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2019 American Indians and Alaskan Natives

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

Zero Cost Sharing Plans

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 on all plans

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Summary of Benefits Zero Cost Sharing Plans


Evidence of Coverage Zero Cost Sharing Plans

Limited Cost Sharing Plans

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


To find participating AIAN Tribal Health Providers, click here. Once you've entered your location and the Provider type you are searching for, select "Search". You will be taken to the results specific to the information you entered. When you are viewing the Search Results you can Narrow Your Results on the left hand side to show which providers cover American Indian/Alaskan Natives.​

To browse your formulary, click here​​.

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2020 American Indians and Alaskan Natives

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

Zero Cost Sharing Plans

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

 

Limited Cost Sharing Plans

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. Once you've entered your location and the Provider type you are searching for, click search. You will be taken to the results specific to the information you entered. Once you are viewing the Search Results you can Narrow Your Results on the left hand side to show which providers cover American Indian/Alaskan Natives.

To browse your formulary, click here.

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