SoonerCare
Income Guidelines
The SoonerCare income guidelines below are for most Oklahomans who qualify for SoonerCare based on income levels for their household size. If you are 65 or older, blind, disabled by Social Security, or receiving SSI, apply for Medicaid at OKDHSLive.org.
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SoonerCare Income Guidelines for Children (Up to Age 19)
| Persons in Household | Weekly | Every 2 Weeks | Monthly | Yearly |
|---|---|---|---|---|
| 1 | $613 | $1,226 | $2,636 | $31,632 |
| 2 | $832 | $1,664 | $3,579 | $42,948 |
| 3 | $1,051 | $2,102 | $4,520 | $54,240 |
| 4 | $1,269 | $2,539 | $5,460 | $65,520 |
| 5 | $1,489 | $2,978 | $6,403 | $76,836 |
| 6 | $1,707 | $3,415 | $7,344 | $88,128 |
| 7 | $1,926 | $3,853 | $8,285 | $99,420 |
| 8 | $2,146 | $4,292 | $9,228 | $110,736 |
SoonerCare Income Guidelines for Adults (19-24)
| Persons in Household | Weekly | Every 2 Weeks | Monthly | Yearly |
|---|---|---|---|---|
| 1 | $402 | $805 | $1,732 | $20,784 |
| 2 | $546 | $1,093 | $2,352 | $28,224 |
| 3 | $690 | $1,381 | $2,970 | $35,640 |
| 4 | $834 | $1,668 | $3,588 | $43,056 |
| 5 | $978 | $1,957 | $4,208 | $50,496 |
| 6 | $1,122 | $2,244 | $4,826 | $57,912 |
| 7 | $1,266 | $2,532 | $5,445 | $65,340 |
| 8 | $1,410 | $2,820 | $6,064 | $72,768 |
Total household income is used for eligibility for both children and adults. SoonerCare uses monthly “gross” income totals (ex: $10/hr x 40hrs = $400/wk gross). For self-employed persons, a “net” income after business deductions is used. Do not count Child Support, TANF, SNAP, WIC or SSI as income. Other rules and qualifications apply; visit MySoonerCare.org for more details
You qualify for the Pregnancy Full-Scope Coverage Plan, or, for non-citizens, the Soon-to-be-Sooners (STBS) Limited Scope Pregnancy Plan, if your income is under the guidelines shown below. Unborn children are counted in household size.
Example: A single person plus an unborn child equals a household size of 2.
Pregnancy Plans from SoonerCare
| Persons in Household | Weekly | Every 2 Weeks | Monthly | Yearly |
|---|---|---|---|---|
| 2 | $832 | $1,664 | $3,579 | $42,948 |
| 3 | $1,051 | $2,102 | $4,520 | $54,240 |
| 4 | $1,269 | $2,539 | $5,460 | $65,520 |
| 5 | $1,489 | $2,978 | $6,403 | $76,836 |
| 6 | $1,707 | $3,415 | $7,344 | $88,128 |
| 7 | $1,926 | $3,853 | $8,285 | $99,420 |
| 8 | $2,146 | $4,292 | $9,228 | $110,736 |
Total household income is used for eligibility for both children and adults. SoonerCare uses monthly “gross” income totals (ex: $10/hr x 40hrs = $400/wk gross). For self-employed persons, a “net” income after business deductions is used. Do not count Child Support, TANF, SNAP, WIC or SSI as income. Other rules and qualifications apply; visit MySoonerCare.org for more details
SoonerCare Pregnancy Plan
Things To Know:
Coverage extends for 12 months postpartum, even in the event of miscarriage or other end of pregnancy.
The automatic 12-month extension continues even if income goes up above eligibility guidelines. For non-citizens, the Soon-to-be-Sooner (STBS) plan does not have a 12-month extension.
You can still be approved for SoonerCare during pregnancy in the following cases:
Pregnant persons can answer “no” to questions on “cooperating with child support” or “name of other parent” and still be approved for SoonerCare during pregnancy coverage or for the 12-month extension after pregnancy ends.
Families with higher incomes may be eligible for low-cost Marketplace plans.
Discounts may be available when income is within certain ranges and a health plan is not offered by your job, your spouse’s job, and you are not eligible for SoonerCare. Click here or call (833) 465-7526 to learn more.
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