Do I Qualify? - NATIVE AMERICAN HEALTH INSURANCE OF OKLAHOMA

Individual/Family Health Insurance Options

A PRIVATE INSURANCE PLAN (SUCH AS BLUE CROSS AND BLUE SHIELD) WITH DEDUCTIBLES AND PRICE BASED ON YOUR INCOME
NATIVE AMERICAN FAMILY MEMBERS QUALIFY FOR SPECIAL BENEFITS (SEE BELOW)
OPTIONS FOR SELF-EMPLOYED OR PART-TIME WORKERS
OPTIONS FOR THOSE WHO HAVE EMPLOYER COVERAGE THAT IS UNAFFORDABLE
GET DEDUCTIBLES AS LOW AS $0, DEPENDING ON INCOME
NATION-WIDE COVERAGE OFFERED, DEPENDING ON LOCATION
MANY WHO QUALIFY WILL HAVE A $0 OR LOW MONTHLY COST
FREE, PERSONAL SERVICE FROM LICENSED, LOCAL AGENTS

What is the Native American Health Insurance plan?

A PRIVATE INSURANCE PLAN (SUCH AS BLUE CROSS AND BLUE SHIELD) WITH $0 DEDUCTIBLES/$0 COPAYS FOR DOCTORS & PRESCRIPTIONS
NON-NATIVE FAMILY MEMBERS CAN QUALIFY FOR A PLAN BASED ON INCOME
USES MAJOR INSURANCE NETWORKS OF DOCTORS, HOSPITALS & SPECIALISTS
USES MAJOR INSURANCE NETWORKS OF PHARMACIES FOR PRESCRIPTIONS
NO MORE REFERRALS NEEDED THROUGH YOUR TRIBE
NATION-WIDE COVERAGE OFFERED, DEPENDING ON LOCATION
MOST WHO QUALIFY WILL HAVE A $0 OR LOW MONTHLY COST
FREE, PERSONAL SERVICE FROM LICENSED, LOCAL AGENTS

DOES YOUR FAMILY FIT WITHIN THE ABOVE INCOME GUIDELINES?*

YesNoI have questions about what is considered income.

ARE YOU, OR SOMEONE IN YOUR FAMILY, A CARD CARRYING MEMBER OF A FEDERALLY RECOGNIZED TRIBE?*

YesNo

DO YOU CURRENTLY HAVE ANY INSURANCE (OR HAVE ANY OFFERED TO YOU, EVEN IF YOU'RE NOT ENROLLED) SUCH AS: EMPLOYER INSURANCE OR HRA THROUGH YOU OR YOUR SPOUSE'S JOB, VA OR TRICARE, MEDICARE/MEDICAID (SOONERCARE)?*

No, I don't have any other insurance or HRA offered to me or my spouse.Yes, I have Employer Insurance or HRA offered to me or my spouse.Yes, I have Medicare offered to me (over 65 or disabled).Yes, I have Medicaid offered to me (low-income state based insurance).Yes, I have VA/TRICARE offered to me.Yes, but only some family members qualify (such as Medicaid only for the children or only one spouse has Medicare/VA/TRICARE).Yes, I currently have insurance, but I will be losing it soon.

First Name*

Last Name*

Phone Number*

Confirm Phone Number*

Email Address*

Confirmation Email

When is the best time to contact you?*

Which state are you located in?*

How did you hear about us?*

By checking this box, I give consent to Native Oklahoma Insurance to contact me via phone, email and text messaging (standard messaging/data rates may apply) regarding my qualification for the Native American health insurance plan.*

Yes, I agree.