Apply for soonercare

Apply for soonercare DEFAULT

Adults can apply for SoonerCare starting in June

OKLAHOMA CITY (KFOR) – Oklahoma adults can soon apply for SoonerCare coverage.

Oklahoma’s Medicaid expansion enables adults to apply for SoonerCare starting June 1.

Those who qualify will start receiving benefits on July 1.

Oklahomans voted on June 30, 2020, to expand SoonerCare eligibility to adults ages 19-64 whose income is 138 percent of the federal poverty level or lower through Medicaid expansion, which estimates to an annual income of $17,796 for an individual or $36,588 for a family of four, according to Oklahoma Health Care Authority officials.

Over 200,000 people previously ineligible now qualify for SoonerCare.

“It’s been nearly one year since Oklahomans voted to expand SoonerCare, giving access to affordable quality health care to more Oklahomans than ever before,” said Kevin Corbett, CEO of the Oklahoma Health Care Authority. “We look forward to welcoming and serving these new members on SoonerCare, and helping Oklahoma become a top 10 state for positive health outcomes.”

The state legislature approved a $164 million budget to fund 10 percent of the Medicaid expansion, and the federal government will cover the remaining 90 percent of the cost.

The state is able to do the following by maximizing federal funding:

  • Promote integrated care and improve health outcomes, including reinstating an adult dental benefit in SoonerCare, with a focus on primary and preventive dental services.
  • Implement substance use disorder and serious mental illness waivers to expand access to prevention and treatment services.
  • Coordinate with jails and prisons to help former inmates apply for SoonerCare coverage upon release, helping them get access to important behavioral health services immediately, thus reducing the risk of recidivism.
  • Helps jails and prisons capture additional SoonerCare funding for hospitalizations and surgeries as allowed under federal Medicaid law.

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You can apply the following ways:

  • Online at www.MySoonerCare.org
  • Apply by phone by calling the SoonerCare Helpline 800-987-7767
  • Fill out an English or Spanish application and mail it to the address on the application
  • Apply through one of our agency partner facilities

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Sours: https://kfor.com/news/local/adults-can-apply-for-soonercare-starting-in-june/

SoonerCare Enrollment Information (Medicaid Expansion)

Morton can help you enroll for insurance and coverage begins 7/1/21.  Many Oklahomans ages 19-64 will now qualify for insurance.  Let us help you enroll!!  See below for more information.

What is Medicaid Expansion?

In June 2020, Oklahoma voted to expand Medicaid (SoonerCare) to eligible adults age 19-64. Previously, SoonerCare was only available to specific populations, but with Medicaid Expansion, the Oklahoma Health Care Authority estimates that there are now more than 200,000 newly eligible residents of Oklahoma.

  • If you have applied for SoonerCare before and were denied, apply again!
  • Income requirements are estimates. Higher incomes may be accepted.
  • There is no work requirement. If you are unemployed and/or not working, you may qualify.
  • For individuals that are self-employed, income is calculated after business deductions.
  • There are no health questions on the applications and pre-existing health conditions are covered.

Eligibility requirements:

  • Be a citizen of the US or be in the country legally.
  • Be lawfully present for at least 5 years.
  • Be a resident of Oklahoma.
  • Meet income requirements (see below).

 

Income should be at or below the income listed. Higher income may be accepted.

Size of HouseholdAnnual IncomeMonthly IncomeWeekly Income
1$17,796$1,483$345
2$24,048$2,004$466
3$30,312$2,526$587
4$36,588$3,049$709
5$42,852$3,571$830
6$49,104$4,092$952

Why should I enroll in SoonerCare?

SoonerCare is HEALTH INSURANCE!  Health insurance is critical for both staying healthy as well as covering costs when you are sick or injured.  There is no monthly premium for SoonerCare and there are very small co-pays (usually $4 or less) for most services.  There are many benefits including:

  • No monthly premiums
  • Full medical coverage
  • Very low co-pays
  • Six prescription medications per month
  • Plan covers:
    • Medical and specialist visits
    • ER and inpatient hospital services
    • X-Ray and Lab services
    • Medical equipment
    • Diabetic supplies
    • Behavioral Health visits
    • Home Health visits
    • And more!

 Morton and Medicaid Expansion

Morton wants to help you apply for SoonerCare!

If you are between 19 and 64 years of age, you can apply for SoonerCare.  Staff at Morton’s Main Clinic (1334 N. Lansing Ave.) will be assisting individuals to fill out the SoonerCare application.   

Morton is also a SoonerCare provider; you can get all your healthcare needs met at one of Morton’s Health Care Clinics.

Morton staff is available to assist you to apply for SoonerCare:

Monday——–9 am-3 pm

Tuesday——–9 am-3 pm

Wednesday—9 am-3 pm

Thursday——–1 pm-6 pm

Friday———-9 am-3 pm                     

What Do I Need to Bring?

