Willamette Valley Community Health

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Benefits

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Benefits Covered under OHP Plus

To see what OHP covers, view the benefit chart below. OHP benefits are covered according to your benefit package and the Prioritized List of Health Services.

To find out if a specific service is covered, please ask your provider or coordinated care organization (CCO).
More information about your coverage and your CCO was in your OHP welcome letter.

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Oregon Health Plan

Coverage for adults under age 65.
OHP website.

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OHP Now Covers Me

Coverage for children.
Oregon.gov

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Benefits Chart

Physical health, dental, mental health care coverage under OHP plus.

Behavioral Health

Mental Health Care

  • Peer support services
  • Psychiatric medication management

Substance Use Disorder

  • Crisis services
  • Counseling
  • Detoxification

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 pregnant women and children under age 21.
  • Sealants, root canals on back teeth for children under age 21.

Physical Health

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

Pregnancy Care

  • Regular pregnancy checks
  • Prenatal vitamins
  • Newborn care and OHP coverage

Laboratory Tests and X-rays

  • Covered under medical care

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 transportation to an appointment

Physical, Occupational and Speech Therapy

  • Covered under medical care

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 pregnant women and children under age 21
  • Glasses are covered for pregnant adults and adults who have a qualifying medical condition such as aphakia or keratoconus, or after cataract surgery