The Wampanoag Health Service offers three different types of services to Its Tribal Nation!
Direct Care Services
These services are available to Tribal Members who live off island at conveniently appropriate locations that will be announced on a monthly basis with days and times via the Tribe’s website on the “Health Department” page. If you wish to receive Tribal updates by e-mail or you need to update your current mailing address, which we strongly encourage, you can do so at: firstname.lastname@example.org.
The majority of our direct care on island is offered at the Tribal Administration building within Wampanoag Health Service (WHS). We have a Registered Nurse available to perform urgent care and answer your health-related questions. There is also a Medical Doctor who hosts a clinic in WHS on the fourth Monday of each month from 12:00 – 5:00 p.m. except during the months when General Membership meetings are held. In those months, the doctor is available from 11:00 a.m. – 4:00 p.m. during General Membership meetings. These dates and times will also be posted in the Toad Rock Times.
Health Access Support (HAS)
The Wampanoag Tribe of Gay Head (Aquinnah) has set funds to assist Tribal members who reside in the New England states with the option to register with the Wampanoag Health Service for the annual Fiscal Year (October 1st through September 30th) with a $600 maximum program allotment).
Tribal members only have to register once within the Fiscal Year to be eligible for the allotment. However, you have to continue to sign up on an annual Fiscal Year basis. A 3rd party, G/P Administration, will take care of all the tracking and payments. Medical, dental, prescription and other medical ancillary services are available for reimbursement up to the allotted ceiling of $600 as mentioned above.
Purchased/Referred Care (PRC)
This service offsets the cost of Tribal members who reside within the Service Delivery Area (SDA). Presently, Barnstable, Bristol, Dukes, Norfolk, Plymouth and Suffolk counties within the Commonwealth of Massachusetts are eligible. Residents who reside within these counties are not eligible for the HAS program because they now have the option to be part of PRC. This particular program is dependent upon data of the participants by utilization of the services offered.
The Indian Health Service is the “Payor of Last Resort” by Federal Law. Tribal members must utilize all insurance and alternate resources prior to using these funds. It is imperative that to the best of your ability, you select a provider that is within the network.
Payment can include co-payments, deductibles for medical services and the same for dental and prescriptions. If you need assistance in seeking health insurance, selecting an in-network provider or would like to obtain other helpful resources, you can contact the Tribe’s Community Health Representative at (508) 645.9265, ext. 129.
If your provider does not accept your insurance coverage, the Tribal Member should contact their insurance carrier and request an original receipt of payment; form for submission of your claim and a copy of your Explanation of Benefits. Once your insurance carrier has processed your information and provided these items. The WHS/PRC will review all submitted documentation for consideration of reimbursement for charges due, and notify the Tribal Member of its decision.
The Wampanoag Health Service has adopted an Indian Health Service Priority Level system which may limit the amount of services to Tribal members. The purpose of utilizing this system is to not use up the funds granted to us that are allotted within the year.
Those who fall under the PRC umbrella, must register on their Birth Month of each year in order to keep their benefits current, as the Wampanoag Health Service is responsible for the funds expended for their care. Prescriptions are reimbursable, but other services must be called in, in advance to obtain a “Confirmation Number” for tracking purposes.
This information is entered into a database where the actual number is generated. Once a Tribal member has been registered and all pertinent information has been obtained and entered into our database, a Conformation Number can be issued for their service, as long as it falls within the Priority Level.
For further questions about these services, please contact the Wampanoag Health Service at (508) 645.9265, ext. 120.
Purchased/Referred Care (PRC) & Health Access Support (HAS) Registration
Hyatt Place/Boston (located across from the Braintree Mall)
50 Forbes Road
Braintree MA, 02184
- Tuesday, December 27th from 9:30 a.m. - 4:30 p.m. and 6:00 p.m. - 8:00 p.m.
- Wednesday, December 28th from 9:30 a.m. - 4:30 p.m. and 6:00 p.m. - 8:00 p.m.
- Thursday, December 29th from 9:30 a.m. - 4:30 p.m. and 6:00 p.m. - 8:00 p.m.
- Friday, December 30th from 9:30 a.m. - 11:00 a.m.
Please call 508-560-9899 for room location and times available.
Please watch for additions to the calendar as new dates are scheduled.
Please remember to bring the following items with you:
- WTGH(A) or Federal/State issued picture ID
- Insurance information (card)
- Summary of Benefits and Coverage (or the similar)
- Proof of Residency (utility bill, tax bill, lease agreement)
- Transcript of Classes ( for College/Vocational students)
- Email address