When you fill out the SoonerCare application, you will be providing information about the people in your family and your household income.  In order for the application to go through successfully the first time, this is the information you should bring with you:

  • Legal names, birth dates, and Social Security numbers of all people living in your household.
  • Income information including employer name, address, and phone number, and income amount for all household members who are employed.
  • Amount of money received from other types of income, like Social Security, Supplemental Security Income (SSI), alimony, or child support for all household members.
  • Current health insurance information including policy holder’s name, company name, policy or group number, type of coverage, and date effective for all household members with insurance.
  • Access to an email account (please ensure you can log in to your email account while you are at Morton). If you do not have an email account, we would be happy to help you set one up.
  • If you or a family member already has SoonerCare, please bring in your account information. If you have a letter with your PIN number on it, please bring that, also.  If you cannot find the information, we will help you call SoonerCare to get it.

Morton can help!

Enrollment Assistance at Main Morton Clinic (1334 N Lansing)

Monday, Tuesday, Wednesday, Friday

9am- 3pm

Thursday

1pm- 6pm

 

 

Sours: https://www.mortonhealth.com/medicaid-expansion/
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How to Apply

Cómo Solicitar

Basada en su situación, hay diferentes maneras para solicitar para SoonerCare. 

Abajo están sus opciones si cumple las pautas de ingreso y de ciudaníay se encuentra en una de las siguientes categoría:

  •  Niños ( Recién nacidos hasta 19 años de edad) 
  • Mujeres embarazas ( mujeres en edad fértil) 
  • Adultos no discapacitados de bajos ingresos con hijos ( menores de 19 años de edad) 
  • Las personas que buscan servicios de  planificación familiar (mayores de 19 años de edad)
  • Las personas que buscan servicios de salud conductual ( sin límite de edad)
  • Adultos, no elegibles para Medicare, entre las edades de 19 y 64 años
  • Algunas personas que también calificarían para el programa de Insure Oklahoma

Puede solicitar en línea. Lea el  Antes de Empezar y después vaya a Inscripción en Línea.

Puede utilizar un formulario para solicitar seguro médico de SoonerCare para sí mismo y para todos los de su familia cercana que viven con usted. Puede bajar la solicitud en inglés o español complete la solicitud y envíela por correo. Si necesita ayuda en completar el formulario, llame a la línea de ayuda de SoonerCare al -1800-987-7767.

Si  cumple con las pautas de ingreso y de ciudadanía y está en una de las siguientes categorías puede solicitar para SoonerCare con DHS.

  • Las persona mayores de 65 años de edad 
  • Las personas con ceguera ( a cualquier edad) 
  • Los adultos con discapacidades
  • Los niños con discapacidades que no califican para Ingreso de Seguro Social debido a los ingresos y/ o recursos de sus padres (TEFRA)
  • Personas que viven en asilos de ancianos, pero califican para SoonerCare
  • Las personas con cobertura de Medicare que necesitan ayuda para pagar primas, co-seguro y/o deducibles
  • Poblaciones de exenciones basadas en el hogar y la comunidad.
  • Los niños bajo custodia de DHS 
  • Las personas que reciben tratamiento para la tuberculosis (TB). Los beneficios a través de SoonerCare se limitan a los medicamentos de TB y visitas a clínicas de TB y solamente si la persona tiene la TB activa. Estos beneficios son por un tiempo limitado solamente.

Puede solicitar en la oficina local de DHS de su condado o bajar la PS-1- Solicitud de Servicios del sitio web de DHS. Los trabajares de DHS le ayudarán a reunir la información necesaria, como ingresos, bienes, tamaño familiar, si está disponible, información médica reciente. Para más sugerencias referentes a una solicitud de cuidado de largo plazo, vea Solicitando para Cuido de Largo Plazo.

Tenemos otros programas y situaciones que requieren que usted solicite en una manera diferente. Si está una de estas situaciones, aquí están sus opciones de solicitud:

  • Mujeres con cáncer de mama y/o cuello uterino. Una vez que haya sido examinada y haya encontrado que necesita un diagnóstico y/o tratamiento adicional para el cáncer de mama o cuello uterino, usted o su examinador pueden llamar al Departamento de Salud del Estado de Oklahoma para averiguar cómo solicitar para Oklahoma Cares.
  • Las personas que trabajan, autónomos (trabajan por cuenta propia), están temporalmente desempleadas o trabajadores discapacitados puede solicitar en línea para Insure Oklahoma.
  • Estudiantes universitarios (entre 19 y 22 años de edad) pueden solicitar en línea  para Insure Oklahoma.
Sours: https://oklahoma.gov/ohca/individuals/mysoonercare/apply-for-soonercare-online/how-to-apply.html

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