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Benefits Overview

In this section, you can learn about the health benefits, pharmacy services and value added services Oklahoma Complete Health SoonerSelect Children’s Specialty Program offers.

You can also view more information in our Member Handbook (PDF)

 

 

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

Covered services include: 

  • Applied Behavioral Analysis 
  • Therapeutic Foster Care
  • 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) 
  • 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 1-833-752-1665 (TTY: 711).

We understand children in the child welfare and juvenile justice systems have special or complex medical needs. Oklahoma Complete Health offers care management services to help with these needs. All children are assigned to a care manager.  If your child has special needs or a disability, a care manager may be able to help. Our care managers are registered nurses or social workers. They can help you understand your child’s needs and help coordinate care with your child’s doctors.

They also help coordinate transitions of care in circumstances affecting your care plan, for example, when benefits end, transitions from pediatric to adult care, moving from a different level of care, discharging home or when coverage terminates. 

To connect to your child's care manager, call Member Services at 1-833-752-1665 (TTY: 711) for more information and ask to speak to a care manager.

Oklahoma Complete Health is proud to work with SafeLink Wireless to offer you this special, federal program. As a member of our plan, you get all the benefits of a SafeLink phone, plus unlimited inbound text messages and calls to Oklahoma Complete Health Member Services. There is no added cost for these extras. Some limitations may apply.

How to Enroll:

  • If you already have a SafeLink phone, call 1-877-631-2550 so you can begin receiving the additional SafeLink benefits.
  • Visit SafeLink's website to apply online. This is an external link that will take you outside the Oklahoma Complete Health website.
  • Call SafeLink at 1-877-631-2550 to apply over the phone.

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 1-833-752-1665 (TTY: 711).

Oklahoma Complete Health has several programs to improve the health of our members with chronic conditions. We know this means more than just helping your child to see a doctor. It means helping you and your child understand and manage your child’s health conditions. We do this through our disease management programs. Members are provided education and personal help from Oklahoma Complete Health staff. The goal of this service is to add to the quality of your child’s care and help you and your child to improve your child’s health.

If your child has one of the conditions below, call Member Services at 1-833-752-1665 (TTY: 711) for information:

  • Asthma
  • Cancer
  • Depression
  • Diabetes
  • HIV/AIDS
  • Substance Abuse Disorder

All our programs are geared toward helping you understand and actively manage your child’s health. We are here to help you and your child with things like:

  • How to take medicines
  • What screening tests to get
  • When to call your child’s doctor
  • When to go to the Emergency Room

We will help you get the things your child needs. We will provide tools to help you and your child learn and take control of your child’s condition. For more information, call Member Services and ask to speak with a case manager.

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 20

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

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 1-833-752-1665 (TTY: 711). 

This option will be available beginning April 1, 2024.

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 1-833-752-1665 (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.

Prenatal care is an important way to keep you and your baby healthy during your pregnancy. These regular checkups allow doctors to find and treat health problems early, if needed. They also help make sure your baby is growing and developing properly.

It’s important to see a doctor if you are planning on becoming pregnant, or as soon as you know you are pregnant. If you need help finding an OB-GYN, we can help. Use our Find a Provider tool  or call Member Services at 1-833-752-1665 (TTY: 711).

Start Smart for Your Baby®

Our Start Smart for Your Baby® program provides customized support and care for pregnant women and new moms. This program focuses on your health during your pregnancy and your baby’s first year.

Start Smart for Your Baby® offers these benefits at no cost to you:

  • Information about pregnancy and newborn care
  • Community help with housing, food, clothing and cribs
  • Breastfeeding support and resources
  • Experienced and licensed medical staff to work with you and your doctor if any issues occur during your pregnancy
  • Text and email health tips for you and your newborn

In addition, we cover the following expanded Non-Emergency Medical Transportation needs:

  • Five roundtrips per Enrollee per year for social outings and visits with biological family
  • Five roundtrips per Enrollee per year to support SDOH needs (e.g., food resources, WIC, childcare, job interviews, education, and support groups) 
  • Transportation for biological parents to attend medical appointments in support of reunification as requested by Oklahoma Human Services 
  • Transportation for youth and a caregiver to attend Office of Juvenile Affairs appointment

You can set up transportation by calling Transportation Services at 1-877-718-4212

Protect your eyes with services such as eye exams and prescription eyewear. You can visit our Vision Care website (This is an external link that will take you outside the Oklahoma Complete Health website.) for more information. You can also refer to your Member Handbook.

Oklahoma Complete Health may cover, when medically necessary, Services or Settings that are not covered under Oklahoma SoonerSelect Children's Specialty Program.

Last Updated: 04/03/2024