Oklahoma Health Care Authority Online Enrollment Home View www.mysoonercare.org www.insureoklahoma.org 1
General General Overview Applying on a home computer Home View 2
Online Enrollment Home View Application Application Walkthrough 3
Website Options Accessing online application www.mysoonercare.org or www.insureoklahoma.org Maintaining and updating the application after eligibility determination Printing a paper application for the Health Insurance Marketplace Currently Internet Explorer 8 (or higher); and the latest versions of Google Chrome, Mozilla Firefox and Safari are acceptable browsers. Fictitious applicant data used throughout this document for demonstration purposes. 4
Home Page Web Application www.insureoklahoma.org www.insureoklahoma.org 5
Home Page Web Application www.mysoonercare.org www.mysoonercare.org 6
Home Page Web Application (cont.) www.mysoonercare.org 7
Information Needed Application Requirements Names, DOB, SSN, Contact Information, including a valid email address Household Tax Information Gross Income: Earned & Unearned Expenses Health Insurance HP Pay 8
Home Page Apply for Benefits www.mysoonercare.org 9
Apply Now Rights and Responsibilities 10
Rights and Responsibilities (cont.) 11
Account Creation Creating an Account Creating an account is required to complete an application. 12
Account Creation Step 1: People & Contacts 13
Health Condition Assessment Step 1: People & Contacts (cont.) Pregnancy fields trigger additional Health Condition Assessment Questions 14
Step 1: People & Contacts (cont.) The selection of SoonerCare or help paying for health insurance is made automatically for children and pregnant women. 15
Step 1: People & Contacts (cont.) 16
Contact Information Step 1: People & Contacts (cont.) 17
Step 1: People & Contacts (cont.) Receive English or Spanish notices by letter or email. The Authorized Representative section of this page allows a user to identify an authorized representative. 18
Authorized Representative Step 1: People & Contacts (cont.) Provide all of the required Authorized Representative information. 19
Step 1: People & Contacts (cont.) Address Standardization 20
Step 1: People & Contacts (cont.) Create a user ID and password. 21
Step 1: People & Contacts (cont.) Choose questions and answers that are not easily known by others. 22
Account Creation Step 1: People & Contacts (cont.) When the account is successfully created, the confirmation message displays. 23
Account Creation Step 1: Account Logon Log on using your User ID or Email Address and Password created on the previous page 24
Account Registration Step 1: Account Registration Enter the Registration code sent to the Email Address used to create your account. 25
Account Registration Step 1: Account Registration Enter the Registration code sent to the Email Address used to create your account and click Register. 26
Step 1: People and Contacts Click Continue to resume the application. 27
Step 1: People and Contacts Entering additional household members. 28
Household Step 1: People & Contacts (cont.) Household Members 29
Household Step 1: People & Contacts (cont.) Household Members 30
Household Questions Step 1: People & Contacts (cont.) Household Questions *There will be an Unemployment Benefits question for Insure Oklahoma applicants between the ages of 19 and 64. *There will be a Foster Care question for members in the household between the ages of 19 and 25. *There will be a full-time college student question for members in the household applying for Insure Oklahoma, between the ages of 19 and 22. 31
Household Questions Step 1: People & Contacts (cont.) When Yes is selected for any of the questions, a household member must be selected. 32
Household Questions Step 1: People & Contacts (cont.) When a household member is between ages 19 and 22, applying for Insure Oklahoma and enrolled in an accredited Oklahoma college, you must select their college from the drop-down menu. If their college is not listed, select Other 33
Household Relationships Step 1: People & Contacts (cont.) Relationship information is collected by making a selection from the drop-down. 34
Spousal Relationships Step 1: People & Contacts (cont.) Relationship information is collected by making a selection from the drop-down. 35
Household Relationships Step 1: People & Contacts (cont.) Household Relationships 36
Household Relationships Step 1: People & Contacts (cont.) If the child s other parent is in the household, he or she should be selected from the drop-down. 37
Household Relationships Step 1: People & Contacts (cont.) 38
Sibling Relationships Step 1: People & Contacts (cont.) Add Sibling Relationships for children with no parents in the home 39
Sibling Relationships Step 1: People & Contacts (cont.) Select brothers and sisters 40
Review Step 1: People & Contacts (cont.) Review 41
Review Step 1: People & Contacts (cont.) Review 42
Review Step 1: People & Contacts (cont.) Review 43
Review Step 1: People & Contacts (cont.) Review 44
Review Step 1: People & Contacts (cont.) A pop-up message allows one more opportunity to review and update household members before moving on to Step 2. 45
