Oklahoma residents shop for ACA health coverage through HealthCare.gov, the federal marketplace, since the state has not established its own exchange.
Oklahoma expanded Medicaid after voters approved a state ballot measure, so adults earning up to 138% of the federal poverty level generally qualify for SoonerCare, the state's Medicaid program, instead of needing a subsidized marketplace plan.
Because expansion came through a ballot initiative process, residents who applied and were previously denied under the old rules should check their eligibility again under the expanded criteria rather than assuming the earlier decision still stands. Marketplace shoppers should compare plan networks across the state's rural and urban areas, since Oklahoma has significant differences in provider availability by region.