Benefits for American Indians and Alaskan Natives
The Affordable Care Act provides affordable health care for all Americans, including American Indians and Alaska Natives who are members of federally recognized Tribes. California’s Health Benefit Exchange (Covered California) is working in conjunction with Tribal leaders and health experts across the state to ensure American Indians and Alaska Natives are successfully enrolled into Covered California plans.
As described below, the Affordable Care Act provides unique benefits to American Indians and Alaska Natives who are members of federally recognized Tribes who enroll in a Covered California plan.
No health care expenses, depending on income
Federally recognized American Indians and Alaska Natives who earn less than 300% of the federal poverty level (approximately $70,650 in 20114) for a family of four will not have to pay certain out-of-pocket medical costs, such as copays and deductibles, if they purchase a Covered California plan.
No cost sharing for covered services provided by an Indian health provider or clinic, regardless of income.
There are no copays or deductibles for any covered services received directly through the federal Indian Health Service, Tribes, Tribal organizations, or urban Indian organizations.
Ability to buy insurance anytime
American Indians and Alaska Natives can buy or change health insurance plans once a month through Covered California and are not subject to open enrollment periods.
Exemption from the shared responsibility payment
Any member of a federally recognized tribe OR American Indian or Alaska Native who is eligible for services through an Indian Health Services provider is eligible from an exemption from the shared responsibility payment. Click here for exemption information.
To find out if you qualify for these benefits, and for more information on Covered California, call (888) 975-1142.
For more information, please visit:
Outreach & Education Resources
Indian Health Services – Affordable Care Act Information
Centers for Medicare/Medicaid – Information for Special Populations
California Rural Indian Health Board – Covered California and the Affordable Care Act
California Consortium for Urban Indian Health