Read more: Members may have trouble getting meds at some pharmacies.

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Learn more: Walgreens is now part of our pharmacy network.

Member resources

Resources for our members

Welcome to CareOregon Advantage! We are pleased to provide health care benefits and insurance to our members. In this section, you will find some resources to help answer your questions about your CareOregon Advantage plan.

Questions about coronavirus or the COVID-19 vaccine?
Visit our coronavirus webpage for more information

 

2024 CareOregon Advantage Plus Welcome Guide


2024 CareOregon Advantage Plus Welcome GuideIf you want to get started using your 2024 CareOregon Advantage Plus benefits and want to know the basic steps, our Welcome Guide will help provide answers to your questions. This does not take the place of your 2024 Plan Documents, but may help you find answers sooner. To view the Welcome Guide, click on the language you want below, in either print or audio version:



Standard/large print

Audio

 

Understanding the difference between Medicare and Medicaid

We know that health care can be confusing, especially if you are eligible for both Medicare and Medicaid. So we've put together this handout that can help you see the differences between Medicare and Medicaid. And it explains how they work together.

Frequently asked questions and Customer Service

If you can't find the answers you are looking for, visit our frequently asked questions section. You can also call Customer Service at 503-416-4279, toll-free 888-712-3258 or TTY 711, or send us a secure message through the member portal. We want you to stay informed about your benefits and how to use them to get the best care and have the best experience possible. We're here to help!

Your Member ID card

Here’s a brief guide to the information contained on your CareOregon Advantage Member ID card.

CareOregon Advantage Member ID card

Show both your CareOregon Advantage Member ID card and your Medicaid card whenever you go to your provider, pharmacy or any health-related appointment and are asked for your insurance card.

 

Language interpretation services

If you do not speak English, have difficulty understanding English or need sign language interpretation, let your provider’s office know when you call to make your appointment. You have a legal right to interpretation, and the services are free.

PLEASE NOTE: Check with your Medicaid plan for more information about what language interpretation services are covered.

Reporting fraud, waste, and abuse or compliance concerns

CareOregon Advantage takes fraud, waste and abuse seriously. We comply with all applicable laws, including the State and Federal False Claims Act. Examples of fraud, waste and abuse include:

Provider fraud:

  • Billing for services not rendered
  • Altering medical records
  • Use of unlicensed staff
  • Drug diversion (for example, dispensing substances with no medical purpose)
  • Kickbacks and bribery
  • Providing unnecessary services to members

Member fraud:

  • Falsification of information
  • Forging or selling prescription drugs
  • Using transportation benefits for non-medical business
  • Adding an ineligible dependent to the plan
  • Lending or using another person’s insurance card
  • Identity theft
If you suspect your benefits aren’t being used correctly or want to report fraud, waste or abuse, contact EthicsPoint at 888-331-6524. You can also file a report online at EthicsPoint.

Page last updated: January 1, 2024
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