American Indians and Alaskan Natives

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There are two types of plans: Zero Cost or Limited Cost Sharing.

American Indians and Alaskan Natives (AIAN) with household incomes between 100% Federal Poverty Level - 300% Federal Poverty Level (FPL) are eligible for cost share reductions under the Health Insurance Marketplace.

For qualifying AIAN individuals with household incomes between 100% and 300% of the Federal Poverty Level:

  • The premium you pay depends on the plan you've chosen for you and your dependents
  • You pay $0 for covered services received by participating Providers
  • The Bronze plan is always the​ best value

 

Summary of Benefits Zero Cost Sharing Plans


Evidence of Coverage Zero Cost Sharing Plans

      Without Adult Routine Vision

      • Constant Care Silver 1 Zero
      • Constant Care Silver 2 Zero
      • Core Care Bronze 1 Zero
      • Core Care Bronze 2 Zero
      • Confident Care Gold 1 Zero

      With Adult Routine Vision

      • Constant Care Silver 1 Zero + Vision
      • Core Care Bronze 1 Zero + Vision
      • Confident Care Gold 1 Zero + Vision

 

For qualifying AIAN individuals with household incomes over 300% of the Federal Poverty Level:

  • The premium you pay depends on the plan you've chosen for you and your dependents
  • You pay $0 for services covered by your plan and received by participating Tribal Health Providers. Tribal Health Providers include contracted Indian Health Services, Tribal Organizations, or Urban Indian Organizations
  • If you receive covered services from participating providers who are not Tribal Health Providers, you will pay the deductibles, co-payments and co-insurance for your selected plan.

Summary of Benefits Limited Cost Sharing Plans



Evidence of Coverage Limited Cost Sharing Plans


      Without Adult Routine Vision

      • Constant Care Silver 1 LCS
      • Constant Care Silver 2 LCS
      • Core Care Bronze 1 LCS
      • Core Care Bronze 2 LCS
      • Confident Care Gold 1 LCS

      With Adult Routine Vision

      • Constant Care Silver 1 LCS + Vision
      • Core Care Bronze 1 LCS + Vision
      • Confident Care Gold 1 LCS + Vision

To find participating AIAN Tribal Health Providers, click here

To browse your formulary, click here.

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