Published on Oct 08, 2021
https://www.oregon.gov/DHS/benefits : The Oregon Health Plan provides Oregonians access to coordinated health care. It covers services such as regular check-ups, prescriptions, mental health care, addiction treatment and dental care.
To see what OHP covers, view the benefit chart below or the page 2 of OHP's guide to understanding your welcome letter. OHP benefits are covered according to your benefit package and the Prioritized List of Health Services.
To find out if a specific service is covered, please ask your provider or coordinated care organization (CCO). More information about your coverage and your CCO was in your OHP welcome letter.
| Chemical dependency care | |
| Dental | Basic services including cleaning, fluoride varnish, fillings and extractions Urgent or immediate treatment Dentures Stainless steel crowns for molars (back teeth) Other crowns for pregnant women and children under age 21. Sealants, root canals on back teeth for children under age 21. |
| Hearing | Hearing aids and hearing aid exams |
| Home health | Private duty nursing |
| Hospice care | End-of-life care |
| Hospital care | Emergency treatment Inpatient and outpatient care |
| Immunizations and vaccines | Such as the flu shot or measles-mumps-rubella (MMR) vaccine |
| Labor, delivery and post-partum care | |
| Laboratory tests and X-rays | |
| Medical care from a physician, nurse practitioner or physician assistant | Such as a routine check-up or a general appointment |
| Medical equipment and supplies | Such as diabetes testing strips or crutches |
| Medical transportation | Such as an ambulance or non-emergency transportation to an appointment |
| Mental health care | Such as therapy or medical treatment |
| Physical, occupational and speech therapy | |
| Prescription drugs | OHP with Limited Drug only includes drugs that are not covered by Medicare Part D |
| Vision | Medical services Services to correct vision for pregnant women and children under age 21 Glasses are covered for pregnant adults and adults who have a qualifying medical condition such as aphakia or keratoconus, or after cataract surgery. |
Covers emergency medical, emergency dental and emergency transport services.
Only covers Medicare premiums and copayments (except for Medicare Part D) and deductibles.
Visit the How to Apply page to find out more about the application process and where to find an application.
Visit the New to OHP page to find more information about getting started with OHP.
Ask your provider or coordinated care organization (CCO) if a specific service is covered. You can also call OHP Client Services at 800-273-0557 for more information.
