Quick reference guide to OHP Plus and Standard covered services

Covered service	OHP Plus	OHP Standard
^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
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