Member Resources

In this section you will find documents and information to explain your benefits and help you get the most out of each of your encounters in our healthcare community. If you don’t find the answer to your questions here, please don’t hesitate to contact PrimaryHealth of Josephine County. We are here to help.

If you need another language, large print, Braille, CD, tape or other format, call Customer Service at 541-471-4208. The toll-free number is 1-800-471-0304. Our TTY/TDD number is 1-800-735-2900.

Este manual se encuentra disponible en diferentes formatos, incluyendo otros idiomas, letra grande, disco computacional, cinta de audio, presentación oral y Braille. Si le gustaría obtener un formato diferente, sírvase llamar al Servicio de Atencion al Cliente de al 541-471-4208. Si llama de larga distancia, marque el 1-800-471-0304. El número para personas con dificultades auditivas (TTY/TDD) es 1-800-735-2900.

Dental Services

Your Dental Services Guide provides useful information you’ll want to keep handy about your benefits, finding a dentist, how to make an appointment, what to do in the event of a dental emergency and much more.

View Dental Service Guide

Provider Panel

Need a primary care healthcare provider? Click the link below to view the most recent list of area primary care physicians, physician assistants and nurse practitioners who are participating in our network panel. Then call our office and we can tell you which of them are currently accepting Oregon Health Plan patients.

PrimaryHealth also is contracted with specialty providers in Josephine and Jackson counties to serve you if you require the care of a specialist. Please contact our offices to find out if your specialty care provider is contracted with PrimaryHealth.

View Provider Panel List

Ambulatory Surgery Centers, Hospital and Specialists

Ambulatory Surgery Centers          Hospitals          Specialists

Rx Coverage

Many prescription drugs are covered by PrimaryHealth. You can view a list of medications (called the “formulary”) that are covered by PrimaryHealth by clicking the link below. For the most up to date information about drugs covered by PrimaryHealth, please contact our office.

View Formulary

Member Handbook

Your Member Handbook is your guide to all the services available to you and answers the most common questions we receive from our members. It provides the information you need to ensure you get the most out of our healthcare experiences.

View Member Handbook          View Member Handbook in Spanish

Your OHP Client Rights and Responsibilities

As an OHP client, you will be...
  • Treated with respect, the same as other patients
  • Free to choose your provider
  • Urged to tell your provider about all your health concerns
  • Able to have a friend or helper come to your appointments, and an interpreter if you want one
  • Told about all of your OHP-covered and non-covered treatment options
  • Allowed to help make decisions about your health care, including refusing treatment, without being held down or forced to do something you don’t want to do
  • Given a referral or second opinion, if you need it
  • Given care when you need it, 24 hours a day and 7 days a week
  • Free to get mental health and family planning services without a referral
  • Free to get help with addiction to cigarettes, alcohol and drugs without a referral
  • Given handbooks and letters that you can understand
  • Able to see and get a copy of your health records
  • Able to limit who can see your health records
  • Sent a Notice of Action letter if you are denied a service or there is a change in service level
  • Given information and help to appeal denials and ask for a hearing
  • Allowed to make complaints and get a response without a bad reaction from your plan or provider
  • Free to ask the Oregon Health Authority Ombudsperson for help with problems at 503-947-2346 or toll free 877-642-0450
As an OHP client, you agree to...
  • Find a doctor or other provider you can work with and tell them all about your health
  • Treat providers and their staff with the same respect you want
  • Bring your medical ID cards to appointments, tell the receptionist that you have OHP and any other health insurance, and let them know if you were hurt in an accident
  • Be on time for appointments
  • Call your provider at least one day before if you can’t make it to an appointment
  • Have yearly check-ups, wellness visits and other services to prevent illness and keep you healthy
  • Follow your providers’ and pharmacists’ directions, or ask for another choice
  • Be honest with your providers to get the best service possible
  • Call your case worker when you move, are pregnant or no longer pregnant

Member Education Resources

Ready To Quit Smoking?

Fraud & Abuse: A Serious Problem That Requires Your Attention

View FWA

Ready to Make Health Decisions?

Advance Directive          Declaration for Mental Health Treatment


OHP Client Agreement Form          Oregon Administrative Rules

Prior Authorization Process and Guidelines

This list of services requiring PA is intended as a guide for PHJC providers: Please call the PHJC office if you have any questions. To request a referral or PA, providers should complete the PHJC Referral/Prior Authorization Request Form and fax the completed form to (541) 956-5460. If you need the PHJC Referral Form, or need instructions on how to use the form, please contact us at (541) 471-4208, Toll Free (800) 471-0304.

PA Guidelines

Mental Health Services

Need a mental healthcare provider? Click the link below and call Options to review your choices of mental healthcare providers that are currently accepting Oregon Health Plan patients.

Options for Southern Oregon

Transportation Services

Need Transportation?

To schedule transportation, please call:

  • Phone: 541-842-2080
  • Toll Free: 1-888-518-8160

Click the link below for more information.

TransLink Transportation Guide          TransLink Transportation Guide in Spanish

Alcohol and Drug Treatment Services

PrimaryHealth provides outpatient drug and alcohol treatment and counseling through:

Choices Counseling Center
109 NE Manzanita Avenue
Grants Pass OR 97526
TTY: 1-800-735-2900

Pain Management and Wellness Benefits

PrimaryHealth is dedicated to providing effective pain management and wellness benefits for our members. In this section, providers will find information on how to access pain management benefits as well as tools and resources for managing pain.

The Art of Difficult Conversations
Assess Harms from Opioid Therapy
Key Concepts for Tapering Opioid Medications
Nonopioid Treatments for Chronic Pain
Opioid Tapering Flow Sheet
Pain Management Modalities Crosswalk
Pain Management Provider Toolkit
Regional Provider Taper Form
What to Expect When Detoxing From Opiates