Medicaid provides free or low-cost health coverage to low-income individuals and their families. In Oregon, Medicaid is called the Oregon Health Plan (OHP). On January 1, 2014, Oregon expanded Medicaid to a larger and more diverse group of people, including adults and children below certain income levels.
Kaiser Permanente participates in the Oregon Health Plan in several counties. To choose Medicaid with Kaiser Permanente, you must qualify for the Oregon Health Plan and be assigned to one of the Coordinated Care Organizations (CCOs) in our service area. At Kaiser Permanente, you have a wide network of doctors and specialists to choose from. All of our doctors accept Kaiser Permanente members with OHP coverage.
Medicaid in Oregon provides a core set of health benefits, including doctor visits, hospital care, immunization, and pregnancy-related services. The Affordable Care Act ensures all Medicaid health plans offer what are known as Essential Health Benefits (EHB). These comprehensive services include the following categories:
Primary
and Specialty care
Pediatric services
Medication
Hospital care
Emergency care
If you need to make an emergency room visit, you can get emergency services.
Laboratory services
Maternity
and Newborn care
Rehabilitative
& Habilitative Services
Preventive
and wellness services
Please note: Some services may require preauthorization. All services must be provided by a Kaiser Permanente doctor or medical staff.
