Medical Financial Assistance Program (MFAP)

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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, scrolling down or  clicking here Medical Financial Assistance Program.  Then follow the links.

View our Main Page on Kaiser.

Download program information:  

Medical Financial Assistance Policy 

Program Summary(English)

Program Application(English)

Bibliography

kaiserpermanente.org medical-financial-assistance-program/

kaiserpermanente.org/southern-california-medical-financial-assistance-2/

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

  1. I have sent in an application for mfa renewal 06/26/2019.
    Can you tell me how long it will take to approve the renewal?

    How do I check on the status of my application?

    • You’ll have to fill out the forms and contact Kaiser directly

      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 350 percent of the Federal Poverty Guidelines (FPG).Click to view Income Chart Click here to get Kaiser Individual Quotes and FPL calculation.

      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.

      For help or questions about the Medical Financial Assistance application process or other questions, please call 800-390-3507, or speak to a financial counselor within the Admitting Department at any Kaiser Permanente hospital.

  2. Currently, we have hospital bill that started Jan. 2019.

    In may we’ve got appoved for MFA program 6month period.

    Does that mean we dont have to pay for medical bill that is still on balance?

    • I presume you have Kaiser through Covered CA, right? If so, please appoint us as your agent, instructions no extra charge so that we have access to your records.

      Otherwise, we need you to send us privately [email protected] all the documents from Kaiser Financial and we can review them.

      It looks like you don’t have to pay the outstanding balance:

      5.8 Award Structure. MFA awards are applied to past due or outstanding balances only. The eligibility period for an MFA award is for a limited time only and may vary.
      5.8.1 Basis of Award. The expenses paid by the MFA program are determined based on whether or not the patient has health care coverage.
      5.8.1.1 MFA-Eligible Patient without Health Care Coverage (Uninsured). An eligible uninsured patient receives a 100% discount on all eligible services.
      5.8.1.2 MFA-Eligible Patient with Health Care Coverage (Insured). An eligible insured patient receives 100% discount on that portion of a bill for all eligible services (1) for which he or she is personally responsible and (2) which is not paid by his or her insurance carrier. The patient is required to provide documentation, such as an Explanation of Benefits (EOB), to determine the portion of the bill not covered by insurance.
      5.8.1.2.1 Payments Received from Insurance Carrier. An eligible insured patient is required to sign over to KFHP/H any payments for services provided by KFHP/H which the patient receives from his or her insurance carrier.
      5.8.1.3 Reimbursements from Settlements. KFHP/H pursues reimbursement from third party liability / personal insurance protection settlements, payers, or other legally responsible parties, as applicable.

      5.8.2 Award Eligibility Period. The eligibility period for MFA awards commences from the date of approval, or the date services were provided, or the date medications were dispensed. As summarized in the attached ADDENDUM, Section VI, Award Eligibility Period, the MFA eligibility period for an eligible patient is determined in various ways, including:
      5.8.2.1 Specific Period of Time.

      https://about.kaiserpermanente.org/content/dam/internet/kp/comms/import/uploads/2014/04/NATL.CB_.307_MFA_Policy_KPSCAL_2019_FINAL_English.pdf

  3. is there a branch of this program that can help people pay for care outside of Kaiser, specifically a nursing home or board and care facility (not a skilled nursing facility with physical therapy)?

  4. I currently have Kaiser MFA. I undersand it needs to be renewed every year. How do I go about getting it renewed? I have just downloaded the KAISER MFAP file.

    • Kaiser doesn’t pay brokers to help you with this program. Use the links and phone numbers above and contact Kaiser direct. When you find the answer, please post here for other web visitors. Please provide a citation, either URL or who you talked to and what phone #

      If you want to enroll in a new Kaiser plan…. information is on this page. https://individuals.healthreformquotes.com/companies/kaiser/

    • We’ve updated our page above to try to make it more reader friendly. Scroll up the page to the link to directly download an application in English and many other languages or scroll at little more and get it from Kaiser’s website.

  5. 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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