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Eye Doctors That Accept SoonerCare: How to Find One (2027)

By Modinul Islam Khan Updated November 2, 2026

Reviewed November 2, 2026. To find an eye doctor that accepts SoonerCare, use the Oklahoma Health Care Authority (OHCA) provider directory, or, if you’re in a SoonerSelect health plan, your plan’s own provider search, then call the office to confirm it takes your plan. SoonerCare covers vision care for children under 21, including eye exams and glasses. Adults are covered for eye diseases and injuries only; routine eye exams and glasses aren’t covered under adult SoonerCare rules, though all three SoonerSelect plans list adult vision extras.

Quick answer: Search the OHCA Provider Directory for optometrists or ophthalmologists near you, or call the SoonerCare Helpline at 800-987-7767 (Monday to Friday, 8 a.m. to 5 p.m.). SoonerSelect members should use their plan’s directory: Aetna Better Health of Oklahoma, Humana Healthy Horizons in Oklahoma or Oklahoma Complete Health.

What SoonerCare covers for vision

Member	Eye exams	Glasses and contacts
Children under 21	Covered, including medically necessary exams and refraction	Glasses covered (up to two pairs a year under OHCA rules; more with prior authorization). Contacts in listed conditions or with prior authorization
Adults 21+ (Traditional, Expansion)	Covered only to diagnose or treat eye disease or injury	Not covered, except medically necessary aphakia contact lenses
SoonerPlan (family planning)	Not covered	Not covered

Sources: OHCA rules OAC 317:30-5 (optometrists), corrective lenses, EPSDT vision services.

OHCA’s adult rule says eye exams are covered only when “reasonable and necessary” to diagnose or treat illness or injury, and that routine exams, exams to prescribe glasses, refractions, and lenses or frames are not covered. (OHCA ophthalmology rule) So an adult with glaucoma, diabetic eye disease, an eye infection or an injury can see an eye doctor under SoonerCare, but a routine check for new glasses isn’t covered by the base benefit.

How to find a SoonerCare eye doctor

Know which plan you’re in. Since April 1, 2024, most children, parents, pregnant women and expansion adults are in a SoonerSelect managed care plan. Your member ID card names the plan. (OHCA, March 2024)
Search the right directory (all linked from OHCA’s Find a Provider page):
- Traditional SoonerCare: OHCA Provider Directory
- Aetna Better Health of Oklahoma: provider search or the EyeMed eye doctor locator (member services 844-365-4385; EyeMed 1-844-844-0908)
- Humana Healthy Horizons in Oklahoma: provider finder (855-223-9868)
- Oklahoma Complete Health: find a provider (833-752-1664)
Filter for optometry or ophthalmology and your city, such as Tulsa or Oklahoma City.
Call before you book. Ask whether the office takes your specific plan, whether it sees children or adults, and whether it carries frames covered by SoonerCare.
Bring your SoonerCare ID card to the visit.

Aetna Better Health of Oklahoma uses EyeMed for vision, and OHCA’s provider materials name Superior Vision as Humana Healthy Horizons’ vendor, so the plan’s vision network may be listed under those names. (OHCA SoonerSelect FAQs)

Adult vision extras in SoonerSelect plans

SoonerSelect plans offer “value-added benefits” beyond SoonerCare. These are the adult vision extras each plan lists on its own site today:

SoonerSelect plan	Adult (21+) vision extra	Phone
Aetna Better Health of Oklahoma	$75 toward a yearly eye exam and $150 toward glasses or contacts every two years, through EyeMed; no referral needed in network	844-365-4385 (TTY 711), 24/7
Humana Healthy Horizons in Oklahoma	One eye exam a year, plus every two years either glasses (polycarbonate lenses with a $100 frame allowance) or a $100 contact lens allowance	855-223-9868, Monday to Friday, 8 a.m. to 5 p.m. CT
Oklahoma Complete Health	A yearly routine eye exam and $150 toward eyewear every two years	833-752-1664

Sources: Aetna Better Health of Oklahoma vision benefits, Humana Healthy Horizons in Oklahoma vision, Oklahoma Complete Health value-added benefits. Checked November 2, 2026.

These extras can change, so check your plan’s current member handbook or call member services before you book.

If you also have Medicare, your Medicare Advantage plan may cover routine eye exams and eyewear; see dual eligibility for Medicare and Medicaid. For how other states handle vision, read does Medicaid cover eye exams, glasses and contacts, and for one retail chain’s policy see does America’s Best take Medicaid.

Who qualifies for SoonerCare

SoonerCare covers eligible Oklahoma children, pregnant women, parents and caretakers, adults 19-64 under Medicaid expansion, and people who are aged, blind or disabled. You apply online through mySoonerCare or by calling the Helpline. Because Oklahoma expanded Medicaid, expansion adults will renew every six months starting with renewals scheduled on or after January 1, 2027. (CMS SMD #26-001) If you’re not sure you’re covered, see how to check your Medicaid status and how to sign in to your state Medicaid portal.

Tips for choosing an eye doctor

For children, choose an office that sees kids and fits glasses on site.
For adults with diabetes or glaucoma, an ophthalmologist or medical optometrist can manage the condition under SoonerCare.
Ask whether the office needs a referral from your primary care provider for your plan.
If an office says it doesn’t take SoonerCare, call your plan’s member services for help finding one that does.

Frequently asked questions

Does SoonerCare cover eye exams for adults?

Only to diagnose or treat eye disease or injury under the base SoonerCare benefit. But all three SoonerSelect plans (Aetna Better Health, Humana Healthy Horizons and Oklahoma Complete Health) list a yearly adult eye exam as an extra benefit.

Does SoonerCare pay for glasses?

Yes for children under 21, up to two pairs a year under OHCA rules. Adult glasses aren’t covered by the base benefit, but SoonerSelect plans list eyewear allowances every two years: $150 with Aetna Better Health or Oklahoma Complete Health, and glasses with a $100 frame allowance with Humana Healthy Horizons.

How do I find an eye doctor that accepts SoonerCare near me?

Use the OHCA Provider Directory or your SoonerSelect plan’s directory, filter for optometry or ophthalmology, and call to confirm. The SoonerCare Helpline is 800-987-7767.

Does SoonerCare cover contact lenses?

For children in specific medical conditions or with prior authorization, and for adults only in limited medically necessary cases such as aphakia.

This article is general information. Medicare365 is an independent website and is not affiliated with the Oklahoma Health Care Authority, SoonerCare or any health plan. Benefits can change; check with OHCA or your plan.