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Oregon Health Plan (OHP) Benefits

What Does OHP Cover?

In general, OHP covers health care services only when they are in your benefit package and are:

  • Supplied in the United States by providers who accept the Oregon Health ID card and
  • Medically necessary. This means the service is important to keep you healthy or help you get better.

OHP covers services according to your benefit package and the Prioritized List of Health Services.

Learn about Your Benefits

To know what benefits you have, view your OHP coverage letter. It lists your benefit package.

Don't have your OHP coverage letter? Look in your dashboard at (under "Current Benefits").

Learn more about your benefits in your OHP member handbook.

OHP Benefits: OHP Plus and OHP with Limited Drug

To learn what OHP covers, click each type of care for more details.

Behavioral health care   Care coordination   Dental careDiagnostic and preventive care   Emergency care and urgent care   EPSDT (care from birth to age 21)   Eye and vision care   Medical care   Pregnancy care   Prescriptions   Travel help   Limited or not covered services  

Some OHP members may also qualify for health-related social needs benefits. These benefits are for members facing certain life changes. Learn more about these benefits:

Health-related social needs   Climate supports  

OHP Dental

OHP Dental covers dental-only benefits for eligible Oregon Veterans and Compact of Free Association (COFA) citizens. Learn more about OHP's dental-only programs.

Qualified Medicare Beneficiary (QMB)

QMB does not cover health care. It only covers Medicare premiums and copayments (except for Medicare Part D) and deductibles.

Frequently Asked Questions

​Visit the Apply for OHP page. You can find out more about the application process and where to find an application.​

There are three steps to getting started using your OHP benefits:​
  1. Get to know your coordinated care organization (CCO). Your CCO can help you get the care you need.
  2. Pick a provider.
  3. Make an appointment.
​Visit the New to OHP page. You can find more information about getting started with OHP.

​You can report it as a change to OHP. Learn how to report changes to OHP.

Note: If you qualify for OHP Plus benefits but want to enroll in private health insurance coverage, known as a Qualified Health Plan (QHP), at

  • Canceling your OHP does not mean that you no longer qualify for OHP Plus.
  • As long as you qualify for OHP Plus, you will not qualify for financial help to pay for the QHP's monthly premium. You would need to pay full cost.


Member Resources

Flexible services for CCO members

OHP handbooks

Rules about covered services


We want to make sure you have the information you need. 

 Call 1-800-273-0557

Talk to your CCO

  Email us