Your Oregon Health Plan Benefits

The chart below shows what benefits are available under your OHP coverage. Check with your provider or call Health Share Customer Service to see if a specific service is covered.

You can also read the Oregon Health Plan Client Handbook for more information.

 

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 kids under age 21
  • Sealants, root canals on back teeth for kids under age 21

Hearing  aids and hearing aid exams

Home health; private duty nursing

Hospice care

Hospital care

  • Emergency treatment

Immunizations

Labor and delivery

Laboratory tests and X-rays

Medical care from a physician, nurse practitioner or physician assistant

Medical equipment and supplies

Medical transportation

Mental health care

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.


The Prioritized List

Learn how the Prioritized List of health services helps determine what services the Oregon Health Plan covers. Effective Jan. 1, 2015, OHP covers Prioritized List lines 1 through 476.​ You can visit OHP’s website to see the entire 2015 Prioritized List of health services.