In The Community // Our Communities

Colorado



Care and Coverage for Low-income Coloradans

Kaiser Permanente is committed to providing programs that facilitate access to care for vulnerable populations. This commitment includes providing financial assistance to qualified low-income, uninsured, and underinsured patients when the ability to pay for services is a barrier to accessing emergency and medically necessary care.

Improving health care access is fundamental to our mission.  We accomplish this through:

  • Medical Financial Assistance
  • Colorado Bridge Program
  • Medicaid and Child Health Plan Plus (CHP+)­

Medical Financial Assistance

Our Medical Financial Assistance program (MFA) helps low-income, uninsured, or underserved patients who need help paying for all or part of their medical care. The 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 network provider.  Patients must complete an application and meet eligible requirements. Qualifying household income is at or below 300% of the Federal Poverty Guidelines. Patients who have experienced a catastrophic event or who meet special circumstance criteria may be eligible for financial assistance, regardless of household income.

The types of services not covered are premiums and dues; hearing aids; and cosmetic, non-urgent and venture services.

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 low-cost care to low-income people for medically necessary services provided at our medical offices and through our network providers
  • circumventing legal action for nonpayment of medical bills against any person who is unemployed and without other significant income

Please note:  The MFA program is not a form of health insurance and cannot be used to subsidize premiums. Read our Medical Financial Assistance Policy. For uninsured patients, charges for necessary medical care are limited to no more than the Medicare reimbursement rates.

Colorado Bridge Program

The Kaiser Permanente Colorado Bridge Program is designed to help those who are uninsured with no access to other health coverage pay for standard Kaiser Permanente Individuals and Families (KPIF) plan (Kaiser Permanente CO Gold 0/20 plan and the Select CO Gold 0/20 plan). The Colorado Bridge Program also includes the Kaiser Permanente sponsored Medical Financial Assistance program. MFA eliminates out-of-pocket costs for most services provided at Kaiser Permanente medical offices. MFA does NOT cover copayments and coinsurance for all covered plan benefits. Some of the benefits MFA does NOT assist with include but are not limited to hospital inpatient care, dialysis, durable medical equipment and hearing aids. For more information about the Colorado Bridge Program and what services are covered in the Denver/Boulder, Northern Colorado and Pueblo service areas, click here. To learn more about the services covered in the Southern Colorado (Colorado Springs) service area, click here.

Who is eligible?

  • Applicants must live within the Kaiser Foundation Health Plan of Colorado service area based on county zip code.
  • Must have income at or below 300 percent of the Federal Poverty Level (FPL).
  • Must be under the age of 35 years at time of the effective date of the Kaiser Permanente plan.
  • Must not have access to any other public or private health coverage including, but not limited to:
    –  Health First Colorado (Colorado’s Medicaid Program)/CHP+
    –  Connect for Health Colorado
    –  Medicare
    –  Job based health coverage

For more information click here  to download a brochure/application.

Charitable Coverage ― Government Programs

Kaiser Permanente participates in publicly subsidized programs such as Medicaid and CHP+ in order to make our quality care accessible to more people in our communities, and serve vulnerable populations.

Medicaid is a statewide, government subsidized insurance program covering low-income and disabled adults and children. The program is for individuals with little to no income, or a disability that affects their ability to work.

Child Health Plan Plus is a statewide, government-subsidized insurance program covering low-income children (18 years and under) and pregnant women age 19,  who don’t qualify for Medicaid, and whose families cannot afford private coverage.

Kaiser Permanente is committed to serving as a leader in public policy for improving the delivery of care for the underserved, and to represent the health interests of all our community members.

Our practice of evidence-based medicine and expertise in preventive care and disease management will serve to improve the delivery of care in our communities and influence the management of our public programs.

If you need health care for yourself or your family, there are options you can afford.  Please visit Kaiser Permanente Colorado’s web resource, FindYourPlan.org, to get more information.