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Health Aid Foundation

NEW GENERAL INFORMATION & GUIDELINES
The Citizen Potawatomi Nation Business Committee is continually striving to improve benefits to all of our Tribal Members regardless of where they live.

Program monies are to be used for the purchase of:
1.) Prosthetic Devices
2.) Eyeglasses
3.) Contacts
4.) Hearing Aids
5.) Dentures
6.) Partials
7.) Bridgework
8.) Crowns
9.) Wheelchairs
10.) Mobile Chairs
11.) CPAP Machines
12.) Prescription sunglasses
13.) Mobile Chair Lifts & Ramps for Vehicles

Prescription Sunglasses must have a Doctor’s statement stating that they are medically necessary. If a statement is not submitted with the application the HAF will not pay for the additional charge.

APPROVAL:
Completed applications will be individually and collectively reviewed on the third Thursday of every month. Applications will not be considered if information is lacking.

The following criteria must be met to be eligible:
1. Tribal Membership Requirements- must be enrolled with the Citizen Potawatomi Nation and born by December 31, 1971 or be at least 1/8 blood degree.
2. Need for Device Must Exist - It must be prescribed by a licensed health professional.

DENIALS:
1. Any itemized statements with a date of service over a year old will not be considered.
2. Applicant does not meet membership requirements.
3. Applicant has reached maximum amount of $750.00 for the year running January through December. Applications received after the third Monday of December will be considered in January of the following year.
4. The Health Aid Foundation will not pay for examinations, diagnostic procedures or taxes.

THE FOLLOWING MUST BE COMPLETED:
Before the application will be submitted to the HAF Committee, the application must be completed by the Tribal Member. Detailed itemized statement, must be from Doctor or Business and contain Patient's Name, Date of Service, Description of Device, Cost of Device, Address and Phone Number of Doctor or Business, and Doctor's or Business's Name, Signature or Signature Stamp.

AUTHORIZED EXPENDITURE LIMITS:
The selection board may authorize expenditures, which shall not exceed 75% of the cost of the device(s). During the program year, no one individual may be authorized to collect more than $750.00. If the Applicant has insurance available for the prosthetic device(s), HAF will pay 75% of the remaining balance, up to $750.00 per year. The program year is January through December.

Health Aid Foundation Application and Guidelines

Joyce Abel, R.N.
405-275-3121


Joyce M. Abel, R.N.

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