The Affordable Care Act


The Affordable Care Act provides Alaska Native and American Indian people with more choices for additional healthcare coverage beyond your Indian Health Service benefit. You may also qualify for special coverage and protections. As an Alaska Native or American Indian, you are exempt from the requirement to purchase insurance as long as you can show proof of your race.

Health Insurance Marketplace Key Dates 2014/2015

Graphic from showing Key Dates for the Marketplace

Washington Post Alaska Story

Monday, August 18, 2014 Washington Post Story "Bringing the Affordable Care Act to Alaska Natives".

Important tips:

  • If you are currently covered by employer insurance, Medicaid, Medicare, Denali Kid Care or Veterans’s Benefits: you already meet the Individual mandate (requirement) for insurance.
  • If you currently use your IHS coverage without additional insurance: you will need to file an exemption. You are also welcome to apply for additional coverage through the Affordable Health Care Marketplace at 
  • Exemptions for Alaska Native/American Indian people: Paper applications can be printed out, filled in and mailed for a lifetime exemption number. You can also submit Tax Form 8965 when you file your taxes this year to apply for an exemption. The forms can be found on the next page under "Resources".
  • In order to file a lifetime exemption: you will need to provide a COPY (not original) of your Certificate of Indian Blood card (CIB), Tribal enrollment card, shareholder status in Alaska Native Corporation. You can also file the exemption with your taxes.
  • If you fail to file an exemption or purchase additional insurance: you will face a tax penalty of $95/adult, $47.50/child (up to $285/family) or 1% of income in 2014. Costs go up yearly and in 2016 it will be $695/adult and $347.50/child (up to $2,085/family) or 2% of family income the next year.

A roadmap for using your new coverage

If you recently obtained health coverage through the new Health Insurance Marketplace, Medicaid, or the Children’s Health Insurance (CHIP), the following link contains materials that may help answer your questions so you can make the most of your health coverage.

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