IHS is considered a Creditable Coverage provider and you as an IHS beneficiary, under current law, have creditable coverage, which allows you to enroll in a Medicare Prescription Drug Program (PDP) without paying a late enrollment penalty.
How do I know if my coverage is creditable?
The prescription drug coverage in a group health plan is considered creditable if its actuarial value equals or exceeds the actuarial value of standard Medicare Part D prescription drug coverage. If not, the coverage is deemed “non-creditable.”
Is Indian Health Service considered minimum essential coverage?
Being eligible for IHS services alone does not meet the minimum essential coverage requirement. … Members of federally recognized tribes and other individuals who are eligible to receive services from Indian health care providers will have access to a special exemption, but other exemptions are available as well.
Is Indian Health Service Medicare?
Indian Health Services provides care at Indian Health Services Facilities but it isn’t an insurance plan. You can use Medicare along with Indian Health Services to get care from specialists and providers outside Indian Health Services facilities.
Is tribal drug coverage creditable for Medicare?
No. If you get prescription drugs though an Indian health pharmacy, you pay nothing and your coverage won’t be interrupted. Getting Medicare doesn’t affect your ability to get services through the IHS, tribal health, or urban Indian health programs.
What is not considered creditable coverage?
“Creditable coverage” means that the prescription drug coverage provided by the group health plan provides benefits that are at least equal to or better than Medicare Part D. “Non-creditable coverage” means that the group health plan’s benefits are less than Medicare prescription drug coverage.
What is considered creditable coverage?
Creditable coverage is a health insurance, prescription drug, or other health benefit plan that meets a minimum set of qualifications. Types of creditable coverage plans include group and individual health plans, and student health plans, as well as a variety of government-sponsored or government-provided plans.
Is Indian Health Service insurance?
The Indian Health Service is not an insurance program. … Direct health care services are services provided at an IHS/Tribal/Urban facilities/Purchased/Referred Care (PRC) are services that the IHS is unable to provide in its own facilities.
Is medical considered minimum essential coverage?
What plans are considered minimum essential coverage? … Plans that qualify as minimum essential coverage include employer-sponsored plans, individual major medical plans (including new ACA-compliant plans, grandfathered plans, and grandmothered plans), TRICARE, Medicare, most Medicaid plans, and CHIP, among others.
What does the IHS not cover?
The IHS does not have a defined medical benefit package that includes or excludes specific health services or health conditions. The majority of IHS facilities provide outpatient care, focusing on primary and preventive care including preventive screenings and health education.
Are Native American exempt from Obamacare?
An Indian Exemption is available to members of federally recognized Tribes, Alaska Native Claims Settlement Act corporation shareholders, and other individuals eligible to receive services from an Indian health care provider. The Indian Exemption may be claimed on a federal tax return using Form 8965.
Is the Indian Health Service Good?
In 2017 a federal watchdog agency, the Government Accountability Office, put the Indian Health Service on its high-risk list of programs and operations that need transformation. Although the watchdog agency says the health service has made some improvements since then, it remains on the high-risk list.
Who runs Indian Health Services?
The Indian Health Service (IHS) is an operating division (OPDIV) within the U.S. Department of Health and Human Services (HHS). IHS is responsible for providing direct medical and public health services to members of federally-recognized Native American Tribes and Alaska Native people.