Members can choose between three health plans:

• Aetna Better Health of Oklahoma
• Humana Healthy Horizons of Oklahoma
• Oklahoma Complete Health

Health plans cover medically necessary prescriptions, health services, and behavioral health services, except dental services. SoonerSelect dental plans cover dental services.

All health plans provide you with the same health care services offered by SoonerCare, but some may offer extra benefits to help improve your health. We know that picking the right health plan for you and your family is a very important decision. SoonerCare call center representatives are ready to answer your questions about your health plan choices and help you make the best choice for you.

Members can choose between two dental plans:

• DentaQuest
• Liberty Dental

Dental plans cover medically necessary cleanings, preventive and restorative care, and medically necessary orthodontic services for children under age 21.

Eligible SoonerSelect children and youth will be enrolled in the SoonerSelect Children’s Specialty Program (CSP):

• Oklahoma Complete Health

The SoonerSelect Children’s Specialty Program 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. CSP covers medically necessary prescriptions and health and behavioral health services, except dental services. SoonerSelect dental plans cover dental services.

Some groups enrolled in SoonerSelect are automatically enrolled in the CSP plan. These are:

• Children in the custody of Oklahoma Human Services, including AI/AN children.
• Juvenile justice-involved children.
• Foster children in tribal custody who opt in to SoonerSelect are automatically assigned to CSP.

Some groups can pick another SoonerSelect Health plan. If they don’t pick another SoonerSelect health plan, they are automatically enrolled in the CSP plan. These are:

• Children and youth receiving adoption assistance.
• Former foster care children up to age 25.

The SoonerSelect Children’s Specialty Program has a strong focus on the unique health and behavioral health needs of the children it serves. It places special emphasis on identifying needs and interventions early.

FORMER FOSTER CARE CHILDREN AND CHILDREN RECEIVING ADOPTION ASSISTANCE

Former foster care children and children receiving adoption assistance are enrolled in the SoonerSelect Children’s Specialty Program if they do not choose another SoonerSelect plan.

Former foster care children who want to pick a SoonerSelect health plan instead of CSP should:

• Log in to MySoonerCare.org and select “change plan/provider.” Then select the plan you want to enroll in.

OR

• Call the choice counseling line at 800-987-7767 to ask questions, receive information on plans, or pick or change a plan.

Children receiving adoption assistance who want to enroll in a SoonerSelect health plan instead of CSP should:

• Call the choice counseling line at 800-987-7767 to ask questions, receive information on plans, or pick or change a plan.

You can change your plan within the first 90 days of enrollment. After that, you will remain in your plan until the next open enrollment period unless a disenrollment request is approved or you become ineligible for SoonerSelect.

CHILDREN IN TRIBAL CUSTODY

Children in tribal custody who opt in to SoonerSelect are automatically enrolled in CSP. AI/AN members who do not choose to enroll in SoonerSelect will remain in their current SoonerCare program and continue receiving services in the same way.

AI/AN members who want to opt in to SoonerSelect should: 

• Log in to MySoonerCare.org and select “change plan/provider.”

OR

• Call the choice counseling line at 800-987-7767 to ask questions, receive information on SoonerSelect or choose to opt in.  

AI/AN members can disenroll from SoonerSelect at any time and return to their previous SoonerCare program. However, they can only opt in to SoonerSelect during the next open enrollment period.

The following SoonerCare groups are automatically enrolled in SoonerSelect:

• Children, including foster children
• Low-income adults
• Pregnant women
• Non-disabled adults ages 19-64
• Juvenile justice-involved children

The following SoonerCare groups are excluded from enrollment in SoonerSelect. They remain in their current SoonerCare program:

• Dual eligible individuals (people receiving both Medicare and Medicaid)
• Individuals enrolled in the Medicare Savings Program, including:
  • Qualified Medicare Beneficiaries (QMB)
  • Specified Low-Income Medicare Beneficiaries (SLMB)
  • Qualified Disabled Workers (QDW)
  • Qualified Individuals (QIs)
• Individuals with a nursing facility or Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) level of care
• Individuals during a period of presumptive eligibility
• Individuals infected with tuberculosis and eligible for tuberculosis-related services  
• Individuals determined eligible for SoonerCare on the basis of needing treatment for breast or cervical cancer (BCC)
• Individuals enrolled in a § 1915(c) waiver  
• Undocumented individuals eligible for emergency services only 
• Insure Oklahoma Employer-Sponsored Insurance (ESI) dependent children 
• Coverage under Title XXI for the benefit of unborn children, “Soon-to-be-Sooners”
• Individuals determined eligible for Medicaid on the basis of age, blindness or disability (ABD), including children covered under the TEFRA program

Eligible American Indian/Alaskan Native (AI/AN) members can choose to enroll in SoonerSelect. If AI/AN members do not choose to enroll in SoonerSelect, they will remain in their current SoonerCare program and continue receiving services in the same way. 

Learn more about American Indian/Alaskan Native (AI/AN) >>