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Northern California

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 350% of the Federal Poverty Guidelines (FPG). Evaluation of other criteria may be required. Patients should consult with a Patient Financial Advisor 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.

What does the program cover?

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

How do I apply?

Please request an application from any of the following sources:

Please mail completed applications (including all required documentation and information specified in the application instructions) to: P.O. Box 30006, Walnut Creek, CA 94598.

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.

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 1-800-464-4000.

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 request your free copy of Kaiser Permanente’s Medical Financial Assistance policy by calling 1-866-399-7696, mailing P.O. Box 30006, Walnut Creek, CA 94598.

Need help?

For help or questions about the medical financial assistance application process, please call 1-866-399-7696, or speak to a Patient Financial Advisor within the Patient Financial Advisors Department at any Kaiser Permanente hospital.