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Washington



Medical Financial Assistance

Having trouble paying for your Kaiser Permanente medical and pharmacy expenses?

Kaiser Foundation Hospitals and Kaiser Foundation Health Plans, collectively referred to as Kaiser Permanente, are 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. Patients must meet the eligibility requirements below to qualify.

Who is eligible for Financial Assistance and what are the requirements?

The Medical Financial Assistance (MFA) program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. Patients are eligible for financial assistance when their family income is at or below 300% of the Federal Poverty Guidelines (FPG). Patients may contact Customer Service or visit any medical center business office or check-in desk to determine initial eligibility and for assistance applying. Patients who have experienced unusually high medical expenses may be eligible for the program, regardless of household income. Refer to the MFA Policy for a complete description of the program eligibility requirements.

Welcome Group Health patients

The MFA program is available to all Group Health patients, whether or not you’re a Group Health or Kaiser Permanente member. Any change in the name Group Health to Kaiser Permanente will not affect your application to or participation in the MFA program.

What does the program cover?

The MFA program covers emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities (i.e. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. Services that are not considered emergent or medically necessary as determined by a Kaiser Permanente provider include, but are not limited to cosmetic surgery or services, infertility treatments, retail medical supplies, surrogacy services, and services related to third party liability, or workers’ compensation cases. Refer to the MFA Policy for a complete list of eligible and ineligible services.

Which providers are and are not covered under the program?

The list of providers in Kaiser Foundation Hospitals that are and are not covered under the MFA policy can be found in our Kaiser Permanente provider list of Washington.

How can I get program information?

Copies of the MFA policy, application forms, instructions, and plain language summaries (e.g., policy summaries or program brochures) are available to the general public, without charge, from Kaiser Permanente’s website, by email, in person, by telephone, or by U.S. postal mail.

Download program information: Electronic copies of program information are available:

Medical Financial Assistance Policy (English)
Click here for more languages
Program Summary (English)
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Program Application (English)
Click here for more languages

Request program information electronically: Electronic copies of program information are available by email upon request. Call 1-800-992-2279 to request electronic copies. Please be prepared to provide an email address that the information can be sent to when calling.

Obtain program information in person: Program information is available at Admitting and Emergency Room Departments in Kaiser Foundation Hospitals. Staff are also available at the Business Office in each Kaiser Permanente urgent care facility and at any check-in desk. Staff are available at the following facilities:

Capitol Hill Medical Center
Tacoma Medical Center
Silverdale Medical Center
Olympia Medical Center
Bellevue Medical Center

Request information by telephone: Staff are available by telephone to determine MFA eligibility, and assist a patient to apply for MFA. Staff can be reached at: 1-800-442-4014, option 4, option 7, or 1-800-833-6388 or TTY: 711. Monday – Friday, 8 a.m. – 5 p.m.

Request program information by U.S. postal mail: A patient can request program information by mail. Information requests can be mailed to:

Patient Financial Services
Attention: Medical Financial Assistance
PO Box 34584
Seattle, Washington 98124-1584

How do I apply?

A patient can apply for the MFA program, during or following the care received from Kaiser Permanente, in several ways including in person with a counselor, or by submitting a complete paper application.

Apply in person: Staff are also available at the Business Office in each Kaiser Permanente urgent care facility and at any check-in desk. Staff are available at the following facilities:

Capitol Hill Medical Center
Tacoma Medical Center
Silverdale Medical Center
Olympia Medical Center
Bellevue Medical Center

Complete and submit a program application: Please mail completed applications (including all required documentation and information specified in the application instructions) to:

Patient Financial Services
Attention: Medical Financial Assistance
PO Box 34584
Seattle, Washington 98124-1584

Kaiser Permanente will review submitted applications when they are complete and will determine whether you are eligible according to the Kaiser Permanente Medical Financial Assistance Policy. Incomplete applications may result in a delay in processing or denial of your MFA application, but Kaiser Permanente will notify applicants and provide an opportunity to send in the missing documentation or information, by the required deadline.

Amounts Generally Billed (AGB)

Amounts Generally Billed (AGB) is based on the lowest average of the amounts that were paid to a Kaiser facility by Medicare fee-for-service (and co-pays) for emergency or medically necessary services, based on actual claim data from January 1, 2016 to December 31, 2016, which is consistent with the look-back method. Total expected payment from allowed claims was divided by total billed charges for such claims, and that number was subtracted from 1 to calculate the AGB percentage. The 2017 AGB reduction to gross charges is 53% for hospital charges.

Is there language assistance?

Interpreters are available to you at no cost. If you need to speak to someone with the help of an interpreter, please call Customer Service at 1-888-901-4636.

Other beneficial programs and extra resources:

If you don’t have health care coverage and would like more information, visit healthcare.gov or call 1-800-318-2596.

This may be a hard time for you financially. If you need help paying for needs other than health care, there are community resources and programs that can help. For more information on programs that may save you money, visit myadvocatehelps.com. Examples include:

          • Food stamps through the Supplemental Nutrition Assistance Program (SNAP)
          • Local food pantries and community centers
          • Transportation assistance

Need help?

For help or questions about the Medical Financial Assistance application process or other questions, please call 1-800-442-4014, option 4, option 7 or speak to staff at the Business Office or at any check-in desk in any Kaiser Permanente facility.