OKLAHOMA CITY SoonerCare members moving to SoonerSelect will have the opportunity to choose their SoonerSelect health plans. In addition to traditional SoonerCare benefits, each plan offers extra valueadded benefits. Members can connect with choice counselors and review benefit guides to select the best plan to fit their needs.
“The transition to SoonerSelect marks a significant shift in the way many Oklahomans think about their health care,” said Ellen Buettner, Chief Executive Officer of the Oklahoma Health Care Authority. “Members will receive extra benefits that promote wellness both inside and outside of the doctor’s office, empowering individuals to lead healthy and productive lives.”
Approximately 80% of current SoonerCare members transitioning to SoonerSelect received a letter providing instructions on how to access the plans, compare benefits and make their plan selections. Members must select a health plan by March 10; otherwise, OHCA will enroll them in a plan on their behalf. Members have 90 days from the date of enrollment to change their plan.
OHCA provides choice counseling for SoonerSelect members, where counselors guide members through plan options, highlighting differences in benefits so members can pick the plan that best fits their needs.
Members moving to SoonerSelect include children, low-income parents, pregnant women and Expansion adults ages 1964. Eligible American Indian/Alaskan Native members have the opportunity to opt into SoonerSelect. If AI/AN members do not opt into SoonerSelect, they will remain in their current SoonerCare program and will continue receiving services in the same way.
OHCA has contracted with three qualified and experienced entities to administer SoonerSelect health benefits. These entities are: Aetna Better Health of Oklahoma; Humana Healthy Horizons; Oklahoma Complete Health Oklahoma Complete Health will also serve the children’s specialty program, which covers all Medicaid services, other than dental, for children in foster care, former foster care children, juvenile justice involved children and children receiving adoption assistance.
These contracted entities are dedicated to implementing comprehensive care coordination strategies designed to achieve several crucial objectives: Incentivizing and encouraging primary care.
Reducing unnecessary emergency room visits by investing in early, preventive treatment.
Expanding the primary care provider and specialist networks.
All health plans will provide the same health care services currently offered by SoonerCare, including medically necessary prescriptions, health services and behavioral health services. Each plan also offers extra valueadded benefits to improve health outcomes for members, including: Monetary incentives for attending well-child and annual primary care visits.
Enhanced vision services for adults such as eye exams and funds for contacts or eyeglasses.
Home-based asthma interventions such as deep cleaning carpet and hypoallergenic bedding.