Learn about Medicaid with Kaiser Permanente in Oregon

Medicaid provides free or low-cost health care 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 Oregon Health Plan and assigned to one of the Coordinated Care Organizations (CCO) 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 with Kaiser Permanente 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 is known as Essential Health Benefits (EHB). These comprehensive services include the following categories:

Primary care

Get care from a healthcare provider such a nurse, doctor or specialist – including appointments, exams, and treatment.

Pediatric service

Your child can get regular check-ups, oral care, vision care and immunizations.

Medication

Get prescriptions that are covered by your plan.

Hospital care

If you have to go to a hospital, you can get the services you need, including x-rays and lab tests.

Emergency care

If you need to make an emergency room visit, you can get emergency services, along with support services, such as x-rays and lab tests.

Laboratory services

Lab tests are covered.

Maternity
and Newborn care

Regular maternity care appointments, newborn screenings, immunizations, and more are covered.

Rehabilitative
& Habilitative Services

Services and devices to help you recover from an injury, disability or chronic condition. Examples may include physical and occupational therapy.

Preventive
and wellness services

Care you need to stay healthy, such as physical exams, counseling, screening, vaccines and chronic disease management.

Please note: Some services may require preauthorization. All services must be provided by a Kaiser Permanente doctor or medical staff.



Find out if you may qualify for Medicaid?
See if you qualify

Questions about Medicaid with Kaiser Permanente?

Call the Kaiser Permanente Medicaid Assistance Center at
1-800-518-3731 (toll free) or 711 (TTY),
8 a.m. to 5 p.m., Monday through Friday.
Español: 1-800-518-3785