Health Benefits

Hours:
Monday to Friday, 8:00am to 4:30pm
Closed from 12pm to 1pm for lunch
Closed the first Thursday every month from 12pm-2pm

Contact Information:
Phone: (360) 394-8424
Fax: (360) 598-2709
Email: [email protected]

What does Health Benefits do?

Health Benefits staff help Tribal Members navigate the healthcare system to get the care and coverage they need, including providing assistance with enrollment in the HMA Tribal Health Plan, Medicare, and Apple Health (also known as Provider One).

We also help locate providers who are in network with the Tribal Member’s health plan, and resolve billing issues between the provider and the health plan.

Click on the options below to see more detail about the services Health Benefits provides.

Tribal Health Medical, Dental, Hearing & Vision Coverage

Enrolled Suquamish Tribal Members living within Kitsap, King, Jefferson, Mason, Pierce, Snohomish, and Whatcom counties and descendants who are under 18 (unless still in high school up to 19 yrs. old) are eligible for Medical, Dental, Hearing and Vision coverage administered by HMA & the Ameritas Dental Network. In addition pregnant spouses/significate others of enrolled Tribal Members may be eligible for pregnancy medical coverage for their pregnancy.

Medical Coverage through HMA
Supplemental Alternative Care Coverage through HMA
Dental Coverage though Ameritas Dental Network
Orthodontia for Children at 100% through Ameritas
Orthodontia for Adults up to $5,500 through Ameritas
Hearing Tests & Hearing Aids
Vision & Glasses/Contacts
Maternity Coverage for eligible spouses/significant others of Tribal Members through HMA

Medicare Assistance

Health Benefits is available to assist Tribal Members who need to enroll in Medicare A, B & D. You must enroll in Medicare if you are eligible. In addition Enrolled Tribal Members living within the above counties are eligible for Medicare premium reimbursements, if the cost of your Medicare is being deducted from you Social Security Income.

Medicaid Assistance

Health Benefits is available to assist Tribal Members and Descendants with applying for and renewing Washington Apple Health Benefits, locating ID# and requesting new ID cards. You must enroll in Apple Health if you are eligible.

Higher Education

Tribal Members enrolled in our Higher Education program and attending college outside of the above counties are eligible to continue to receive Tribal Health Medical, Dental & Vision coverage until the age of 25. This includes students attending college out of state.

Employee Medical Coverage Reimbursement

If your employer offers you medical coverage that you pay for you may be eligible for premium reimbursement up to $200.00 through the Health Benefits department.

Claims Assistance

Health Benefits is here to help with any claims questions! If you are receiving statements from a provider or if you need help finding an in-network provider please give us a call or stop by the office.