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 medical office or from a Kaiser Permanente provider. Patients must 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, and 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 250% of the Federal Poverty Guidelines (FPG). Evaluation of other criteria may be required. Patients should consult with a Business Office Supervisor to determine eligibility and for assistance applying. Any patient who meets special circumstance criteria may be eligible for financial assistance. 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)).
What does the program cover?
The Medical Financial Assistance program covers 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; cosmetic, non-urgent and other services as defined by the program.
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 medical financial assistance information from any of the following sources:
- Download an application here, in English or Spanish
- Business Office Supervisors within the Patient Business Office at your local Medical Office Building
- Call 1-404-949-5112 8:30 a.m. to 4:30 p.m. Monday through Friday
- By mail (at no cost) at ATTN: Patient Financial Services, Nine Piedmont Center, 3495 Piedmont Road, NE, Atlanta, Georgia 30305-1736
Please drop off completed applications (including all required documentation and information specified in the application instructions) in person to the Patient Business Office at your local Medical Office Building. We will review submitted applications 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 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. The Medical Financial Assistance application, policy, and this policy summary may be available in your language. For more information, call 1-404-949-5112.
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 printed copy of Kaiser Permanente’s Medical Financial Assistance policy by calling 1-404-949-5112, mailing ATTN: Patient Financial Services, Nine Piedmont Center, 3495 Piedmont Road, NE, Atlanta, Georgia 30305-1736.
For help or questions about the Medical Financial Assistance application process, please call 1-404-949-5112, or speak to a Business Office Supervisor within the Patient Business Office.