Oklahoma Medicaid (SoonerCare)

SoonerCare is Oklahoma’s Medicaid program. It is a federal and state entitlement program that provides medical benefits to low-income individuals who have no or inadequate health insurance coverage. 

Oklahoma Medicaid guarantees coverage for basic health and long-term care services based upon income and resources for eligible Oklahoma residents.

Eligibility Requirements

To be eligible for Oklahoma Medicaid, you must be a resident of the state of Oklahoma, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

• Pregnant
• Be responsible for a child 18 years of age or younger
• Blind
• Have a disability or a family member in your household with a disability
• Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Additional Services for Children:

• Hearing aids
• Immunizations
• Optometric services
• Orthodontics
• Physical and occupational therapy
• Private duty nursing
• Speech, hearing, and language disorder services

Copayments

Oklahoma charges $4 each for most office visits and prescriptions.

The following groups and services are exempt from copays:

• Children
• Certain American Indians and Alaskan Natives
• Persons receiving Nursing Home care
• Persons receiving hospice care
• Pregnancy-related services