SoonerCare is Oklahoma’s Medicaid health coverage program that helps pay some or all medical bills for many people who can’t afford them. The Oklahoma Health Care Authority (OHCA) is the state agency that administers the program and determines financial eligibility for the program.
SoonerCare is now SoonerSelect!
YOU can choose or change providers within your plan to meet your family’s needs.
SoonerCare/SoonerSelect offers 3 medical plans and 2 dental plans:
*Information provided in these documents is based on 2024 benefits and is subject to change.
SoonerSelect offers the same health care services that were provided under SoonerCare, including pharmacy, mental health, and dental benefits, at the same cost. You can choose or change your provider within your SoonerSelect medical plan to meet your family’s needs. Once you select a medical plan (either Aetna Better Health, Humana Healthy Horizons, or Oklahoma Complete Health), you are only allowed to change to a different medical plan during the annual open enrollment period.
For free rides to medical appointments, contact your SoonerSelect plan. Each SoonerSelect plan also offers extra benefits. Extra benefits differ between plans, so make sure you ask about the extra benefits available to you and your family.
Who Qualifies for SoonerCare/SoonerSelect?
To Qualify, a person must:
Reside in Oklahoma
Be A U.S. citizen or qualified alien*
Meet financial income & resources standards in certain categories
*Most immigrants who arrived after August 22, 1996 are barred from the program for five years
What Services Does SoonerCare/ SoonerSelect Cover?
Covered health care services include medically necessary doctor visits, behavioral and mental health, hospitalization, prescriptions and many more possible services. Click the button below for more details on benefits.
There is no monthly cost to have SoonerCare/SoonerSelect coverage for those who meet the income guidelines. Some services may require a small copay ($4-$10) at the time services are received.
Who will have access to my medical records?
OHCA may get medical records for case management purposes directly from SoonerCare/SoonerSelect contracted medical providers or through contracted Health Information Exchange (HIE) Organizations. Oklahoma currently contracts with MyHealth Access Network.
As a SoonerCare/SoonerSelect member, or as the member’s personal representative, you may opt out of having medical information shared by the HIE at your primary care provider’s office or at the hospital providing care.
To find out if your medical records are being shared within the HIE, please contact your medical provider. If your records are being shared within the HIE, and you wish to opt out, your medical provider will provide you with the appropriate standard form and instructions on how to submit the form, or you may obtain an opt out form directly from the HIE organization’s website.
To learn more about the HIE Organization, please visit their website at: myhealthaccess.net.
What about Medicare?
Medicare is different from SoonerCare (Oklahoma Medicaid). Medicare is a federal health insurance program administered by the Centers for Medicare & Medicaid Services (CMS). Medicare provides coverage mostly to individuals age 65 or older and some people with disabilities.
If you are on Medicare and you qualify for SoonerCare, most of your health care costs are covered. If you have low income and limited assets, SoonerCare may help pay some or all of Medicare premiums and cost sharing expenses. To apply for Medicare benefits, visit or call your local Social Security Office.
What are the Income Guidelines?
Based on income, you and members of your household may be eligible for coverage. Guidelines exist for coverage for adults and children as well as for the Pregnancy Full-Scope Coverage Plan and Soon-to-be-Sooners (STBS) Limited Scope Pregnancy Plan.
Did you receive the purple letter? If you’re losing SoonerCare (Oklahoma Medicaid), you have options to stay covered and healthy while avoiding the biggest bills.
