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Frequently Asked Questions

I like the doctor I currently have. If I enroll with OMIP will I be able to keep this same doctor?

Oregon Medical Insurance Pool OMIP frequently asked question...
Maybe. You may see any doctor you like. However, if your doctor is an in-network provider then you will pay less for covered services than if you see a doctor who is not a provider in the network. To verify if your doctor participates in the OMIP provider network, you may contact customer service at 1-800-848-7280.
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I have a pre-existing condition. Will OMIP be able to help me?

Oregon Medical Insurance Pool OMIP frequently asked question...
Yes and no. The OMIP benefit plans have a six-month limitation for pre-existing conditions, including pregnancy. This means we will not pay benefits during the first six months you or your enrolled dependents are enrolled under an OMIP plan for coverage of expenses incurred for a pre-existing condition. In summary, NO, you would not be covered for the first six months of your policy for anything related to the pre-existing condition.
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What is OMIP?

Oregon Medical Insurance Pool OMIP frequently asked question...
OMIP is an acronym for Oregon Medical Insurance Pool. OMIP was established in 1989 by the Legislature to provide health insurance to Oregonians who have been denied individual health coverage because of their medical conditions. In short, it is a safety net or last resort for people who cannot get individual health insurance coverage.
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If I enroll in the Registry, will you talk to my doctor?

Arizona Alzheimer's Consortium
No. Enrolling in just the Registry alone will not create a need for us to contact your doctor or any of your healthcare providers. However, if you become formally enrolled in a clinical study, we will likely require medical records. If this is necessary, you will be advised in advance.
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Who is eligible for OMIP?

Oregon Medical Insurance Pool OMIP frequently asked question...
All individuals applying for OMIP coverage must first be a permanent resident of Oregon. They then must meet either the medical, portability (loss of group health insurance), or federal health coverage tax credit requirements.
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What if I'm currently on the Budget Plan and would like to enroll in the No Surprise Bill program?

CenterPoint Energy > Account Information > Residential...
If you decide to enroll in the No Surprise Bill program, we'll remove you from the Budget Plan by applying your balance to your next bill. You will have a balance if the amount that you have paid under the Budget Plan is different than the amount of gas you have used. If your balance is negative, it is an amount owed to you and we'll deduct this amount from your next bill. If the balance is not a negative amount, it is an amount that you owe and we'll add this amount to your next bill.
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My spouse qualifies for OMIP; can I be on his/her OMIP plan?

Oregon Medical Insurance Pool OMIP frequently asked question...
Yes. However, you may want to look into individual (or group, if available) health coverage for yourself and just keep your spouse on OMIP for a more favorable premium rate.
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Is OMIP a subsidy program?

Oregon Medical Insurance Pool OMIP frequently asked question...
No. OMIP depends largely upon member premiums to fund the pool. OMIP premium rates may actually be as much as 25 percent higher than the industry rates for those members coming to OMIP because of a medical condition. This is because OMIP generally has higher expenses as a result of taking on higher health insurance risks. Along with member premiums, OMIP also funds the pool through assessments received from insurance carriers doing business in the State of Oregon.
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Is OMIP an insurance company?

Oregon Medical Insurance Pool OMIP frequently asked question...
No. OMIP contracts with Regence BlueCross BlueShield of Oregon. The State of Oregon designs the benefit package and Regence BlueCross BlueShield of Oregon administers the program.
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What's the difference among the four plans that OMIP offers?

Oregon Medical Insurance Pool OMIP frequently asked question...
All four plans are Preferred Provider Organization (PPO) Plans. They differ primarily by the medical deductible amount, the maximum out of pocket expenses, and the co-insurance amounts.
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What is the maximum I will have to pay with OMIP each year?

