Have a question about your plan?
It’s only natural to have questions about your new plan and your new health insurance carrier. If you can’t find the answer to your question here, please feel free to call our Customer Service Representatives.
- How can I find doctor or clinic in my network?
- How do I know what network I am in?
- How do I send in my claims?
- Can I see my claims online?
- Is there a Member Handbook I can access?
- How can I view my benefits?
- Do I need a referral to see a specialist?
- Do I pay ODS when I get a bill from my medical or dental provider?
- How do I order new ID cards?
- Can you help me understand the Explanation of Benefits (EOBs) I will be receiving?
How can I find a doctor or clinic in my network?
Our interactive find care application lets you search for physicians, dentists, pharmacists and clinics by location, gender or language spoken. Once your ODS plan is effective, you can search the find care application using your subscriber ID so that all your results will be catered to your specific plan. For now, you can search the find care application as a guest. All results also show the network for each physician, dentist, pharmacist or clinic. To find out which network you are in, please contact your HR department.
How do I know what network I am in?
Soon, you will receive your ODS member ID card. Your ID card will show which network you are in. If you would like to know the name of your network before your ID card arrives, please contact your HR department.
How do I send in my claims?
Once you receive treatment, if your doctor, dentist, pharmacist or facility does not bill ODS for you, please send your claims to:
Medical claims
ODS
P.O. Box 40384
Portland, OR 97240-0384
Dental claims
ODS
601 S.W. 2nd Ave.
Portland, OR 97204
Pharmacy claims
ODS
P.O. Box 40168
Portland, OR 97240
Major medical groups, please submit your pharmacy claims to:
ODS
P.O. Box 40384
Portland, OR 97240-0384
Please include the following information:
- Patient's name, identification number and group ID number
- Date of treatment
- Diagnosis (medical only)
- An itemized description of services and charges
If the treatment is for an accidental injury, include a statement with the date, time, place and circumstances of the accident when you send us the physician or professional provider's bill.
Can I see my claims online?
Yes. Once your coverage with ODS is active, you can see your claims online through your personalized member website, myODS. myODS also allows you to manage your benefits and access health tools and resources. To register for myODS, visit the myODS registration page on or after your effective date of coverage.
Is there a Member Handbook I can access?
Yes. Once your coverage with ODS is active, you can access your Member Handbook, claims and benefit information, health tools, and other resources on myODS, your personalized member website. To register for myODS, visit the myODS registration page on or after your effective date of coverage.
How can I view my benefits?
Once your coverage with ODS is active, you can view your benefits and claims information and access health tools and resources on myODS, your personalized member website. To register for myODS, visit the myODS registration page on or after your effective date of coverage.
Do I need a referral to see a specialist?
It depends on the type of plan you have. If you have a Preferred Provider Plan (PPO) you do not need a referral. If you have a Health Maintenance Organization (HMO) or Point of Service (POS) plan you do need a referral. To verify the type of plan you have, please contact your HR department.
Do I pay ODS when I get a bill from my medical or dental provider?
No. If you receive a bill from your medical or dental provider, verify that your provider is billing you for the charges your health plan did not cover. Once you have confirmed the bill is for charges not covered by insurance, pay your provider directly.
How do I order new ID cards?
Your ODS ID cards will arrive in the mail shortly. If you lose your ID cards or need to order more for any reason, you can do so by logging on to your personalized member website, myODS, or by calling customer service. With myODS, you also can access claims and benefit information, health tools and resources. To register for myODS, visit the myODS registration page on or after your effective date of coverage.
Can you help me understand the Explanation of Benefits (EOBs) I will be receiving?
Yes. You can view sample medical and dental EOBs, which include a glossary and explanation.
Log in to Benefit Tracker
Check benefits and eligibility
Log in to Benefit Tracker
Check benefits, eligibility, incentive and utilization
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