1. What is FamilyCare, Inc.?
2. How do I get an Oregon Health Plan application or re-application?
3. How do I contact my Oregon Health Plan caseworker?
4. Who do I contact if my address or phone number changes?
5. Who do I call if I have other insurance coverage (for example, Worker's Compensation, health insurance)?
6. Do I have dental coverage?
7. Do I have mental health coverage?
8. Does FamilyCare cover drug and alcohol treatment?
9. Where can I be seen for an eye exam and glasses?
10. Are interpretation services available if I do not speak English?
11. Is medical transportation available?
12. What do I do if I get a bill for health care services?
13. What about prescriptions?

1. What is FamilyCare, Inc.?
FamilyCare is a managed care health plan that contracts with the State to provide benefits to people who have the Oregon Health Plan (OHP) Plus or Standard benefit packages. FamilyCare is one of your choices for a managed care plan.

2. How do I get an Oregon Health Plan application or re-application?
All applications or re-applications come from the State. If you need an application call (800) 359-9517 or go here to fill out the on-line application. Remember, it is the State that approves applications or re-applications, not FamilyCare, Inc.

3. How do I contact my Oregon Health Plan caseworker?
Your caseworker number should be on your DHS Coverage Letter.

4. Who do I contact if my address or phone number changes?
Please call your caseworker as soon as possible so that you can continue to receive your DHS Coverage.

5. Who do I call if I have other insurance coverage (for example, Worker’s Compensation, health insurance)?
You need to call your caseworker and the Customer Service Department at FamilyCare at (503) 222-2880 or (800) 458-9518.

6. Do I have dental coverage?
Your dental plan should be on your DHS Coverage Letter. If a dental service is not listed, please call your caseworker.

7. Do I have mental health coverage?
To find out if you have mental health coverage, first look on your DHS Coverage Letter. If a Mental Health Organization (MHO) is not listed, please call your caseworker.

8. Does FamilyCare cover drug and alcohol treatment?
Outpatient treatment is covered. You do not need a referral for services.

9. Where can I be seen for an eye exam and glasses?
If you are on the Plus Plan, are under 21 or pregnant and live in Multnomah, Clackamas, Washington, Clatsop, Josephine or Jackson Counties, please call Vision Service Plan (VSP) at (800) 877-7195. Give them your DHS ID number. They will tell you what your benefits are and where you can go for an eye exam. If you live in Umatilla or Morrow County, please call Customer Service at (800) 458-9518. Members on the Standard Plan do not have routine vision benefits.

10. Are interpretation services available if I do not speak English?
Yes. If you need an interpreter for doctor visits or to help you with questions, please call Customer Service at (503) 222-2880 or (800) 458-9518 and they will help you. For TTY, please call (800) 735-2900.

11. Is medical transportation available?
In some cases, transportation to doctor's appointments is covered by FamilyCare, Inc. Please call Customer Service at (503) 222-2880 or (800) 458-9518 for more information. You can also call your caseworker in advance for transportation.

12. What do I do if I get a bill for health care services?
Call your health care provider’s office to make sure they know you are on the Oregon Health Plan. Let them know they are to send the bill to FamilyCare. If you still need help, please call Customer Service at (503) 222-2880 or (800) 458-9518.

Remember to take your DHS Medical Care ID with you to all of your appointments and show it to the office staff.

13. What about prescriptions?
If your doctor gives you a new prescription, ask the doctor or their staff if your diagnosis is covered by the Oregon Health Plan. If your diagnosis is not covered, you may still get your prescription but you will need to pay for it yourself.

If your prescription needs prior approval, that means your doctor needs to fax paperwork to FamilyCare for approval. Without prior approval, FamilyCare will not pay for certain medications. If your prescription is denied by the pharmacy, it may be because the medication needs a prior approval. Please call your doctor’s office as soon as possible or ask the pharmacy to call your doctor.

It can take up to 72 hours to process a prescription request. In most cases, the review is done within 4 hours of receiving your doctor’s paperwork. Call your pharmacy directly to see if your medication was approved. Your doctor’s office may take more time in processing your medication approval request. Do not wait until your medication is gone to request a refill.