Call Us
Menu

Medicare in Oklahoma

The “Sooner” you understand Medicare in Oklahoma, the better

Reviewed by: Eboni Onayo, Licensed Insurance Agent. Written by: Bryan Strickland.

Key Takeaways

  • If you’re 65 or older, Medicare in Oklahoma offers an affordable option for your healthcare needs.

  • Original MedicareOriginal Medicare (Parts A and B) is fee-for-service health insurance available to all Americans aged 65 and older and some individuals with disabilities. Original Medicare is provided by the federal government and is made up of two parts: Part A (hospital insurance) and Part B (medical insurance). can save you money if you’re approaching retirement, as can the addition of a drug coverage plan and a Medigap supplement.

  • Medicare AdvantageMedicare Advantage is health insurance for Americans aged 65 and older that blends Medicare benefits with private health insurance. This typically includes a bundle of Original Medicare (Parts A and B) and Medicare Prescription Drug Plan (Part D). in Oklahoma can save you more money by offering the same coverage as Original Medicare while replacing it and also bundling services dental and vision care.

 

Oklahoma is known as the “Sooner State,” a tribute to enterprising settlers who jumped the gun on the Land Rush of 1889 and staked their claim before the official start time at high noon.

While you can’t begin your Medicare journey before you qualify, you can get the jump on things by knowing what to expect leading up to your 65th birthday. And if you’re already 65 but haven’t yet enrolled, discover why it might be wise to sign up for Medicare in Oklahoma “Sooner” rather than later.

Who Qualifies for Medicare in Oklahoma?

If you are a U.S. citizen age 65 or older, you qualify for Medicare in OK. It’s as simple as that. Of course, not everything about Medicare is that simple.

If you have opted to receive Social Security benefits before you turn 65, you should be automatically enrolled in Original Medicare. If not, you have to apply. Your first chance to sign up is during your Initial Enrollment Period, a seven-month window that begins three months prior to the month of your 65th birthday.

Your choices for applying for Medicare in Oklahoma include:

  • Enrolling online with the Social Security Administration. [1]
  • Visiting a local Social Security office. [2]
  • Enrolling over the phone at 1-800-772-1213 (TTY: 1-800-325-0778).

Can You Get on Medicare Before Age 65?

Only in a few particular circumstances can you get Medicare before 65:

You can get similar coverage to Medicare at any age if you qualify for Medicaid, a federal/state program founded alongside Medicare in 1965 that helps those facing a financial need or a disability. When you turn 65, it is possible to be eligible for both Medicare and Medicaid (called dual eligibility).

Do You Pay for Medicare at Age 65?

Everyone loves a bargain, and no one wants to pay for something they’re not going to use.

Your situation will determine whether Medicare in Oklahoma makes sense for you at age 65, but some universal truths can inform your decision.

If you have worked for 10 or more years, you can enroll in Part A of Original Medicare at age 65 and not have to pay a monthly premium. While there are costs involved with Part A, people eligible for it typically enroll at 65 because it provides valuable “hospital insurance” with no upfront cost.

By contrast, Part B provides “medical insurance” that does require a monthly premium, which was $148.50 in 2021 (or higher for a few higher-income individuals). People still carrying employer-sponsored group health insurance sometimes opt to stick with that over Part B at age 65. You receive a Special Enrollment Period when your employer coverage ends. It allows you to add Part B without paying a late-enrollment period. If you don’t have other insurance, Part B is an affordable option at 65 that will increase in price if you delay enrollment beyond age 65.

If you do enroll in Parts A and B, you have the option to add Part D to cover a portion of your prescription expenses. You may also choose to add Medigap, which is supplemental coverage that helps fill in the gaps in out-of-pocket costs like copays and coinsurance.

Medicare Advantage in Oklahoma offers an alternative. Medicare Advantage (also known as Part C) bundles Parts A, B, D, and supplemental coverage and benefits like dental and vision coverage.

Who Has the Best Medicare Supplement Plan?

Ideally, Medigap plans should be added in the six months after your Original Medicare coverage begins to ensure eligibility without medical questions. Keep in mind that different insurers may charge different rates for the same plans based on various factors.

All 10 standard Medigap plans, lettered from Plan A to Plan N, are available in Oklahoma and cover 100% of Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits run out. All 10 also pay at least 50% of Part B coinsurance and copayments.

Each plan offers a specific mix of benefits, but just two of them (Plans K and L) protect you with an out-of-pocket maximum. Medicare Advantage plans, by contrast, are required to include the benefit of an out-of-pocket maximum.

What are the Different Medicare Plans Available?

When it comes to Medicare plans in Oklahoma, there’s only one Original Medicare plan, which includes Parts A and B and features the option to add Part D and Medigap coverage from private insurance companies.

When it comes to Medicare Advantage in Oklahoma, numerous plans are available.

