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 NameSoonerCare
Expanded MedicaidYes
Websitehttps://oklahoma.gov/ohca.html
Phone405-522-7300
Apply Onlinehttps://apply.okhca.org
Appeal a DenialFair Hearings and Appeals
Find a Local OfficeCounty 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 servicesMental health services
Chemotherapy and radiation therapyNursing facility services
Child healthNutritional services
Dental services (limited for adults)Pregnancy services
Medical equipment and suppliesPersonal care services
Family planning services and suppliesOutpatient hospital services
Home health servicesPhysician services
Inpatient hospital servicesPrescription drugs and insulin
Podiatry servicesMaternity services
Laboratory and X-ray servicesQuitting smoking & tobacco
Medical supplies and equipmentRural 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