SoonerCare provides coverage for dental care, preventive care, family planning services, behavioral health, and substance abuse services as well as inpatient hospital services.
What age does SoonerCare end in Oklahoma?
SoonerCare, Oklahoma’s Medicaid program, provides health care to children under the age of 19, adults with children under the age of 18, pregnant women and people who are older than 65 or have blindness or another disability.
What are the qualifications for SoonerCare in Oklahoma?
In general, the following groups of individuals may qualify for SoonerCare services:
Adults with children under 19.Children under 19 and pregnant women.Adults, not eligible for Medicare, age 19-64.Individuals 65 and older.Individuals who are blind or who have disabilities.
Is Medicaid the same as SoonerCare?
Yes. SoonerCare is the name given to Oklahoma’s Medicaid program.
What is the difference between Title 19 and SoonerCare?
Title 19 refers to the section of the Social Security Act that authorizes the Medicaid program in US Code. SoonerCare Traditional is a comprehensive medical benefit plan that reimburses contracted providers for covered service for members on a fee- for-service basis.
What is the maximum income to qualify for SoonerCare?
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.
Does SoonerCare cover braces for adults?
They need orthodontics. How do the three of those work together? SoonerCare will cover orthodontic treatment for qualified patients up to age 18!
How do I find out if I still have SoonerCare?
If you need assistance with the online application you can call the SoonerCare helpline at 1-800-987-7767 or visit your local Community Action agency.
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.
How can I be eligible for Medicaid?
Medicaid beneficiaries generally must be residents of the state in which they are receiving Medicaid. They must be either citizens of the United States or certain qualified non-citizens, such as lawful permanent residents. In addition, some eligibility groups are limited by age, or by pregnancy or parenting status.
How do I get free healthcare in Oklahoma?
Medicaid 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/or resources for eligible Oklahoma residents.
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.
Is Insure Oklahoma the same as SoonerCare?
The Oklahoma Health Care Authority administers the SoonerCare (Oklahoma Medicaid) and Insure Oklahoma programs.
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.
Can you get SoonerCare if you have Medicare?
SoonerCare Supplemental is a plan that may help pay for Medicare cost sharing requirements if you have low income and limited resources. It provides medical benefits that supplement those services covered by Medicare.
Can you use SoonerCare in another state?
Medical care needed due to an accident or medical emergency while a member is travelling in another state is still eligible for compensation once medical necessity is determined. Single-case agreements and contracts will not be allowed under the rule changes.
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