Kaiser Medical Financial Assistance Program (MFAP)
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.
- Who is eligible? »
- Patients are eligible for financial assistance when their family income is at or below 350 percent of the Federal Poverty Guidelines (FPG).
- What does the program cover? »
- emergency and medically necessary health care services, pharmacy services and products, and medical supplies provided at Kaiser Permanente facilities
- How do I apply? »
- Click here and then Scroll & down to find an application in your language
- Other programs and resources »
- Need help? »
- call 800-390-3507, or speak to a financial counselor within the Admitting Department at any Kaiser Permanente hospital.
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.
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/
See our FAQ’s and/or ask your Questions?
Instant Complementary Health Insurance Proposals, Quotes, Subsidy Calculation and ONLINE Enrollment
Instructions to appoint us as your broker with Covered CA – no additional charge!
Guaranteed Issue - No Pre X Clause
Quote & Subsidy Calculation
Find out your premium with Covered CA
or Direct without Subsidies
Missed Open Enrollment?
See our Special Enrollment page
No charge for our complementary services
Detailed Video Instructions on using our Quote Engine
How to use our FREE Quote Engine, Subsidy Calculator and get the MOST from the experience.
When you get a FREE quote, you can also see the benefits, view actual brochures, MD and Hospital Lists all ONE easy process with no obligation & it can be anonymous. Enter your zip code, date of birth, family - household taxation relationships (MAGI - Definition), Estimated MAGI - Modified Adjusted Gross Income for the upcoming - current year. Last years tax return only gives an idea so that Covered CA can approve your advance tax credit to help pay premiums.
If you qualify for tax credits - subsidies and want them in advance (Pros-Cons) of filing your taxes click on "Health On Exchange" - Covered CA, illustrated below.
This website and are individual consultation are provided to you FREE of Charge! We are paid by Covered CA and/or the Insurance Companies to help you. When you fill out the Covered CA ONLINE Application, just appoint us as your agent under Find Help in the Upper Right Hand Corner so that we get paid for helping you. Click here for screen shots for more detail of how to do it. If you prefer, you can pay us a consultation fee in lieu of appointing us as your agent, for educational services only.
You can then see all the quotes on the exchange, showing the Cost Share Reduction - Enhanced Silver if available, subsidy - tax credit amount and your net premium. If you click "Off Exchange" you will see more plans and companies which may have larger provider lists. Scroll down for more screen shots.
Then click on "View Plan Details" - "View Doctor's & Providers" - to compare and get more information. Please note that the quote engine does not show enhanced silver, but shows silver at 70%. Check our chart for the better silver coverage.
Learn more about the right to change plans when Silver Level Enhanced Changes
To apply, click on apply now or use the links in the right hand column, ON THIS PAGE, but it will have you redo the quote for that specific company. The price is the SAME, no matter if you use us, go direct to Covered CA or the Insurance Company, as mandated by law! If applying through Covered CA, be sure to sign the form to appoint us as your agent. It's not all the easy to figure out how to do it on their website.
If you have any questions email [email protected] or call us 310.519.1335
Kaiser Financial Assistance VIDEOS
#Dental
- KPIC Adult Dental Plan Brochure
- See dental offering in main brochure for Kaiser - scroll or search with CTRL - F
- Delta Dental Ins Main Website - Services Kaiser Plans
- Dental Dental Plan Guide
- Delta Dental PPO Find Dentist
- Our webpage on ALL Companies for Adult Dental
- Mandatory Pediatric Child Vision & Dental
Kaiser - Get Quote and Enroll ONLINE
Not for Covered CA Subsidies
Broker # 5268
All information is kept safe and secure. View our privacy statement for details.
Paper Application
but ONLINE is faster and better
InsuBuy International Medical Coverage – Instant Quotes & Enrollment
Is your Family Protected with Life Insurance? Click here for Instant Quote
Kaiser
Treatment Cost Estimator Tool
The tool is for all Kaiser Members that are enrolled on Deductible or Health Savings Account Plans. The cost estimates are for services that are marked "after deductible" to give members an idea of the cost of those services.
Covered CA Certified Agent
No extra charge for complementary assistance
- Appoint us as your broker
- Set Consultation Meeting via Phone, Skype or Zoom
- Instant Health Quotes & Enroll including subsidy calculation
Videos on how great agents are
Enrolling in health plans has helped people focus on their families and careers, and feel protected against unexpected medical issues.
