Q:

What is the Oregon Health Plan?

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Quick Answer

The Oregon Health Plan is Oregon’s Medicaid services program for qualifying Oregon residents, including low-income seniors over age 65 and children under age 19. It also covers disabled, blind and pregnant Oregon residents and recipients of the state’s Temporary Aid to Needy Families, or TANF program, as of 2015.

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Full Answer

In addition, the Oregon Health Plan covers some low-income adults who do not qualify under the aforementioned parameters. Oregonians who receive benefits under the Supplemental Security Income, or SSI, program automatically qualify for the Oregon Health Plan.

Covered members of the Oregon Health Plan receive medical care from physicians, nurse practitioners and physician assistants, including general appointments and routine check-ups. The plan also covers medical transportation, including both ambulance and non-emergency transportation for plan members to get medical care. In addition, it covers medical equipment and supplies, such as crutches or diabetic testing strips, and immunizations and vaccines.

Other covered benefits include labor and delivery services for pregnant women and laboratory tests and X-rays for diagnostic exams. Mental health care, including both medical treatment and mental health therapy, are additional covered services.

The Oregon Health Plan offers basic dental services, including fillings and extractions, sealants, root canals and crowns for certain covered members. Members under age 21 receive vision care to correct vision problems, while pregnant members and some adults with qualifying conditions may receive corrective lenses under the program.

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