Past MFA award recipients aren’t guaranteed future awards. Kaiser Permanente reserves the right to change the terms and conditions of the MFA program at any time. An MFA award is not a covered benefit and does not change the services covered or cost-sharing owed under your plan.
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. 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 (such as 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 can I get program information?
Copies of the MFA policy, application forms application forms, instructions, and plain-language summaries (including 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:
|Medical Financial Assistance Policy (English)
|Arabic, Bengali, Chinese, Croatian, Farsi, French, Gujarati, Haitian, Hindi, Hmong, Japanese, Korean, Laotian, Portuguese, Russian, Spanish, Tagalog, Tamil, Telugu, Thai, Ukrainian, Urdu, Vietnamese
|Program Summary (English)
|Program Application (English)
Request program information electronically: Electronic copies of program information are available by email upon request. Call 1-404-949-5112 to request electronic copies. Please be prepared to provide an email address that the information can be sent to when calling.
Request program information by telephone: 1-404-949-5112, or TTY: 1-800-255-0056. Monday through Friday, 8:30 a.m. to 4:30 p.m.
Obtain program information in person: Counselors are available at Kaiser Permanente facilities to provide program information and will forward the application for review to the appropriate medical financial department at the following locations:
- Cascade Medical Center
- Crescent Medical Center
- Cumberland Medical Center
- Glenlake Comprehensive Specialty Center
- Gwinnett Medical Center
- Panola Medical Center
- Southwood Comprehensive Medical Center
- Sugar Hill-Buford Medical Center
- TownPark Medical Center
Request program information by U.S. mail: A patient can request program information by mail. Information requests can be mailed to:
Attention: Patient Financial Services
Nine Piedmont Center
3495 Piedmont Road, Northeast
Atlanta, Georgia 30305-1736
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 prescription ordered by a Kaiser Permanente provider for eligible services and meet income qualifications.
When you apply, you will be asked to list your household size and total gross household income, which will be validated by an external data source. Applying online is the quickest and easiest way to apply. If your income recently changed or you prefer to submit current financial documentation, the table below lists the optional documents to submit according to your household income source(s).
Income verification is part of determining eligibility for medical financial assistance. Including proof-of-income documentation with your completed application will assist in confirming the accuracy of your income during the review process.