{"hospital":{"ccn":"050075","name":"KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND","city":"OAKLAND","state":"CA","zip":"94611","phone":"510-752-1000","ownership":"Voluntary non-profit - Private","website_domain":"kaiserpermanente.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"200","layer":"documented","quote":"Federal Poverty Guidelines Percentages Financial Assistance Discount From To 0% -200% 100% Discount (Full)","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"300","discount_percent":75},{"min_fpl_exclusive":"300","max_fpl_inclusive":"350","discount_percent":50},{"min_fpl_exclusive":"350","max_fpl_inclusive":"400","discount_percent":25}],"layer":"documented","quote":"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)","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"asset_test":{"value":false,"layer":"documented","quote":"Assets are not considered income.","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"Eligible insured patients receive DFA on the patient cost for all eligible services.","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"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.","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income"],"layer":"documented","quote":"Proof of income Providing proof of income helps us determine if you qualify.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Mail your completed application to: Kaiser Permanente MFA Program P.O. Box 7086 Pasadena, CA 91109-7086"},{"kind":"fax","detail":"Fax your completed application to 1-866-519-1693"},{"kind":"in_person","detail":"Drop off your completed application at your local Kaiser Permanente Admitting Department."}],"layer":"documented","quote":"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.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Reasonable Time for Patient to Apply. The patient has been provided at least 240 days from the first billing statement to apply for DFA.","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days":{"value":30,"layer":"documented","quote":"If your application is complete, we will send you a letter with our decision within 30 business days.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":180,"layer":"documented","quote":"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.","source_id":"fap-9913715a8aab5bc4","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"1-800-390-3507","layer":"documented","quote":"You can also call 1-800-390-3507.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday, 8 a.m. to 5 p.m.","layer":"documented","quote":"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.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"languages":{"value":["English","Spanish","Chinese","Arabic","Armenian","Farsi","Hindi","Hmong","Japanese","Khmer","Korean","Laotian","Mien","Navajo","Punjabi","Russian","Tagalog","Thai","Ukrainian","Vietnamese"],"layer":"documented","quote":"Information is available in many languages in a screen reader accessible format.","source_id":"summary-8518fe7e40b6ca2c","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":null,"provider_list_url":null},"sources":[{"id":"fap-9913715a8aab5bc4","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/dfa/policy/dfa-policy-english-ada.pdf","title":"POLICY TITLE: Medical Financial Assistance","fetched_on":"2026-10-13","sha256":"9913715a8aab5bc4d812626ed269cc3fb8f13ff12eeaff7da48f0f93989b4b8f","effective_date":null},{"id":"summary-8518fe7e40b6ca2c","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/mfa/southern-california/english/mfa-plain-language-summary-scal-english-ada.pdf","title":"Medical Financial Assistance Policy Summary","fetched_on":"2026-10-13","sha256":"8518fe7e40b6ca2cc0365ececb92cc2c804b96b9893959093910f3c6efee34c9","effective_date":null},{"id":"summary-96a9937ce09d985c","kind":"hospital_web","url":"https://healthy.kaiserpermanente.org/content/dam/kporg/final/documents/support/2025-MFA-Program-Summary-MAS-English-ADA-v2.pdf","title":"Medical Financial Assistance Policy Summary","fetched_on":"2026-10-13","sha256":"96a9937ce09d985caeabc2641de12142fa7dae8a0d9f743699d8d408ebaded88","effective_date":null},{"id":"fap-763b665d4845ad87","kind":"hospital_web","url":"https://www.kaiserpermanente.org/help-paying-your-bill/medical-financial-assistance/documents","title":"download","fetched_on":"2026-10-13","sha256":"763b665d4845ad8732a89c3949138ea6742e798f1624b0168fefc0802052579d","effective_date":null}],"accuracy":null}