how to access services.

Forms and Links

Access online forms.

Find a Provider

Find a doctor, dentist, counselor or other provider.

Member Resources

Learn more about member resources being offered and local events in the area.

Health Related Social Needs

Learn about the new OHP 1115 waiver.

Language Services

Get information on language line access and health interpreter services.

Pharmacy Info

Get details about drug prescription coverage.

Behavioral Health

Learn more about your Behavioral Health benefits.

Active Living Program

Advanced Health offers FREE programs that focus on physical activity, healthy eating and wellness education.

FAQs

Find answers to frequently asked questions (FAQ).

Member Rights and Responsibilities

See your Advanced Health and OHP member rights and responsibilities.

Community Advisory Councils

Learn about Community Advisory Councils.

Quit Tobacco

Learn about our Quit Tobacco Program.

Transportation

Schedule a free ride to your medical visit.

Everyone has a right to know about Advanced Health’s programs and services. All members have a right to use our programs and services. We give free help when you need it. You can have an OHA approved and certified voice or sign language interpreter at your appointments if you need one. When you call for an appointment, tell your provider’s office that you need an interpreter and for which language.

Some examples of the free help we can give are:
➢ Sign language interpreters
➢ Spoken language interpreters for other languages
➢ Written materials in other languages
➢ Braille
➢ Large print
➢ Audio and other formats

If you need help, please contact:
Language Access Services Program Coordinator
Call: 1-844-882-7889 TTY: 711 or 800-735-1232
Email: Languageaccess.info@state.or.us
Web: www.oregon.gov/oha/oei

Advanced Health Member Services
Call: 541-269-7400 or 800-264-0014
TTY: 711 or 800-735-1232

Health Risk Survey Frequently Asked Questions

What is a Health Risk Survey?

A Health Risk Survey is a list of questions we ask you to see how we can meet your needs. It helps us know if you need more information about some of our benefits and services. We ask you these questions when you enroll.  We ask them again if your needs change.

Why should I take a Health Risk Survey?

This is a short survey that should take less than 10 minutes. Taking the survey can help you with your needs. If we find something you need during the survey, we will help you with resources and other information.

How will I get the survey?

You will get the survey in your New Member Welcome Packet. If you don’t send it back, we will call you to do the survey by phone.

How do I know the caller is from Advanced Health?

An Advanced Health Member Support Coordinator or Care Coordinator will call you to do the survey.

What if I have more questions?

If you have more questions about the Health Risk Survey, please email us at: customerservice@advancedhealth.com or call us at: 541-269-7400/TTY 711 or 800-735-1232. We look forward to hearing from you and helping you!

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