Government Health Services in India and Medicare: Details on Services and Benefits
The Indian Health Service (IHS) and Medicare, while distinct in their eligibility requirements and benefits, can work together to provide comprehensive healthcare coverage for eligible Native Americans and Alaska Natives.
The IHS, a federal agency, offers free healthcare services to those who are American Indian, Alaska Native, or both, and meet specific criteria such as living on or owning tax-exempt or restricted land, being a member of or enrolled in a federally recognized tribe, and meeting other eligibility conditions [1].
On the other hand, Medicare, a national health insurance programme for people aged 65 and over, certain younger people with disabilities, and those with specific conditions like End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS), provides a broader range of services than the IHS, including preventive care, hospital services, outpatient services, and prescription drugs [1].
By combining IHS services with Medicare, individuals can access a more comprehensive healthcare coverage. The IHS often serves as the primary care provider, managing healthcare needs, while Medicare can cover specialty and other medical services not available through IHS [1][2]. This combination is particularly beneficial for those who may require services such as surgery, skilled nursing care, and hospice care, which are limited or rarely available through the IHS [1].
It is worth noting that around 17% of Alaska Native or American Indian people with an income at or below the federal poverty level are enrolled in Medicare programs [3]. Moreover, approximately 2.8 million people who are members of 574 federally recognized tribes are beneficiaries of the IHS [4].
Both IHS and non-IHS providers who accept Medicare will bill Medicare directly, allowing people eligible for IHS services to visit either [1]. This flexibility ensures that individuals have access to a wide range of healthcare providers.
For those interested in receiving healthcare from an IHS clinic or hospital, it is advisable to discuss their needs with their tribe and contact the registration department of their chosen facility with proof of eligibility [5].
In summary, Native Americans and Alaska Natives who meet the IHS criteria and qualify for Medicare can benefit by combining IHS services with the wider coverage offered by Medicare, enhancing their access to comprehensive healthcare [1][2]. However, the specifics of enrolling in both programmes are not detailed in this article, and individuals are encouraged to consult with their tribes and the relevant authorities for more information.
References: [1] Centers for Medicare & Medicaid Services. (n.d.). Indian Health Service. Retrieved from https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-for-Indian-Health-Service-Beneficiaries/IHS-FAQs.html [2] Indian Health Service. (n.d.). Medicare and IHS. Retrieved from https://www.ihs.gov/Medicare/ [3] Kaiser Family Foundation. (2020). Medicare and the Uninsured: Enrollment, Coverage, and Spending. Retrieved from https://www.kff.org/medicare/issue-brief/medicare-and-the-uninsured-enrollment-coverage-and-spending/ [4] Indian Health Service. (n.d.). About IHS. Retrieved from https://www.ihs.gov/aboutihs/ [5] Indian Health Service. (n.d.). How to Get Services. Retrieved from https://www.ihs.gov/patientcare/facilities/howtogetservices/
Health insurance, such as Medicare, also serves a crucial role in the healthcare of Native Americans and Alaska Natives, working together with the Indian Health Service (IHS) to provide an extensive coverage for eligible individuals. This combination allows individuals to access health-and-wellness services beyond the IHS, including specialized medical care, hospital services, outpatient care, and prescription drugs, crucial for those requiring surgery, skilled nursing care, or hospice care.
