Physical Health Services and Prescriptions
This care includes
emergency care and ambulance services,
diagnostic and preventive care,
pregnancy care,
prescriptions,
COVID-19 services and the following services.
Hearing aids and related batteries, dispensing, fitting and repair
Hearing services performed by a licensed physician, audiologist or hearing aid specialist
Care provided by a registered nurse or home health aide
Physical, occupational or speech-language pathology services
Home care
Inpatient care at a hospital, hospice or nursing facility
Respite care to relieve family members or caregivers
Emergency treatment
Inpatient and outpatient care
Medical care from a physician, nurse practitioner or physician assistant, such as a routine check-up or a general appointment; acupuncture and chiropractic services; surgery; specialist care
Purchase, rental or repair of medical equipment, such as:
- Canes or crutches
- CPAP devices
- Hospital beds
- Oxygen equipment
- Standing and positioning aids
- Walkers
- Wheelchairs
Medical supplies, such as:
- Diabetes testing strips
- Incontinent supplies
Home enteral/parenteral nutrition and IV therapy
Oral nutritional supplements
Related goods, supplies and services
Therapy to improve skills or function for daily living:
- Up to 30 visits per year to restore skills following an illness, injury or disability, or
- Up to 30 visits per year to teach age-appropriate skills (such as therapy for a child who is not walking or talking at the expected age).
The following services are available for adults and teens:
- Family planning visits (physical exam and birth control education)
- Birth control, including condoms, birth control pills, immediate post-partum IUD and implants
- Sterilization services, including vasectomies, getting tubes tied, immediate post-partum IUD and implants
Other services include: `
- Annual exam
- Regular screenings and tests (such as pelvic exams and Pap tests)
- Pregnancy testing
- Screenings for sexually transmitted diseases (STDs)
- Abortion, and
- Testing and counseling for AIDS and HIV.
You can go to any of the following places for family planning services: (If you are in a CCO, you may need a doctor's referral for family planning services provided outside of the CCO's network.)
- A county health department
- A family planning clinic or
- Any provider that will take your Oregon Health ID.
OHP pays for services and medications to help you stop smoking, such as:
- Nicotine replacement therapy (such as nicotine gum or patch)
- Tobacco cessation medications (such as Chantix and Zyban) and
- Counseling.
To learn more, talk to your primary care provider.
Oregon Quit Line
OHP respects the health care needs of all members. This includes trans women, trans men, gender nonconforming, two-spirit and non-binary members.
OHP covers gender affirming services according to the World Professional Association for Transgender Health Standards of Care (Version 8). This includes hormone therapy, counseling, surgeries and non-surgical treatments to support gender identity.
Learn more about gender-affirming care.
To Get Medical Care:
If you are in an OHP coordinated care organization (CCO) that covers medical care:
- Call your CCO to choose health providers. You can choose a primary care doctor, nurse practitioner and more.
- If you don't want to choose a provider, your CCO may choose one for you to get started.
If you are not in a CCO, you need to see a provider that accepts fee-for-service OHP. This means the provider bills OHA for services they provide.