What does Oregon health plan cover for dental?

What dental procedures does OHP cover?

OHP covers annual cleanings, x-rays, fillings, and other services to keep your teeth healthy. Healthy teeth can help your heart and body stay healthy, too. OHP covers annual cleanings, x-rays, fillings, and other services that keep your teeth healthy. You should see your dentist every year.

Does OHP plus cover dental?

CAWEM Plus: must be pregnant; dental coverage is equivalent to OHP Plus Supplemental for pregnant adults. If you need help to update your handbook or need a different format or language, please ask your worker or call 1-800-699-9075.

Does Oregon Medicaid include dental?

The Oregon Health Plan (OHP)/Medicaid provides health care coverage including medical, dental and mental health care, and substance abuse treatment for low-income adults and children living in Oregon.

Does Oregon have free dental?

Free and low cost dental care is provided to children in both southern Oregon, northern California, and the Medford Oregon area. Care is for low income families and the uninsured.

Does OHP pay for root canals?

Taking care of your teeth and gums is an important way to take care of your overall health.

Oregon Health Plan (OHP) covers:

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OHP dental benefits* Pregnant women and members under 21 All other members
Crowns Limited Limited/stainless steel
Oral surgery
Extractions Covered Covered
Root canal therapy Covered Limited

Does OHP cover wisdom tooth removal?

*Benefits may be subject to prior authorization requirements and frequency limitations.

Dental benefits*

Dental benefits* Authorization/Referral? Limits to Care?
Extraction (removing teeth) of wisdom teeth Yes, authorization/referral is required No limit

Does OHP cover jaw surgery?

In accordance with Oregon House Bill 4128, maxillofacial prosthetic services may be considered medically necessary and covered as an adjunctive treatment.

Does OHP cover anesthesia?

PacificSource Medicaid follows Oregon Health Plan (OHP) per Oregon Administrative Rules (OAR) 410-123-1000 to 1640 for coverage of Anesthesia or Sedation for Dental Procedures. … The dental provider requests a first-level Hospital Dentistry PA request approval from the appropriate DCO.

What is the difference between OHP and OHP Plus?

OHP Plus (BMH) is the most comprehensive benefit. It covers most health care services. … OHP with Limited Drug (BMD or BMM) covers the same benefits as OHP Plus, except it does not cover drugs that Medicare Part D should cover.

Is OHP Medicaid?

The Oregon Health Plan is a Medicaid expansion program authorized by the Oregon Legislature and approved under Federal waivers of Medicaid rules. Oregon Health Plan program pays for health care and other service needs of its clients.

Does OHP have coverage?

How do I find out if a specific service is covered under OHP? Ask your provider or coordinated care organization (CCO) if a specific service is covered. You can also call OHP Client Services at 800-273-0557 for more information.

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How do I find out what dental insurance I have?

The best way is to ask your dentist. You can also check the provider directory for each plan at www.opm.gov/healthcare-insurance/dental-vision/plan-information/.

What is a medical dental service?

​​​​Medi-Cal Dental Program

​The Medi-Cal Dental Program covers a variety of dental services for Medi-Cal beneficiaries, such as: Diagnostic and preventive dental hygiene (e.g. examinations, x-rays, and teeth cleanings); … Tooth extractions; Fillings; Root canal treatments (anterior/posterior);

What does OHP Plus mean?

OHP Plus is a benefit package that covers more services than OHP Standard. OHP Plus includes: • Access to regular check-ups and preventive care. • Access to primary care doctors. • Mental health care services.