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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.

Program Name SoonerCare
Expanded Medicaid Yes
Website https://oklahoma.gov/ohca.html
Phone 405-522-7300
Apply Online https://apply.okhca.org
Appeal a Denial 405-522-6205
Find a Local Office County Locations

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)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

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

Available Services Include:

Ambulance services Mental health services
Chemotherapy and radiation therapy Nursing facility services
Child health Nutritional services
Dental services (limited for adults) Pregnancy services
Medical equipment and supplies Personal care services
Family planning services and supplies Outpatient hospital services
Home health services Physician services
Inpatient hospital services Prescription drugs and insulin
Podiatry services Maternity services
Laboratory and X-ray services Quitting smoking & tobacco
Medical supplies and equipment Rural health clinic services

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

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