Medicare plays a key role in providing health and financial security to beneficiaries residing in Oklahoma. With more than 747,200 Oklahoma beneficiaries enrolled in Medicare, we’ll cover some very important information below about Medicare in Oklahoma. We want to help you better understand your options and make the decision-process as seamless as possible once you’re ready to enroll in Medicare or discover different coverage options.

Who Qualifies for Medicare in Oklahoma?

Medicare covers most Oklahoma residents who are 65 or older, and it also covers disabled Oklahoma residents. In general, Medicare enrollment in Oklahoma works the same way as it does in the rest of the country. If you qualify for Original Medicare, also known as Part A and Part B, it will help cover 80% of your health care costs.

When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:

  • Begins 3 months before the month you turn 65
  • Includes the month you turn 65
  • Ends 3 months after the month you turn 65

In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll be responsible for paying this penalty for as long as you have Part B, and you could have a gap in your health coverage.

Once you reach Medicare eligibility, you can begin choosing additional coverage options to help pay for the remaining 20% of your medical expenses through Medicare Advantage (Part C), Medigap, and/or a Medicare Prescription Drug (Part D) plan.

Who Qualifies for Medicare

Oklahoma Medicare Enrollments

559,698

Original Medicare Plans
(Part A and B)

187,592

Medicare Advantage & Other Health Plans

347,400

Stand-alone Medicare
Part D (Drug plans)

747,290

Total Medicare Beneficiaries
in Oklahoma

Oklahoma Medicare Advantage Plans (Part C)

Only 22% of Oklahoma Medicare beneficiaries select Medicare Advantage plans.

Medicare Advantage plans are private, Medicare-approved insurance companies. They provide all of your Original Medicare benefits and often include extra benefits such as drug, dental, and vision coverage.

The Medicare Advantage Open Enrollment Period runs from January 1 to March 31. During this period, Medicare beneficiaries in Oklahoma who already enrolled in a Medicare Advantage plan can switch to a different Medicare Advantage plan or drop their Medicare Advantage plan and enroll in Original Medicare.

As of 2020, 44 Medicare Advantage plans are available in Oklahoma. The average monthly Medicare Advantage premium changed from $21.79 in 2019 to $16.48 in 2020. $0 is the lowest monthly premium for a Medicare Advantage plan in Oklahoma.

According to the Centers for Medicare and Medicaid Services (CMS), as of May 2020, there are 187,592 beneficiaries enrolled in Medicare Advantage and other plans in Oklahoma. Only 22% of Oklahoma Medicare beneficiaries were enrolled in a private Medicare Advantage plan in 2019. 100% of people with Medicare have access to a Medicare Advantage plan.

Depending on your county, Oklahoma Medicare beneficiaries can select from between two and 27 Medicare Advantage plans.

Oklahoma Medicare Supplement (Medigap) Insurance Plans

Oklahoma insurers are required to offer at least one Medigap plan to people under age 65.

Medigap plans are used to supplement Original Medicare, covering some or all of the out-of-pocket costs (for coinsurance and deductibles) that beneficiaries would otherwise incur if they only had Original Medicare on its own. Typically, Medigap plans are popular for those who want little to no copay when they access healthcare services.

Oklahoma Medigap insurance is available to everyone with Medicare in the state, including those who are under 65 and are enrolled in Medicare. Often, Medigap plans in Oklahoma can be more expensive if you don’t enroll during your Initial Enrollment Period and wait for an Annual Open Enrollment Period. 

There are two initial times to enroll in a Medigap plan before and after you turn 65:

  • 6 months prior to turning 65
  • Once you turn 65, your 6 month period begins the month you enroll in Part B

During this period, an insurance company can’t use medical underwriting. 

There are currently 48 insurers that offer Medigap plans in Oklahoma. Oklahoma has rules to ensure that disabled Medicare beneficiaries have at least some access to Medigap plans. In fact, Oklahoma was one of the first states to address this issue. Since 1994, Oklahoma has guaranteed access to Medigap plans for people under age 65. Initially, the rule only required Medigap insurers to offer at least one plan to applicants under the age of 65. However, since 2017, Oklahoma law also required insurers to offer that Medigap policy without charging a higher premium to disabled enrollees.

