Summary of your benefits.
The chart below includes an overview of CareOregon Dental plan benefits. These benefits, and any other information you need, is found in your handbook. Click here for the Health Share Member Handbook or the Columbia Pacific CCO Member Handbook.
|Authorization/Referral?||Limits to Care?|
|Exams, cleanings, X-rays||No authorization/referral required|
At least one exam and cleaning every 12 months for adults.Two exams and cleanings every 12 months for members under 19.
|Basic restorative care (fillings)||No authorization/referral required||No limit|
|Dentures and partials||Yes, authorization/referral is required|
Only available for qualifying members or incidents.Call our customer service for more details.
|Sealants||No authorization/referral required||Every five years for children 15 and under with permanent molars.|
|Stainless steel crowns||No authorization/referral required||Approval based on OHP guidelines. Call our customer service for more details.|
|Extraction (removing teeth) of wisdom teeth||Yes, authorization/referral is required||No limit|
|Extractions (removing teeth) for orthodontics||Yes, authorization/referral is required||Approval based on OHP guidelines.|
|Urgent or immediate dental treatment (emergency)||No authorization/referral required||No limit|
*Benefits may be subject to prior authorization requirements and frequency limitations.
If you have questions regarding your CareOregon Dental plan, call CareOregon Dental Customer Service at 503-416-1444, toll-free 888-440-9912 or TTY 711.