Oral pathology covered under the OHP dental benefit package

by User Not Found | Nov 30, 2020

The OHP dental benefit package includes services related to teeth and supporting structures. CareOregon Dental occasionally receives oral surgery requests for pathology not covered under the OHP dental benefit package, causing a delay in care.

Requests involving pathology other than teeth or supporting structures should, in partnership with the patient’s primary care provider, be submitted to the patient’s OHP physical health plan.

OHP Dental Benefit Package Includes
(Send to CareOregon Dental):

  • Teeth
  • Gingiva
  • Cementum
  • Alveolar bone
  • Periodontal ligament

OHP Dental Benefit Package does NOT Include
(Send to physical health plan):

  • Jaw fractures
  • Pathology of the
    • Tongue, lips, cheeks
    • Floor of the mouth
    • Oropharynx
    • Sinuses
    • Salivary glands

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