From the Community Partner Outreach Team, here are some tips to help with your application:
On the question on HealthCare.gov application about current health coverage, when you fill out an application on HealthCare.gov, one of the questions asks you about your current health coverage. This only refers to private insurance. It does not refer to the Oregon Health Plan
or Healthy Kids. Please put "no" if the only insurance you have is OHP or Healthy Kids. Answering
"yes" may result in an incorrect eligibility determination.
OHP REMINDER LETTERS
Many OHP members will received or have received a letter reminding them to renew their coverage. Waves of notices were sent to fast-track individuals on Friday, December 12, reminding Oregon Health Plan members to renew their coverage. Please note: Due to the need to get reminder notices out as soon as possible, the Oregon Health Authority was unable to match renewals already submitted for processing with the reminder mailing list. Therefore, members who have already responded to their initial renewal letter may receive a reminder notice. If they have submitted their application, they have done what they need to do, and their benefits will continue while OHA processes their application. These members do not need to call Customer Service.
OHP members will remain covered through January 31, 2015 while their renewal applications
are processed. Members should still submit their renewal applications as soon as possible. Right now, and through the end of the year, many Oregon Health Plan members are scheduled to renew their coverage. This means that there is an extremely large number of paper and online renewal applications still being processed for the months of November and December. Not all renewal applications can be processed by the time many members are scheduled to lose their OHP coverage on December 31. This may cause a disruption in a member's care and is counter to our goals of ensuring people have coordinated and continuous care. Therefore, to ensure that members can continue to access care while their renewal applications are processed, their coverage will continue through January 31, 2015.
If they are part of a coordinated care organization, their CCO enrollment will also
continue through January 2015.
* Anyone who received an expedited or full application renewal letter and has not
already taken action should do so immediately so there is no gap in coverage. Members
should follow the directions in their letter for the best way to renew by the end
of the year. OHA will notify them once their application has been processed.
* Members who already submitted a renewal application do not need to call OHP Customer
Service. They will process their application as soon as possible. Their benefits will
remain open while their application is processed. OHA will send them a letter after
we process their renewal application.
NOTE: Not all fast-track members will have their coverage continue. Some fast-track members will still lose benefits on December 31, 2014.
* Fast-track members who already submitted a renewal application and who no longer
qualify for OHP coverage
* People in the MAGI Adult program, and who are also receiving Medicare, per federal
DECEMBER 15 DEADLINE EXCEPTION
Exceptions to the December 15 deadline to enroll in a Qualified Health Plan through
People who are closed or denied OHP have until the end of the month to choose a
Qualified Health Plan that starts on the first of the next month. This is because
they lost their "Minimal Essential Coverage".
Some callers tried to reach HealthCare.gov by phone on December 15 and were given
the option to leave a message due to the high call volume. When these applicants
get a call back from HealthCare.gov customer service, they will be able to enroll
in a plan effective January 1, 2015.
Expect full 45-day processing for applications
As we mentioned above, many Oregon Health Plan members are renewing their coverage.
Due to the volume of applications being submitted, it is appropriate to expect a
full 45 days for processing. This includes the online PDF or the paper application.
Please keep this in mind as you consider follow up.