Oregon Medical Insurance Pool OMIP frequently asked question...
If you choose Plan 500, your maximum out of pocket expense would be $1,500 per member, per calendar year, assuming you use in network providers. If you choose Plan 750, your maximum out of pocket expense would be $3,750 per member, per calendar year. If you choose Plan 1000, your maximum out of pocket expense would be $5,000 per member, per calendar year. If you choose Plan 1500, your maximum out of pocket expense would be $7,500 per member, per calendar year.
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Will OMIP pay for my prescription medications?

Oregon Medical Insurance Pool OMIP frequently asked question...
Most likely, yes. In general, generic drugs cost $10. Preferred-brand drugs cost only $40. Non-preferred brand drugs cost $70. However, there are certain medications that are excluded such as; non-prescription medications, fertility medications, contraceptives, prescriptions for smoking cessation, prescriptions for weight loss, prescriptions for cosmetic purposes and newly approved FDA prescriptions. For a complete list of exclusions, please refer to the OMIP Plan Contract you select.
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How does someone apply to OMIP?

Oregon Medical Insurance Pool OMIP frequently asked question...
You may obtain an application on line at www.omip.state.or.us. Or call RBCBSO to request an OMIP Packet: 1-800-848-7280. You must complete the application in full and attach proof of Oregon residency. Also, send a declination letter if you are turned down for health insurance because of a medical condition or a Certificate of Creditable Coverage if you are applying for portability coverage.
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How can I lose my OMIP coverage?

Oregon Medical Insurance Pool OMIP frequently asked question...
You terminate your OMIP coverage within the last 12 months for a reason other than becoming Medicaid eligible. This includes non-payment of OMIP premiums. Are already enrolled in a group plan, or a substantially equivalent health benefit plan when your OMIP coverage becomes effective. Have OMIP premiums paid or reimbursed by a public entity or a health care provider for the sole purpose of reducing the payer's financial loss or obligation.
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How will the doctor be able to tell which pain medicines to use?

Frequently Asked Questions About Pain
Doctors and nurses will assess the type (acute or chronic and nociceptive or neuropathic) and the severity of pain before prescribing pain medication. Frequently, doctors or nurses will ask patients to rate their pain on a scale from 0 (no pain at all) to 10 (the worst pain imaginable).
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I'm currently pregnant, can I enroll in the STD Plan?

Frequently Asked Questions: Short Term Disability, Benefits,...
Yes, a new employee may enroll in the STD Plan provided he or she is actively at work on the date coverage would normally be effective.
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Do I have to choose a primary doctor when I enroll?

CompBenefits : Products & Services : Vision : State of Flori...
No--you'll choose any eye doctor in the VisionCare Plan network when you're ready to get plan benefits. You'll receive a complete list of networks doctors with your personalized benefit form. You can also visit the plan's Web site at http://www.compbenefits.com/prod_serv/vision/overview.html for a complete, up-to-date list of network doctors at any time.
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Will I be able to see my doctor?

Family Medicine Associates of San Jose Inc. :: Patient Resou...
For non-urgent issues, you can schedule an appointment to see your doctor. If your doctor does not have any free appointments and you would prefer to see someone else sooner, we have a large group of providers to meet your needs.
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Will I be able to discuss my results with a doctor?

HerSpace - FAQ
It is one thing to receive the results of a mammogram in the mail or even from a non-physician the day of the service. It is quite another thing to have the opportunity to review and discuss the findings on the mammogram directly with the Breast Imager interpreting the study. At HerSpace, all patients will have the opportunity to meet with the radiologists after their study to discuss the study or other related health issues.
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My doctor told me I need to exercise, but I don't like to do it by myself. What can I do?

Department of Aging Frequently Asked Questions FAQ
If you are 55+, you're in luck! The Healthy Lifestyles Fitness Center, located at 55 Augustine Herman Highway in Elkton, was created for adults over the age of 55. It offers certified Fitness Coordinators, senior-specific Keiser exercise equipment, a non-threatening environment, and a low monthly fee of $19.95! People are discovering that participating in a personal, supervised workout program is helping them feel better and have more energy.
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Is it difficult to become a doctor? What is medical school like?

