American Indians and Alaska Natives may qualify for special benefits through the Marketplace. If you or anyone else on your application is American Indian or Alaska Native, select “Yes” when you’re asked this question.
How will enrolling in coverage through the Marketplace affect me?
American Indians and Alaska Natives who enroll in Medicaid, the Children’s Health Insurance Program (CHIP), or the Marketplace can get or continue to get services from the Indian Health Service, tribal health programs, or urban Indian health programs. They also may not have to pay cost sharing and may get monthly Special Enrollment Periods.
How do I know if my tribe is "federally recognized?"
You’ll be asked if you’re a member of a federally recognized tribe. A federally recognized tribe is an Indian or Alaska Native tribe, band, nation, pueblo, village, or community that’s acknowledged by the U.S. Department of the Interior as an Indian tribe.
How should I enter my tribe and state?
You’ll be asked to select your state and tribe. To select the state, use the drop-down menu to select the state where the tribe is located. To select the tribe, use the drop-down menu to select the name of your federally recognized tribe.
What's the Indian Health Service?
The Indian Health Service is also known as Indian hospital or Public Health Service (PHS).
What's a tribal health program?
A tribal health program is also known as a tribal 638 program or tribal health clinic.
Health services through Indian programs
You’ll be asked if you’ve ever gotten a health service from the Indian Health Service, a tribal health program, or urban Indian health program or through a referral from one of these programs. Even if you’ve only gotten a service once, select “Yes.” It doesn’t matter how long ago you got the service(s).
You also may be asked if you’re eligible to get health services through the programs listed above. Direct Indian health services are available to people of federally recognized American Indian descent, including those of any Alaska Native village or group, belonging to the American Indian community served by the local facilities and programs. Non-American Indian/Alaska Native children under 19 who are the natural children, adopted children, stepchildren, foster children, legal wards, or orphans or eligible Indians are also eligible. Non-American Indian/Alaska Native spouses are also eligible if the federally recognized tribe of their spouse passes a tribal resolution that makes spouses eligible.
American Indians and Alaska Natives living in urban areas that have urban health programs get Indian Health Service urban program services. Urban health programs serve these people:
- Members or descendants of federally recognized tribes, bands, or other organized groups of Indians, including those tribes, bands, or groups terminated since 1940
- Members or descendants (in the first or second degree) of state recognized tribes
- Eskimos, Aleuts, other Alaska Natives, or their descendants
Get information on American Indians and Alaska Natives and income.