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Oregon Health Plan (OHP) Benefits

 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.

HearingHearing aids and hearing aid exams
Home healthPrivate duty nursing
Hospice care End-of-life care
Hospital care

Emergency treatment

Inpatient and outpatient care

Immunizations and vaccinesSuch 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 assistantSuch as a routine check-up or a general appointment
Medical equipment and suppliesSuch as diabetes testing strips or crutches
Medical transportationSuch as an ambulance or non-emergency travel to an appointment
Mental health careSuch as therapy or medical treatment
Physical, occupational and speech therapy 
Prescription drugsOHP 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

​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.

​Ask your provider or coordinated care organization (CCO). You can also call OHP Client Services at 800-273-0557.