What’s covered?
This is Oklahoma SoonerSelect coverage. As a member, you’ll enjoy all the benefits you’re used to plus extras to keep you healthy. Why extras? Because we take care of the whole you. And healthier happens together™.
To learn more, check your member handbook:
Ready to enroll?
The Aetna Better Health®of Oklahoma difference
You deserve to be as healthy as you can be. That’s why we offer the support and tools you need to be your healthiest, bringing together what matters most to your health. It’s care you can trust. And experience you can count on — with extra benefits that go beyond your standard health coverage. Learn about everything from your $25 over-the-counter benefit, mental health and pregnancy care to rides, training and more. Call us at 1-844-365-4385 (TTY:711).
Rewards you can earn
Did you know that you can get rewards for taking care of your health? Complete healthy steps to earn gift cards and more. We’ll show you how it works.
Benefits in your plan
Learn about all your plan benefits, from maternity care to mental health. Plus, help to stop smoking and much more. You can learn more about all these topics in your:
You can see any provider in our network. You may be able to keep seeing a provider who isn’t in our network in certain situations:
- For family planning services
- For providers you started seeing before joining our plan
Questions? Call us at 1-844-365-4385 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.
SoonerSelect coverage
There are certain services we don’t cover, like some alternative medicines or cosmetic surgery. Questions? Check your member handbook. Or call us at 1-844-365-4385 (TTY:711).
Copays
Some members may have copays for certain health care services or prescription medicines. Services for Early Periodic Screening, Diagnostic, and Treatment (EPSDT) don’t have copays. Questions? Check your member handbook. Or call Member Services.
Approval for services
Some services need approval, or prior authorization (PA), before you get them. We base all our decisions on whether the service is:
- Needed for your health
- Likely to help you
- Covered
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We take care of the whole you. That means you’re covered if you need to see a specialist, have an emergency or plan to start a family. You have unlimited visits, so you can see your primary care provider (PCP) as many times as you need to — at no cost.
You can also get a wide range of preventive care and vaccines. Start by finding a provider today.
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Children have coverage for routine eye exams up to age 21. They can also get two eyeglass frames each year.
For adults, vision care is an extra benefit that goes beyond your standard health coverage.
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Your dental benefits are part of a separate plan. The Oklahoma Health Care Authority has more info about these benefits.
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We make it easy to get the medications you need to feel better. You may have a copay for those on our preferred drug list (PDL). This is a list of medications we cover. If you don’t see yours on the list, ask your provider to find one that’s similar. And you can fill your prescription at any pharmacy in our network.
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You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes help with your mental health or substance use. You or your child can go to any behavioral health provider in our network.
Help in a crisis
Call 988 if you have a mental health crisis. This is the new number for the National Suicide Prevention Lifeline. Do you have thoughts of harming yourself or someone else? Their trained counselors can help you, 24 hours a day, 7 days a week. You can also chat online with a counselor through their Lifeline Chat service.
You can use any hospital for emergency care, even if it isn’t in our network. Just show your member ID card.
You can also call us at 1-844-365-4385 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.
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We can help you and your baby be as healthy as possible. We cover routine prenatal services and care.
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We’ll help you get birth control counseling and supplies. You can see any in-network or out-of-network provider. Any family planning care that you get is private. You can call us at 1-844-365-4385 (TTY: 711) to choose a family planning provider.
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Stopping nicotine use is hard, whether you smoke, chew, vape or use another method. Most people need help to quit, and we’re here for you.
We cover certain nicotine replacement therapy (NRT) products, like:
- Patches
- Gum and lozenges
- Inhalers
- Nasal spray
We also cover eight counseling sessions to help stop tobacco use. To learn more, check your member handbook. Or call Member Services.
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If it’s late at night or you can’t reach your PCP, you’re not alone. You can speak with a nurse about your health care questions 24 hours a day, 7 days a week. Not sure if you should find urgent care or go to the emergency room? The Nurse Line can help. It doesn’t take the place of your PCP, so be sure to follow up later.
Just call us at 1-844-365-4385 (TTY: 711). Then, choose the option for Nurse Line.
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These are services that help people with everyday activities, like:
Bathing and grooming
Getting into and out of bed
Toileting
Eating
Shopping and errands
Doing laundry
Housekeeping
More about state plan person care services
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Children need certain immunizations (shots) to stay healthy. The EPSDT program covers these shots. You’ll want to follow the schedule to stay on track with your child’s health. Call your doctor to ask about which shots your child needs next.
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Do you need help getting care? Our care management team is here for you. Care managers are nurses and social workers who understand your health conditions and help connect you to the right care. A care manager can help you learn more about your health, find a ride to your appointments and more.
Learn more about care management
Chronic disease management
Some health issues need more care. Our care managers can help you manage chronic conditions like asthma, diabetes, chronic obstructive pulmonary disease (COPD) and more.
Learn more about chronic disease management
You can decide to take part or not take part in care management or chronic disease management at any time. Just let your care manager know. Or call us at 1-844-365-4385 (TTY: 711).
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Get a phone plan with a variety of services at no cost to you. This allows you to stay in touch with your health care team.
Other language and format needs
Need language help? Just call us at 1-844-365-4385 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. You can get:
- Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation
- Interpreter services for your medical visit (be sure to call 48 hours before your visit)
- Info in another format, like audio, large print and braille
- Materials in other languages if your primary language isn’t English
Legal notices
Aetna is part of the CVS Health® family of companies.
All trademarks are the property of their respective owners.