My SoonerCare Poster - lucinda2016Final

SoonerCare Online Enrollment
Quick Easy Secure
Health care is just a click away!
To qualify, a person must live in Oklahoma, be a U.S. citizen or qualified
alien, and meet income guidelines and resource standards for certain
categories. Although there is no cost for most services for qualified members,
copays may apply to some services for adults.
What you need to get started:
•Name, date of birth, social security # and contact information for each
family member you are enrolling •Any health insurance information
•Income and employment information •Absent parent information
•Valid email address •Last year’s tax return, if self-employed
Let’s get started:
1. Go to
mysoonercare.org.
2. Click on
“Apply for Benefits.”
3. Agree to
“Rights &
Responsibilities.”
4. Create an 8-20
character password
and ID.
5. Complete and submit
application.
mysoonercare.org
800-987-7767
For help, please call Monday - Friday, 8 a.m. - 5 p.m.
This publication, printed by O.U. Printing Services is issued by the Oklahoma Health Care Authority as authorized by Title VI and Title VII of the 1964 Civil Rights Act and the Rehabilitation Act of 1973. 500 copies have been prepared and distributed at
a cost of $xxxx.00. Copies have been deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. [74 O.S.2001 § 3105 (C)] Order additional copies on the OHCA website www.okhca.org. SPOESP-MYEROL-2015
Inscripción de SoonerCare en Línea
Rápido Fácil Seguro
¡Cuidado de salud Está solament
a un clic de distancia!
Para calificar, una persona debe vivir en Oklahoma, ser ciudadano estadounidense o extranjero calificado, y cumplir con los requisitos de ingresos y
normas de recursos para ciertas categorías. Aunque no hay ningún costo para la
mayoría de los servicios para los miembros calificados, copagos pueden aplicarse
en algunos servicios para adultos.
Lo que necesita para empezar:
• Nombre, fecha de nacimiento, Número de Seguro Social e inf mación de contacto
para cada miembro de familia que usted está inscribiendo • Información de algún
seguro médico • Información de ingresos y empleo • Información de los padres ausentes • Una dirección de correo electrónico válida • Declaración de impuestos del
año pasado, si trabaja por
cuenta propia
Vamos a empezar:
1. Ir a
mysoonercare.org.
2. Haga clic en
“Apply for Benefits.”
3. Aceptar
"Derechos y
Responsabilidades."
4. Crear una contraseña
de 8-20 caracteres e
identificación.
5. Completar y enviar
la solicitud.
mysoonercare.org
800-987-7767
Si necesita ayuda, por favor llame Lunes - Viernes, 8 a.m.-5 p.m.
This publication, printed by O.U. Printing Services is issued by the Oklahoma Health Care Authority as authorized by Title VI and Title VII of the 1964 Civil Rights Act and the Rehabilitation Act of 1973. 500 copies have been prepared and distributed at
a cost of $xxxx.00. Copies have been deposited with the Publications Clearinghouse of the Oklahoma Department of Libraries. [74 O.S.2001 § 3105 (C)] Order additional copies on the OHCA website www.okhca.org. SPOESP-MYEROL-2015