Yes, the Oregon Health Plan (OHP) does pay for root canals, but with specific limitations based on the patient's age and the location of the tooth.
The Oregon Health Plan provides dental benefits to eligible members, which include coverage for root canal treatments under certain conditions. This coverage is specifically for root canals performed on back teeth and applies to children and youth who are under 21 years of age.
Understanding OHP Root Canal Coverage
OHP's dental benefits are designed to ensure essential oral health care is accessible. For root canals, the focus is on preserving natural teeth, particularly for younger individuals where early intervention can prevent more severe issues.
Here’s a summary of the specific conditions for OHP coverage of root canals:
| Dental Service | Coverage Details |
|---|---|
| Root Canals | Covered for back teeth only, for children and youth under age 21. |
This targeted approach helps manage the scope of services while addressing critical dental needs within the covered population.
Other Dental Services Covered by OHP
Beyond specific root canal coverage, the Oregon Health Plan generally covers a comprehensive range of dental services to maintain good oral health for its members. These commonly include:
- Fillings: For repairing cavities and restoring the structure of damaged teeth.
- Extractions: The removal of teeth that are beyond repair or are causing other oral health problems.
- Dentures: Available for youth over the age of 16 and for adults who require full or partial tooth replacement.
- Crowns:
- Stainless steel crowns for back teeth.
- Other types of crowns for children and youth under age 21, as well as for pregnant women.
It's always advisable to consult with your dental provider or refer to official Oregon Health Plan resources for the most current and detailed information regarding your specific dental benefits.
For more information on OHP dental benefits, you can visit official resources from the Oregon Health Authority or dental providers serving OHP members.
