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When will medical financial assistance be available in 2021?
Starting in July 2021, new Medical Financial Assistance award amounts may be lower than those you’ve received in the past. Beginning in July, patients with household incomes between 201% to 300% of 2021 federal poverty levels who reapply may receive a 75% award instead of the current 100% award on eligible medical and outpatient pharmacy costs. ...
Who is eligible for Financial Assistance and what are the requirements?
The Medical Financial Assistance 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 400% of the Federal Poverty Guidelines . Patients should consult with a counselor to determine 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.
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 (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.
How to request a copy of a program?
Request program information electronically: Electronic copies of program information are available by email upon request. Call 1-800-813-2000 to request electronic copies . Please be prepared to provide an email address that the information can be sent to when calling.
How can I get program information?
Copies of the MFA policy, application forms, instructions, and plain language summaries (such as 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. mail.
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 should consult with a counselor to determine 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.
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.
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 Financial Counselor, or by submitting a complete paper application.
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 accessin…
What's New?
- Beginning May 1, 2022, all 25%, 50%, and 75% current MFA awards will now be applied to outpatient pharmacy. If you have a 25%, 50%, or 75% MFA award, you are expected to pay the remaining outpatient pharmacy balance at point of sale or when ordering by mail. All patients with Medicare Part D who are approved for MFA will continue to receive a temporary 100% award for …
Who Is Eligible For Financial Assistance and What Are The Requirements?
- The Medical Financial Assistance 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 400% of the Federal Poverty Guidelines. Patients should consult with a couns...
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 (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 necessar…
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 for Northwest.
How Can I Get Program Information?
- Copies of the MFA policy, application forms, instructions, and plain language summaries (such as 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. mail. Download program information: Electronic copies of program information are available: Request program informati…
How Do I Apply?
- You can apply for medical financial assistance through Kaiser Permanente during or following a course of care or treatment received from Kaiser Permanente. To be eligible for the program, you must demonstrate an immediate need caused by a bill for an outstanding balance for Kaiser Permanente services, a scheduled appointment with Kaiser Permanente, or a pharmacy prescrip…