OR OHP Address Change Request Form free printable template
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OHP ADDRESS CHANGE REQUEST FORM Name on file with OHP Date of Birth // Member ID REQUESTED ADDRESS CHANGE Address Line 1 City State Zip Code ADDRESS ON FILE WITH OHP Signature Email via secure message to ohp.outreach state.
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How to fill out OR OHP Address Change Request Form
How to fill out OR OHP Address Change Request Form
01
Obtain the OR OHP Address Change Request Form from the relevant official website or office.
02
Fill in your personal information, including your full name, old address, and new address.
03
Provide your contact information, such as your phone number and email address.
04
Specify the reason for the address change, if required.
05
Review all the information to ensure accuracy and completeness.
06
Sign and date the form.
07
Submit the form via mail, email, or in person, as instructed.
Who needs OR OHP Address Change Request Form?
01
Any individual enrolled in the Oregon Health Plan (OHP) who has changed their residence address.
02
Individuals needing to update their records for eligibility and communication purposes.
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People Also Ask about
What is the difference between OHP and OHP Plus?
Learn more about the specific services OHP Plus covers. OHP with Limited Drug (BMD or BMM) covers the same benefits as OHP Plus, except for prescriptions. It does not cover drugs that Medicare Part D should cover.
How do I change my address with Oregon health Authority?
Call 800-699-9075 and report changes over the phone. Fax or mail your changes to OHP.
How do I contact OHP Plus?
If you have questions about your OHP benefits, welcome packet or ID cards, please contact the Client Services Unit at 1-800-273-0557. If you have questions about eligibility, applications or related issues, please contact OHP Customer Service at 1-800-699-9075.
Does OHP look at bank accounts?
Countable Resources When determining OHP eligibility, calculate the amount of the eligibility group's countable resources by counting only cash and types of resources that can be readily converted to cash; i.e., bank accounts, stocks and bonds.
How do I contact the Oregon Health Plan?
If you have questions about eligibility, applications or related issues, please contact OHP Customer Service at 1-800-699-9075.
How do I change my address with Oregon Health Plan?
Call 800-699-9075 and report changes over the phone. Fax or mail your changes to OHP.
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What is OR OHP Address Change Request Form?
The OR OHP Address Change Request Form is a documentation tool used by individuals enrolled in the Oregon Health Plan (OHP) to formally request an update or change to their residential address on file.
Who is required to file OR OHP Address Change Request Form?
Anyone who is currently enrolled in the Oregon Health Plan and has changed their residential address is required to file the OR OHP Address Change Request Form to ensure that their contact information is accurate and up-to-date.
How to fill out OR OHP Address Change Request Form?
To fill out the OR OHP Address Change Request Form, individuals should provide necessary personal information such as their name, current address, new address, date of the change, and any other required details as specified on the form.
What is the purpose of OR OHP Address Change Request Form?
The purpose of the OR OHP Address Change Request Form is to notify the Oregon Health Authority of any changes in an individual's residential address to ensure that they receive important communications and benefits without disruption.
What information must be reported on OR OHP Address Change Request Form?
The information that must be reported on the OR OHP Address Change Request Form includes the individual's full name, old address, new address, date of the move, and any other required personal identification details as specified on the form.
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