Health Benefits Solution, Inc
Health Benefits solution, Inc
Affordable Coverage For Children Living in Oregon   503-922-2903     877-786-8347

 

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OHP Health & Dental Plans
Medicare Plans
Fhiap
OMIP/FMIP
Low Cost Health Plans
Cascade Mountains
CITIES:  Brightwood, Camp Sherman, Cascade Locks, Cascadia, Chemult, Chiloquin, Crescent, Crescent Lake, Detroit, Diamond Lake, Drew, Estacada, Fort Klamath, Gates, Gilchrist, Government Camp, Idanha, Klamath Agency, La Pine, Lakeview, McKenzie Bridge, Mill City, North Umpqua, Oakridge, Prospect, Rhododendron, Sandy, Sisters, Sunriver, Warm Springs, Welches, Westfir, Zigzag
AREAS:  Crater Lake National Park, Deshutes National Forest, Fremont National Forest, Mount Hood National Forest, Rogue River National Forest, The Three Sisters, Umpqua National Forest, Willamette National Forest, Winema National Forest

Central Oregon
CITIES:  Antelope, Arlington, Bend, Brothers, Condon, Culver, Dufur, Fossil, Grass Valley, Hampton, Lonerock, Madras, Maupin, Metolius, Mitchell, Moro, Mosier, Paulina, Post, Prineville, Redmond, Rowena, Rufus, Shaniko, Spray, The Dalles, Wasco

Northeast Oregon
CITIES:  Adams, Arlington, Athena, Baker City, Boardman, Canyon City, Condon, Cove, Dayville, Echo, Elgin, Enterprise, Fossil, Greenhorn, Haines, Halfway, Heppner, Hermiston, Huntington, Imbler, Imnaha, Irrigon, Island City, John Day, Joseph, La Grande, Lexington, Long Creek, Lostine, Medical Springs, Milton-Freewater, Monument, Mt Vernon, North Powder, Oxbow, Pendleton, Pilot Rock, Prairie City, Richland, Seneca, Summerville, Sumpter, Ukiah, Umatilla, Union, Unity, Wallowa, Weston
AREAS Hell's Canyon

Oregon Coast
North Coast
Astoria, Bay City, Beaver, Cannon Beach, Garibaldi, Gearhart, Hebo, Nehalem, Manzanita, Neahkahnie, Oceanside, Pacific City, Rockaway Beach, Seaside, Tillamook, Warrenton, Wheeler
Central Coast
Depoe Bay, Dunes City, Florence, Gleneden Beach, Lincoln City, Mapleton, Newport, Otter Rock, Reedsport, Seal Rock, Siletz, Toledo, Waldport, Winchester Bay, Yachats
South Coast

Agness, Bandon, Brookings, Charleston, Coos Bay, Coquille, Gold Beach,
Lakeside, Myrtle Point, North Bend, Port Orford, Powers, Wedderburn

Portland and Vicinity
Banks, Barlow, Beaverton, Camas, Canby, Clackamas, Clatskanie, Columbia City, Cornelius, Forest Grove, Gaston, Gresham, Happy Valley, Hillsboro, Lake Oswego, Marquam, Milwaukie, Molalla, North Plains, Oregon City, Portland, Rainier, Sandy, Scappoose, St. Helens, Tigard, Troutdale, Tualatin, Vernonia, West Linn, Wilsonville

Southeast Oregon
Adel, Adrian, Burns, Diamond, Drewsey, Frenchglen, Hines, Jordan Valley, Juntura, Lakeview, Nyssa, Ontario, Plush, Vale

Southern Oregon
CITIES Ashland, Butte Falls, Cave Junction, Canyonville, Central Point, Dillard, Drain, Eagle Point, Elkton, Glendale, Glide, Gold Hill, Grants Pass, Jacksonville, Klamath Falls, Malin, Medford, Merlin, Myrtle Creek, Oakland, Phoenix, Prospect, Riddle, Rouge River, Roseburg, Shady Cove, Sutherlin, Talent, Umpqua, White City, Winchester, Winston, Wolf Creek, Yoncalla
AREAS:  Applegate Valley, Illinois Valley


