Quick reference guide to OHP Plus and Standard covered services

Reference guide
*Standard Population Limited Hospital Benefit Code List
**Standard Benefit Package Limitations (OAR 410-122-0055)
1Specific criteria must be met 2Coverage only available to children and pregnant women on OHP Plus
Covered service OHP Plus OHP Standard
Acupuncture X Chemical dependency only
Ambulatory surgical center X X
Audiology X Diagnostic exams only
Bariatric surgery1 X  
Chemical dependency X Outpatient only
Chiropractic & osteopathic manipulation X  
Dental X Limited emergency only
Emergent/urgent care X X
Hearing aids & exams X  
Home health X  
Hospice X X
Hospital care X Limited*
Immunizations X X
Laboratory services X X
Medical equipment & supplies X Limited**
Medical transportation X Emergency only
Occupational therapy X  
Physical oherapy X  
Physician services X X
Prescription drugs X X
Private duty nursing X  
Speech therapy X  
Non-routine vision care X X
Routine vision care2 X  
X-rays X X

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