This page lists federal and state agencies, and licensed insurance agents, who can help with Medicare questions in Oregon. Government agencies can't sell you insurance. Every number below was checked against the agency's own website.
Medicare and Social Security
Medicare
1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048, 24 hours a day. Medicare.gov has the plan finder, coverage rules and claims.
Social Security
1-800-772-1213 (TTY 1-800-325-0778). Sign up for Parts A and B, change your address, replace your card, ask about IRMAA, or apply for Extra Help at ssa.gov.
Medicare quality and discharge appeals
Acentra Health, the Medicare Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for Oregon: 1-888-305-6759 (TTY 1-855-843-4776). Call to appeal a hospital discharge or the end of skilled nursing, home health or hospice care, or to complain about quality of care.
Senior Medicare Patrol
The national SMP Resource Center, 1-877-808-2468 (Monday to Friday, 9 a.m. to 5:30 p.m. Eastern), connects you with your state's SMP to report suspected Medicare fraud, errors or scams.
Oregon Health Plan and help paying costs
ONE Customer Service Center (ODHS and OHA)
1-800-699-9075 (TTY 711). Apply for or renew OHP, the Medicare Savings Programs and SNAP, or apply online at one.oregon.gov.
OHP Client Services (OHA)
1-800-273-0557 (TTY 711), 8 a.m. to 5 p.m. Pacific, Monday to Friday. CCO changes, OHP ID cards and member handbooks.
ODHS Aging and People with Disabilities
Oregon's state agency for aging and disability services: Medicaid long-term care at home or in a facility, Oregon Project Independence in-home help, and local Area Agencies on Aging. Statewide resource line: 1-855-673-2372.
- OHP and Medicare
- Coordinated care organizations
- Medicare Savings Programs in Oregon
- Extra Help with Part D costs
Insurance rules and complaints
Oregon Division of Financial Regulation (DFR)
Consumer advocates: 1-888-877-4894, DFR.InsuranceHelp@oregon.gov. DFR licenses insurance companies and agents in Oregon and enforces Oregon's Medigap rules, including the birthday rule. Advocates investigate complaints about companies and agents.
Licensed insurance agents
To compare Medicare Advantage, Medigap and Part D plans from the companies they work with, you can request a call from a licensed insurance agent or see licensed insurance agents in Oregon.
Public employee retirees
- PERS Health Insurance Program (PHIP): 1-800-768-7377; Medicare plans for PERS retirees. See PEBB retirees and Medicare.
- PEBB (state agency and university employees) and OEBB (education employers): retiree medical coverage ends at Medicare eligibility. See OEBB retirees and Medicare.
Fraud, appeals and emergencies
- Medicare fraud: 1-800-MEDICARE or the SMP Resource Center, 1-877-808-2468.
- Oregon Health Plan provider fraud: OHA Office of Program Integrity, online form or 503-373-1771 (voicemail). Medicaid Fraud Control Unit (Oregon Department of Justice): 971-673-1880.
- Appeals: Medicare appeals in Oregon.
- Disasters: wildfire and disaster special enrollment periods. In a declared emergency, Oregon pharmacists may give an emergency refill of up to a 30-day supply (Oregon Board of Pharmacy, 971-673-0001).
- POLST: the Oregon POLST Registry, 1-877-367-7657, can tell you whether a POLST form is on file. See POLST and Medicare.
Guides for specific situations
- Medicare under 65 with a disability, ALS or ESRD
- Dual eligible (Medicare and OHP)
- Death with Dignity and Medicare
- LGBTQ+ Oregonians and Medicare
- Tribal health and Medicare and Oregon's nine federally recognized tribes
- Veterans, VA care and Medicare
- Rural Oregon and Medicare
Sources
- Medicare.gov — Talk to someone
- Social Security Administration — Contact Social Security
- Oregon Health Authority — Contact OHP
- Oregon Department of Human Services — Medicare Savings Programs
- Oregon Department of Human Services — Aging and Disability Services
- Oregon Division of Financial Regulation — Contact us
- SMP Resource Center
- CMS — Quality Improvement Organizations
- Oregon Health Authority — Report fraud
- OAR 855-007-0090 — Emergency pharmacy rules (Cornell LII)
- Oregon PERS — PERS Health Insurance Program (PHIP)
Frequently asked questions
Who do I call with a Medicare question in Oregon?
Call 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048), any time, or use Medicare.gov. For enrollment, premiums or a replacement card, call Social Security at 1-800-772-1213.
Who handles complaints about a Medigap company or insurance agent in Oregon?
The Oregon Division of Financial Regulation's consumer advocates, at 1-888-877-4894 or DFR.InsuranceHelp@oregon.gov. They investigate complaints about insurance companies and agents licensed in Oregon.
How do I report Medicare fraud from Oregon?
Call 1-800-MEDICARE, or the national Senior Medicare Patrol Resource Center at 1-877-808-2468, which connects you with your state's SMP. Report Oregon Health Plan fraud to the Oregon Health Authority or ODHS.
Who helps with Oregon Health Plan and Medicare Savings Program applications?
Apply at one.oregon.gov or call the ONE Customer Service Center at 1-800-699-9075 (TTY 711). For CCO changes and OHP ID cards, call OHP Client Services at 1-800-273-0557.
Medicare in your Oregon county
Plans, local agents and help, county by county: Multnomah · Washington · Clackamas · Lane · Marion · Jackson · Deschutes · Linn · Douglas · Yamhill · Benton · Polk · Josephine · Umatilla · Klamath · Coos · Columbia · Lincoln · Clatsop · Malheur · All 36 counties →
