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CCO Plan Comparison Guide Pick Your Plan CCO Plan Comparison Guide 2020 New health plan choices are coming to the Oregon Health Plan (OHP) in 2020. OHP has local health plans that help you use your benefits. These plans are called coordinated care organizations or CCOs. This guide will help you Consider, Compare and Choose your plan. Why is OHP asking members to pick a plan? You count on the Oregon Health Plan for your health care. Your benefits are not changing, but the health plans or CCOs that help you use your benefits are changing. In some areas of the state, there will be new CCO plans. In other areas, CCO plans are closing. You get to compare the plans in your area and decide what works best for you and your family. New plans will start January 1, 2020. This guide is for OHP members who live in areas where choices of CCO plans have changed. If you are looking for information about a CCO and don’t see it in this guide, go to OHP.Oregon.gov. 2 CCO Plan Comparison Guide: Introduction How did I get matched with a plan? OHP matched you with a CCO plan based on the mental health and primary care providers you have seen in the past 24 months. We heard from members and health care providers that OHP’s main goals during this transition should be: • Keeping members with providers they see now and • Not disrupting their care. OHP values your choice. You do not need to keep the CCO plan OHP matched you with. You can compare that plan with other plans in your area. You have two chances to pick a different plan: 1. Between October 16 and November 17, 2019, you can choose another plan. If you don’t choose another CCO plan by November 17, your matched plan will start January 1, 2020. 2. Between January 1 and March 31, 2020, you can try out your CCO plan and change it for any reason. If you’re happy with your matched plan, you don’t have to do anything. Help is available Call: OHP has a special phone number to answer your questions and help you make your choice. The number is 877-647-0027 (TTY 711). Regular business hours: 7 a.m. –5 p.m. Monday-Friday October 16-November 17, 2019: 7 a.m.–8 p.m. Monday-Friday If you need an interpreter, ask for one when you call. Ask a trusted community partner: Find a person trained to help guide you through this process at OHP.Oregon.gov. Go online: Compare plans and find links to more CCO information at OHP.Oregon.gov. CCO Plan Comparison Guide: Introduction 3 Your OHP letter Important information you will need to pick your plan is in your letter from OHP. Statewide Processing Center PO Box 14015 Salem, OR 97309 10/16/2019 What you need to know: Letter ID: XXX123 • Your OHP benefits are not changing. • More CCO plans are coming in January. • You can choose a CCO plan. Letter ID John A. Doe 123 First Ave. • If you don’t choose, you will Somewhere, Oregon 90000 be enrolled in a plan based on the care you get now. • New plans will start There are more health plan January 1, 2020. choices coming to your area Dear John, Thank you for being a part of the Oregon Health Plan. There are new health plan choices coming to OHP in January. OHP has local health plans that help you use your benefits. These plans are called coordinated care organizations or CCOs. Starting in January, you will have more CCO plan choices in your area. You get to compare the plans and decide what works best for you and your family. We started by matching you with a CCO plan based on your doctors and the care you get now: John Doe: CCO Example Name 1 Mary: CCO Example Name 1 Amy: CCO Example Name 2 Your matched plan(s) How to get help: Call 877-647-0027 Ask a local community partner. Learn more at: (TTY 711) Find one at: ohp.oregon.gov ohp.oregon.gov You can get this letter in another language, large print, or another way that is best for you. Call 877-647-0027 (TTY 711) 19-129 073019 If you are happy with the CCO plan(s) listed, you don’t have to do anything. Your CCO plan will start January 1, 2020. You will get a welcome letter and ID card close to January 1. You can choose a different CCO plan. If you don’t like the CCO plan(s) listed, that’s okay. You can choose any of these plans: CCO Example Name 2, CCO Example Name 3 Compare the CCO plans, consider what each plan offers, and then choose. Your other You can learn more about the plans in the guide sent with this letter or at OHP.Oregon.gov. Look at each plan choice(s) plan’s health care providers, pharmacies, hospitals, and services. Tell us if you want a different CCO plan by November 17. If the plan(s) listed will not work for you, go to http://bit.ly/CCOchoice and tell us your choice. Please use your Letter ID to login: XXX123. You can also call us at 877-647-0027. This special phone number is set up to help you with your 2020 CCO plan choice. You can also get help in person. Find a trusted community partner near you at OHP.Oregon.gov. Don’t worry. You can also change your CCO plan after January 1. Try out your CCO plan. If you are happy with your plan, you won’t have to do anything. If you want a different CCO plan after January 1, you can tell us at that time. You can change plans for any reason until March 31, 2020. About the OHP benefits and services you get now Your OHP benefits are not changing. You still have the same OHP physical, dental, and mental health benefits. Some CCO plans have extra services, like health classes. Check with your CCO plan about what extra services it offers. 4 CCO PlanIf you needComparison to renew your OHP before Guide: January 1, yourInstructions eligibility may change. Choosing a new plan? You can still use the CCO plan you have now until January 1. Many doctors or providers work with all the CCO plans in your area. But if you need a different provider, your new CCO plan will help you pick one. Your new plan will help you get the prescriptions and treatments you need. You can keep scheduled appointments and fill your prescriptions. Your current CCO plan will honor your appointments and prescriptions until January 1. If you have a new plan, it will help you make appointments and get prescriptions after January 1. If you have appointments scheduled after January 1 or need to fill a prescription, tell your new plan. Need help? You can call 877-647-0027 or get help in person. Find a trusted community partner in your area at OHP.Oregon.gov. Thank you, Oregon Health Plan Follow these steps to pick your plan 1. Consider: • In your letter, find the CCO plan that we matched you with as well as any other options. • In this guide, find the CCOs in the alphabetical list, which starts on page 10. 2. Compare: • Read about other CCO plans in your area. Make sure you check which ZIP Codes are served. Some CCOs serve only part of a county. Look at each CCO plan’s health care providers, pharmacies, hospitals and extra services. • Except for the extra services and pharmacy options, all CCOs offer you the same benefits. • Each CCO has a provider directory on its website. Look for a list of doctors and providers that work with that CCO plan. • Learn more about other services offered by the CCO. • You may want to use the Pick Your Plan Worksheet on the next two pages to help you compare. 3. Choose: To pick your plan online: • After comparing your options, choose a plan. If you’re Use the CCO plan choice form happy with your matched online. It’s the fastest way to pick plan, you don’t have to a plan. do anything! If you want to 1. Go to http://bit.ly/CCOchoice. choose a different CCO plan, 2. Use your unique Letter ID tell OHP your choice: to login. You’ll also need your • Online at OHP ID number from your OHP http://bit.ly/CCOchoice or CCO card. • By phone at 3. Choose a plan for yourself 877-647-0027 and other members of your • Through a trusted household. community partner. 4. Save your plan choice and get You can find one at a confirmation email. OHP.Oregon.gov. CCO Plan Comparison Guide: Instructions 5 Pick Your Plan Worksheet Picking your health plan can be easy. Use this worksheet to help you choose the best CCO plan for you and your family. Each CCO plan has different doctors, hospitals and pharmacies. In three simple steps, you will have all the information you need to make the best health plan choice and enroll. Step 1 Consider Review your letter, or this guide or go online to OHP.Oregon.gov to find the CCO plans in your area, including the one you’ve been matched with. List the plans you can choose from. Your plan choices Option 1 Option 2 Option 3 Important due dates: If you don’t choose another CCO plan by November Nov 17, your matched plan will start January 1, 2020.
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