Learn about SoonerSelect
Most SoonerCare members get their health care services covered in a new way – through health and dental plans. A health or dental plan is an organization that provides health care services through a network (group) of doctors, dentists, pharmacists, mental health professionals and other service providers. All health and dental plans provide the same health care services currently offered by SoonerCare, but some may provide extra services to help improve your health. To learn about the basic benefits and services that SoonerSelect health plans offer, visit SoonerCare Benefits (oklahoma.gov).
Health Plans
You can choose between three health plans: Aetna Better Health of Oklahoma, Humana Healthy Horizons of Oklahoma and Oklahoma Complete Health.
Each health plan has a provider network. In most cases, you must get care from a provider in your plan’s provider network, such as a primary care provider (PCP). Your PCP could be a doctor, nurse practitioner or physician assistant, but you can choose one as long as they are in your plan’s network. A PCP cares for your health, coordinates your needs, and refers you to specialists when needed. If you already have a PCP that you would like to keep seeing, you should pick a plan that includes your PCP in their network.
Dental Plans
You can choose between two dental plans: DentaQuest or Liberty Dental. Your dental plan covers medically necessary cleanings, preventive and restorative care, and medically necessary orthodontic services for children under age 21.
Each dental plan also has a provider network. In most cases, you must get care from a dental provider in your plan’s provider network, such as a primary care dentist (PCD). A PCD is a dental care professional. They care for your dental health, coordinate dental needs, and refer you to specialists when you need them. If you already have a dentist or other provider you would like to keep seeing, we’ll work with you to pick a plan that allows you to keep your current provider.
Children’s Specialty Program
There is also a Children’s Specialty Program that covers SoonerSelect children and youth served by Oklahoma Human Services’ Child Welfare Services. This includes children in foster care and former foster care children, those receiving adoption assistance, and those involved in the juvenile justice system. Oklahoma Complete Health serves these members.
American Indian/Alaskan Native Members
If you are a federally recognized tribal member or qualify for services through Indian Health Services (IHS), you may decide to join a SoonerSelect plan. If you choose not to opt in, you’ll remain on your current SoonerCare plan.
Resources
- Member FAQ
- Provider FAQ
- AI/AN Member FAQ:
English | Spanish - Fact Sheet - English
- Fact Sheet - Spanish
- SoonerSelect Stakeholder Toolkit
- SoonerSelect Quality
- Directed Payments SB 1337 Legislative Report
- Managed Care Guardrails
- Capitation Rates
- IHCP Addendum
- Network Adequacy Standards
