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Oklahoma Health Insurance

Updated on February 23rd, 2022

We want to help you make educated healthcare decisions. While this post may have links to lead generation forms, this won’t influence our writing. We adhere to strict editorial standards to provide the most accurate and unbiased information.

What You Need to Know

Oklahoma residents sign up for individual on the federal health insurance marketplace or directly with insurers off the exchange.

Your application for an ACA plan also reveals if you qualify for Medicaid instead of federal subsidies to pay for health insurance.

Some Obamacare plans could cost $0 in monthly premiums after federal help is applied.

More Oklahomans enrolled in Marketplace coverage for 2022 than the year before. You can find plans from eight insurers in the Marketplace.

Oklahoma and the Affordable Care Act

About 18% of Oklahoma’s population (662,000 residents) lacked coverage when the Affordable Care Act (Obamacare) took effect in 2013.1

Although the number of people without coverage dropped to 15% as of 2021, the Sooner State still has the second-highest uninsured rate in the country. More than 566,000 residents are without health insurance.2

Oklahoma decided to expand Medicaid to childless adults in 2021 3

Buying Oklahoma Health Insurance for Individuals, Families, and Self-Employed Entrepreneurs 

Obamacare offers affordable health insurance for individuals, families, and self-employed entrepreneurs. You’re self-employed if you have no employees.

Obamacare plans are categorized by metal tier: bronze, silver, gold, and platinum. Each tier covers a certain percentage of your health insurance costs with bronze covering the least. All plans include essential health benefits, such as maternity and pediatric care, prescription drug coverage, and free preventive services. Plus, policies must offer vision and dental benefits to children.

Obamacare health insurance in Oklahoma is available through the federal Marketplace via Plans are also sold through insurance brokers and directly from private insurance companies.4 Keep in mind that you only qualify for financial help when you enroll through the Marketplace (called the exchange).

Oklahoma Health Insurance Marketplace Enrollment

For the 2021 plan year, about 162,000 Oklahomans enrolled in coverage through the Marketplace.5 This is an increase from approximately 159,000 enrollees in 2020.6

Open enrollment usually takes place each year from November 1 to January 15. If you missed signing up, you can get coverage if you have a qualifying life event, such as having a child or moving to a new area. Otherwise, you’ll have to wait until the following November for next year’s enrollment period. The 2022 Open Enrollment Period begins November 1, 2021 and ends on January 15, 2022.

Oklahoma Health Insurance Companies

Eight health insurance companies in Oklahoma offer 2022 coverage through the on and off the federal exchange:7

  1. Ambetter
  2. Blue Cross Blue Shield of Oklahoma
  3. Bright Health Insurance Company
  4. CommunityCare HMO
  5. Friday Health Plans (new)
  6. Medica Insurance Company
  7. Oscar Health
  8. UnitedHealthcare of Oklahoma

Health Insurance Costs in Oklahoma

Oklahoma health insurance premiums have declined slightly over the past few years. Here’s a look at the average Marketplace monthly premiums from 2019 to 2021:

Oklahoma Marketplace Average Monthly Premiums 201920202021
Average lowest-cost bronze premium $361$365$367
Average lowest-cost silver premium$529$527$504
Average lowest-cost gold premium$522$521$502
Source: Average Marketplace Premiums by Metal Tier, 2018-2021. Accessed October 11, 2021.

For 2021 plans, the state approved a 2.7% increase for the average unsubsidized premium although other private analysis shows a decrease of 0.36%.8

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Average Rate Changes

How to Qualify for Obamacare Subsidies in Oklahoma 

Applying for health insurance through the federal Marketplace will reveal if you qualify for Obamacare subsidies. Subsidies, known as premium tax credits, are based on your income and household size.

Before 2021, you got premium tax credits if you made earned up to four times the federal poverty level.

In 2021, the federal government eliminated the income cap and expanded subsidies.

Residents who enroll in a Marketplace plan are expected to pay no more than 8.5% of their annual household income toward the benchmark silver plan.

Subsidies reduce your monthly insurance premium. You may even qualify for a bronze plan with a $0 monthly premium after federal help is applied. The average premium tax credit received among Oklahoma Marketplace enrollees in 2021 was $568 per month; that same year, 91% of enrollees received subsidies. 10

Another 64% received cost-sharing reductions (CSRs), which only apply to silver plans. CSRs lower your out-of-pocket costs (such as copayments) when you use your coverage. You typically qualify if you earn up to 250% of the FPL, which is $32,200 for an individual in 2021. It’s possible to receive premium tax credits and CSRs.


Before enrolling, check your out-of-pocket costs, such as premiums and deductibles, to decide which plan works best for your needs and budget.