Tax Household Step 2: Tax Household Make selections from the drop-downs. Additional fields may display depending on the Tax Filer Status. 46
Tax Household Step 2: Tax Household (cont.) Household members display based on the filing status. Check the individuals that will be claimed. 47
Employment Step 3: Household Income Step 3 collects household income and begins by collecting employment information for anyone in the household who is working. 48
Employment Step 3: Household Income (cont.) Add the employment details for the individual listed. 49
Employment Step 3: Household Income (cont.) If an Insure Oklahoma applicant has an EEN, click on the Yes radio button and click on the Enter EEN button. 50
Employment Step 3: Household Income (cont.) Enter Employee Enrollment Number 51
Employment Step 3: Household Income (cont.) The Employer s data will automatically populate. 52
Employment Step 3: Household Income (cont.) Add Taxable Income *Insure Oklahoma applicants will include number of hours worked per week, and whether or not the employer offers health insurance. 53
Employment Step 3: Household Income (cont.) If you don t have an EEN, add the employment details for the individual listed. 54
Employment Step 3: Household Income (cont.) Validate Employer Information 55
Other Income Step 3: Household Income (cont.) Step 3 also collects income that is not received through employment. 56
Other Income Step 3: Household Income (cont.) 57
Other Income Step 3: Household Income (cont.) Select the other source of income then enter the amount and how often it is received. 58
Other Income Step 3: Household Income (cont.) Additional sources of income continues down the page. 59
Expenses Step 4 Expenses Expenses
Expenses Step 4: Expenses (cont.) Enter the details for the deductible expense for each person 61
Expenses Step 4: Expenses (cont.) Additional Deductible Expenses 62
Health Insurance Step 5: Health Insurance Tell us about any commercial health insurance. 63
Health Insurance Step 5: Health Insurance (cont.) Selecting Yes on the previous page generates this details page. Enter all of the required information. 64
Health Insurance Step 5: Health Insurance (cont.) Details Page Continues 65
Medicare Step 5: Health Insurance (cont.) Medicare is another source of health insurance that is asked about. 66
Medicare Step 5: Health Insurance (cont.) Selecting Yes to the Medicare question generates a list of household members. Select the member with Medicare coverage No additional information is collected. 67
Review Step 6: Review Review information provided: People & Contacts 68
Review Step 6: Review (cont.) 69
Review Step 6: Review (cont.) Household Questions and Household Relationships 70
Review Step 6: Review (cont.) Sibling Relationships and Contacts 71
Review Step 6: Review (cont.) Tax Household and Household Income 72
Review Step 6: Review (cont.) Other Income and Expenses 73
Review Step 6: Review (cont.) Health Insurance and Medicare Coverage 74
Processing 75
Citizenship & Identity Step 7: Citizenship & Identity Citizenship & Identity 76
Citizenship & Identity Step 7: Citizenship & Identity (cont.) Identity for a child under 16 77
Submit Application Step 8: Submit Submit Application 78
Submit Application Step 8: Submit 79
PCP Selection Provider Selection 80
Provider Detail Provider Selection (cont.) 81
PCP Selection Provider Selection 82
Provider Detail Provider Selection (cont.) 83
Provider Directions Provider Selection (cont.) Directions 84
PCP Selection Provider Selection (cont.) 85
PCP Selection Provider Selection (cont.) 86
Submit Application My Benefits Application Results My Benefits page displays 87
Submit Application My Benefits (cont.) 88
Submit Application My Benefits (cont.) 89
Pay Premium Convenience Pay 90
Pay Premium Convenience Pay 91
Pay Premium Convenience Pay 92
Pay Premium Convenience Pay 93
Pay Premium Convenience Pay 94
Pay Premium Convenience Pay 95
Pay Premium Convenience Pay 96
Benefits Summary My Benefits 97
Benefits Summary My Benefits 98
Benefits Summary My Benefits 99
Submit Application Document Uploading Uploading a Document 100
Submit Application Document Uploading (cont.) Uploading a Document 101
Submit Application Document Uploading (cont.) Uploading a Document 102
Submit Application Document Uploading (cont.) Upload Successful 103
Health Condition Assessment My Benefits Page (cont.) Application Results 104
Health Condition Assessment Health Condition Assessment Health Condition Assessment Questions 105
Health Condition Assessment Health Condition Assessment (cont.) Health Condition Assessment Questions 106
Other Programs My Benefits Page (cont.) Application Results 107
Manage Account Returning to the Application 108
Log On to your Account Returning to the Application (cont.) 109
Application Returning to the Application (cont.) 110
My Benefits My Benefits Page 111
My Benefits My Benefits Page 112
Get ID Card My Benefits Page (cont.) 113
Get ID Card Print ID Card 114
Print ID Card Print ID Card 115
End Benefits My Benefits (cont.) 116
End Benefits My Benefits (cont.) 102 117
View Letters My Benefits (cont.) 118
View Letters Letters 119
View Letters Letters (cont.) 120
View Letters Letters (cont.) 121
Contact Us 122