Member Benefits & Rights
Download or view the UHA Member Handbook for full details of your rights and benefits. Members have access to all medical, dental, and behavioral health benefits covered under the Oregon Health Plan (OHP). Contact UHA Customer Care if you need a copy of any resource.
As a UHA member, you are eligible for all benefits covered by the Oregon Health Plan (OHP) at no cost.
Your benefits include:
- Chemical dependency care
- Dental: Basic services including cleanings, fluoride varnish, fillings, and extractions, Urgent or immediate treatment, Dentures,
- Family Planning
- Hearing: Hearing aids and hearing aid exams
- Home health: Private duty nursing
- Hospice care: End-of-life care. Not covered for CAWEM Plus clients
- Hospital care: Emergency treatment, Inpatient and outpatient care
- Immunizations and vaccines: Such as the flu shot or measles-mumps-rubella (MMR) vaccine
- Labor and delivery for pregnancy
- Laboratory tests and X-rays
- Medical care from a physician, nurse practitioner or physician assistant: Such as routine check-ups or general appointments
- Medical equipment supplies: Such as diabetes testing strips or crutches
- Medical transportation: Such as an ambulance or non-emergency transportation to an appointment
- Mental health care: Such as therapy or medical treatment
- Physical, occupational and speech therapy
- Prescription drugs: OHP with Limited Drug only includes drugs that are not covered by Medicare Part D
- Vision: Medical services, Services to correct vision for pregnant women and children under age 21, Glasses are covered for pregnant women and adults who have a qualifying medical condition like aphakia or keratoconus, or after cataract surgery
Download the member handbook to see all the benefits available to you.
You, your provider, or someone you choose, with your written consent, can file a grievance (complaint), appeal, or hearing for you. We will provide you with help to complete forms and other steps needed to file a grievance (complaint), appeal, or hearing. We can also give you more information about how we handle grievances and appeals. Copies of our notice template are also available. If you need help contact us by phone, mail, email or come to our administrative office.
Click the button below to learn more about how we can help you file an appeal, grievance or hearing.
Umpqua Health is an organization with strong values of responsibility and integrity. For this reason, Umpqua Health has provided this Compliance, Fraud, Waste, and Abuse hotline and online report form.
To file a report:
WE’RE HERE FOR YOU!
Contact UHA Customer Care if you need a copy of any resource. We will mail it to you free of charge within five days of your request.
UHA CUSTOMER CARE:
Customer Care (Monday-Friday; 8 am to 5 pm)
Phone: 541-229-4UHA | 541-229-4842
24/7 Nurse Hotline: 888-516-6166
TTY: 541-440-6304 | Toll Free: 866-672-1551
MEET OVER ZOOM WITH CUSTOMER CARE!
Rather have a friendly face help you with your questions? Sign up for a face-to-face Zoom meeting below with a Customer Care Representative.
All members have a right to know about Umpqua Health Alliance’s programs and services.
Members or potential members who do not speak English as their primary language and who have a limited ability to read, speak, write, or understand English are called Limited English Proficient or LEP. Anyone who is LEP may be entitled to language assistance for healthcare services/encounters or benefits.
We provide the following at no cost to you:
- Sign language interpreters
- Spoken language interpreters for other languages
- Written materials in other languages
- Braille
- Large print
- Audio
- Auxiliary Aids and other formats
If you need help or have questions, please call Customer Care at 541-229-4842, Toll-Free 866-672-1551, or TTY 711.
Todos los miembros tienen derecho a conocer los programas y servicios de Umpqua Health Alliance.
Los miembros o miembros potenciales que no hablan inglés como idioma principal y que tienen una capacidad limitada para leer, hablar, escribir o entender inglés se denominan dominio limitado del inglés o LEP. Cualquier persona que sea LEP puede tener derecho a asistencia lingüística para servicios de salud, encuentros o beneficios.
Proporcionamos lo siguiente sin costo alguno para usted:
- Intérpretes de lenguaje de signos
- Intérpretes de idiomas hablados para otros idiomas
- Materiales escritos en otros idiomas
- Braille
- Impresión grande
- Audio
- Ayudas auxiliares y otros formatos
Si necesita ayuda o tiene preguntas, llame al servicio de atención al cliente al 541-229-4842, al número gratuito 866-672-1551 o al TTY 711.
