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An Overview on Medical Insurance in Oklahoma

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Medical Insurance in Oklahoma

Medical Insurance in Oklahoma

Introduction: The medical insurance status in Oklahoma is not satisfying, at all. According to a survey conducted by The Center for Disease Control, more than 18% of total Oklahoma population was uninsured for Oklahoma medical insurance or each year, between 2001 and 2003.

In this below mentioned article we have provided some important Oklahoma medical insurance regulations and information on Oklahoma state medical insurance alternative options.

Some Important Regulations for Oklahoma Medical Insurance

Oklahoma department of insurance has introduced some regulations to control the overall medical insurance market of the state and regulate the activities of different medical insurance companies. The regulations are discussed below:

  • Oklahoma individuals qualified for medical insurance through an Oklahoma employer can't be refused or restricted access to that employer's medical insurance coverage.
  • As per state law, Oklahoma individuals looking for individual Oklahoma medical insurance can be refused or restricted access to coverage, on the basis of health condition, age and other deciding factors.
  • All Oklahoma medical insurance policies should have a guaranteed provision for renewal.
  • A guaranteed renewability provision lets an individual renew his or her existing medical insurance policy.
  • Provision for renewal is guaranteed, only if the individual has disbursed all the premiums, on time and provided no fake information during the term of his or her previous Oklahoma medical insurance policy.
  • In Oklahoma, there is no specific law regarding what the Oklahoma medical insurance organizations can demand for individual health insurance policies. The premium rate depends on the health, age and other deciding factors. Premium rates can be hiked at the time of renewal.
  • Oklahoma medical insurance companies can impose both pre-existing condition waiting periods and elimination riders.
  • An elimination rider can keep away some medical conditions, body systems or body parts from coverage, even permanently, throughout the term of a policy.
  • According to state laws, a pre-existing medical condition is an illness for which an individual has been treated, received medical advice or otherwise diagnosed previously, prior to commencement of a new Oklahoma medical insurance plan.
  • Pre-existing medical condition waiting period can last for an indefinite period of time. An individual is not able to get any coverage for that health condition during the exclusion period.
  • As per state health insurance law, pregnancy may be considered as a Pre-existing medical condition and thus can face an exclusion period.
  • Newborn and adopted child should be covered, automatically, under their parent's individual Oklahoma medical insurance plan that offers dependant coverage, for the initial 31 days from the day of birth or adoption. However, the plan should be adjusted, accordingly after that period.
  • In Oklahoma, some temporary medical insurance plans are available that the Oklahoma individuals between jobs or health insurance plans can avail.

Oklahoma Medical Insurance Alternative Options

The Oklahoma department of insurance offers some alternative medical insurance programs to help the uninsurable Oklahoma residents getting insurance coverage. Individuals, who are unable to afford the cost of individual Oklahoma medical insurance, can, also get coverage through such programs. The programs are as follows:

  • Oklahoma Employer/Employee Partnership for Insurance Coverage or O-EPIC: The program is available to Oklahoma small business owners, spouses and employees who meet all the qualifying criteria. O-EPIC helps those individuals paying premiums for their insurance policies. However, the program does not cover employees with no medical coverage, unemployed, sole proprietors and self-employed individuals.
  • Oklahoma Health Insurance High Risk Pool: The program helps uninsurable Oklahoma individuals obtaining the advantage of Oklahoma medical insurance though a group Oklahoma medical insurance policy. Pre-existing conditions may be applied.
  • Children's Health Insurance Program: This state-aided program is especially designed to let the children below and up to the age of 19 get coverage. However, children from families, which are not eligible for Oklahoma Medicaid or unable to afford the cost of Oklahoma medical insurance, qualify for the program.
  • Oklahoma Medicaid: Oklahoma residents, who meet all the qualifying criteria including income criteria, are able to access this program.

Oklahoma Department of Insurance

Mailing Address:
Oklahoma Insurance Department
P.O. Box 53408
Oklahoma City, OK 73152-3408


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