COVID-19: OHP covers testing, treatment and vaccines.
Have OHP and need a test for COVID-19? It’s covered. Need to stay in the hospital because of COVID-19? That’s covered, too. Learn more on OHP's COVID-19 page.
OHP provides Oregonians access to coordinated health care. It covers services such as:
- Regular check-ups
- Prescriptions
- Mental health care
- Addiction treatment
- Dental care
OHP covers services according to:
OHP Plus, OHP with Limited Drug and CWM Plus Benefits
To see what OHP covers, view the chart below.
- Do you want to know if OHP covers a specific service? If so, please ask your provider or coordinated care organization (CCO).
- Your
OHP welcome letter lists your benefit package and CCO.
| 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 children under age 21 and pregnant adults.
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 postpartum care
| Postpartum care lasts 12 months for OHP Plus members, and 60 days for CWM Plus members. Learn more about CWM Plus benefits.
|
| 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 travel 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 children under age 21 and pregnant adults
Glasses are covered for pregnant adults and adults who have a qualifying medical condition. These include aphakia , keratoconus, or after cataract surgery. |
Other Benefit Packages
Citizenship Waived Medical (CWM)
Covers emergency medical, emergency dental and emergency transport services; treatment for end-stage renal disease (kidney failure); cancer treatment; behavioral health crisis services; reproductive health services. Learn more about CWM benefits.
Qualified Medicare Beneficiary (QMB)
Only covers Medicare premiums and copayments (except for Medicare Part D) and deductibles.
Frequently Asked Questions
How do I use my OHP benefits?
There are three steps to getting started using your OHP benefits:
- Get to know your coordinated care organization (CCO). Your CCO can help you get the care you need.
- Pick a provider.
- Make an appointment.
Visit the
New to OHP page. You can find more information about getting started with OHP.