Visit our COVID-19 Information pages for details regarding the coronavirus as it relates to the Chickasaw Nation.
Services > Health Spending Account (HSA)

Health Spending Account (HSA)

Tribal citizens have control of when and where health care services are obtained. Citizens 65 and older, or permanently disabled on Medicare, are eligible to receive reimbursement for up to $300 of approved health care expenses per month.

Covered services are:
Premiums for Medicare Part B and/or D; medical, vision or dental insurance premiums or deductibles; doctor’s visit co-payments; preventive care and prescription medicine.

The maximum monthly benefit is $300. This benefit enables citizens to obtain insurance coverage that will help with a wide variety of services. Reimbursement may be for insurance coverage already in place or qualified ongoing medical expenses.

This benefit is especially helpful if used for Medicare Part D (prescription drug coverage). Once on Medicare Part D, the citizen will also be eligible to participate in the new Prescription Mail Order Program.

You Provide

  • CDIB and Chickasaw citizenship card
  • Proof of monthly expense
  • Medicare Benefit letter


  • Age 65 without an active chart within CNDH (active chart is defined as having received services within the past three years from date of application)
  • Residency outside of the Chickasaw Nation boundaries

Other Information

The Chickasaw Nation Division of Administration values the health and wellness of all Chickasaw citizens.

Services at-large programs were created as a direct result of citizen feedback.

Citizens living outside the Chickasaw Nation boundaries can take advantage of these services offered by Chickasaw Nation Division of Administration. The prescription mail order program, the health spending account program and the eyeglasses and contacts program are just a few that help to serve the needs of our citizens at large.

Online Applications

Service Area

Chickasaws At-Large

This service is not available inside the Chickasaw Nation's boundaries

Contact Information

(800) 851-9136 Ext: 62250


Duncan Tribal Health
45 N. 9 St., Suite 307
Duncan, Oklahoma 73533

(580) 470-2115