How do I qualify?

In order to qualify for Insure Oklahoma’s Individual Plan, you must:

  • Meet program income guidelines.
  • Provide any requested proof of income, such as taxes, pay-stubs and W-2s. Self-employed persons must provide complete federal personal and business taxes. Read more about who is considered self-employed.
  • Be an Oklahoma resident.
  • Be between the ages of 19 and 64.
  • Be a United States citizen or provide a permanent resident card that shows you have been in the United States for more than five years.
  • Not be enrolled in any state program (Medicaid, SoonerCare, family planning, BCC) or Medicare.
  • Not be currently covered by a private health insurance policy or plan.
  • Be able to provide Social Security numbers for all household members.
  • Report all annual household income received (earned and unearned). Refer to the income fact sheet

You must also meet one of the following criteria:

  • Be employed by an employer who employs less than 250 employees (less than 500 employees for nonprofits) and does not offer Insure Oklahoma Employer Sponsored Insurance (ESI); or
  • Be unemployed and eligible to collect unemployment benefits as determined by Oklahoma Employment Securities Commission (OESC); or
  • Be a disabled adult with a Federal Ticket to Work certificate.
  • Spouses may be approved for benefits if (s)he:
    • Is not employed,
    • works full-time for an employer that would qualify but is not participating,
    • part-time (less than 29 hours per week), employed by any size employer.

Proceed to Application Process