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, in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc. Complete the MFA application on the following page. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. • If you don’t have health care coverage and would like more information, call us at 800-479-5764 (for TTY, call 711) to learn more about your coverage options. Complete the MFA application on the following page. Phone number Appointments: Appointment & Advice Call Center: 1-833-574-2273 (833 KP 4 CARE) or 711 (TTY) Financial assistance: Medical Financial Assistance Program: 1-800-390-3507 or 711 (TTY) Medical equipment: Durable Medical Equipment: 1-855-805-7363 or 711 (TTY) Prescription: Pharmacy: 1-866-206-2983 or 711 (TTY) Travel coverage Kaiser Permanente Medical Financial Assistance (MFA) Program 350% of federal poverty level guidelines If your household size is: Your household income must be no more than: Monthly Annually 1 $3,541 $42,490 2 $4,801 $57,610 3 $6,061 $72,730 4 $7,321 $87,850 5 $8,581 $102,970 6 $9,841 $118,090 Visit aspegov/poverty to fi nd the Kaiser Permanente Medical Financial Assistance (MFA) Program Please recycle. Please call 800-919-1936. Back then, we had to look up telephone number in a phone book or use directory assistance According to the company’s website, State Farm provides the following number for roadside assistance: 877-627-5757. When you call the Fitbit cont. Financial Counseling. This is an application for medical financial assistance at a Kaiser Permanente facility. Medical Financial Assistance (MFA) Program. Be prepared to provide the information listed on the MFA application on the next page Complete the MFA application on the following page. NAME MEDICAL RECORD NUMBER (OPTIONAL) DATE OF BIRTH SOCIAL SECURITY NUMBER (OPTIONAL) • I do not have a Social Security Number. • Drop off your completed application at the Patient Financial Operations at any Kaiser Permanente facility. If you have any questions or need help with your application or need to check the status of your application, please call 1-844-412-0919 (TTY 711), Monday through Friday 9:30 a to 3:30 p, EST. Kaiser Permanente Attention: Medical Financial Assistance Unit P Box 30006 Walnut Creek, CA 94598 Drop off Submit a completed application to Patient Financial Operations at any Kaiser Permanente facility. Medical Financial Assistance Program and Discount Payment Program. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. By emailing financialassistance@yumaregional In the emergency room, our admission areas of the hospital and in our ambulatory clinics. If you have any questions or need help with your application or need to check the status of your application, please call 1-844-412-0919 (TTY 711), Monday through Friday 9:30 a to 3:30 p, EST. Mail your completed application to: Kaiser Permanente MFA Program 500 NE Multnomah St Drop it off. You may apply by completing and submitting an application, including your household income. Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8:00 a to 5:00 p PST. Depending on your circumstances, you may qualify for Kaiser Permanente’s Medical Financial Assistance (MFA) Program, which helps eligible patients pay for medically necessary health care services received at Kaiser Permanente facilities. • Drop off your completed application a. 4, 2021 /PRNewswire/ -- Today, UNAC/UHCP members delivered a ten-day notice of a strike against Kaiser Permanente, covering 21,0 4, 2021 /PRN. On March 23, 2010, the ACA became federal law. Complete the MFA application on the following page. Fax your completed application to 1-800-687-9901. Select your state below to apply: Fax your completed application to 1-800-687-9901 Complete the MFA application on the following page. Complete the MFA application on the following page. On March 23, 2010, the ACA became federal law. Apply for financial assistance from the government after you determine what benefits you qualify for at benefits Use the Benefit Finder tool to match your situation to the rel. You may obtain a Denial Appeal Form by calling 1-866-899. For accommodations of persons with special needs at meetings call 1-877-485-3566 (toll free) or call TTY 711. • If you don’t have health care coverage and would like more information, call us at 800-479-5764 (for TTY, call 711) to learn more about your coverage options. The completed application also may be returned to a Prisma Health facility located near the patient. Complete the MFA application on the following page. Name: Complete the MFA application on the following page. On March 23, 2010, the ACA became federal law. Hours: Monday–Friday, 8 a–5 p Help in Your Language. 2921 Naches Ave SW, Mail Stop RCR-A3S-05 For authorization requests, procedure notifications, authorization logs, etc Fax: 1-888-282-2685. ilities, Monday through Friday, 8:00 a to 5:00 p PST. You may apply by completing and submitting an application, including your household income. , One Kaiser Plaza, Oakland, CA 94612 • In Colorado, all plans are offered and underwritten by Kaiser Foundation Health Plan of Colorado, 10350 E, Denver, CO 80247 • In Georgia, all plans are offered and underwritten by Kaiser Foundation Health Plan of Georgia, Inc For help with the medical financial assistance application or other questions, please call 1-866-899-6018 (TTY: 1-800-659-2656), or speak to a financial counselor or patient registration associate in the patient registration department at your local Kaiser Permanente medical office. Through the Kaiser Permanente website and mobile app, you can:. Contact your agent for personalized help. You can also talk to a financial counselor at designated Kaiser Permanente locations. Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8:00 a to 5:00 p PST. Be prepared to provide the information listed on the MFA application on the next page Complete the MFA application on the following page. Return to your personalized action plan. You may apply by completing and submitting an application, including your household income. Unlike loans, bursaries do not require repayment, mak. Texas residents who are struggling to pay their utility bills can access a variety of assistance programs. Kaiser Permanente Medical Financial Assistance (MFA) Program. You can also pick up an application from the front desk of the hospital, Emergency room or Patient Accounts office. You may apply by completing and submitting an application, including your household income. It’s not easy if you’re a senior facing a financial dilemma and you can’t make your mortgage payments. Fax your completed application to 1-866-519-1693. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. It is difficult to cope when what is supposed to be the most exciting time in your life suddenly turns into the most devastating. If you need help choosing the care that’s right for you, contact us 24/7 at 800-777-7904 (TTY 711 ). Pharmacy locations Find a pharmacy near you. If you have any questions or need help with your application or need to check the status of your application, please call 1-844-412-0919 (TTY 711), Monday through Friday 9:30 a to 3:30 p, EST. You can also talk to a financial counselor at designated Kaiser Permanente locations. it offComplete the MFA application on the following page. Mail your completed application to: Kaiser Permanente MFA Program PO Box 34584 Seattle, WA 98124-1584 Complete the MFA application on the following page. This article will cover four of the most popular options in an effort to help you de. NOTE: The information provided on the financial assistance application will be verified. Search the community resource directory. Address Medical Financial Assistance Unit PO Box 30006 By telephone at 928-336-7030. Feb 26, 2024 · Our Medical Financial Assistance program can help. Medical Financial Assistance (MFA) Program. To cancel an appointment, log onto kp. Select your state below to apply: Fax your completed application to 1-800-687-9901 Complete the MFA application on the following page. 1-800-557-4515 (toll free) or 711 (TTY), 8 a to 5 p, Monday through Friday. Choosing the right health insurance plan can be a daunting task, especially with the numerous options available in the market. If you need help understanding this information, please call 1-888-865-5813 and ask for language assistance. Need help? Call 1-800-390-3507 (TTY 711), Monday through Friday, 8 a to 5 p, Pacific time Submit your application to: Medical Financial Assistance Program and Discount Payment Program. See plans and prices. By emailing financialassistance@yumaregional In the emergency room, our admission areas of the hospital and in our ambulatory clinics. Interpreters are available 24 hours a day, seven days a week, at no cost to you. Kaiser Permanente Medical Financial Assistance (MFA) Program Medical Financial Assistance (MFA) Program. The 2021 American Rescue Plan Act is a coronavirus relief bill signed into law on March 11, 2021. Mental healthcare providers with Kaiser P. Complete the MFA application on the following page. Hours: Weekdays from 8 a to 5 p note: The general processing time is approximately 30 business days. It made the most significant changes in the U health care system since Medicare was established in 1965. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8:00 a to 5:00 p PST. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of. 1-800-557-4515 (toll free) or 711 (TTY), 8 a to 5 p, Monday through Friday. skye marie nudes The program is not a form of health insurance and can’t be used to subsidize. Utility assistance programs provide financial aid to help households pay for energy co. Medical Financial Assistance documents for Northern California. Select your state below to apply: Fax your completed application to 1-800-687-9901 Complete the MFA application on the following page. Texas residents who are struggling to pay their utility bills can access a variety of assistance programs. As long as the grant recipient meets the terms set forth in any grant agreements, the provided fun. Call us at 1-800-390-3507 (TTY 711), Monday through Friday, 8:00 a to 5:00 p PST. Medical Financial Assistance (MFA) Program application. • Drop off your completed application a. You may apply by completing and submitting an application, including your household income. • Drop off your completed application at the Patient Financial Operations at any Kaiser Permanente facility. If you need help paying for your Kaiser Permanente medical services, you may be eligible for the Kaiser Permanente MFA program, which includes our Pharmacy. Patient Financial Services 1-800-442-4014 Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. This is an application for medical financial assistance at a Kaiser Permanente facility. porn in the bech Kaiser Permanente Medical Financial Assistance (MFA) Program Medical Financial