Your Benefits & Your Rights
We want you to know that as a YCCO member on the Oregon Health Plan, you have access to specific benefits and rights.
The Benefits you have may be different, please look at your ID card. If you have any questions, please call customer service.
Your benefits give you have access to quality coordinated health care
As a YCCO member on the Oregon Health Plan you have access to specific health benefits, such as the ones below.
| Physical Health Care | Dental Health Care | Mental Health Care | Medical transportation |
| Vision and eye care | Childbirth | Hospice care | Alcohol and drug treatment |
Your rights make sure you are given quality coordinated health care
As a YCCO member on the Oregon Health Plan you have rights, such as the ones below.
| Not feel like you are being treated differently, or discriminated against. | Receive care that provides choice, independence and dignity. | Be actively involved in making your treatment plan. | Be free to report complaints to YCCO, the Oregon Health Authority, the Bureau of Labor and Industries, or the Office of Civil Rights. |
Want to learn more about your Benefits and rights?
Learn about what’s included in your plan, with full descriptions of your benefits and rights. Download the YCCO Member Handbook in English or Spanish.
Yamhill Community Care Member Handbook 2020 (English)
Yamhill Community Care Manual para los miembros 2020 (Espanol)
To request a print copy of a member handbook, or to get a handbook in an alternate format (e.g. Braille or large print), contact Customer Service at 855-722-8205 (TTY/TDD: 711). There is no charge and you will receive a copy within five business days.
Your OHP Handbook is a great resource, too!
The Oregon Health Plan has their own handbook, and can be a great resource for you to have as a YCCO member on the Oregon Health Plan.
Download the OHP handbook. The Oregon Health Plan Handbook includes details about OHP health care services, your rights and responsibilities as an OHP client, coordinated care, billing questions, and complaints. The handbook is available to download in English | Spanish | Russian | Vietnamese | Large print. If you would like a copy mailed to you, please call OHP Client Services at 800-273-0557 or 711 (TTY).
Oregon Health Plan benefits not covered by YCCO
Some services are covered by OHP Fee-for-Service but are not covered by YCCO. For more information on these services call OHP Customer Service at 800-699-9075 or download the OHP handbook above.
Here are some examples of Fee-for-Service through the Oregon Health Plan
| Midwife home delivery | Mental health medications | Therapeutic Abortions | Long term care services |
Member Forms
Below is a list of some of the most common forms used by members.
Click on the links to open the forms in PDF format.
- Authorization to Release Personal Health Information (PHI) Form
YCCO-Disclosure-Auth-English
YCCO-Disclosure-Auth-Spanish - Appeal and Hearing Form
https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/me0443.pdf - Notice of Privacy Practices
- Non-Discrimination Notice (NDN)
Yamhill Community Care Non-Discrimination Notice (English)
Yamhill Community Care Non-Discrimination Notice (Spanish) - Member Rights and Responsibilities
- Advance Directives
Advance Directive (English)
Advanced Directive (Spanish) - Declaration for Mental Health Treatment
Declaration for Mental Health Treatment (English)
Declaration for Mental Health Treatment (Spanish) - Complaint Forms
Complaint Form (English)
Complaint Form (Spanish)
Note: To view .pdf documents, you must have Adobe Reader installed.
Click to download the free Adobe Reader program.
Appeals and Hearings
If we deny, stop, or reduce a service your provider asks for, we will mail you a Notice of Action/Adverse Benefit Determination (NOABD) letter explaining why we made that decision. If you do not get a NOABD or your provider tells you a service has been denied and you must pay for it you can call Customer Service and ask for one to be sent to you.
Once you receive it you can appeal your denial. You, your provider with your written consent or your authorized representative have a right to ask to change it through an appeal and a state fair hearing. You must first ask for an appeal no more than 60 days from the date on the NOABD letter.
If your appeal decision does not change the denial you can then ask for a state fair hearing. You must ask for a hearing within 120 days from the date on the Notice of Appeal Resolution (NOAR) letter.
End-of-life decisions and Advance Directives (living wills)
Adults 18 years and older can make decisions about their own care, including the right to accept or refuse medical or surgical care.
It is possible that someday you could become so sick or injured that you cannot tell your providers whether you want a certain care. If you have written an advance directive, also called a Living Will, your providers may follow your instructions.
Declaration for Mental Health Treatment
Oregon has a form called a Declaration for Mental Health Treatment. This form is a legal document. It allows you to make decisions now about future mental health care in case you are unable to make your own care decisions. If you do not have this form in place, and you are not able to make your own decisions, then only a court or two doctors can decide that you cannot make your own care decisions.
Clinical Practice Guideline Request
You can request a copy of the clinical practice guideline that was used to make a decision about your care.
You can also review the Clinical Guidelines on our Provider pages by clicking here.
We're here to help.
Call us at
1-855-722-8205
TTY/TDD 711
Monday – Friday
8am to 5pm