Limited Health Benefit Plan for Tribal Members
Enrollment for 2021 has ended.
This form will reopen for open enrollment for the 2022 health benefit card on October 1, 2021, and will close again on December 15, 2021.
Open enrollment for the 2022 health benefit card will begin on October 1, 2021, and end December 15, 2021.
Applications may be accepted for the 2021 health benefit year after the December 15, 2020 open enrollment deadline if a member experiences a qualifying life event. The Osage Nation Health Benefit Act, 16 ONC § 3-105, Section 1 B states that:
Applications may be accepted past the enrollment deadline upon applicant experiencing a life event of the birth of a child, the legal adoption of a child or being named a guardian of another person by a court of law
If the above section applies to you, please contact the Osage Nation Benefit Center to receive an application for the 2021 health benefit year.
RT Consulting is administering all 2020 and 2021 health benefit card reimbursement requests. Healthcare-related receipts should be submitted to RT Consulting for processing.
Reminder: The last day to submit a 2020 reimbursement is March 31, 2021. The last day to submit a reimbursement for 2021 is March 31, 2022.
For reimbursements, please use one of the following options:
- Mail: Osage Nation Benefit Center, 4 Main Street, Peterborough, NH 03458
- Fax: 603-925-1357
- Email: @email
If you have any questions, please call the Osage Nation Benefit Center at 833-406-0969.
Spending Rollover Funds
Members 64 and younger:
NOTE: Change in Health Benefit Law: As of January 2021, future funds will not rollover, however the funds from 2019 and 2020 will be allowed for use in the following manner:
- 2021 — you have access to 2021 funds and any 2020 and 2019 rollover amounts.
- 2022 — you have access to 2022 funds and any 2020 rollover amounts, if available.
- 2023 — you have access to 2023 funds.
Members 65 and older:
The change in law does not affect members 65 and older. They will continue to have funds rollover from the previous two years up to $1,000 each year. The total card amount cannot exceed $3,000 per individual.
If you have any questions, please contact the Osage Benefit Center at 833-406-0969.