A plan available to members of federally recognized tribes and Alaska Native Claims Settlement Act (ANCSA) Corporation shareholders regardless of income or eligibility for premium tax credits. People enrolled in this type of plan don’t pay co-payments, deductibles, or coinsurance when getting care through an Indian health care provider. Do need a referral from an I/T/U when getting essential health benefits through a Marketplace plan to avoid paying co-payments, deductibles, or co-insurance. Can get limited cost sharing with a plan at any metal level on the Marketplace. Don’t need to have their income verified in order to enroll