Eligibility

Contract Health Services funding ONLY covers eligible Pokagon Band citizens who live within the Pokagon Band Health Services CHSDA 

        Any Pokagon Band citizen who lives within 90 minutes of the Pokagon Band Department of Health Services is invited to register for services and allow DOHS to serve as their primary care provider. For Pokagon Band citizens whose needs require a referral for medical services outside the Clinic, certain criteria must be present for them to be eligible for Contract Health Services funding to help pay for those services.

        Each patient must update their registration annually during their birthday month! Patients who are updating their eligibility will be given until the last day of their birthday month. If your file is not up-to-date by the last day of your birthday month, your file will transfer to Clinic services only, and you will not be eligible for Contract Health Services until your file is complete and up-to-date.

        We will be unable to make CHS payments on your behalf unless your Patient Registration is complete, accurate, and up-to-date on the date of services. Unless the file is updated, health care bills and prescription will not be paid by CHS.

The following must be on file with Health Services before you are CHS eligible:

• The original Registration form signed and dated
• Health Services Agreement signed and on file with the Clinic
• Proof of Guardianship/Custody/Power of Attorney documents when applicable
• A copy of your Tribal Enrollment card or a letter of Enrollment (front & back of the card) 
• A copy (front & back) of your Michigan/Indiana Drivers License or a copy of a Michigan/Indiana Picture Identification Card showing your current address. Citizens under the age of 18 must have a copy of their Guardian's Driver's license or State ID 
• If you do not have a Driver's License or a State ID we will need two (2) pieces of mail with your current address. Tribal mail is not valid. 
• A copy of your Insurance card or Medicaid card (front & back) or a written Declaration of an ultimate denial from an alternate resource for payment, such as health/medical insurance, State Medicaid, Federal or other assistance programs
• Medical insurance or Medicaid denial must state why coverage has ended