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. hospitals, medical centers, and medical office buildings), at Kaiser Permanente outpatient pharmacies, or by Kaiser Permanente providers. 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. Refer to the MFA Policy for a complete description of the program eligibility requirements. Patients who have experienced unusually high medical expenses may be eligible for the program, regardless of household income. Patients should consult with a counselor to determine eligibility and for assistance applying. Patients are eligible for financial assistance when their family income is at or below 300% of the Federal Poverty Guidelines. The Medical Financial Assistance (MFA) program helps low-income, uninsured, and underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. Who is eligible for Financial Assistance and what are the requirements? The MFA award is not a covered benefit and will not impact your existing plan coverage. Kaiser Permanente reserves the right to change the terms and conditions of the MFA program at any time.

Note: Past MFA award recipients aren’t guaranteed future awards. Visit /poverty to find the guidelines for larger households. 50% of your share of eligible costs for households with incomes between 201% and 300% of the federal poverty levelġ00% award for gross annual income at or below 200% of FPGĥ0% award for gross annual income between 201% and 300% of FPG.100% of your share of eligible costs for households with incomes at or below 200% of the federal poverty level.Households with lower incomes can qualify for an award covering up to 100% of their share of eligible medical costs.Īll patients with Medicare Part D who are approved for MFA will continue to receive a temporary 100% award for pharmacy until further notice.Īward amounts will be based on your household income as a percentage of the 2022 federal poverty levels:

If your household has a higher income, you may qualify for an award equal to a maximum of 50% of your share of eligible medical expenses. What's new?īeginning June 1, 2022, when applying for medical financial assistance, award amounts will be based on your gross household income (before taxes) as a percentage of the federal poverty level. Patients must meet the eligibility requirements below to qualify. 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 accessing emergency and medically necessary care. 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. Having trouble paying for your Kaiser Permanente medical and pharmacy expenses?

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