Eligibility
If you are a member of a federally recognized tribe, you do not need insurance coverage to be seen at one of our clinics.
However, we welcome individuals with SoonerCare, Medicaid, Medicare, VA Tricare, and private insurance, and we do encourage new patients without insurance to meet with one of our Patient Benefit Coordinators.
Enrolling into benefits allows MCNDH to bill for services and receive revenue from the insurance. MCNDH can then use these dollars to improve care and expand services. Insurance also helps protect Contract Health dollars, and you from being responsible for a medical bill if you are not approved for Contract Health funds.
Our Patient Benefit Coordinators can help you decide if SoonerCare and/or the ACA are right for you. While our services are free, having insurance makes certain you have the emergency and specialty care if, or when, you need it.
Why should you have Insurance if you use the clinics?
Resource Corporation of America (RCA) has been a partner of the Muscogee (Creek) Nation Department of Health since July of 2017. RCA has staff at all MCN clinics and hospitals working to help tribal members get enrolled into all eligible benefits. Below are some of the ways RCA has been assisting patients. If you need help with determining if you qualify, or want help applying, please see our contact information below.
Marketplace Insurance Coverage: Native Americans are able to enroll year round into coverage that could be little to no cost, based upon your yearly taxable income and household size. If you qualify for insurance at no cost, you have no premium, no copays, and no deductibles to pay.
Medicaid Eligibility: Oklahoma Medicaid has programs to provide insurance coverage to Children under the age of 19, if you are pregnant, if you have a child in your home, if you are over the age of 65, legally blind or disabled. There are income limits, and possibly resource limits, to these programs that need to be met in order to qualify.
In July 2021- Oklahoma will be expanding Medicaid to all people ages 19-64 that are within income guidelines.
Social Security Disability: If you are unable to work due to a medical condition lasting longer than 12 months, RCA will assist you throughout the process to assist with obtaining both your Social Security Disability benefit and your Medicaid coverage, if eligible.
Crime Victims: If you were a victim of a crime you could be eligible for up to $20,000 in medical assistance benefits and $20,000 financial assistance benefits.
Medicare Part B assistance: If you have Medicare A or Medicare A and B, you may qualify for a program that pays for your part B premium costs. These programs also waive any delayed enrollment penalties if you did not enroll into part B when you first became eligible. Some will pay for your copay, coinsurance and deductible after Medicare. There are income and resource limits that apply.
Reach Out
- Eufaula
918-689-2540 - Sapulpa
918-216-8089 - Okemah
918-623-9724 - Community Hospital
918-623-1424 x1135 - Koweta
918-279-3219 - Okmulgee
918-591-5744 - Wetumka
405-452-1300 x2808 - Medical Center
918-758-3103
Or you can click this link to complete a quick questionnaire and we will be in contact with you: