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| *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 |
||
| 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 | |
| Non-Routine Vision Care | X | X |
| Routine Vision Care2 | X | |
| X-rays | X | X |