Adults with children under age 18
- Recipients of the Temporary Assistance to Needy Families (TANF) program are automatically eligible for health benefits.
- Adults with children under the age of 18 who do not receive TANF may, in some circumstances, also be eligible for medical services. The income guidelines are presented in Appendix C-1 Schedule X. (Resources are not considered with this group.)
Children under age 19 and pregnant women
- Children under the age of 19 and pregnant women whose family incomes meet the income guidelines in Appendix C-1 Schedule I.A may be eligible for medical benefits. (Resources are not considered with this group.)
Aged, Blind or Disabled
- Individuals who are 65 or older are eligible if they meet the financial criteria.
- To be eligible for medical benefits in Oklahoma, a person will need to apply for and receive a disability determination from the Social Security Administration. To be considered disabled, a person must have a physical or mental impairment, disease or loss that appears reasonably certain to continue at least 12 months without significant improvement and that substantially impairs his/her ability to perform labor or services or to engage in a useful occupation.
- In addition, people eligible for Medicare Part A may qualify to have medical benefits pay their Medicare premiums, co-payments and deductibles as a Qualified Medicare Beneficiary (QMB), a Qualified Disabled and Working Individual (QDWI) or a Specified Low Income Medicare Beneficiary (SLMB). (Get more information about these programs).
- The recipient's monthly income and resources must meet guidelines listed in Appendix C-1 (Schedule V-VII for help with Medicare premiums and Schedules VI and VIII for medical assistance).
- People who belong to the "aged, blind and disabled" group may also qualify for a State Supplemental Payment.