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Do I qualify for SoonerCare?
Understanding health care can be a challenge. But there's help to walk you through the process. The first step is to see if you qualify for SoonerCare. Then you’ll be able to choose a SoonerSelect health plan.
Questions?
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What is SoonerCare?
What is SoonerCare?
SoonerCare is a government program that provides no-cost or low-cost health care for millions of Americans. Adults and children who qualify meet certain state guidelines. Eligibility is based on your total family income and household size. Once you apply, the Oklahoma Health Care Authority reviews whether you are eligible for SoonerCare. If you qualify, you can choose Aetna Better Health or another SoonerSelect health plan as your plan.
Questions about eligibility? You can contact SoonerCare directly for help at 1-800-987-7767.
Who does SoonerCare cover?
Who does SoonerCare cover?
People who may qualify for SoonerCare services include:
Adults with children under 19
Children under 19
Pregnant women
Adults, not eligible for Medicare, ages 19 to 64
People 65 and older
People who are blind or have disabilities
Women under 65 in need of breast or cervical cancer treatment
Men and women 19 and older with family planning needs (SoonerPlan)
- People who were enrolled in SoonerCare and aged out of foster care (at 18 years old) in another state, on or after January 1, 2023
What does SoonerCare cover?
What does SoonerCare cover?
People who qualify for SoonerCare have coverage for many benefits and services, like:
Preventive care
Vision care
Medications
Disease management
Behavioral health services
What is SoonerSelect?
What is SoonerSelect?
Starting April 2024, most SoonerCare members will get coverage for health care services in a new way — through health and dental plans. These plans provide health care services through a network of doctors, dentists, pharmacies and other providers.
SoonerSelect is working with health and dental plans to:
Improve health outcomes
Move toward a system where we pay providers based on quality of care rather than just service
Improve your satisfaction
Focus on preventive and primary care
The Oklahoma Health Care Authority (OHCA) is working with health and dental plans to coordinate care for most members, including:
Pregnant women
Children
Parents and caretaker relatives
Expansion adults
Newborns (when the mother is eligible for Medicaid on the date of birth)
If you’re in one of these groups, you’ll join a SoonerSelect health plan. OHCA will ask you to choose one. If you don’t choose, they’ll choose one for you.
Juvenile justice-involved children and those in foster care will enroll in the SoonerSelect Children’s Specialty Program.
American Indian and Alaska Native (AI/AN) members can opt in if they’d like to join a SoonerSelect plan. If an AI/AN member decides not to opt in, they will continue to receive the same SoonerCare coverage they already have.
Learn more about the benefits you’ll receive if you choose Aetna Better Health as your SoonerSelect plan.
What’s next?
If you think you qualify for SoonerCare, you can check out our “How to apply” page. We'll help you get started.