Skookum Health announces coverage changes for 2026

There are several changes to the Skookum Health Assistance Program. This ensures that those on the waiting list for any of these services can begin accessing those through Skookum without further delay, as the services below have been merged into Skookum.

The new/additional benefits are as follows:

• LASIK eye surgery: $5,000 maximum – twice per lifetime (spousal exclusion);
• Hearing aids: $3,500 every 3 years (spousal exclusion)
• Vision: No service area restrictions. Benefits include a vision exam that is 100% covered (once per calendar year) and up to $185 for frames (once per calendar year). Lenses, including single, bifocal, trifocal lenticular and progressive, are 100% covered with a prescription or contacts in place of glasses are 100% covered for a one-year supply;
• Inpatient drug or alcohol treatment – 100% covered in-network;
• Dental (spousal exclusion): No service area restrictions, $4,000 annual maximum per calendar year;
• Orthodontics: $6,000 lifetime maximum (spousal exclusion).

If you have primary insurance that covers any of these benefits, that will need to be utilized before Skookum. For assistance, contact Forest County Potawatomi at 715-478-4610. For dental inquiries, call 503-879-2343 or 503-879-2197.