Oklahoma Cares

Oklahoma Cares is the Breast and Cervical Cancer Treatment Program designed to help eligible women who have been diagnosed with either of these conditions or a pre-cancerous stage. The program is a partnership of the Oklahoma State Department of Health, the Oklahoma Health Care Authority, The Kaw Nation of Oklahoma, the Cherokee Nation, and the Oklahoma Department of Human Services. In order to qualify for coverage, you must meet the eligibility criteria for age, income, and diagnosis through the Breast and Cervical Cancer Early Detection Program. Coverage includes traditional SoonerCare services as well as those specific to treating any stage of breast or cervical cancer.

 

Eligibility

Qualifying for the Breast and Cervical Cancer Early Detection Program is the first step in getting Oklahoma Cares coverage. If you are a woman under age 65 without health insurance, or with coverage that will not pay for breast and cervical cancer screenings, and also not be eligible for regular SoonerCare, you may qualify for this program. You must also have a social security number. Income must be over the Medicaid limits, but below 250 percent of federal poverty level.

Women between ages 21 and 64 qualify for cervical cancer screening, and those ages 40 to 64 qualify for breast screening. Additionally, those who have been previously diagnosed with breast or cervical cancer and are currently in the process of receiving treatment may also qualify for Oklahoma Cares.

 

Income Guidelines

Family of 1: $2,327 monthly, $27,925 yearly

Family of 2: $3,152 monthly, $37,825 yearly

Family of 3: $3,977 monthly, $47,725 yearly

Family of 4: $4,802 monthly, $57,625 yearly

Family of 5: $5,627 monthly, $67,525 yearly

 

Covered Services

While the Breast and Cervical Cancer Program will cover the screening and diagnostic portion of the services, once you have been diagnosed or receive an abnormal test result, you will be able to receive coverage through Oklahoma Cares for breast and cervical cancer treatment and pre-cancer diagnosis. Women who qualify will also have the added benefits of every SoonerCare service from doctor’s office visits to hospital care and prescriptions. Coverage will last for the duration of time a member needs treatment, or will be canceled if the member earns over the income limits.

 

How to Apply

First, you must receive a screening from a certified screening provider. Ask your current physician if they are certified with the Breast and Cervical Cancer Early Detection Program, and if they are not, you may contact the Take Charge! Program at the Oklahoma State Department of Health. BCCEDP screening providers can be located in your area by calling one of the following partners in the program.

Upon receiving test results for a mammogram, pap smear, or clinical breast exam that call for further testing and treatment, you or the screening provider may call the Oklahoma State Department of Health to apply for Oklahoma Cares.

 

Resources

OHCA Oklahoma Cares

CDC: National Breast & Cervical Cancer Early Detection Program

Contact Oklahoma State Department of Health

(866) 550-5585

 

 

Sources:

 

1. OHCA. “Oklahoma Cares.” http://www.okhca.org/individuals.aspx?id=130.

2. Centers for Disease Control. “About the NBCCEDP.” http://www.cdc.gov/cancer/nbccedp/about.htm.