Can i use soonercare in another state

If not, they can find a screening provider in their area by contacting the Oklahoma State Department of Health at SoonerPlan offers limited benefits for family planning services. SoonerPlan provides lab tests and office visits, contraceptive products, pregnancy tests, tubal ligations and vasectomies to women and men age 18 or older who do not usually qualify for full benefits under SoonerCare.

For more information, contact your local county health department. Skip to main content. SoonerCare SoonerCare is Oklahoma's state-funded managed care program. These include: SoonerCare Choice, in which each member has a medical home that provides basic health care services.

Lincoln Blvd. See map: Google Maps. Voice: Administrative Offices. A: Emergency care in another state is still eligible for reimbursement if the care is determined to have been medically necessary.

A: Self-referrals will no longer be permitted and members will be responsible for medical costs if they do not receive the proper authorization for out-of-state services. Members who think they need out-of-state services should talk to their primary care provider. A: Single-case agreements and contracts will not be allowed under the new rule changes. The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims.

This data is treated as confidential and is stored securely in accordance with applicable law and regulations. Co-pays may apply to some services. However, SoonerCare pays only the deductibles and a portion of the co-insurance when services are covered by Medicare. If an eligible person has other medical insurance, that insurance company must be billed before SoonerCare is billed. Prescription drugs that are covered by SoonerCare can be filled at any pharmacy or drugstore that accepts SoonerCare.

For adults, there is a limit of six covered prescriptions per month and your pharmacy must give you a generic drug when one is available. Your doctor may also need to have some prescriptions approved by SoonerCare. For SoonerCare members younger than 21, there are no limits or co-payments for medically necessary prescriptions. SoonerCare offers free smoking cessation benefits. Covered products include nicotine patches, gums and lozenges, as well as other pills that combat cravings.

Members can get smoking cessation products as a pharmacy benefit for up to 6 months. Those products will not count toward the monthly limits for members age 21 and older. Yes, there might be standardized Medicare supplement plans, but the prices are almost always different. The way to determine which Medicare plan is best in Oklahoma is to shop your options. Below are some considerations for finding which Medicare plan is best in Oklahoma. Depending on your circumstances, you may qualify for various SoonerCare programs.

Those include:. This is a Primary Care Case Management program where each member has a medical home. The home provider coordinates all healthcare services for those Oklahomans who qualify for the program.

Your medical home means you have one providers who sees you when needed and provides for your overall health needs. This provider continues to treat you as long as you are his or her patient and will coordinate your care with other providers as needed. If you became a member using the online enrollment process, you have already chosen a medical home.

If you applied by any other method you will need to choose a medical home. You must call the SoonerCare Helpline to choose your medical home at Your SoonerCare benefits will be limited if you do not choose a medical home. You can use the same medical home for your whole family or each family member can choose a different one.

Your medical home must be within 45 miles of your home to qualify for SoonerRide. SoonerRide is free transportation for non-emergency care. For more information on SoonerCare Choice, you can download a SoonerCare Member Handbook which will provide complete enrollment and coverage details. SoonerCare Supplemental is a plan that may help pay for Medicare cost sharing requirements if you meet low income and limited resources requirements. It provides medical benefits to supplement Medicare Part A, Part B, Part D and cost sharing expenses, such as deductibles and co-insurance.

Complete the form and return it to a local DHS office. For more information on eligibility for SoonerCare Supplemental, go here. SoonerCare Traditional is a fee-for-service plan with a statewide network of providers that includes hospitals, family practice doctors, pharmacies and durable medical equipment companies.

Members choose from contracted providers to receive any of these services. All members are initially enrolled in SoonerCare Traditional, however only a small percentage remain in the program. They include:.