What does SoonerCare cover for vision?
When it comes to adults, SoonerCare will cover an eye examination for a medical reason. In other words, SoonerCare will cover the examination if you have eye allergies, dry eyes, glaucoma, diabetes, cataracts, or any other eye disease. Currently, it doesn’t help with glasses for anyone over 20 years old.
Will Medicaid pay for glasses in Oklahoma?
There is no provision for the coverage of glasses for adults, or for the purchase of visual aids. (2) Children. Payment will be is made for medically necessary lenses and frames required to correct visual defects or to Page 6 6 protect children with monocular vision.
Who takes Oklahoma Medicaid?
Adults with children under 19. Children under 19 and pregnant women. Individuals 65 and older (Medicare eligible residents in Oklahoma) Individuals who are blind or who have disabilities.
How do I choose a provider for SoonerCare?
Choosing a PCP/CM You must call the SoonerCare Helpline to choose your medical home at 800-987-7767. Your SoonerCare benefits will be limited if you do not choose a PCP/CM. You can use the same PCP/CM for your whole family or each family member can choose a different one.
What is the difference between SoonerCare and SoonerPlan?
SoonerPlan is Oklahoma’s family planning program for women and men who are not enrolled in regular SoonerCare services.
Does MaineCare cover glasses?
MaineCare will pay no part of the cost of eyeglasses unless prior authorization is obtained from the MaineCare Authorization Unit. Members may choose from three options for the repair of covered eyeglasses: The provider sends the eyeglasses to the Contractor for repair.
Who is eligible for SoonerCare in Oklahoma?
In order to be eligible for Soonercare benefits, you must be between 19 and 64 years old and have an income that is 138% of the federal poverty line or lower. That’s an estimated income of just under $18,000 for an individual or around $36,500 for a family of four.
Can I use SoonerCare out of state?
1, 2019 the Oklahoma Health Care Authority (OHCA) will enact changes to the agency’s out-of-state (OOS) services policies. They will not impact routine medical care for SoonerCare members. In 2019 the Oklahoma legislature passed HB 2341, which limited SoonerCare members’ services to in-state providers when possible.
Will SoonerCare pay for dentures?
(KSWO) – The Oklahoma Health Care Authority is providing additional dental benefits to all adult SoonerCare members. The benefit will allow participants to get preventive care like cleanings, fluoride, and periodontal scaling, exams, x-rays, fillings, and partial or full dentures.