The Medicaid Income Limit is the most important criteria for deciding whether you qualify for Medicaid in your state. In this post, we are going to explain in detail the Oklahoma Medicaid Income Limits for 2021. Medicaid in Oklahoma is also called SoonerCare.
Based on this information, you will be able to determine whether your income qualifies you for Oklahoma Medicaid or not.
However, before we get into details about the income limit, we will first explain the Medicaid program in Oklahoma and how it works.
Next, we will discuss who is eligible for Medicaid, including how eligibility works for various categories, including Children, Pregnant Women, and Adults.
What is Medicaid?
Medicaid is a federal and state health insurance program for people with a low income.
It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.
The Children’s Health Insurance Program (CHIP) offers health coverage to children in families with incomes too high to qualify for Medicaid, but who can’t afford private coverage.
How Many People are on Medicaid?
According to the Centers for Medicare & Medicaid Services, as of November 2020, here are the number of people enrolled in Medicaid and Chip in the entire United States:
- 78,521,263 individuals were enrolled in Medicaid and CHIP
- 72,204,587 individuals were enrolled in Medicaid
- 6,695,834 individuals were enrolled in CHIP
Oklahoma Medicaid
The Oklahoma Medicaid program provides medical coverage to low-income individuals and families.
As of 2020, the program, along with the Children’s Health Insurance Program (CHIP) covered 854,774 people.
This includes 578,000 children as shown by the image below.
Medicaid services in Oklahoma are managed by the Oklahoma Department of Human Service (OK DHS).
Who Can Get Medicaid in Oklahoma?
You should apply for Medicaid if your income is low and you match one of the descriptions below:
- You think you are pregnant
- The parent or caretaker of a child and/or teenager under the age of 19.
- You are a child or teenager age 18 or under.
- An adult age 65 or older.
- You are legally blind.
- Living with a disability or disabled.
- You are in need of nursing home care.
Oklahoma Medicaid Income Limit
The Oklahoma Medicaid Income Limit is calculated as a percentage of the Federal Poverty Line.
To qualify, you must meet the Oklahoma Medicaid Income limits listed below.
Here is the Federal Poverty Level (FPL) for 2021.
| 2021 Federal Poverty Levels for the 48 Contiguous States & D.C. | |||
| Household Size | Poverty Guideline for 48 states & DC | Alaska | Hawaii |
| 1 | $12,880 | $16,090 | $14,820 |
| 2 | $17,420 | $21,770 | $20,040 |
| 3 | $21,960 | $27,450 | $25,260 |
| 4 | $26,500 | $33,130 | $30,480 |
| 5 | $31,040 | $38,810 | $35,700 |
| 6 | $35,580 | $44,490 | $40,920 |
| 7 | $40,120 | $50,170 | $46,140 |
| 8 | $44,660 | $55,850 | $51,360 |
| Over 8 people | add $4,540 for each additional person | $5,680 | $5,220 |
Additionally, to be eligible for Medicaid, you cannot make more than the income guidelines outlined below:
- Children up to age 1 with family income up to 205 percent of FPL
- Any child age 1-5 with a family income up to 205 percent of FPL
- Children ages 6- 18 with family income up to 205 percent of FPL
- CHIP for children with family income up to 205 percent of FPL
- Pregnant women with family income up to 133 percent of FPL
- Parents of minor children with family income up to 38 percent of FPL
- Individuals who are elderly, blind, and disabled with family income up to 100% of the FPL
Oklahoma Medicaid Income Limit Charts
The Oklahoma Medicaid eligibility income limit charts are divided by groups.
For example, the first chart is focused on income limits for children who qualify for Medicaid.
Similarly, the second chart below focuses on the Medicaid income limits for adults in Oklahoma who qualify for Medicaid.
Oklahoma Medicaid Income Limit for Children
Below is the income limit for children by age category. Find the age category your child falls into and you will see the income limit by household size.
| Oklahoma Medicaid Income Limit – Children | ||||||
| Children Medicaid Ages 0-1 | Children Medicaid Ages 1-5 | Children Medicaid Ages 6-18 | Children Separate CHIP | |||
| % FPL | 100% | 205% | 205% | 205% | 205% | |
|
Household Size
|
1 | $12,880 | $26,404 | $26,404 | $26,404 | $26,404 |
| 2 | $17,420 | $35,711 | $35,711 | $35,711 | $35,711 | |
| 3 | $21,960 | $45,018 | $45,018 | $45,018 | $45,018 | |
| 4 | $26,500 | $54,325 | $54,325 | $54,325 | $54,325 | |
| 5 | $31,040 | $63,632 | $63,632 | $63,632 | $63,632 | |
| 6 | $35,580 | $72,939 | $72,939 | $72,939 | $72,939 | |
| 7 | $40,120 | $82,246 | $82,246 | $82,246 | $82,246 | |
| 8 | $44,660 | $91,553 | $91,553 | $91,553 | $91,553 | |
Next is the income limit for adults by category. Find the category you fall into and you will see the income limit by household size.