Oklahoma’s Medicaid Program for Low-Income Residents 

Your Marketplace application also reveals if you qualify for Medicaid instead of federal subsidies. Medicaid is a public health insurance program funded by the state and federal government.

In Oklahoma, Medicaid is called SoonerCare. It includes a children’s health insurance program called Soon-to-be Sooners.11 SoonerCare covers about 883,000 adults and children, or about one in five residents.12

SoonerCare may cover up to 100% of medical expenses. It’s available to some low-income citizens and legal immigrants who reside in Oklahoma. These are:

  • Children under 19
  • Parents and caretakers with children under 19
  • Pregnant women
  • People who are blind or have disabilities 
  • Individuals 65 and older 
  • Women under 65 who need breast or cervical cancer treatment 
  • Men and women 19 and older who have family planning needs

Income limits to qualify for SoonerCare vary. Parents and caretakers of minor children can earn up to $5,676 a year for an individual in 2021. Meanwhile, pregnant women can make an individual income of up to $17,148.

Medicare in Oklahoma for Seniors and People With Disabilities 

You can get Medicare if you’re 65 or older or under 65 and have a disability. Nearly 749,000 Oklahomans have health insurance through Medicare.13

About eight in 10 adults get benefits through the federal government’s Original Medicare program. It includes inpatient hospital (Part A) and outpatient medicare care (Part B). Another 1 in 5 gets Part A and B through private Medicare Advantage plans. Most of these plans also offer Medicare Part D prescription drug benefits.

Original Medicare does not offer comprehensive drug coverage. So many residents buy a separate Part D drug plan from a private insurer. Nearly 319,000 Oklahoma Medicare beneficiaries have an individual Part D plan.14

Private companies also offer Medicare Supplement plans, commonly called Medigap. These plans only work with Original Medicare. They help pay for out-of-pocket costs, including coinsurance, copays, and deductibles.

Oklahoma Short-Term Health Insurance If You’re In Between Jobs or in a Coverage Gap

Short-term health insurance can help fill a gap in coverage, such as when you’re in between jobs or waiting for benefits to start at a new job. You can get short-term coverage in Oklahoma for up to six months, but plans aren’t renewable.

Buying short-term health insurance usually requires you to answer medical questions. Short-term health plans don’t qualify as major medical insurance under the Affordable Care Act (ACA). So plans can deny you a policy based on your health and exclude coverage for preexisting conditions.

Next Steps

Before you choose to sign up for health coverage, carefully review the policy to understand its limitations. You also want to compare costs, such as premiums and deductibles, to decide which works best for your needs and budget. 

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  1. Kaiser Family Foundation. “Health Insurance Coverage of the Total Population.” Accessed on October 1, 2021.

  2. Health Insurance Coverage of the Total Population (CPS). Accessed October 11, 2021.

  3. Status of State Medicaid Expansion Decisions: Interactive Map. Accessed on October 11, 2021.

  4. Oklahoma Insurance Department. “Health Insurance.” Accessed on October 1, 2021.

  5. Effectuated Enrollment: Early 2021 Snapshot and Full Year 2020 Average. Accessed on October 11, 2021.

  6. Kaiser Family Foundation. “Marketplace Enrollment, 2014-2019.” Accessed on October 1, 2021.

  7. Oklahoma Consumers Have More Health Insurance Options for 2022 ACA Plans. Accessed on October 1, 2021.

  8. Oklahoma Insurance Department. “Oklahoma Consumers to Have More Health Options for 2021 ACA Plans.” News Release, August 21, 2020 (accessed October 10, 2020); ACA Sign Ups. “Oklahoma: Approved avg. 2021 #ACA premiums: OK DOI insists indy market rates are +2.7% in spite of this being mathematically impossible.” (accessed October 29, 2020).

  9. Insurer Participation on ACA Marketplaces, 2014-2020.”

  10. Marketplace Average Premiums and Average Advanced Premium Tax Credit (APTC). Accessed on October 11, 2021.

    Marketplace Plan Selections with Financial Assistance. Accessed on October 11, 2021.

  11. Oklahoma HealthCare Authority. “Children’s Health Insurance Program (CHIP) Updates. Accessed on October 1, 2021.

  12. April 2021 Medicaid & CHIP Enrollment Data Highlights. Accessed on October 11, 2021; Oklahoma Population Up 5.5% Last Decade. Accessed on October 11, 2021.

  13. Kaiser Family Foundation. “Total Number of Medicare Beneficiaries.” Accessed on October 1, 2021.

  14. Monthly Enrollment by State 2021 09. Accessed on October 11, 2021.