Oklahoma Medicare Prescription Drug Coverage (Part D)

Original Medicare doesn’t cover outpatient prescription drugs. However, Medicare beneficiaries can get prescription coverage via a Medicare Advantage plan, an employer-sponsored plan (offered by a current or former employer), or a stand-alone Part D plan. Medigap plans don’t cover prescription drugs unless they’re covered under Part B.

As of May 2020, There are 347,400 Medicare beneficiaries in Oklahoma enrolled in stand-alone Part D prescription drug plans and 166,561 enrolled in Medicare Advantage Prescription Drug plans. For 2020 coverage, there are 29 stand-alone Part D plans available in Oklahoma, with premiums ranging from about $16 to $144 per month. About 29% of people with a stand-alone Medicare prescription drug plan get Extra Help (also called the low-income subsidy, or LIS).

When deciding on a Part D plan, it’s important to evaluate several factors such as each plan’s premium, formulary, and copays since every plan is different. Learn how you can save money on your out-of-pocket costs with a Medicare Advantage, Part D, or Medigap plan, fill out this form or give us a call.

Local Medicare Health Plan Resources in Oklahoma

  • Medicare Assistance Program: The Medicare Assistance Program is comprised of two divisions: SHIP (Senior Health Insurance Counseling Program) and SMP (Senior Medicare Patrol). SHIP is a non-profit organization helping to inform the public about Medicare and other senior health insurance issues. This division provides accurate and objective counseling, assistance, and advocacy relating to Medicare, Medicaid, Medicare supplements, Medicare Advantage, long-term care, and other related health coverage plans for Medicare beneficiaries, their representatives, or persons soon to be eligible for Medicare.

    SMP recruits and trains retired professionals and others as SMP Volunteer Advisors to help senior Oklahomans learn how to protect themselves from health care fraud and monitor what Medicare/ Medicaid has paid on a beneficiary’s behalf. SMP provides community programs and materials outlining how to read a Medicare Summary Notice and how to detect and report discrepancies.
    Contact: Call 405-521-2828, Tulsa office at 918-295-3700, 800-522-0071 toll-free, or request assistance online.

  • Oklahoma State Council on Aging is a 30-member appointed body that serves in an advisory capacity to the Oklahoma Department of Human Services (DHS) Aging Services Division (ASD). As part of this program, 11 Area Agencies on Aging exist throughout the state to assist Medicare beneficiaries with one-on-one counseling and help review Medicare options, including Medicare Advantage plans, Medicare Part D enrollments, the Low-Income Subsidy, SMP Medicare Fraud Awareness, and other health insurance issues.
    Contact: Call 800-211-2116 or locate your local Area Agency on Aging office online.

  • LIFE Senior Services: Serving seniors in a 17-county region of northeastern Oklahoma, LIFE’s Medicare Assistance Program provides accurate and objective information and assistance relating to Medicare, Medicare supplements, Medicare Advantage and other related health coverage options for Medicare beneficiaries, their representatives or persons soon to be eligible for Medicare.
    Contact: Call 918-664-9000, ext. 1189 or email [email protected].

  • Southern Oklahoma Development Association (SODA): SODA’s Area Agency on Aging (AAA) is the visible advocate and counties in providing for a comprehensive and coordinated continuum of services and opportunities so that older people can live dignified, productive and independent lives. The SODA AAA service area includes Atoka, Bryan, Carter, Coal, Garvin, Johnston, Love, Marshall, Murray and Pontotoc Counties in southern Oklahoma.Click here for the latest copy of the “Area Agency on Aging Plan.” Contact: Call 800-211-2116

The licensed agents that are partnered with Timefor65 can help you compare the availability, benefits, and costs of Medicare plans in your specific region of Oklahoma. Our process makes it easier for you to access your Medicare eligibility in Oklahoma so that you receive personalized, affordable, and easy-to-use coverage options and solutions. Fill out the form or give us a call at (866) 327‑0148 anytime to get a free quote or to ask any questions.

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