Member Benefits

Below is a quick reference guide on which services are covered under the Oregon Health Plan. Please note that some services require a prior authorization.

Oregon Health Plan Quick Start Guide

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OHP Benefits ‐ Quick Reference Guide

ServicesPregnant Women & Under 2121 & Over who are Not Pregnant
Exams2 Every 12 mo.*1 every 12 mo.
Cleanings2 Every 12 mo.*1 every 12 mo.
Fluoride2 Every 12 mo.*1 every 12 mo.
Emergency ExamYesYes
FillingsYesYes
Root CanalPA Required**PA Required***
Retreat Root CanalPA Required–anterior onlyPA Required–anterior only
CrownsPA RequiredPA Required
DenturesPA RequiredPA Required
ExtractionsYesYes
Wisdom TeethPA RequiredPA Required
PA = Prior Authorization
* For children 18-years of age and under.
** Wisdom teeth, and 2nd molar for pregnant women, not covered.
*** Wisdom teeth and molars not covered.

Interpreter Services

Your FDCi membership also includes Passport To Languages translation services at no cost to you. Let your PCD Team know that you need a translator in your language for your next dental appointment. All interpreter services are available at no cost to you.

Non-Emergency Transportation Assistance

If you have no way to get to a covered dental appointment OHP may help you. OHP pays for rides to health care that OHP covers. This benefit is called non-emergency transportation. There is no cost to you for this service. Travel can be by bus, local ride share, or even help paying for gas if using your car. This help may require prior approval. Call your CCO or local service for more information or to ask for a ride. The numbers to call:
• Health Share – Ride to Care (855) 321-4899
• Trillium – MTM (877) 583-1552
• All other OHP members: Tri-county MedLink (866 ) 336-2906
For more information on local ride services, call your CCO. Or go to OHP.Oregon.gov then (click) ‘Rides to Appointments’. You may also call Family Dental Care, Inc. for assistance in arranging a ride.
OHP Non-Emergency Medical Transportation Map link: Oregon Medicaid Non-Emergent Medical Transportation Brokerage Information

Are you wanting to find ways to improve your oral health, like quitting smoking?

Quitting smoking tobacco can improve your oral health and physical health. Your OHP Dental Care includes smoking cessation benefits. Let your PCD know if you want to start setting some goals to reach for a better & healthier YOU!