Frequently Asked Questions
Becoming a doctor is extremely difficult. A medical education is like an ultra-marathon. There are four years of college, four years of medical school, one year of internship, and three to six years of residency. The curriculum includes anatomy, physiology, pathology, biochemistry, and pharmacology - but excludes nutrition, hygiene, safety, and common sense. Throughout medical school, internship, and residency, young doctors are required to take night call, which means going without sleep.
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I qualify for OMIP both medically and through portability - which way should I apply?

Oregon Medical Insurance Pool OMIP frequently asked question...
The portability route may be more advantageous to you because you would not be subject to pre-existing limitations and your monthly premium may be cheaper. However, if you do qualify through portability, you would have to pay the premium for the portability insurance coverage from the date that you no longer had group coverage.
Related Questions

I live out of state but plan to move to Oregon, can OMIP help me now?

Oregon Medical Insurance Pool OMIP frequently asked question...
You may apply to OMIP up to 90 days before the requested effective date. However, your application may be pended until we ascertain that you have established your permanent residency in Oregon.
Related Questions

Can I have the FHIAP subsidy and OMIP coverage at the same time?

Oregon Medical Insurance Pool OMIP frequently asked question...
FHIAP is an acronym for Family Health Insurance Assistance Program. FHIAP offers subsidies for low income Oregonians, below the 185 percent federal poverty level, who have been without health insurance for at least six months (except for people leaving OHP/Medicaid). The subsidy pays a large portion of the premium cost for health insurance plans for group plan policies. It is possible to have a FHIAP subsidy pay for OMIP coverage.
Related Questions

Can I have OMIP and Medicaid (OHP) coverage at the same time?

Oregon Medical Insurance Pool OMIP frequently asked question...
No. If it is discovered that you are receiving both, your OMIP coverage will be retroactively termed as far back as your original effective date and you will be responsible for any claim payments made on your behalf.
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After the Western Cherokee Nation is recognized will I still be able to enroll?

Western Cherokee Nation FAQs
After the Western Cherokee Nation of Arkansas & Missouri is Federally Recognized and you are still not a member, no you can not enroll at that time because the rolls will be closed. However, immediate family to current members will still be able to enroll if they are not at that time. There is no cross enrollment however. Your parents must be enrolled in order to enroll yourself.
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When will I be able to start if I enroll today?

Laurel Springs Home School: Kindergarten - High School Home ...
If a student is working online she may begin courses within 5-7 business days. If a student has ordered textbooks, please allow 7-10 business days for the books to arrive. If the student desires to begin the same day, we provide starter assignments on our web site and in the Distance Learning Guide for Parents received in the LSS Welcome Packet. Students receive credit from their teacher if they do these lessons.
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Home Based Education Program FAQs | Clonlara School | Altern...
You can start right away! If you feel you need guidance before beginning, you can begin after you receive access to the Clonlara Commons and your assigned Advisor. Your Advisor can also schedule an orientation consultation with you. If students have been in traditional schools, often what is most beneficial at the beginning of home education is to take a break. Take a few days to do what you want to do. You might make some important discoveries about yourself and where your interests lie.
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Are students able to enroll part-time?

FAQs / Physician Assistant Program / University of Wisconsin...
We do not offer a part-time curricular option. Our curriculum is tightly sequenced and is only available on a full-time basis. Rarely a student, admitted on full-time basis, will develop extenuating circumstances that do not allow them to succeed as a full-time student. Such students may request extension of the didactic curriculum from one to two years which will be considered by program administration. This option is, however, not available as an initial enrollment option for new students.
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Where can I enroll?

TSA: Frequently Asked Questions
TSA will use a combination of fixed and mobile enrollment stations to make the enrollment process as efficient as possible for applicants and owners or operators. The current listing of enrollment locations is available on this site.
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