Commercial Preferred Provider Organization
NCQA is governed by a Board of Directors that includes employers, consumer and labor representatives, health plans, quality experts, policy makers and representatives from organized medicine.
Quick Reference Guide to OHP Plus and Standard Covered Services
| *Standard Population Limited Hospital Benefit Code List **Standard Benefit Package Limitations ( OAR 410-122-0055 ) 1Specific criteria must be met |
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| 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 Therapy | X | |
| Physician Services | X | X |
| Prescription Drugs | X | X |
| Private Duty Nursing | X | |
| Speech Therapy | X | |
| Vision Care | X | Eye Disease Treatment Only |
| X-rays | X | X |