Waive

KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND

OAKLAND, 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
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.window_days_from_first_bill240 days

"Reasonable Time for Patient to Apply. The patient has been provided at least 240 days from the first billing statement to apply for DFA."

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

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

collections.eca_wait_days180 days

"Providing one written notice within 180 days of first bill from KP informing the party responsible for the unpaid bills for KP dental services that DFA is available for those who qualify."

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

contacts.phone1-800-390-3507

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

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

contacts.hoursMonday through Friday, 8 a.m. to 5 p.m.

"Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8 a.m. to 5 p.m. Pacific time to find the nearest Kaiser Permanente hospital that provides in-person assistance with your application."

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

contacts.languagesEnglish
Spanish
Chinese
Arabic
Armenian
Farsi
Hindi
Hmong
Japanese
Khmer
Korean
Laotian
Mien
Navajo
Punjabi
Russian
Tagalog
Thai
Ukrainian
Vietnamese

"Information is available in many languages in a screen reader accessible format."

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

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

download — fetched 2026-10-13