Oregon Health Plan benefit packages

What are the differences among OHP Plus, OHP with Limited Drug and OHP Standard?

These are three different benefit packages provided by the Oregon Health Plan (OHP).

OHP Plus is a full benefit package. Generally, it is provided to children and adults who are eligible for traditional Medicaid programs or for the Children's Health Insurance Program (CHIP). It does not have premiums. Some adults who get OHP Plus have small copayments for some outpatient services and prescription drugs.

OHP with Limited Drug offers the same benefits as OHP Plus, except it does not cover prescription drugs that Medicare Part D pays for. This package is for people who are eligible for both Medicaid and Medicare Part D (a national prescription drug plan). The OHP with Limited Drug benefit package does not have premiums. Some adults have small copayments for some outpatient services and prescription drugs.

OHP Standard is a limited benefit package provided under a specific medical program. The program covers only a limited number of uninsured adults who are not eligible for traditional Medicaid programs. Most adults who get OHP Standard must pay monthly premiums. OHP Standard does not have copayments.

Some members of your household may get the OHP Plus benefit package and some members may get the OHP Standard benefit package. An OMAP Medical Care Identification is mailed each month. It tells you who gets which benefit package.

The Client Handbook (PDF) provides more information.

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This page updated Sept. 2006.