Benefits Overview

Preventive care visits are covered by Oklahoma Complete Health. This means visiting the doctor for a regular check-up, rather than waiting until you are sick.

Adults should have an annual physical. These are always covered by Oklahoma Complete Health.

Regular well-child checkups are also covered for those under the age of 21. Schedule well-child visits at these ages:

• Newborns (within 24 hours of birth)
• The first week visit (3 to 5 days old)
• 1 month old
• 2 months old
• 4 months old
• 6 months old
• 9 months old
• 12 months old
• 15 months old
• 18 months old
• 2 years old (24 months)
• 2 ½ years old (30 months)
• Annually from ages 3 to 21

Oklahoma Complete Health also covers the immunizations and blood work recommended as a part of well-child checkups.

As an Oklahoma Complete Health member, you can choose who you see for your health care needs from our network of doctors and providers. We have many for you to choose from. View our online provider directory for a list of our providers. If you need help choosing a doctor, call Member Services at 1-833-752-1664 (TTY: 711).

We contract directly with providers in your community and throughout Oklahoma to provide behavioral health services. 

Covered services include:

• Applied Behavioral Analysis 
• Therapeutic Behavioral Services, Family Support and Training
• Individual, group and family counseling services 
• Certified Community Behavioral Health (CCBH) Services
• Inpatient psychiatric evaluation and treatment 
• Medication management and monitoring: 
•     Opiate substitution treatment services
•     Withdrawal management (detoxification) 

• Mental health services provided in a residential setting
• Partial Hospitalization  
• Day Treatment Services
• Peer Recovery Support Services
• Psychological assessments 
• Rehabilitation case management 
• Screening for drug and alcohol use disorders 
• Substance use disorder treatment

Oklahoma Complete Health can help you find a behavioral health provider, find local resources, plan an appointment and more. Call Member Services at 1-833-752-1664 (TTY: 711).

You can also refer to your Member Handbook for more information on your Behavioral Health OR Substance Abuse benefits.

Protect your eyes with eye exams and prescription eyewear. Oklahoma Complete Health expands the state’s covered vision services for members by offering an annual routine eye exam and $150 towards the cost of glasses or contact lenses every two years.

Care management and disease coaching are part of your health benefits and are provided to you at no cost. Oklahoma Complete Health pays for these services. We provide services for many conditions, such as asthma, diabetes, COPD, high-risk pregnancy and many more. Call Member Services at 1-833-752-1664 (TTY: 711).

Care management coordinates transitions of care in circumstances affecting your care plan, for example, when benefits end, transitioning from pediatric to adult care, moving from a different level of care, discharging home or when coverage terminates.

Our Nurse Advice Line is ready to answer your health questions 24 hours a day – every day of the year. It is staffed with Registered Nurses. Call 1-833-752-1664 (TTY: 711). 

Through our Community Impact and Resource Team, we can help you get the support you need. A Community Health Worker (CHW) team member can talk to you over the phone. They can also visit your home. They can talk to you about things like how to choose a doctor, plan benefits and living healthy. They can also connect you to community social service programs. These programs can help you with several community needs including food, housing, and transportation.

Oklahoma Complete Health covers Non-Emergency Medical Transportation (NEMT) for medically necessary covered services, such as doctor appointments, dialysis, and counseling appointments. You can set up transportation by calling Transportation Services at 1-877-718-4212.

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation by certified medical interpreters. Our interpreters have demonstrated proficiency in writing and understanding both written English and at least one other written non-English language.

If you need something translated into a language other than English, please call Oklahoma Complete Health at 1-833-752-1664 (TTY: 711). We can also provide things in other formats such as Braille, CD or large print.

If you need an interpreter for your medical appointment, contact Oklahoma Complete Health before your appointment. We will arrange for an interpreter to be at your appointment.

Oklahoma Complete Health may cover, when medically necessary, Services or Settings that are not covered under Oklahoma SoonerCare.