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.
Can adults get SoonerCare in Oklahoma?
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.
What are the income guidelines for SoonerCare in Oklahoma?
*In addition to income, there are different eligibility requirements and benefit packages available.
2022 SoonerCare Income Guidelines for Expansion Adults (effective: 4/1/2022)
| Size of Household | Monthly Income | Annual Income |
|---|---|---|
| 1 | $1,564 | $18,768 |
| 2 | $2,106 | $25,272 |
| 3 | $2,650 | $31,800 |
| 4 | $3,192 | $38,304 |
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.
Is SoonerCare for poor people?
A household is eligible for the program if the household income is at or below 200% of the Federal Poverty Level. More than 85% of SoonerCare members are below that level.
What does SoonerCare cover for adults 2022?
SoonerCare provides coverage for dental care, preventive care, family planning services, behavioral health, and substance abuse services as well as inpatient hospital services.
What documents do I need 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.
What is the difference between 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.
What is the income limit for food stamps in Oklahoma?
Who is eligible for this program?
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $17,667 |
| 2 | $23,803 |
| 3 | $29,939 |
| 4 | $36,075 |
What type of insurance 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.
Does Oklahoma have free health insurance?
Oklahoma Medicaid guarantees coverage for basic health and long-term care services based upon income and/or resources for eligible Oklahoma residents. Medicaid is a Federal and state entitlement program that provides medical benefits to low-income individuals who have no or inadequate health insurance coverage.
What is the difference between SoonerCare and SoonerPlan?
SoonerPlan is Oklahoma’s family planning program for women and men who are not enrolled in regular SoonerCare services.
Who qualifies for Medicaid in Oklahoma?
Eligibility: The aged, blind, and disabled. Also, parents with income up to 42% of poverty, pregnant women with income up to 138% of poverty level, and children under age 19 with income up to 205% of poverty. Insure Oklahoma helps cover the cost of private insurance for adults with income below poverty level.
Does SoonerCare cover hospital visits?
(A) Inpatient hospital visits for all SoonerCare covered stays. All inpatient services are subject to post-payment review by the OHCA, or its designated agent.
What is the poverty level income in Oklahoma?
How is poverty defined? In 2018, the federal poverty income threshold was $25,465 for a family of four with two children, and $17,308 for a single parent of one child. If a family’s total income is less than the corresponding threshold, then that family and every individual in it is considered in poverty.
Does SoonerCare pay for medications?
SoonerCare will pay for prescriptions written by SoonerCare contracted doctors. If the out-of-state doctor is a SoonerCare doctor, then it will be covered. If they are not a SoonerCare doctor, the prescription will not be covered by SoonerCare.
Does SoonerCare cover glasses for adults?
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 cover MRIS?
Extension procedures do not apply to magnetic resonance imaging (MRI), magnetic resonance angiography (MR), positron emission tomography (PET) scans, cardiac catheterization procedures, pregnancy-related services, and several other categories of outpatient care.
Does SoonerCare cover pre existing conditions?
You can apply multiple times or update your application, and the approval process is instant if you’re on the phone or applying online. Those who are eligible will want to have coverage before they accrue any medical bills. “Pre-existing conditions are covered.
Can I have SoonerCare and private insurance?
There is no minimum time limit that members may utilize SoonerCare coverage. Additionally, SoonerCare can act as a supplemental insurance to primary insurance coverage.
Does Oklahoma SoonerCare pay for dentures?
The OHCA will add dental examinations, x-rays, dental cleanings, fluoride, dental fillings, scaling and root planing, as well as dentures and partial dentures as covered services for SoonerCare adult members. Adult SoonerCare members will have access to the aforementioned dental services effective July 1, 2021.