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In general, OHP covers health care services only when they are in your benefit package and are:
OHP covers services according to your benefit package and the Prioritized List of Health Services.
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 ONE.Oregon.gov (under "Current Benefits").
Learn more about your benefits in your OHP member handbook.
To learn what OHP covers, click each type of care for more details. You can also view the summary of OHP benefits and coverage.
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 Gender-affirming care Medical care Pregnancy care Prescriptions Telehealth 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 covers dental-only benefits for eligible Oregon Veterans and Compact of Free Association (COFA) citizens. Learn more about OHP's dental-only programs.
QMB does not cover health care. It only covers Medicare premiums and copayments (except for Medicare Part D) and deductibles.
How do I apply for OHP benefits?
Visit the Apply for OHP page. You can find out more about the application process and where to find an application.
How do I use my OHP benefits?
How do I cancel my OHP benefits?
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 HealthCare.gov:
Home
Flexible services for CCO members
OHP handbooks
Rules about covered services
Summary of benefits and coverage
We want to make sure you have the information you need.
Call 1-800-273-0557
Talk to your CCO
Email us
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