Willamette Valley
Albany, Alsea, Amity, Aumsville, Aurora, Brooks, Brownsville, Canby, Canyonville, Carlton, Corvallis, Coburg, Cottage Grove, Creswell, Culp Creek, Dallas, Dayton, Detroit, Donald, Dundee, Eugene, Falls City, Gates, Gervais, Halsey, Harrisburg, Independence, Jefferson, Junction City, Keizer, Lebanon, Lowell, Lyons, McMinnville, Mill City, Millersburg, Mt.Angel, Molalla, Monmouth, Newberg, Oakridge, Oregon City, Philomath, Salem, Scio, Scott Mills, Sheridan, Silverton, Sodaville, Springfield, Stayton, St. Paul, Sublimity, Sweet Home, Tangerit, Turner, Veneta, Walterville, Waterloo, Willamina, Woodburn, Yamhill

 

 

Answers

I just applied for Healthy Kids. Who will contact me and when?

The Department of Human Services (DHS) processes the applications and should contact you within 45 days from the date you requested and/or submitted your application.

If you do not receive anything after 45 days, please call the OHP Statewide Processing Center at 1.800.699.9075 to inquire about the status of your application.

My children are now enrolled in Healthy Kids. Who do I contact if I have questions about what services are covered or how to find a doctor?

  • No-cost option OHP Client Services at 1.800.273.0557
  • Low-cost option KidsConnect at 1.888.260.4555
  • Full-cost option KidsConnect at 1.888.260.4555

Where can I look to find out what benefits are covered in more detail?

The benefit books for all our options are included below.

Do I have to be unemployed for my children to get Healthy Kids?

No. Eligibility is based on age, residency and income. The child or teen must be under the age of 19, live in Oregon and be a legal resident. Family income will determine if a child qualifies for the no-cost, low-cost or full-cost option. Note that the program is for uninsured children, although there are exceptions.

What if my family income is too high?

No family earns too much for Healthy Kids. If your family does not qualify for the no-cost or low-cost programs, you can purchase Healthy Kids coverage at full-cost.  However, enrollment in the full-cost option is limited to twice a year.

Which medical providers are under the Healthy Kids plan?

All children enrolled in the plan will have a health coverage card and will gain access to services from the provider network on the plan for which they are enrolled. The benefit books that list providers are included below.

Is this the Oregon Health Plan?

Healthy Kids is a new program which offers more health coverage options to children and teens. The no-cost option builds on the success and expansion of the Oregon Health Plan for families who earn up to $44,000 annually. Due to the expansion, no child can be put on a waiting list or be turned away due to pre-existing conditions.

My organization would like to partner with Healthy Kids to help enroll children into Healthy Kids.  How can we help?

Please visit our Partners Page to find out more about helping families apply for Healthy Kids!

What is the difference between OHP Standard and Healthy Kids?

Oregon Health Plan Standard is for very low-income adults 19 or older while Healthy Kids covers children and teens under the age of 19.

To be eligible for OHP Standard, adults must have been without insurance for six months and earn less than 100 percent FPL, which is $22,050 or less a year for a family of four. The OHP Standard program does require interested adults to put their name on a reservation list, which can be found here.

What happens when my child turns 19?

Before your child's 19th birthday, have your child fill out an OHP Standard Application. Have them note on the application that they are currently on the Healthy Kids program and would like to continue receiving coverage as an adult. Your child should not be put on the OHP waiting list.

How long does coverage last and can I reapply?

Coverage last for one full year. You should receive a letter in the mail letting you know that your coverage will be ending and that you should update certain information on your application in order to reapply. If you have not received a letter please call 1-877-314-5678.