Medicaid SoonerCare is a government health insurance program that provides medical coverage to individuals and families with low incomes and limited resources in Oklahoma. The program is funded jointly by the federal government and the state of Oklahoma. It is designed to help people who are unable to afford health insurance on their own. Medicaid SoonerCare covers a wide range of medical services, including doctor visits, hospital care, prescription drugs, and mental health services. The program also provides coverage for long-term care services for people who need help with activities of daily living, such as bathing, dressing, and eating.
Medicaid Expansion and SoonerCare
Medicaid expansion is a provision of the Affordable Care Act that allows states to extend Medicaid coverage to people with incomes up to 138% of the federal poverty level. SoonerCare is Oklahoma’s Medicaid expansion program.
Medicaid Expansion
- Passed as part of the Affordable Care Act in 2010
- Allows states to extend Medicaid coverage to people with incomes up to 138% of the federal poverty level
- Has been adopted by 38 states and the District of Columbia
- Has provided health insurance to millions of Americans who previously did not have it
- Has been shown to improve health outcomes and reduce poverty
SoonerCare
- Oklahoma’s Medicaid expansion program
- Provides health insurance to adults ages 19-64 with incomes up to 138% of the federal poverty level
- Covers a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health care
- Has been in effect since 2020
- Has provided health insurance to over 200,000 Oklahomans
| Medicaid Expansion | SoonerCare | |
|---|---|---|
| Eligible population | Adults and children with incomes up to 138% of the federal poverty level | Adults ages 19-64 with incomes up to 138% of the federal poverty level |
| Covered services | A wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health care | A wide range of medical services, including doctor visits, hospital stays, prescription drugs, and mental health care |
| Cost | The federal government pays 90% of the cost, with states paying the remaining 10% | The federal government pays 90% of the cost, with the state paying the remaining 10% |
| Number of people covered | Over 12 million people nationwide | Over 200,000 people in Oklahoma |
Medicaid expansion and SoonerCare have been successful in providing health insurance to millions of Americans who previously did not have it. These programs have also been shown to improve health outcomes and reduce poverty. If you are eligible for Medicaid expansion or SoonerCare, we encourage you to apply.
SoonerCare Eligibility
SoonerCare is Oklahoma’s Medicaid program, which provides health coverage to eligible low-income individuals and families. To be eligible for SoonerCare, you must meet certain requirements, including:
- Residency: You must be a resident of Oklahoma.
- Income: Your income must be below certain limits. The income limits vary depending on the type of coverage you are applying for and the number of people in your household.
- Citizenship or immigration status: You must be a U.S. citizen, legal resident, or meet specific immigration requirements.
- Other requirements: You may also need to meet other requirements, such as being a parent or caretaker of a dependent child or being pregnant.
To apply for SoonerCare, you can visit the Oklahoma Health Care Authority (OHCA) website, call the OHCA Customer Service Center, or visit a local SoonerCare office.
SoonerCare Coverage
SoonerCare provides a wide range of health care services to eligible individuals and families, including:
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Dental care
- Vision care
- Family planning services
- Long-term care
The specific services covered by SoonerCare vary depending on the type of coverage you have. For example, some SoonerCare plans cover only basic health care services, while others cover more comprehensive services.
To learn more about SoonerCare coverage, you can visit the OHCA website, call the OHCA Customer Service Center, or visit a local SoonerCare office.
| Eligibility | Coverage |
|---|---|
| Residency: Oklahoma resident | Doctor visits |
| Income: Below certain limits | Hospital care |
| Citizenship or immigration status: U.S. citizen, legal resident, or meets specific immigration requirements | Prescription drugs |
| Other requirements: Parent or caretaker of a dependent child, pregnant, etc. | Mental health services |
Medicaid SoonerCare
Medicaid SoonerCare is a health insurance program for low-income Oklahomans. It provides coverage for medical care, including doctor visits, hospital stays, and prescription drugs.
Applying for SoonerCare
To apply for SoonerCare, you can:
- Go online to the Oklahoma Health Care Authority (OHCA) website
- Call the OHCA at 1-800-987-7767
- Visit your local OHCA office
You will need to provide information about your income, assets, and household size. You may also need to provide proof of your identity and citizenship.
Eligibility
To be eligible for SoonerCare, you must meet certain requirements, including:
- Be a resident of Oklahoma
- Be a U.S. citizen, resident alien, or certain other qualified non-citizens
- Have a low income
- Not have health insurance from another source
The income limits for SoonerCare vary depending on your family size. For example, a family of four can earn up to $4,370 per month and still be eligible for SoonerCare.
Benefits
SoonerCare provides coverage for a wide range of medical services, including:
| Services | Covered |
|---|---|
| Doctor visits | Yes |
| Hospital stays | Yes |
| Prescription drugs | Yes |
| Mental health services | Yes |
| Dental care | For children and adults |
| Vision care | For children and adults |
SoonerCare also provides coverage for some long-term care services, such as nursing home care and home health care.
How to Get Help
If you have questions about SoonerCare, you can call the OHCA at 1-800-987-7767. You can also visit the OHCA website at www.okhca.org.
SoonerCare: What It Is and What It Covers
SoonerCare is Oklahoma’s Medicaid program. It provides health insurance to low-income individuals and families, children, pregnant women, people with disabilities, and people who are blind or elderly. SoonerCare covers a wide range of benefits and services, including:
Medical Benefits
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
Additional Benefits and Services
- Transportation to medical appointments
- Child care assistance
- Help with paying for food and housing
- Job training and placement assistance
- Legal assistance
Who Is Eligible for SoonerCare?
To be eligible for SoonerCare, you must meet certain income and asset limits. For more information on eligibility, visit the Oklahoma Health Care Authority website or call 1-800-986-6550.
How to Apply for SoonerCare
To apply for SoonerCare, you can submit an application online, by mail, or in person at a local DHS office. You can also apply for SoonerCare through the Health Insurance Marketplace.
SoonerCare Benefits and Services
| SoonerCare Benefits | |
| Benefit | Description |
|---|---|
| Medical Benefits | Covers a wide range of medical services, including doctor visits, hospital care, prescription drugs, and mental health services. |
| Additional Benefits and Services | Includes transportation to medical appointments, child care assistance, and help with paying for food and housing. |
| Who Is Eligible for SoonerCare? | To be eligible, you must meet certain income and asset limits. Visit the Oklahoma Health Care Authority website for more information. |
| How to Apply for SoonerCare | You can apply online, by mail, or in person at a local DHS office. You can also apply through the Health Insurance Marketplace. |
Well, folks, I hope this article has shed some light on the ins and outs of Medicaid Soonercare. I know it can be a bit of a dense topic, but it’s important stuff, especially if you or someone you know is struggling to make ends meet. If you have more questions, be sure to check out the Medicaid Soonercare website or give them a call directly. And hey, while you’re there, take a peek at some of our other articles about health, money, and all those other fun adulting things. As always, thanks for stopping by, and we hope to see you again soon!