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SoonerCare income limits for 2026: Oklahoma Medicaid by household size.

The short answer

SoonerCare covers most Oklahoma adults 19 to 64 with income up to 138% of the poverty level ($1,835 a month for one person, $3,795 for a family of four in 2026). Children and pregnant women qualify up to about 210% ($5,775 a month for a family of four).

By RedHealth Advisors, a licensed Texas insurance agency. Reviewed by Ryan Hutson, licensed agent (NPN 21321807), on . Checked against CMS, IRS and federal rules. Updated .

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Plans and prices are set by county.

SoonerCare limits, 2026.

HouseholdAdults 19 to 64 (138%)Children and pregnancy (210%)
1$1,835 a month$2,793 a month
2$2,489 a month$3,787 a month
3$3,142 a month$4,781 a month
4$3,795 a month$5,775 a month
5$4,448 a month$6,769 a month
6$5,101 a month$7,763 a month
Source: CMS Marketplace API state Medicaid thresholds for Oklahoma, fiscal year 2026 (adults 133%, children and pregnancy 205%), plus the standard 5% income disregard, applied to the 2026 HHS poverty guidelines. The Oklahoma Health Care Authority makes the final determination.

Who qualifies, beyond income.

  • Oklahoma residents who are U.S. citizens or qualified immigrants.
  • Adults 19 to 64 not eligible for Medicare.
  • Children under 19, pregnant women, and people who are aged, blind or disabled under separate rules.

Apply at MySoonerCare.org, any time of year.

Work requirements starting in 2027.

A 2025 federal law requires most expansion adults to work, volunteer, go to school or meet another community engagement test, starting no later than January 1, 2027. Several groups are exempt, including American Indians, urban Indians, and people eligible for Indian Health Service care, as well as parents of young children and people who are medically frail. Watch for notices from the Oklahoma Health Care Authority.

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Just over the limit.

Above 138% of the poverty level, adults move to a HealthCare.gov plan. Between 138% and 150% you can get the richest silver plan (94%), with a required contribution of about 3% to 4% of income for the benchmark plan. See the Oklahoma marketplace guide and cost-sharing reductions.

Tribal members in Oklahoma have additional Medicaid protections, including no premiums and no cost-sharing after care from an Indian health provider. See EnrollNative.

Questions people ask.

What is the income limit for SoonerCare for a single person?

About $1,835 a month, or $22,025 a year, in 2026.

Is SoonerCare free for Native Americans?

Tribal members eligible for Indian health services pay no Medicaid premiums or enrollment fees, and no cost-sharing if they have ever been served by an Indian health provider or referral.

Do SoonerCare limits change in 2027?

Yes. SoonerCare updates to the 2027 poverty guidelines when they are published in early 2027, and work requirements begin for many expansion adults.

Sources.

  1. CMS Marketplace API, state Medicaid and CHIP eligibility thresholds, fiscal year 2026. developer.cms.gov
  2. Oklahoma Health Care Authority, SoonerCare for individuals. oklahoma.gov
  3. MySoonerCare.org (apply for SoonerCare). mysoonercare.org
  4. H.R. 1 (Public Law 119-21), section 71119, Medicaid community engagement requirements. congress.gov
  5. HealthCare.gov, Medicaid and CHIP for American Indians and Alaska Natives. healthcare.gov
  6. HHS ASPE, 2026 poverty guidelines. aspe.hhs.gov

General information for Texas and Oklahoma residents, not tax or legal advice. Rules and numbers can change; this page is reviewed on the date shown above. Your eligibility and prices are set by HealthCare.gov or the insurer when you apply.

Who wrote this.

RedHealth Advisors LLC is a licensed health insurance agency in Round Rock, Texas (Texas agency license 3449979, NPN 22110493), serving Texas and Oklahoma. Ryan Hutson is a licensed agent (NPN 21321807). Licensing details.

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