Accessing Quality Healthcare Through IHS

When I was diagnosed with Type 2 diabetes, I was overwhelmed. I didn't have employer-sponsored health insurance, and the costs of managing diabetes seemed astronomical. That's when I learned I could access care through the Indian Health Service as an enrolled Choctaw member.

Understanding My Eligibility

As a member of the Choctaw Nation of Oklahoma, I was eligible for IHS services even though I lived in Mississippi, away from my tribal headquarters. I discovered that IHS operates facilities across the country and has agreements with other providers through the Purchased/Referred Care program.

Finding Care

Since there's no IHS facility in my immediate area, I connected with care through: - **Purchased/Referred Care (PRC)**: IHS approved referrals to local providers - **Tribal health clinic**: The Mississippi Band of Choctaw Indians allowed me to use their clinic for some services - **Telehealth**: Virtual appointments with IHS providers

Managing My Diabetes

Through IHS, I've received: - Regular appointments with a primary care provider - Diabetes education classes - Nutritional counseling - All my medications at no cost - Laboratory work and monitoring - Eye exams (diabetes affects vision)

The comprehensive nature of the care surprised me. It wasn't just about treating symptoms—they focused on prevention and education.

The Process

Here's how I accessed care:

1. Verified eligibility: Confirmed my tribal enrollment
2. Contacted the nearest IHS or tribal facility: They explained my options
3. Got registered in the system: Completed intake paperwork
4. Established care: Scheduled my first appointment
5. Applied for PRC: For services not available at the tribal clinic

Tips I've Learned

• Bring your tribal enrollment card: You'll need it for registration
• Understand PRC rules: Get approval BEFORE seeking outside care
• Be proactive: Schedule appointments in advance
• Use the patient portal: Many facilities have online scheduling and records
• Ask about all services: Many facilities offer dental, behavioral health, and specialty care

The Difference It's Made

My diabetes is now well-controlled. I've lost 30 pounds through the lifestyle changes they taught me. My A1C levels are in the normal range. Best of all, I'm not drowning in medical debt—something that seemed inevitable when I was first diagnosed.

For Others Who Need Care

Don't assume IHS isn't an option because you don't live near a facility. Between PRC, urban Indian health programs, and tribal health clinics of other tribes, there are more options than you might think. Your first step should be contacting IHS or your tribe's health department to understand what's available to you.