Oklahoma Health Insurance: 2021 Coverage Guide

Fran
Fran Majidi
August 25, 2020

Oklahoma Affordable Healthcare Insurance

Whether you’re an Oklahoma resident looking to buy an individual health plan or you’re buying for a family, begin shopping for health insurance with SmartFinancial. Remember that you may only enroll in a health plan during open enrollment, unless you are eligible for the Special Enrollment Period because of a qualifying event.

When Is Open Enrollment in Oklahoma?

November 1, 2020 - December 15, 2020. Coverage begins January 1, 2021.

How to Get Health Insurance in Oklahoma

It’s tempting to buy the cheapest health insurance you can but sometimes that defeats the purpose of having any insurance at all. For instance, if you visit your doctors regularly and have really high copays, it doesn’t matter that you have a low monthly rate. That’s why it’s important to review the previous year to see how often you use your health insurance. You can also estimate how much you’ll owe in copays. It may turn out that a high deductible, low premium plan works for you if you rarely see the doctor. But you may benefit from a plan with a higher premium and lower copays if you see your doctors several times a year.

To get the best rates for the coverage you choose, compare health insurance companies and health insurance quotes. After you submit the form you’ll get several competing health insurance rates to choose from, and we’ll connect you with a trustworthy agent in your area so you can buy the coverage or ask questions about the plan you’re considering.

What Types of Health Insurance Are Available in Oklahoma?

HMOs, EPOs, PPOs and POS plans are the most common types of health insurance available in Oklahoma. These plans come in different tiers: platinum, gold, silver and bronze. A platinum plan covers about 90% of costs while a bronze plan only covers 60%.

Does Health Insurance Cover Pre-existing Conditions?

The Affordable Care Act made it illegal for marketplace health plans to deny anyone health insurance coverage based on pre-existing conditions.

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Do I Qualify for a Special Enrollment Period?

Common reasons people qualify for a special enrollment period:

  • Losing or quitting a job. You may have lost a job, changed jobs or even started your own business. If so, you qualify for the special enrollment period. If you changed jobs and are not offered health insurance, you qualify to buy health insurance.
  • Turning 26. If you were on your parents’ health insurance plan and turned 26, you can enroll in an individual health plan.
  • Moving out of the coverage zone. You may have had a health plan that was only valid in one state or region but you moved. You can sign up for a new health plan.
  • Cobra coverage deadline approaching. If you extended your healthcare with Cobra and reached the deadline, you can enroll in a new health plan.
  • Getting divorced. If you shared coverage with a spouse and divorced, you can enroll in a new health plan.
  • Getting married. If you recently married, you may be able to get added onto your spouse’s policy or start an entirely new one together.
  • Bringing home a child. If your baby was born or brought home after the open enrollment date, you can still buy health insurance for that child.
  • Death of spouse or partner. If you were covered under your spouse or partner’s health plan but that person passed away, you can take advantage of the special qualifying events exception to enroll in an individual plan.
  • Losing coverage. If you previously had health insurance through a partner or spouse who lost his/her coverage for any qualifying reason, you are eligible to buy an individual plan or buy coverage with that spouse/partner again.

Is Health Insurance Required in Oklahoma?

No, only California, Massachusetts, New Jersey, Vermont, Rhode Island, and DC still require health insurance. Otherwise, there is a tax penalty. Even though it’s not required in every state, buying health insurance is necessary to avoid medical bankruptcy.

How Much Is Health Insurance in Oklahoma?

The average cost of health insurance in Oklahoma for a 40 year old is about $588 a month. Health insurance is less expensive, the younger you are. Tobacco use increases health insurance rates.

How to Save on Health Insurance in Oklahoma

The best way to save on health insurance in Oklahoma is to compare rates based on the tier system. Beforehand, you’ll want to estimate your medical costs.


