| *Standard Population Limited Hospital Benefit Code List **Standard Benefit Package Limitations ( OAR 410-122-0055 ) |
||
| Covered Service | OHP Plus | OHP Standard |
|---|---|---|
| Acupuncture | X | Chemical Dependency Only |
| 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 |