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Oregon Health Plan (OHP) Medical Benefits

Physical Health Services and Prescriptions

This care includes emergency care and ambulance services, diagnostic and preventive care, pregnancy care, prescriptions and the following services.

​Hearing aids and related batteries, dispensing, fitting and repair 

Hearing services performed by a licensed physician, audiologist or hearing aid specialist​

​Care provided by a registered nurse or home health aide

Physical, occupational or speech-language pathology services

​Home care

Inpatient care at a hospital, hospice or nursing facility

Respite care to relieve family members or caregivers

​Emergency treatment

Inpatient and outpatient care

​Medical care from a physician, nurse practitioner or physician assistant, such as a routine check-up or a general appointment; acupuncture and chiropractic services; surgery; specialist care​

​​Purchase, rental or repair of medical equipment, such as:

  • Canes or crutches
  • CPAP devices
  • Hospital beds
  • Oxygen equipment
  • Standing and positioning aids
  • Walkers
  • Wheelchairs

Medical supplies, such as:

  • Diabetes testing strips
  • Incontinent supplies

Home enteral/parenteral nutrition and IV therapy​

Oral nutritional supplements

Related goods, supplies and services​​

​Therapy to improve skills or function for daily living:

  • Up to 30 visits per year to restore skills following an illness, injury or disability, or
  • Up to 30 visits per year to teach age-appropriate skills (such as therapy for a child who is not walking or talking at the expected age).

​The following services are available for adults and teens:

  • Family planning visits (physical exam and birth control education)
  • Birth control, including condoms, birth control pills, immediate post-partum IUD and implants
  • Sterilization services, including vasectomies, getting tubes tied, immediate post-partum IUD and implants

Other services include: `

  • Annual exam
  • Regular screenings and tests (such as pelvic exams and Pap tests)
  • Pregnancy testing
  • Screenings for sexually transmitted diseases (STDs)
  • Abortion, and
  • Testing and counseling for AIDS and HIV.

You can go to any of the following places for family planning services: (If you are in a CCO, you may need a doctor's referral for family planning services provided outside of the CCO's network.)

  • A county health department
  • A family planning clinic or
  • Any provider that will take your Oregon Health ID.

​OHP pays for services and medications to help you stop smoking, such as:

  • Nicotine replacement therapy (such as nicotine gum or patch)
  • Tobacco cessation medications (such as Chantix and Zyban) and
  • Counseling.

To learn more, talk to your primary care provider. 

​​Oregon Quit Line 

​OHP respects the health care needs of all members. This includes trans women, trans men, gender nonconforming, two-spirit and non-binary members. 

OHP covers gender affirming services according to the World Professional Association for Transgender Health Standards of Care (Version 8). This includes hormone therapy, counseling and surgeries. 

To learn more, contact your CCO or OHP Client Services.​

To Get Medical Care:

If you are in an OHP coordinated care organization (CCO) that covers medical care:

  • Call your CCO to choose health providers. You can choose a primary care doctor, nurse practitioner and more.
  • If you don't want to choose a provider, your CCO may choose one for you to get started.
If you are not in a CCO, you need to see a provider that accepts fee-for-service OHP. This means the provider bills OHA for services they provide.