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The Medical Financial Assistance Program (MFAP) is a program offered by Kaiser Permanente to all patients for services that are medically necessary. Services must be received at a Kaiser Permanente hospital or physicians office, or from a Kaiser Permanente provider. Services provided at non-Kaiser facilities that are contracted with Kaiser Permanente are not covered by MFAP. The MFAP may also help pay the full cost of, or the co-payment amount owed for medications you receive at a Kaiser Permanente pharmacy.

You may obtain the applications from Financial Counselors at each Kaiser Permanente facility or by visiting Kp.org/community benefit. Once you are there, select “Our Work” with the sub-menu option of “Care and Coverage for Low Income People.” Then, on the left side of screen, click Medical Financial Assistance Program.

You may submit your application along with any required supporting documentation to:

Medical Financial Assistance Program and Discount Payment Program
Northern California
PO Box 30006
Walnut Creek, CA 94598

Fax: 1-800-687-9901

Southern California

Pasadena, CA 91109-7086

Fax: 1-866-497-0005

View our Main Page on Kaiser.

 

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

Medical Financial Assistance Policy(English)  

 Arabic, Armenian, ChineseFarsi, French, Greek, German, Gujarati, Hebrew, Hindi, Hmong, Hungarian, Italian, Japanese, Korean, Laotian, Mon-Khmer, Polish, Portugese, Russian, Serbo-CroatianSpanish, Tagalog, Thai, UrduVietnamese

Program Summary(English)  

Arabic, Armenian, Chinese, Farsi, French, Greek, German, Gujarati, Hebrew, Hindi, Hmong, HungarianItalian, Japanese, Korean, Laotian, Mon-Khmer,Polish, Portugese, Russian, Serbo-CroatianSpanish, Tagalog, Thai, UrduVietnamese

Program Application(English)  

Arabic, Armenian, Chinese, Farsi, French, Greek, German, Gujarati, Hebrew, Hindi, Hmong, HungarianItalian, Japanese, Korean, Laotian, Mon-Khmer,Polish, Portugese, Russian, Serbo-CroatianSpanish, Tagalog, Thai, UrduVietnamese

 

If you have any questions or need help with the form, please contact the MFAP department at 1-866-399-7696, weekdays from 8:00am to 5:00pm. Email dated 4.28.2016 3:12 PM

4 comments on “Kaiser Medical Financial Assistance Program (MFAP)

  1. My brother was in a car accident and a had to see emergency and was billed $500. After accident was on disability for a month. can he get temporary assistance to help cover any medical expenses from accident. His car insurance does not cover any medical expenses.

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