Taking Action // Our Communities

Mid-Atlantic



Programs

Care and Coverage

We lower financial barriers for uninsured and underinsured individuals to receive medical care. Our charitable care and coverage plans served nearly 8,500 people in 2012.

Bridge Plan

We collaborate with local governments and community-based not-for-profit organizations to provide health coverage for uninsured families in need. The Bridge Plan helps those who cannot afford health coverage for reasons such as a change in job status or income.

Bridge Plan members pay a small premium to receive medical care from Kaiser Permanente providers, and we cover nearly all of the costs. In 2012, we served nearly 6,000 people in the Bridge Plan.

For more information regarding the Bridge Plan, including eligibility requirements and contact information of our local partners, visit www.kpbridge.org.

Children’s Health Care Partnerships

Community partners help us identify uninsured children who are ineligible for public health care programs. Children enrolled in local child health programs receive free primary care services at Kaiser Permanente medical centers.

More than 2,500 children relied on Kaiser Permanente in 2012, ensuring our communities’ most vulnerable members received access to quality medical care.

This program is offered in the following counties:

  • Montgomery County, Md. – (301) 628-3442
  • Prince George’s County, Md. – (301) 883-7858
  • Fairfax County, Va. – (703) 324-5182
  • Prince William County, Va. – (703) 792-7348

Medical Financial Assistance

Our Medical Financial Assistance program (MFA) helps low-income, uninsured, and underserved patients receive access to care. The program provides temporary financial assistance or free care to patients who receive health care services from our providers, regardless of whether they have health coverage or are uninsured. The MFA program is one of the most generous in the health care industry and is available to those patients in greatest need.

Through our charity care program, Kaiser Permanente is committed to:
offering  financial counseling to determine if a patient is eligible for public assistance or Kaiser Permanente financial assistance, providing free or extremely low-cost care to low-income people for medically necessary services provided at our facilities and through our providers, and not taking legal action for nonpayment of medical bills against any person who is unemployed and without other significant income.

Who’s eligible for Medical Financial Assistance?

Eligibility is based on financial need. In general, people whose household income is at or below 400 percent, of the federal poverty level are eligible for the MFA program. Families or individuals with higher incomes may qualify on a case-by-case basis.

Members must undergo income and means testing which includes an evaluation of the member’s available assets, which includes active retirement accounts that are income generating, unless a financial hardship can be documented and excludes a member’s primary residence and one automobile per adult household. However, no asset test should be performed for patients whose income is equal to or less than 200 percent of the federal poverty level.

Patients who do not qualify for the MFA program, and whose income is at or below 400 percent of the federal poverty level, may be eligible for the Discount Payment Program for partial financial assistance. For instances when services are not eligible or the individual does not qualify for Medical Financial Assistance, requests for reconsideration may be submitted in writing to the director of patient financial services. The director’s decision will be final.

Patients who have experienced a catastrophic event may be eligible under special circumstances, regardless of household income.

Please note, the MFA program is not a form of health insurance and under no circumstances will MFA be applied to health plan premiums.

How do I know if my income level meets the guidelines for Medical Financial Assistance?

View the federal poverty guideline charts. To calculate income level at 400 percent of the federal poverty guidelines, multiply by 4.

Please note that for uninsured patients, charges for emergency and medically necessary care are limited to no more than amounts generally billed to Kaiser members or the Medicare reimbursement rates.

How can I learn more about the Medical Financial Assistance Program and how to enroll?

There are several ways that you can learn more about the MFA and applying to the program:

  • Complete the MFA application for submission. Call the membership services representative.
  • Call or visit your local regional Medical Office Building and speak with a MARS representative, case manager or other health care professional. Request a MFA brochure/application from any of the above Kaiser Permanente employees.
  • Call the MFA office @ 301-816-6615 or toll free @ 1-800-777-7902. The MFA specialist will be happy to speak with you about the program and how to apply. The specialist will send you the brochure/application for you to complete and return to the MFA office.

Community Health Initiatives

We design and fund programs that engage communities to change conditions in neighborhoods, workplaces, schools, and health centers, with a focus on healthy eating and active living (HEAL). Read more about our community health initiatives, such our work in the Port Towns area of Prince George’s County, Md.

Safety Net Partnerships

We offer expertise and resources to community clinics, local health departments, and public hospitals; and we view these organizations as an essential window onto our communities.

Educational Theatre Programs

Kaiser Permanente’s signature Educational Theatre Programs (ETP) present live theatrical performances – free of charge – to educate and inspire school children around the region about healthy lifestyles. To learn more or request a performance, visit www.etpmidatlantic.org or call (301) 902-1210.

Corporate Citizenship

We aim to be health care industry leaders in corporate philanthropy and employee volunteerism.  We seek partnerships and alliances with like-minded organizations working to develop solutions to our region’s health concerns and issues. Our funding and thought partners are a valuable part of our investment and engagement in communities throughout the region.