**NEW** General Welfare Program: Dental Assistance **NEW**

Posted 6/7/2022

Start Date: June 6, 2022

The Dental Assistance Program is a General Welfare Assistance program for Delaware Nation enrolled citizens (age 0-59) who need assistance with any dental services not covered by Medicare, Medicaid, private insurance or Indian Health Services. This program will be available to tribal citizens one-time per fiscal year up to $1,000.

This program WILL NOT pay for medical bills or past due balances.

All dental procedures must be performed by a licensed dental practice and within the fiscal year you are applying for.

REQUIRED DOCUMENTS The following documents must be submitted with this application. If you fail to submit these documents, your application will be placed on pending status.

Copy of Delaware Nation enrollment card

Invoice or paid statement/receipt (for reimbursement) from dental office indicating procedure(s) performed and pricing to include any insurance payments and adjustments


For invoices submitted but have not yet been paid for or services not yet completed, payment will be made directly to the dental practice. If seeking reimbursement, invoices show the out of pocket payment made.

ATTENTION Delaware Nation will only pay/reimburse for out-of-pocket costs. Reimbursements can not be made for any procedures covered by private insurance, Medicare/Medicaid, state health programs or Indian Health Services. Once you have utilized this program, you will not be eligible in the same fiscal year (October 1st-September 30th).



Please submit application and all supportive documents to the Social Services department via email ssapplications@delawarenation-nsn.gov, fax (405) 247-5948 or mail.