  • Some Medicare Advantage plans mirror Original Medicare but are more affordable.
  • Some Medicare Advantage plans include options for dental, vision and hearing coverage.
  • Some Medicare Advantage plans offer assistance with transportation costs or over-the-counter needs.
  • Some offer all of the above.

Which is the Best Medicare Advantage Plan in Oklahoma?

The Centers for Medicare & Medicaid Services has a Medicare Star Rating system that assigns one to five stars (five being the highest-rated) to individual Medicare Advantage plans.

If you’re already on a Medicare Advantage plan and it’s not five-star, you have the opportunity to switch to a five-star plan each year. [3]

While the rating system can shed light on various Medicare Advantage plans’ performance, it’s not as easy as just picking the highest-rated plan. A dedicated GoHealth licensed insurance agent can review your situation and figure out what Medicare Advantage plan is the right fit for you.

Medicare in Oklahoma by the Numbers

Thousands of older adults enroll in Medicare every day across the United States. The latest CMS data shows that 682,318 people are enrolled in Medicare in Oklahoma. The total number of beneficiaries enrolled in Medicare Advantage in Oklahoma is 150,513. The previous year, 135,847 enrolled in Medicare Advantage. Medicare Advantage participation in Oklahoma went from 20.28% to 22.06% year over year. If you’d like to dive deeper into how Medicare in Oklahoma breaks down across the state, we provide a glance at who is using Medicare, and how.

Outline of Oklahoma
682,318
Beneficiaries with Part A & Part B
150,513
Medicare Advantage Beneficiaries
22.06%
Medicare Advantage Participation Rate
55.18%
% Female
44.82%
% Male
1.02
Average HCC Score
$10,712.6
Actual Per Capita Costs
19.23%
% Eligible for Medicaid
34.12%
% of Beneficiaries with an Emergency Department Visit
17.46%
Hospital Readmission Rate
81.95%
% Non-Hispanic White
5.42%
% African American
2.28%
% Hispanic
10.35%
% Other/Unknown

Table reflects the latest Beneficiary Demographics data: 2018, All Beneficiaries by State, Centers of Medicare & Medicaid Services (CMS)

Average HCC Score: The Hierarchical Condition Category score gauges a population’s overall health. The score is based on a value of 1.0. Populations with an HCC score of less than 1.0 are considered relatively healthy. The score can be used to estimate health costs.

Oklahoma Medicare Resources & Contacts

Beneficiaries spend an average of $10,712.60 each year on Medicare in Oklahoma. To be certain you are not leaving anything on the table, let us help. A GoHealth licensed insurance agent can assess your coverage or explain which Oklahoma-based resources, like these, may be able to help:

Medicare Assistance Program (MAP)

1-800-763-2828

https://www.oid.ok.gov/consumers/information-for-seniors/

What should I know about MAP?

Oklahoma offers two services under MAP – free Medicare assistance through the Senior Health Insurance Information Program and consumer protection through the Senior Medicare Patrol.

Oklahoma Human Services

1-405-521-2281

https://oklahoma.gov/okdhs/medicareandmeds/mippaci.html

What should I know about Oklahoma Human Services?

Administers Medicare Savings Programs and Low Income Subsidy under the Medicare Improvements for Patients & Providers Act.

Aging Services Division

1-800-211-2116

https://oklahoma.gov/okdhs/services/aging-services.html

What should I know about Aging Services?

This division of Oklahoma Human Services oversees a multitude of programs that benefit seniors in Oklahoma.

SoonerCare (Medicaid)

1-800-987-7767

https://oklahoma.gov/ohca.html

What should I know about SoonerCare?

The Oklahoma Health Care Authority administers SoonerCare is the source for Medicaid assistance in the state.

Nationwide Resources

Speak with an insurance agent that is licensed in Oklahoma about your Medicare questions.

1-855-792-0088 TTY: 711

Monday - Friday, 8 AM - 9 PM CT

Medicare & Medicaid

If you have general questions about Medicare in OK, or need help with current Medicare benefits.

1-800-MEDICARE (1-800-633-4227)

Social Security Administration

You can reach the SSA by phone for general questions. Not all questions can be answered over the phone.

Also, SSA.gov provides online resources for the following: Review information, apply for benefits, or manage your account online

Speak to SSA Representative, Monday - Friday, 8 AM - 7 PM ET

Medicare Learning Guides

Healthcare is personal. So is choosing insurance. If you are new to Medicare, a beneficiary researching options, or a caregiver, we have tailored Medicare Guides for you.

Previous Next

New to Medicare Guide

Helpful information to get you started with enrolling in Medicare.

Medicare Beneficiary Guide

For those currently enrolled in Medicare.

Medicare Plans Guide

Costs, coverage and enrollment details for each Medicare plan.

Low Income & Medicare Guide

For individuals with a qualifying income status.

A Caregiver’s Guide

For those helping a loved one with Medicare.