Oklahoma has expanded Medicaid to include adults without dependents.
Therefore, adults without dependents can apply for Medicaid in Oklahoma.
For an update on the Medicaid expansion debate and timeline in Oklahoma, see our Oklahoma Expansion update below.
Oklahoma Medicaid Income Limit for Adults
| Oklahoma Medicaid Income Limit – Adults | ||||||
| Pregnant Women Medicaid | Adults (Medicaid) Parent/ Caretaker | Seniors & People w/ Disabilities (Medicaid) | Adults (Medicaid) Expansion to Adults | |||
| % FPL | 100% | 133% | 38% | 100% | YES | |
|
Household Size
|
1 | $12,880 | $17,130 | $4,894 | $12,880 | N/A |
| 2 | $17,420 | $23,169 | $6,620 | $17,420 | N/A | |
| 3 | $21,960 | $29,207 | $8,345 | $21,960 | N/A | |
| 4 | $26,500 | $35,245 | $10,070 | $26,500 | N/A | |
| 5 | $31,040 | $41,283 | $11,795 | $31,040 | N/A | |
| 6 | $35,580 | $47,321 | $13,520 | $35,580 | N/A | |
| 7 | $40,120 | $53,360 | $15,246 | $40,120 | N/A | |
| 8 | $44,660 | $59,398 | $16,971 | $44,660 | N/A | |
How to Read the Oklahoma Medicaid Income Limits Charts Above
You cannot have an income higher than the Federal Poverty Level percentage described for your group to be eligible for Medicaid.
Similarly, when you identify the income group that applies to you, the income limit you see refers to the maximum level of income you can earn to qualify for benefits.
For example, if you are pregnant, to qualify for Medicaid, you cannot have an income higher than 133% of the Federal Poverty Level – which for a family of two is $23,169 as shown in the chart above.
How to Apply for Oklahoma Medicaid
There are 3 ways you can apply for Medicaid in Oklahoma.
Option 1 – Apply online
You can apply for Medicaid in Oklahoma online.
However, depending on the Medicaid category that applies to you, your online application may be different.
Click here for details on how to apply online.
Option 2 – Apply at DHS Office Near You
You can apply in person at the Oklahoma Department of Human Services (DHS) office near you. Click here to locate a DHS office.
Option 3 – Download Application
If you need help completing the form, call the SoonerCare Helpline at -1800-987-7767.
Oklahoma Medicaid Phone Number
Here’s how to contact the Oklahoma Medicaid Agency:
If you have questions or need help finding out if you are covered for a medical service:
Call the Oklahoma Medicaid Helpline at 800-987-7767.
The Helpline is open from 8 a.m. to 5 p.m., Monday through Friday.
Oklahoma Medicaid Expansion Update
Oklahoma’s GOP majority continues to reject federal funding to expand Medicaid, so voters took matters into their own hands and passed a ballot initiative to expand Medicaid.
In June 2020, voters in Oklahoma passed a Medicaid expansion ballot initiative, paving the way for Medicaid expansion to take effect in Oklahoma by July 2021.
Oklahoma joins several other states — Maine, Utah, Idaho, Nebraska, and Missouri —where voters have approved Medicaid expansion ballot initiatives over the last few years, after state lawmakers or governors had rejected Medicaid expansion for several prior years.
Oklahoma has the second-highest uninsured rate in the U.S., and 59% of the uninsured are in the Medicaid coverage gap.
Estimates vary in terms of how many people will gain eligibility for Medicaid once expansion takes effect in Oklahoma.
However, The Robert Wood Johnson Foundation estimates it would be at least 160,000 people.
The Center on Budget and Policy Priorities estimates 225,000.
Additionally, the Oklahoma Hospital Association estimates that 272,000 people would gain access to Medicaid in the first full year of expansion.
Oklahoma Medicaid Income Limits Summary
We hope this post on Oklahoma Medicaid Income Limits was helpful to you.
If you have any questions about Medicaid in the state of Oklahoma, you can ask us in the comments section below.
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Be sure to check out our other articles about Medicaid.
Income limits for Florida Medicaid
Oregon Health Plan Income Limits