In general, the following groups of individuals may qualify for SoonerCare services:
- Adults with children under 19
- Children under 19 and pregnant women
- Adults, not eligible for Medicare, age 19-64
- Individuals 65 and older
- Individuals who are blind or who have disabilities
- Women under 65 in need of breast or cervical cancer treatment
- SoonerPlan - Men and women 19 and older with family planning needs
Full Answer
Is SoonerCare the same as Oklahoma Medicaid?
The Medicaid program in Oklahoma is called SoonerCare. The name “Sooner” goes back into the state’s history. Oklahoma was one of the states that accepted federal funding that is designed to be used in order to create a state health insurance exchange. Eligible people will be able to apply for Medicaid through the exchange. What is a Sooner?
Who can apply for SoonerCare?
People who are eligible can apply beginning June 1. In order to be eligible for Soonercare benefits, you must be between 19 and 64 years old and have an income that is 138% of the federal poverty line or lower. That's an estimated income of just under $18,000 for an individual or around $36,500 for a family of four.
Who is eligible for SoonerCare?
To qualify for SoonerCare, a person must:
- Reside in Oklahoma;
- Be a U.S. citizen or qualified alien (most immigrants who arrived after August 22, 1996 are barred from the program for five years);
- Meet financial income and resources standards in certain categories.
How to sign up for SoonerCare?
- Online at www.MySoonerCare.org
- Apply by phone by calling the SoonerCare Helpline 800-987-7767
- Fill out an English or Spanish application and mail it to the address on the application
- Apply through one of the Oklahoma Health Care Authority partner facilities
What is the max income to qualify for SoonerCare?
On June 30, 2020, Oklahomans voted to expand SoonerCare eligibility to adults ages 19-64 whose income is 138% of the federal poverty level or lower through Medicaid expansion. This change equates to an estimated annual income of $17,796 for an individual or $36,588 for a family of four.
Can adults get SoonerCare in Oklahoma?
In June 2020, the Oklahoma Medicaid Expansion Initiative passed by a majority vote to expand Medicaid eligibility to adults ages 19-64 whose income is 138% (133% with a 5% disregard) of the federal poverty level or lower. Adults began applying for SoonerCare on June 1, 2021.
What is the difference in SoonerCare and Medicaid?
SoonerCare is the brand name given to Oklahoma's Medicaid program. Medicaid is a program that covers medical expenses for certain groups of people who have limited income and resources. The Oklahoma Health Care Authority is the state agency that administers the program.
Can you get SoonerCare with no income?
Adult SoonerCare now available for many Adults with or without children. Children & pregnant womencan get and stay on SoonerCare at higher income levels than most adults. Unemployed or $0 income Adults may qualify (the extra $300 unemployment does notcount as income). There is no work requirement.
What does SoonerCare for adults pay for?
SoonerCare provides coverage for dental care, preventive care, family planning services, behavioral health, and substance abuse services as well as inpatient hospital services.
How much is SoonerCare monthly?
Eligible beneficiaries in Oklahoma receive coverage through Medicare Part A at no cost if they have met eligibility requirements. If you don't meet requirements, then you will need to buy Part A at a cost of up to $437 per month in 2019.
Does SoonerCare cover all medical expenses?
Will SoonerCare cover all medical services? SoonerCare will pay for most medical services, but not all. If you do not know if a service is covered by SoonerCare, ask your provider or call the SoonerCare helpline at 800-987-7767.
Does SoonerCare cover surgery?
Payment is made to physicians for medical and surgical services for members under the age of twenty-one (21) within the scope of the SoonerCare program, provided the services are medically necessary for the diagnosis and treatment of illness or injury, or to improve the functioning of a malformed body member.
At what age does SoonerCare stop?
SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.
What is the income limit for food stamps in Oklahoma 2022?
One person in the household: $25,760. Two people in the household: $34,840. Three people in the household: $43,920. Four people in the household: $53,000.
What documents are needed for SoonerCare?
Federal Law Requires Proof of Citizenship and Identity If you are applying for SoonerCare for the first time, you must provide one-time proof of your U.S. citizenship and identity. This flyer explains how to send in that proof. Newborn children (under age one) of SoonerCare members do not have to show proof.
Can you get SoonerCare if you are unemployed?
Unemployed or $0 income adults may qualify, even if they do not have children. No work requirement. Income numbers are estimates. Higher incomes may be accepted, and not all types of income count towards total.
Does SoonerCare cover vision for adults 2022?
Is this correct? Vision coverage for SoonerCare adults over the age of 21 is limited to services related to eye disease or injury. There is no routine eye exam or glasses benefit for SoonerCare members who are over 21 years old.
Does SoonerCare end at 18?
SoonerCare, Oklahoma's Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.
What is the income limit for food stamps in Oklahoma 2022?
One person in the household: $25,760. Two people in the household: $34,840. Three people in the household: $43,920. Four people in the household: $53,000.
What is the maximum income to qualify for Medicaid in Oklahoma?
Who is eligible for Oklahoma Medicaid?Household Size*Maximum Income Level (Per Year)1$18,0752$24,3533$30,6304$36,9084 more rows
What is Medicare and SoonerCare?
Medicare is a federal health insurance program administered by the Centers for Medicare & Medicaid Services (CMS). Medicare provides coverage mostly to individuals age 65 or older and some people with disabilities. If you are on Medicare and you qualify for SoonerCare, most of your health care costs are covered.
What is Oklahoma Medicaid?
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.
Does SoonerCare cover Medicare?
If you are on Medicare and you qualify for SoonerCare, most of your health care costs are covered. If you have low income and limited assets, SoonerCare may help pay some or all of Medicare premiums and cost sharing expenses. To apply for Medicare benefits, visit or call your local Social Security Office.
Who can opt in to SoonerCare?
The following SoonerCare populations, including those eligible through Medicaid expansion, will be asked to choose from one of the health plans: children, low-income parents, and pregnant women. American Indian/Alaska Native members are considered voluntary and will have the option to opt-in to a managed care plan.
When will the Soonercare plan be available?
The adult population will be under the current SoonerCare Traditional Plan until October 1. Those adults approved for SoonerCare benefits through expansion will then transition to a managed care service delivery model called SoonerSelect.
When does SoonerCare start in Oklahoma?
Oklahoma City, OK – Starting Tuesday, June 1 , those adults eligible under the expanded Medicaid guidelines can apply for SoonerCare. Benefits for those who qualify will begin on July 1.
How to help former inmates get SoonerCare?
Coordinate with jails and prisons to help former inmates apply for SoonerCare coverage upon release, helping them get access to important behavioral health services immediately, thus reducing the risk of recidivism.
