SoonerPlan

SoonerPlan is the family planning program for Oklahoma residents who do not qualify for full SoonerCare health insurance . The income levels for SoonerPlan are higher so that more men and women have access to various forms of contraception and education. In order to qualify, you must be a U.S. citizen or legal resident, live in Oklahoma, and have income less than or equal to 185 percent of the federal poverty level.

The program covers birth control supplies and procedures, and other related services. As long as you are using some type of birth control, services through SoonerPlan are free. SoonerPlan offers coverage on family planning services only, and does not cover other types of physician or hospital care covered by different Medicaid programs.

 

SoonerPlan Eligibility

Those who qualify for SoonerPlan must be resident Oklahomans age 19 and older who are not pregnant and do not intend to get pregnant. Pregnant women whose SoonerCare maternity coverage has been exhausted are eligible for family planning when their coverage ends 60 days after giving birth. Also, if you are eligible for full SoonerCare benefits, you can choose to only have coverage through SoonerPlan, with the option of applying for the comprehensive program at any time. You may apply for family planning services even if you have Medicare or any other creditable coverage, as long as you meet the income criteria.

 

Income Guidelines – 185% FPL

Family of 1: $1,722 monthly, $20,665 yearly

Family of 2: $2,333 monthly, $27,991 yearly

Family of 3: $2,943 monthly, $35,317 yearly

Family of 4: $3,554 monthly, $42,643 yearly

Family of 5: $4,164 monthly, $49,969 yearly

Family of 6: $4,775 monthly, $57,295 yearly

Family of 7: $5,385 monthly, $64,621 yearly

Family of 8: $5,996 monthly, $71,947 yearly

Households over 8 persons add $3,690 for each additional family member.

 

SoonerPlan Benefits

Family planning services provided by SoonerPlan includes education and supplies for how to stay safe and childless. The state has approved the following services to be performed through Medicaid contracted providers to members of SoonerPlan.

  • Birth control information and supplies
  • Family planning office visits and physical exams
  • Gardasil for men and women age 19-26
  • Lab work related to family planning, such as pregnancy tests, pap smears, and screening for certain STDs
  • Tubal ligation for women age 21 and older
  • Vasectomies for men age 21 and older

 

How to Apply

Use the application for SoonerCare to apply for benefits, which is available online, or to print and mail in. Paper applications are also available by calling the Oklahoma Health Care Authority at 800-997-7767, and will be mailed to your address.

Apply online

SoonerCare Application – English

SoonerCare Application – Spanish

 

Resources

OHCA SoonerPlan

Apply for SoonerCare

Contact SoonerCare

2401 N.W. 23rd Street, Suite 1A
Oklahoma City, OK 73107

800-987-7767

800-757-5979 (TDD)

 

 

Sources:

 

1. OHCA. “Programs: SoonerPlan.” http://www.okhca.org/individuals.aspx?id=176.

2. OKDHS. “Eligibility for the SoonerPlan Family Planning program.” http://www.okdhs.org/library/policy/oac317/035/07/0048000.htm