Medicare in Oklahoma

Medicare is health insurance coverage for Americans ages 65 years and older. The government also allows younger people with disabilities to enroll in the program. Individuals with End-Stage Renal Disease (a permanent kidney failure treated with dialysis or a transplant) can also sign up as can some individuals with severe mental health issues. Others who qualify for Medicare disability coverage are individuals with Amyotrophic Lateral Sclerosis (also called Lou Gehrig’s Disease). Most beneficiaries will receive Original Medicare (Parts A and B). Some people buy Medicare Advantage, which includes Part A and B as well as offering vision, dental and prescription drug coverage.

How Many People Are on Medicare in Oklahoma?

19% of the people of Oklahoma are on Medicare.

How Much Is Medicare in Oklahoma?

If you do not qualify for Medicare, you can buy it for $458 a month for Part A in 2020 and a standard monthly premium for Medicare Part B was $144.60 for 2020, or even higher depending on income.

Original Medicare vs Medicare Advantage: What’s the Difference?

Medicare is a government subsidized health plan that is available to qualified Americans age 65 and older. Medicare Advantage is sold through private health insurance companies, but these policies are also regulated by the government. Medicare Advantage plans offer the same benefits as Medicare Parts A and B. Medicare Advantage plans also offer more coverage for dental, vision, hearing and prescription drugs. Medicare Advantage plans have a maximum out-of-pocket limit. For 2020, it was $6,700 but many plans set their maximums at a much lower cost. That is why it’s important to compare companies. People who opt for original Medicare can buy Medicare Supplements to help with out-of-pocket costs. You cannot buy both Medicare Advantage and Medicare Supplements. If you enroll in a Medicare Advantage Plan during open enrollment, you will automatically be disenrolled from original Medicare.

How to Get Medicare Coverage in Oklahoma

If you receive social security payments, you may automatically enroll in Medicare, but you may have to sign up if you do not receive payments. The easiest way to enroll in Medicare is by working with a trusted insurance agent to get the coverages you want. Just enter your zip code and answer a few simple questions.

Types of Medicare Plans Available

Original Medicare, Medicare Advantage, Medicare Cost Plans (only offered in certain areas), Demonstration/Pilot Programs (also called Research Studies; only offered in certain areas) and Programs of All-Inclusive Care for the Elderly (PACE).

How Do I Qualify for Medicare?

To qualify for Medicare you must be a citizen of the U.S. or have been a legal resident for at least five years. If you are age 65 or older and you/your spouse have worked for at least 10 years (40 quarters) or you have a disability, Amyotrophic Lateral Sclerosis (ALS) or end-stage renal disease (ESRD), you most likely qualify for Medicare.

How Can I Save on Medicare in Oklahoma?

You can save on Medicare by signing up for Part B as soon as you’re eligible. People who enroll late must pay a penalty every year. If you’re interested in buying Medicare Advantage, you can shop and compare Medicare plans for the best value.


Oklahoma State Health System Ranking

Ever wonder how your state stacks up when it comes to quality healthcare? The Commonwealth Fund published a report in 2019 on State Health System Performance. They took into consideration the access to quality care, health outcomes, and disparities in all 50 states. The scores for the Oklahoma Health System is listed below:

  • Oklahoma: Overall State Ranking: 50 of 50
  • Oklahoma: Overall Performance: Below Average
  • Oklahoma: Access & Affordability: 49
  • Oklahoma: Prevention & Treatment: 42
  • Oklahoma: Avoidable Hospital Use & Cost: 46
  • Oklahoma: Healthy Lives: 48
  • Oklahoma: Health Care Disparities: 45
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Oklahoma Health Insurance Coverage

The people of Oklahoma have different kinds of health insurance while some Oklahoma residents are not insured at all. See the breakdown below:

  • Private coverage: 47%
  • Medicaid: 18%
  • Medicare: 19%
  • Uninsured: 16%

Report: America's Health Insurance Plans

Oklahoma Health Insurance Companies

The following carriers offer health insurance and/or medicare in Oklahoma.

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