Member Incentive Form - CareOregon 2025

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All plans in the Health Insurance Marketplace include vision coverage for children. Only some plans include vision coverage for adults.
OHP covers medical eye exams for any eye condition. Diagnostic services are also covered. OHP covers routine vision exams for disorders of refraction and accommodation (e.g., nearsightedness, farsightedness, astigmatism): Once every 24 months for adults age 21 or older.
Every day, CareOregon helps more than 500,000 Oregonians access free physical, dental, mental health care and prescription drug coverage through the Oregon Health Plan (OHP). Enter our Members section to find out if youre eligible, search for providers, learn about CareOregon benefits, and more.
CareOregon is a 501(c)(3) public benefit nonprofit organization that draws nearly all its revenue from public programs. These programs include Medicaid (the Oregon Health Plan), Medicare and the State Childrens Health Insurance Program (SCHIP).
Depending on your insurer and plan, you might use vision insurance for routine eye exams, glasses, contact lenses, and surgery. Vision insurance is typically a separate policy from your health insurance, but some health plans might include vision coverage.
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Please call Provider Customer Service at 503-416-4100 or 800-224-4840.
Routine eye exams and glasses are covered for members who are: Age 20 and younger. Pregnant women of any age. Over 20 with a qualifying medical need or have had eye surgery.
CareOregon provides medical care as part of Health Share, the coordinated care organization (CCO) in the Portland metro area. Together, we make it easy for you to get comprehensive physical, dental and mental health coverage, and substance use treatment, at no cost.

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