Medicaid

As a non-profit health plan we have a responsibility to support health improvement for our members and for underserved people in our service area. We do this by creating and supporting programs that lower financial barriers so that the uninsured and underinsured can gain access to the care they need. One way we help meet community need is by participating in Medicaid. We provide Kaiser Permanente pediatric care to Medicaid and Child Health Insurance Program (CHIP) participants through contracts with the four Medicaid care management organizations: Amerigroup, CareSource, WellCare, and Peach State. Click here to learn more.


Bridge Program

The Kaiser Permanente Bridge Program is a charitable health coverage program available in the Georgia Region. It offers low-income, uninsured individuals residing in households at or below 100 percent of the Federal Poverty Level (FPL) access to health care through a subsidized insurance program. This program, available through several Kaiser Permanente of Georgia Community Partners, offers individuals enrolled in training programs, up to 24-months of health coverage with comprehensive benefits and subsidized premiums as long as they continue to meet eligibility requirements, and are not eligible for other health insurance coverage.

To learn more about the program, visit the Kaiser Permanente Bridge Website.


Medical Financial Assistance Program

Kaiser Permanente's Medical Financial Assistance program provides financial assistance for qualifying patients who need help paying for emergency or medically necessary care they receive in a Kaiser Permanente medical office or from a Kaiser Permanente provider. Patients must apply and must meet the eligibility requirements listed below to qualify.

A brochure about our Medical Financial Assistance Program is available here, in Spanish and English.

Who’s Eligible for Medical Financial Assistance?

The program helps low-income, uninsured, and underserved patients who need help paying for all or part of their medical care. Patients are eligible for Financial Assistance when their Family Income is at or below 400% of the Federal Poverty Guidelines (FPG). Evaluation of other criteria may be required. Patients should consult with a Business Office Supervisor to determine eligibility and for assistance applying. Any patient who meets special circumstance criteria may be eligible for financial assistance. Patients who are eligible for medical financial assistance will not be charged more than amounts generally billed (AGB) for emergency or other medically necessary care to patients with insurance (AGB, as defined by IRS Section 501(r)).

What does the program cover?

The Medical Financial Assistance program covers medically necessary care provided at a Kaiser Permanente medical office or pharmacy, or provided by a Kaiser Permanente physician or Kaiser Permanente provider. The types of services not covered are premiums and dues; hearing aids; cosmetic, non-urgent and other services as defined by the program.

Explanation of Uninsured Discount

Uninsured individuals receive a discount on hospital and professional charges for emergency or other medically necessary care. The discount is provided to ensure that an uninsured individual is not charged more for emergency or other medically necessary care than the amounts billed to insured individuals who receive the equivalent care. The uninsured discount is determined by reviewing paid Medicare claims over a recent 12-month period. The sum of the paid claims is divided by the sum of the claims' gross charges to calculate the discount percentage. The discount percentage is reassessed annually.

How do I apply?

Please request medical financial assistance information from any of the following sources:

• Download an application here, in English or Spanish
• Business Office Supervisors within the Patient Business Office at your local Medical Office Building
• Call (404) 949-5112 8:30 a.m. to 4:30 p.m. Monday through Friday
• By mail (at no cost) at ATTN: Patient Financial Services, Nine Piedmont Center, 3495 Piedmont Road, NE, Atlanta, Georgia 30305-1736

Please drop off completed applications (including all required documentation and information specified in the application instructions) in person to the Patient Business Office at your local Medical Office Building. We will review submitted applications once they are complete and we will determine whether you are eligible according to the Kaiser Permanente Medical Financial Assistance Policy. We will not consider incomplete applications, but will notify and provide you an opportunity to send in the missing documentation or information by the required deadline.

Is there language assistance?

Interpreters are available to you at no cost. The Medical Financial Assistance application, policy, and this policy summary may be available in your language. For more information, call (404) 949-5112.

How can I get a copy of Kaiser Permanente's Financial Assistance policy?

You may download a copy of Kaiser Permanente's Medical Financial Assistance policy and program summary below.

Medical Financial Assistance Policy (English)
Medical Financial Assistance Policy (Spanish)

You may request your free printed copy of Kaiser Permanente's Medical Financial Assistance policy by calling (404) 949-5112 or mailing ATTN: Patient Financial Services, Nine Piedmont Center, 3495 Piedmont Road, NE, Atlanta, Georgia 30305-1736.

Need Help?

For help or questions about the Medical Financial Assistance application process, please call (404) 949-5112, or speak to a Business Office Supervisor within the Patient Business Office.

Q:What is Community Benefit?

Kaiser Permanente of Georgia cares for people – both inside and outside of the exam room. As a non-profit, tax exempt health plan, our idea of health care goes beyond the walls of our medical facilities and into the 33 counties that comprise our Georgia service area.

Community Benefit supports efforts that improve access to care for all – especially the low-income and underserved. We work to benefit the community at-large by addressing issues most affecting residents' health as documented in our Needs Assessment. Community Benefit is more than what we do; it's who we are.