Oklahoma Medicaid (SoonerCare)
Updated April 8, 2021 Medicaid
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
