Healthcare Benefit (Medical, Dental, Vision, Hearing, Equipment, Orthodontics)

Pays out-of-pocket health costs after insurance and other coverage: up to $1,650 each fiscal year for healthcare (doctor, hospital, dental, eye exams and glasses, prescriptions, lab work, physical therapy, chiropractic, mental health and substance abuse care), up to $500 a year for hearing aids and related visits, up to $300 a year for special medical equipment, and a $750 lifetime orthodontic benefit. Amounts are from the website and the FY2023 Benefits Manual, the newest manual posted; call to confirm current amounts.

AvailableNationwide

Operated byTribal

Who qualifies

Citizens of this tribe

The Benefits Manual says: "Only enrolled members of the Eastern Shawnee Tribe of Oklahoma are eligible to apply and receive services from this program" and "Services are for every member regardless of income, age or residence, unless stated otherwise." Future members qualify for services dated on or after their enrollment date. A person enrolled in more than one tribe "may share in the benefits of only one of them." For this benefit the applicant "Must be an enrolled Eastern Shawnee member." Benefits cover expenses left after all other resources (health insurance, Medicare/Medicaid, VA and others) have paid; an insurance Explanation of Benefits must be attached.

How to apply

PDF DownloadMail

Download the Health & Social Services Benefits Manual (it contains every form). Keep an Authorization to Release Information form on file, then send the Benefit Claim Form (for reimbursement) or the Direct to Vendor form with original receipts or bills to Health & Social Services, 10100 S. Bluejacket Rd., Ste. 1, Wyandotte, OK 74370. Claims must be submitted within 90 days of the date of service; the program runs on the October 1 to September 30 fiscal year, first come, first served, with a $25 minimum check. Questions: 918-666-7710 or toll free 866-978-1352. Members can check benefit balances in the Citizen Portal (portal.estoo.net).