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SoonerCare News

Public Health Emergency (PHE) Updates

The COVID-19 Public Health Emergency (PHE) has temporarily allowed for Oklahoma Medicaid, or SoonerCare, members who no longer qualified for SoonerCare coverage to continue receiving benefits. 

The PHE is expected to end in the coming months and members that no longer meet the eligibility for SoonerCare will lose their coverage. Members that are no longer eligible will receive a letter notifying them of the date their coverage will end. They will receive another notification 45 days prior to their coverage ending and another one 10 days before it ends. 

It is important for all SoonerCare members to make sure their information is up to date as soon as possible. Updating your information will let the Oklahoma Health Care Authority (OHCA) know whether you are still eligible, and will allow them to notify you before you lose coverage. Members who are still eligible but have not updated their information could also lose their benefits. We encourage all members to confirm that their information and documentation is up to date as soon as possible. 

Information that may need to be updated includes:

    • Household income
    • Contact information (address, phone number, etc.)
    • Number of people living in your household
    • Missing documents

If you receive a letter or email from the OHCA saying there is missing information on your SoonerCare account, please respond right away by updating your account at MySoonerCare.org. If you have any issues updating your account, a MyOKPlan Navigator can help. Call or text (405)-313-1780 for technical assistance. 

Frequently Asked Questions (FAQs)

What can members do to prepare for the end of the Public Health Emergency? 

Members should take time to think about their health care needs and plan in case their SoonerCare coverage ends.

Oklahomans who are no longer eligible for SoonerCare at the end of the PHE may be eligible for coverage through the Federal Health Insurance Marketplace. 

There is a plan for you, and we’re here to help you find the right one. MyOKPlan is a free community resource for navigating the Health Insurance Marketplace and updating your SoonerCare account. Call or text (405)-313-1780 to speak with a local, non-profit health insurance navigator that can help. 

 

Free SoonerCare/Medicaid for Adults Age 19-64, Started July 1, 2021

SoonerCare expansion to low-income adults (with or without children) started July 1, 2021. This means free medical coverage for Oklahomans in these income ranges:

Persons in Household Weekly

Every
2 Weeks 

Monthly Yearly
1 $363 $727 $1,564 $18,768
2 $489 $979 $2,106 $25,272
3 $616 $1,232 $2,650 $31,800
4 $742 $1,485 $3,192 $38,304
5 $868 $1,737 $3,735 $44,820
6 $994 $1,989 $4,278 $51,336
7 $1,121 $2,242 $4,821 $57,852
8 $1,247 $2,494 $5,363 $64,356

 

 
For self-employed and independent contractors, income is “net” after business deductions. Unemployed and $0 income adults may qualify, even if they do not have children. No “work requirement.”
 
Apply at mySoonerCare.org or call 1-800-987-7787.
 
Sign-up to have coverage before you need it!
There is no retroactive coverage for previous bills.
 
Medical and behavioral health coverage included.
Pre-existing conditions are covered for future treatment.
There are no health questions on application.
 

Children and Pregnant Women stay on SoonerCare at higher incomes

See income guidelines at: MySoonerCare.org
 

If income is higher

and you’re self-employed, part-time or no offer of health plan from a job, free, local help with low-cost Health Insurance Marketplace plans and HealthCare.gov Non-profit Health Navigators across the state: Text/call 405-313-1780 or myOKplan.org