Waive

KAISER FOUNDATION HOSPITAL - WALNUT CREEK

WALNUT CREEK, CA · version 1 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"Federal Poverty Guidelines Percentages Financial Assistance Discount From To 0% -200% 100% Discount (Full)"

documented · checked 2026-10-13 · POLICY TITLE: Medical Financial Assistance

eligibility.discount_tiersAbove 200% up to 300% of FPL: 75% discount
Above 300% up to 350% of FPL: 50% discount
Above 350% up to 400% of FPL: 25% discount

"Federal Poverty Guidelines Percentages Financial Assistance Discount From To 0% -200% 100% Discount (Full) 201% -300% 75% Discount (Partial) 301% -350% 50% Discount (Partial) 351% -400% 25% Discount (Partial)"

documented · checked 2026-10-13 · POLICY TITLE: Medical Financial Assistance

eligibility.asset_testNo

"Assets are not considered income."

documented · checked 2026-10-13 · POLICY TITLE: Medical Financial Assistance

eligibility.insured_patients_coveredYes

"Eligible insured patients receive DFA on the patient cost for all eligible services."

documented · checked 2026-10-13 · POLICY TITLE: Medical Financial Assistance

programs.presumptiveMedicaid

"• Enrolled in a or likely eligible for a government health coverage program like Medicaid, Medicare Low Income Subsidy Program (LIS), or subsidized coverage from the Health Benefit Exchange."

documented · checked 2026-10-13 · POLICY TITLE: Medical Financial Assistance

apply.documents_requiredProof of income

"Proof of income Providing proof of income helps us determine if you qualify."

documented · checked 2026-10-13 · Medical Financial Assistance Policy Summary

apply.submit_methodsMail: Mail your completed application to: Kaiser Permanente MFA Program P.O. Box 7086 Pasadena, CA 91109-7086
Fax: Fax your completed application to 1-866-519-1693
Portal: visit kp.org/helppaybills and sign up to receive a link to our secure online application
In person: Drop off your completed application at your local Kaiser Permanente Admitting Department.

"Ways to apply Apply online kp.org/helppaybills Fax it in Fax your completed application to 1-866-519-1693 Mail it in Mail your completed application to: Kaiser Permanente MFA Program P.O. Box 7086 Pasadena, CA 91109-7086 Drop it off Drop off your completed application at your local Kaiser Permanente Admitting Department."

documented · checked 2026-10-13 · Medical Financial Assistance Policy Summary

apply.decision_days30 days

"If your application is complete, we will send you a letter with our decision within 30 business days."

documented · checked 2026-10-13 · Medical Financial Assistance Policy Summary

contacts.phone1-800-390-3507

"You can also call 1-800-390-3507."

documented · checked 2026-10-13 · Medical Financial Assistance Policy Summary

Sources

POLICY TITLE: Medical Financial Assistance — fetched 2026-10-13

Medical Financial Assistance Policy Summary — fetched 2026-10-13

[PDF] Medical Financial Assistance Policy Summary - Kaiser Permanente — fetched 2026-10-13

download — fetched 2026-10-13