How to Apply for Medicaid in Oklahoma (SoonerCare Guide)
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SoonerCare is Oklahoma’s version of Medicaid. With SoonerCare, you can access important health services for yourself or your family.
Go through how to apply for Medicaid in Oklahoma and where to get help. You might hit a few snags while applying for SoonerCare, but that’s OK! Follow each step carefully.
Disclaimer: This guide is intended to help customers better understand how to apply for Medicaid in Oklahoma (SoonerCare). The following information is compiled from official government sources and may be subject to change. AirTalk Wireless does not represent or speak on behalf of SoonerCare.
1. What Is Medicaid in Oklahoma (SoonerCare)?
SoonerCare is Oklahoma’s Medicaid program. It’s managed by the Oklahoma Health Care Authority (OHCA). SoonerCare can pay for a wide range of care, including hospital stays, prescription medications, and more.
SoonerCare coverage is free for most people who meet the income guidelines. There may be small co-pays required for certain services, depending on the type of care and your eligibility category.
>>> Read more: Free Government Phones With Oklahoma Lifeline & ACP Program
2. Who is Eligible for Medicaid in Oklahoma (SoonerCare)?
To qualify for SoonerCare, you must:
- Live in Oklahoma
- Be a U.S. citizen or a qualified non-citizen
- Meet income and resource limits based on your household size and category (To find out if your income qualifies, check the latest income guidelines on My SoonerCare)
- Belong to an eligible group, such as pregnant women, seniors, or adults with disabilities
Who can get SoonerCare?
In general, the following groups may qualify for the program:
- Children under age 19
- Adults with children under age 19
- Pregnant women
- Adults ages 19–64 who are not eligible for Medicare
- Seniors age 65 and older
- Individuals who are blind or have disabilities
- Women under 65 who need treatment for breast or cervical cancer
- People aged 19 and older who need family planning services through SoonerPlan
- Former foster youth who were enrolled in Medicaid in another state and aged out of care (at age 18 or older) on or after January 1, 2023
SoonerCare Plans
There are three main SoonerCare plans:
SoonerCare Traditional
It offers flexibility to see any provider in the SoonerCare network, including doctors, hospitals, and pharmacies. People with both Medicare and Medicaid often use this plan.
SoonerCare Choice
SoonerCare Choice is a Primary Care Case Management model (PCCM). You choose a medical home provider. It’s the most common plan for eligible adults and families.
Medicaid Expansion
Oklahoma has adopted Medicaid expansion, so you may qualify if you are aged 19 to 64, not eligible for Medicare, and have income at or below 138% of the federal poverty level.
3. How to Apply for Medicaid in Oklahoma (SoonerCare)
Apply online
You can apply for SoonerCare online through My SoonerCare. Complete and submit your application.
Apply by Mail
Download a paper application and mail it to the address listed on the form.
Apply by Phone
Call the SoonerCare Helpline at 1-800-987-7767 for help with your application or to apply over the phone.
Apply In Person
Besides, you can apply through an approved community partner facility.
Here are some documents you may need to prepare to apply for SoonerCare:
- Social Security numbers and birthdates
- Proof of income
- Current or past health insurance info
- Identity and citizenship/immigration documents
- Pregnancy details, if applicable
- Policy numbers and coverage details for any current insurance
4. What Does Medicaid Pay for in Oklahoma?
The program covers medically necessary services for eligible members. Common covered services:
- Doctor visits, including preventive and wellness care
- Hospital services (inpatient and outpatient)
- Emergency transportation (ambulance)
- Prescription drugs and insulin
- Behavioral health treatment
- Home health and hospice care
- Lab tests, X-rays, and ultrasounds
- Smoking and tobacco cessation support
- And so on.
The benefits you can receive may vary depending on your eligibility group and which SoonerCare plan you’re enrolled in. There may be small co-pays required for certain services, depending on the type of care and your eligibility category.
For example,
- Home health care services are covered for all members.
- Ambulance or emergency transportation services are also covered, but emergency only.
- Outpatient hospital and surgery services are covered across all plans as long as the services are medically necessary. For SoonerCare Traditional & Choice – Children under 21, these services are fully covered with no copay required. For adults under other plan types, services are covered with a $4 copay per visit.
Check out a full list of covered services and copay details before applying.
5. Common Questions About Oklahoma Medicaid (FAQs)
What is the monthly income for Medicaid in Oklahoma?
Check SoonerCare income guidelines 2025. Go ahead and apply. You may still be eligible for SoonerCare even if your income is slightly above the usual limits.
What is the name for Medicaid in Oklahoma? Is Oklahoma SoonerCare Medicare or Medicaid?
SoonerCare is Oklahoma’s Medicaid program.
Can you have both Medicare and Medicaid in Oklahoma?
You can have both Medicare and Medicaid (“dual eligibility”) in Oklahoma. If you’re enrolled in both Medicare and SoonerCare, SoonerCare can pay Medicare Part B premiums (Your private insurance is billed first before SoonerCare pays).
What if you were denied SoonerCare – what next?
Review the reason carefully. If you believe the decision was wrong, you can request a hearing. If your situation has changed, for example, you’re pregnant, you can reapply or update your application with new details.
(In case the entire household is denied SoonerCare, a computer-generated notice is sent to the applicant. If only certain individuals are denied, each denied person will receive their own notice.)
How long does it take to get approved for Medicaid in Oklahoma?
Most applicants receive a decision within 45 days of submitting their SoonerCare application.
Is Oklahoma Complete Health part of Medicaid?
SoonerSelect is Oklahoma’s managed Medicaid model. Oklahoma Complete Health, along with Aetna Better Health of Oklahoma and Humana Healthy Horizons, offers SoonerSelect plans with full Medicaid-covered services, plus additional benefits.
6. Free Government Phones with Medicaid in Oklahoma
If you’re already enrolled in SoonerCare (Oklahoma Medicaid), great, you’re most likely eligible for a free government phone through the Lifeline program.
Visit a Lifeline provider’s website (AirTalk Wireless is a popular option) and enter your ZIP code to confirm service in your area. Once you’re verified, you’ll see a list of plans and available devices.
What will you get?
You can get discounted or free monthly wireless service through Lifeline, and certain providers offer a free smartphone as part of their plans.
What if they can’t verify your Medicaid automatically?
You may need to provide some documentation if your eligibility can not be automatically verified.
How long does it take to receive the phone?
Once approved, your free device will usually ship for free within a few business days.
Conclusion
Take your documents and start your application online or in person. Once you’re approved, you’ll have coverage active.
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