Benefits summary

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.

 

Dental benefits*

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 requiredNo 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.