In The Community // Our Communities

Hawaii



Medical Financial Assistance

Kaiser Permanente’s Medical Financial Assistance program provides financial assistance for qualifying patients who need help paying for emergency or medically necessary care they receive in a Kaiser Permanente facility 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 Family Income is at or below 400% of the Federal Poverty Guidelines (FPG).  Evaluation of other criteria may be required.  Patients should consult with a Financial Counselor to determine eligibility and for assistance applying.  Patients who have experienced a catastrophic event may be eligible under special circumstances, 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 hospital and 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.

The uninsured discount is determined by reviewing paid Medicare claims over a recent 12-month period. The sum of the paid claims is divided by the sum of the claims’ gross charges to calculate the discount percentage.  The discount percentage is reassessed annually.

How do I Apply?

Please request an application from any of the following sources:

  • Financial Counselor within the Business Services Department at the Kaiser Permanente hospital /clinics
  • Call the following Business Services Departments
    Moanalua Medical Center / Mapunapuna Clinic 808-432-7940
    Honolulu Clinic, Windward Clinics, Hawaii Kai Clinic and Ala Moana Clinic 808-432-2020
    Leeward Clinics 808-432-3297
    Maui Clinics 808-243-6580
    Big Island Clinics 800-598-5928 (toll free)
  • By mail at no cost at 3288 Moanalua Road, Honolulu, HI 96819, Attention:  Business Services Department / Financial Counselors
  • Download an application here

Please mail completed applications (including all required documentation and information specified in the application instructions) to: 3288 Moanalua Road, Honolulu, HI 96819, Attention:  Business Services Department / Financial Counselors or deliver in person to the Business Services Department.

We will review submitted applications only once they are complete, and we will determine whether you are eligible according to the Kaiser Permanente Medical Financial Assistance Policy. We will not consider incomplete applications, but will notify applicants and provide an opportunity to send in the missing documentation or information by the required deadline.

What does the program cover?

The Medical Financial Assistance program covers emergency and medically necessary care provided at a Kaiser Permanente medical office, hospital, pharmacy or provided by a Kaiser Permanente physician or other Kaiser Permanente provider.  The types of services not covered are premiums and dues; optical, hearing aids; and cosmetic, non-urgent, and elective procedures / services.

Is there language assistance?

Interpreters are available to you at no cost.  The medical financial assistance application, policy, and this policy summary may be available in your language.  For more information, call 808-432-5955.

Does Kaiser Permanente have a Financial Assistance policy? 

You may download a copy of Kaiser Permanente’s Medical Financial Assistance policy and program summary below

You may also request a free copy by calling 808-432-7940, or by mail at 3288 Moanalua Road, Honolulu, HI 96819.

Need Help?

For help or questions about the financial assistance application process, please call 808-432-7940, or speak to a Financial Counselor within the Business Services Department at the Kaiser Permanente hospital.