Member Handbooks and Forms
Lane County
This Member Handbook: Lane - Western Douglas - Western Linn Counties English (PDF) or in Spanish Member Handbook: Lane - Western Douglas - Western Linn Counties Spanish (PDF) will be your guide for all healthcare services available to you. If you have any questions, or need help making appointments, just call us at 1-877-600-5472; TTY: 711.
Tri-County
This Member Handbook: Member Handbook: Clackamas - Multnomah - Washington Counties English (PDF) or in Spanish Member Handbook: Clackamas - Multnomah - Washington Counties Spanish (PDF) will be your guide for all healthcare services available to you. If you have any questions, or need help making appointments, just call us at 1-877-600-5472; TTY: 711.
- Authorization to Disclose Protected Health Information-Amharic (PDF)
- Authorization to Disclose Protected Health Information-Arabic (PDF)
- Authorization to Disclose Protected Health Information-Chinese Simplified (PDF)
- Authorization to Disclose Protected Health Information-Dari (PDF)
- Authorization to Disclose Protected Health Information-Dinka (PDF)
- Authorization to Disclose Protected Health Information-English (PDF)
- Authorization to Disclose Protected Health Information-Farsi (PDF)
- Authorization to Disclose Protected Health Information-French (PDF)
- Authorization to Disclose Protected Health Information-Korean (PDF)
- Authorization to Disclose Protected Health Information-Mandarin (PDF)
- Authorization to Disclose Protected Health Information-Nepali (PDF)
- Authorization to Disclose Protected Health Information-Ormo (PDF)
- Authorization to Disclose Protected Health Information-Pashto (PDF)
- Authorization to Disclose Protected Health Information-Portuguese (PDF)
- Authorization to Disclose Protected Health Information-Romanian (PDF)
- Authorization to Disclose Protected Health Information-Russian (PDF)
- Authorization to Disclose Protected Health Information-Spanish (PDF)
- Authorization to Disclose Protected Health Information-Swahili (PDF)
- Authorization to Disclose Protected Health Information-Tagalog (PDF)
- Authorization to Disclose Protected Health Information-Thai (PDF)
- Authorization to Disclose Protected Health Information-Tigrinya (PDF)
- Authorization to Disclose Protected Health Information-Ukrainian (PDF)
- Authorization to Disclose Protected Health Information-Urdo (PDF)
- Authorization to Disclose Protected Health Information-Vietnamese (PDF)
You can get a print copy of the Member Handbook at no cost to you. Call Member Services at 1-877-600-5472; TTY: 711. We will mail a handbook to you within 5 business days. If you request that we email you the handbook, we will note it in your file. You must approve us to send it to you over email.
You can ask for materials electronically. Fill out the secure contact form on our website at www.TrilliumOHP.com. Please let us know which documents you would like emailed to you. You can also call Customer Service at 877-600-5472; TTY: 877-600-5473.
Get information in another language or format. You or your representative can get member materials like this handbook or CCO notices in other languages, large print, Braille or any format you prefer. You will get materials within 5 days of your request. This help is free. Every format has the same information. Examples of member materials are:
- This handbook
- List of covered medications
- List of providers
- Letters, like complaint, denial, and appeal notices
Your use of benefits, complaints, appeals, or hearings will not be denied or limited based on your need for another language or format.