My mfa Medical Financial Assistance is for medical and pharmacy services.
Does this include all services eg surgery radiology er etc
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. https://about.kaiserpermanente.org/community-health/communities-we-serve/southern-california-community/medical-financial-assistance-program#program
See details here:
https://about.kaiserpermanente.org/content/dam/internet/kp/comms/import/uploads/2019/december/MFA-Policy-2020Jan-Southern-California-English.pdf
Who qualifies in this program.
What should be my joint tax return income. Should it be gross or net after deductions.
Our joint income is social security and RMD
we both are over 73 yrs
Are you on Medicare?
Covered CA?
Are you willing to appoint us as your agent, no extra charge?
See reply to a similar question
I was told in my letter to call on October 2,2019 to ask for the financial assistance again
my assistance went from 04/06/2019 and ends 10/03/2019 and asking if this can be extended
please my kaiser health record #4xxxxx1 my birthday is xxx
We are Kaiser authorized agents for new sales only and to help those who are our clients. One of our clients once asked us about the MFAP program and we made this webpage based on our research. You will have to contact the people that wrote you the letter or:
call 800-390-3507, or speak to a financial counselor within the Admitting Department at any Kaiser Permanente hospital
Or try following the links in our webpage above
Waiting for notification of reapproval.
See reply above. We can help you with new sales or be your broker if you appoint us on the standard Kaiser contract.
Have been on MFAP and have moved to Colorado Springs, Colorado Does this follow me and can I find out if it is still active Kaiser # 8xxx
See our reply above call 800-390-3507, or speak to a financial counselor within the Admitting Department at any Kaiser Permanente hospital
How long has the MFAP program been in existence
The earliest mention I find via google is By Mark Cappel Published: Nov 29, 2011 on bills.com
If you find a better answer, please post it here.
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?
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.
If we were your broker, we might be able to help more. Here’s instructions https://healthreformquotes.com/15-reasons/covered-ca-agent-appointment-instructions/
I WOULD LIKE TO KNOW IF WE QUALIFY FOR MFA FOR BOTH OF US?
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.
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
How do I print off the MFA Medical Financial Assistance Form?
Here’s instructions from Adobe who invented pdf’s https://helpx.adobe.com/reader/using/print-pdfs.html
I currently have no insurance, I’m working as a temporary employee, will I qualify if I make 41,000.00 a year?
We put this page up as a public service. We can’t tell you if Kaiser will approve you for this program. You will have to follow the links and check with Kaiser.
There might be Obamacare Subsidies for you. Click here for quotes from all companies in CA. If you are not in CA, click here to find an agent.
It’s not open enrollment, do you have a qualifying reason to buy coverage now?
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)?
We are not aware of any Kaiser programs for nursing homes or board & care. Check out these links for private coverage and/or Medi Cal programs.
https://life.healthreformquotes.com/long-term-care/
https://medi-cal.healthreformquotes.com/redetermination/mc-262-long-term-care-medi-cal-renewal/
https://life.healthreformquotes.com/long-term-care/cant-afford-premiums-or-not-medically-qualified/low-income-assets-assistance-alternatives/medi-cal-qualification-nursing-home/medi-cal-nursing-home/
https://life.healthreformquotes.com/long-term-care/cant-afford-premiums-or-not-medically-qualified/low-income-assets-assistance-alternatives/medi-cal-qualification-nursing-home/
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.
For help or questions about the Medical Financial Assistance application process or other questions, please call 1-800-390-3507 Call: 1-866-399-7696, or speak to a financial counselor within the Admitting Department at any Kaiser Permanente hospital.
How long does it take for Kaiser to approve mfa program
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/
How I get application for Medical Financial Assistance (MFAP)
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.
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.
Does he have Medi-Cal?
What health insurance plan does he have?
Bronze, Silver, Gold or Platinum ? Enhanced Siver, Cost Sharing Reductions? Silver 94 with Molina would have been a $50 charge.
Try this link from US News & World report.
What kind of disabilty coverage did he collect? SDI? State Disability Insurance?
If you find something, please get back to us and post a message.
He has Kaiser through his job. Hed was on State disability.
I can’t think of anything else, here’s an article on paying a deductible that you can’t afford, that I found from googling.