Oklahoma Health Insurance
What is SoonerCare?
SoonerCare (Oklahoma Medicaid) is a health coverage program jointly funded by the federal and state government. This program helps pay some or all medical bills for many people who can’t afford them. The Oklahoma Health Care Authority (OHCA) is the state agency that administers the program and determines financial eligibility for the program.
Who Qualifies?
To qualify for SoonerCare, a person must:
- Reside inOklahoma;
- Be aU.S.citizen or qualified alien (most immigrants who arrived afterAugust 22, 1996are barred from the program for five years);
- Meet financial income and resources standards in certain categories.
What services are paid?
Covered health care services may include doctor visits, hospitalization and prescriptions. For more details please see the Benefits page.
What does it cost?
There is no cost for those who meet the income guidelines; however, co-pays may apply to some Programs
American Indiansmay choose services from Indian Health Service, tribal and Urban Indian Health programs. more »
Child Health, also known as Early and Periodic Screening, Diagnosis and Treatment (EPSDT), is a preventive health care package for children age 20 or younger enrolled in Oklahoma Medicaid. more »
Oklahoma Cares is the Breast and Cervical Cancer Treatment Program that provides SoonerCare benefits to uninsured women under 65, who need treatment for breast or cervical cancer (including pre-cancerous conditions and early stage cancer). more »
Opportunities for Living Life (OLL)is a system of health care providing long-term care and support in home and community-based settings, in nursing homes, in small and large residential care facilities or group homes, and in the workplace. This includes Living Choice, PACE, Focus On Excellence, Oklahoma Long-Term Care Partnership, Certified Nurse Aide Trainging program and more. more »
Pregnancy Services are services designed to ensure that every qualified pregnant woman has access to medical care, with the goal of lowering Oklahoma’s infant mortality rate and improving maternal and infant health. more>>
SoonerCare Choice is a Primary Care Case Management (PCCM) program in which each member has a medical home. The medical home provider will coordinate all health care services to qualifying Oklahomans. Please visit our Qualification Guidelines page to find out if you qualify. more »
SoonerCare Health Management Program is an innovative and comprehensive approach to chronic disease management. more »
SoonerCare Supplemental is a plan that pays the coinsurance and deductible and provides medical benefits that supplement those services covered by Medicare. more »
SoonerCare Traditional is a comprehensive medical benefit plan that purchases benefits for members as they receive a service. SoonerCare Traditional provides coverage for members who qualify for Medicaid and are institutionalized, in state or tribal custody or enrolled under a Home and Community-Based Waiver. The member accesses services from contracted providers, and the OHCA pays the provider on a fee-for-service basis. more »
SoonerPlan is a benefit plan covering limited services related to family planning, to uninsured women and men ages 19 and older, in an effort to reduce unwanted pregnancies. more »
SoonerRide provides free non-emergency transportation to and from SoonerCare covered appointments. more »
