Kaiser Permanente’s Medical Financial Assistance (MFA) program provides financial assistance for qualifying patients who need help paying for emergency or medically necessary care they receive in a Kaiser Permanente medical office or by a Kaiser Permanente provider. Patients must fill out an application to apply and must meet the eligibility requirements listed below to qualify.
Who is eligible for Financial Assistance and what are the requirements?
The program helps low-income, uninsured, or underserved patients who need help paying for all or part of their medical care. Patients are eligible for financial assistance when their household income is at or below 300% of the Federal Poverty Guidelines (FPG). Evaluation of other criteria may be required. Patients should consult with a Medical Financial Assistance Liaison to determine eligibility and for assistance applying. Patients who have experienced a catastrophic event or who meet special circumstance criteria may be eligible for financial assistance, regardless of household income.
Patients who are eligible for medical financial assistance will not be charged more than amounts generally billed (AGB) for emergency or other medically necessary care to patients with insurance (AGB, as defined by IRS Section 501(r)).
Explanation of uninsured discount
Uninsured individuals receive a discount on professional charges for emergency or other medically necessary care. The discount is provided to ensure that an uninsured individual is not charged more for emergency or other medically necessary care than the amounts billed to insured individuals who receive the equivalent care. These services are reduced to the Medicare Fee Schedule rates determined by Centers for Medicare and Medicaid Services (CMS). These rates are reassessed annually.
What does the program cover?
The Medical Financial Assistance program covers emergency and medically necessary care provided at a Kaiser Permanente medical office or pharmacy, or provided by a Kaiser Permanente physician or Kaiser Permanente provider. The types of services not covered are premiums and dues; hearing aids; and cosmetic, non-urgent and venture services.
How do I apply?
Please request an application from any of the following sources:
- Patient registration department at your local Medical Office
- Call 303-338-3555 or 1-866-899-6018 (TTY: 1-800-659-2656), Monday – Friday, 8 a.m. – 5 p.m.
- By mail (at no cost) to P.O. Box 378066, Denver, Colorado 80237
- Download an application in English or Spanish here
Please mail completed applications (including all required documentation and information specified in the application instructions) to P.O. Box 378066, Denver, Colorado 80237, or deliver in person to Water Park 1 Building ATTN: Medical Financial Assistance Department at 2500 South Havana Street, Denver, Colorado 80014.
We’ll review submitted applications only once they are complete and we’ll determine whether you are eligible according to the Kaiser Permanente Medical Financial Assistance Policy. We will not consider incomplete applications, but will notify and provide you an opportunity to send in the missing documentation or information, by the required deadline.
Is there language assistance?
Interpreters are available to you at no cost. For more information, call 1-866-899-6018 (TTY: 1-800-659-2656).
How can I get a copy of Kaiser Permanente’s Financial Assistance policy?
You may download a copy of Kaiser Permanente’s Medical Financial Assistance policy and program summary below.
You may also request your free copy by calling 1-866-899-6018, or mailing to P.O. Box 378066, Denver, Colorado 80237.
For help or questions about the Medical Financial Assistance application process, please call 1-866-899-6018
(TTY: 1-800-659-2656), or speak to a financial counselor or patient registration associate, in the patient registration department at your local medical office.
There may be additional health care options available to you or other members of your household. Visit findyourplan.org to learn more.
Download English application here.
Download Spanish application here.