|We Screen for Alternate Resources:|
Patients applying must have an email address when applying through the New York State Market Place for Insurance.
With Direct Care only, you are only eligible for services here at the health centers.
If you are referred off-site for any type of medical appointment, we encourage you to contact Patient Benefits for assistance; especially if you are Direct Care only.
Any off-site appointment, including Emergency Room (ER) visits, will be the patients' responsibility.
Identity - Photo ID*
Date of Birth/Citizenship (one of the following)
Residency (one of the following)
Income/Wages (All that apply)
Resources (Anything marked yes on resource portion of application)
Other Documentation (all that apply)
Indian Health Services (IHS) requires all uninsured patients to apply for alternative resources as a Medicaid, Child Health Plus and Family Health Plus.
Even if your income may be too high to qualify for such programs, it is still a requirement of IHS, due to limited funding, that every uninsured patient submit an application.
We must bill insurance companies whenever possible in order to cover all services provided.