KAISER FOUNDATION HOSPITAL

SAN RAFAEL, CA · version 3 · published · JSON

eligibility.free_care_max_fpl200% of the federal poverty level

"100% award for gross monthly household income at or below 200% of FPG"

documented · checked 2026-10-13 · Medical Financial Assistance | Kaiser Permanente

apply.documents_requiredProof of income
Tax return
Pay stubs

"Received pension, retirement, annuities income | * Two most recent pay stubs * Pension/retirement disbursement statement * Recent W-2, 1099 statement * Tax return"

documented · checked 2026-10-13 · Medical Financial Assistance | Kaiser Permanente

apply.decision_days30 days

"Once we receive the completed application, we’ll send you a letter confirming the outcome within 30 business days."

documented · checked 2026-10-13 · Medical Financial Assistance | Kaiser Permanente

Sources

Medical Financial Assistance | Kaiser Permanente — fetched 2026-10-13

download — fetched 2026-10-13