ready for reform! port gamble s’klallam tribe tribal sponsorship program begins july 1! washington...

Ready for Reform!

Port Gamble S’Klallam Tribe Tribal Sponsorship Program

begins July 1!

Washington State on the pleasant side of the Puget Sound on the Kitsap Peninsula with treaty rights stretching to the Olympic Peninsula, the Pacific Ocean and Canada

Port Gamble S’Klallam Tribe

Tribal Sponsorship Eligibility

Eligibility (subject to change) is similar to Contract Health Services eligibility, but restricted to Port Gamble S’Klallam Trial Members and their families.

All uninsured Port Gamble S’Klallam Tribe Tribal members living in Kitsap County are potentially eligible for sponsorship in the same manner as they are for Contract Health Services

You have to be eligible for the exhange. For example, you can’t have access to affordable employer-sponsored insurance and access Exchange plan and subsidies.

This means many spouses’ dependents won’t be eligible even if uninsured- as they are expected to access employer plan.

CHS will have funds available for their health care needs if CHS –eligible-that does not change.

Key Income Level for AIANs is 300% FPL and Key Premium Cost

level for is 50% No deductiblesNo copays

Bronze level has lowest ratesBecause it has highest Deductibles and copays

AIANs under 300% on average save over $2,000 in cost sharing with any level plan

Bronze is cheaper for all only because there is higher cost sharing

Combining Swinomish and Port Gamble

S’Klallam Tribe

6 Elements of Port Gamble S’Klallam Tribe’s

readinessStaffing: Support current monitor need for additional

Outreach and Education on Health Care reform tied to our Eligibility and Enrollment capacity

Make the Accounting system produce needed information for decision making-which option--- buy insurance or buy ‘risk’

Continue to pay for health insurance and prepare for expansion of sponsorship

Electronic Health Record system upgrades to report on Quality

Work with other Tribes through other organizations.

Tribal Sponsorship Program

Questions?

Contacts:

Emma Medicine White Crow, AIHC

emmamwc@gmail.com

Native Exchange

nativeexchange.org

TEOC- NPAIHB

Jim Roberts

John Stevens, Swinomish Tribe

jstephens@swinomish.nsn.us

Ed Fox, Port Gamble

efox@pgst.nsn.us