Assistance (MFA) Program. If you prefer not to fill out the secure application online, you may call Roger directly and he'll take your information over the phone (TEL 760-383-1293); or you may print out the following PDF's (Loan Application; Borrower Credit Application), fill them out, and either fax them back to us (FAX 760-482. When planning a trip, one of the most important details to consider is finding and using the correct hotel contact number. Call 833-936-0515 for help. Call the Kaiser Permanente Medicaid Assistance Center at. This can make it difficult for senior citizens to afford the food they need to stay healthy. Medical Financial Assistance (MFA) Program. Apply for a marketplace plan through Kaiser Permanente and receive financial assistance if you qualify. Payment plan Contact Patient Financial Services at 1-800-442-4014 to see if your account balance qualifies for a payment plan. Jun 20, 2024 · Medical Financial Assistance (MFA) Program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. Complete the MFA application on the following page. Eligibility is based on financial need. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. Medical Financial Assistance (MFA) Program. and Canada, the number to dial for international di. Complete the MFA application on the following page. Be prepared to provide all th. Call us. Through the Kaiser Permanente website and mobile app, you can:. When planning a trip, one of the most important details to consider is finding and using the correct hotel contact number. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Fax your completed application to 1-800-687-9901. pokemon rosa porn Medical Financial Assistance (MFA) Program. Director, Medical Financial Assistance 13 of 21. Kaiser Permanente supports access to health care for people in need through Medicaid and charitable care programs, including the Kaiser Permanente Medical Financial Assistance program. If you’re a Fitbit user and find yourself in need of assistance, you may be wondering what to expect when calling the Fitbit contact telephone number. Interpreters are available 24 hours a day, seven days a week, at no cost to you. You may apply by completing and submitting an application, including your household income. Government assistance is defined as government aid given to the disabled, poor, elderly or dependent children. “Families shouldn’t have to choose between paying their health care bills or paying for electricity and food,” said Stephanie Ledesma, vice president for community health programs at Kaiser Permanente. ilities, Monday through Friday, 8:00 a to 5:00 p PST. Contact your agent for personalized help. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Or speak to a debt consultant 844-731-0836.
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Kaiser Permanente Attention: Medical Financial Assistance Unit P Box 30006 Walnut Creek, CA 94598 Drop off Submit a completed application to Patient Financial Operations at any Kaiser Permanente facility. You may apply by completing and submitting an application, including your household income. You can also pick up an application from the front desk of the hospital, Emergency room or Patient Accounts office. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. The program is not a form of health insurance and can’t be used to subsidize. Fax your completed application to 1-206-877-0640. 1-855-832-0353 TTY: 711. The program also covers OTC drugs if you get a KP doctor to write a prescription for it. You may apply by completing and submitting an application, including your household income. It made the most significant changes in the U health care system since Medicare was established in 1965. Please call 800-919-1936. MAILING ADDRESS (STREET) Fax it. Medical Financial Assistance (MFA) Program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. Hours: Weekdays from 8 a to 5 p note: The general processing time is approximately 30 business days. teenager nude selfie These programs provide financial assistance and other resources to help T. Contact the medical provider for an explanation of confusing items on medical bills. These programs provide financial assistance and other resources to help T. The program is not a form of health insurance and can’t be used to subsidize. Call us at 1-800-813-2000 (TTY 711), Monday through Friday, 8:30 a to 5:00 p PST. Fax your completed application to 1-808-432-7950 Complete the MFA application on the following page. You may apply by completing and submitting an application, including your household income. If you are considering pursuing a career in healthcare, Ross Medical University is an excellent option. Medical Financial Assistance (MFA) Program. Are you facing any issues with your Macy’s purchase? Do you have questions about their return policy or need help with an order? Don’t worry, Macy’s has a dedicated customer servic. (TTY 711), Monday through Friday, 8:30 a to 5:00 p HST. Fax your completed application to 1-877-899-5635 Complete the MFA application on the following page. In today’s digital age, streaming services have become increasingly popular, offering a convenient way to access a wide range of entertainment options. How do I Apply? You can apply for medical financial assistance in several For help or questions about the medical financial assistance application process, please call 800-390-3507, or talk to a Financial Counselor near the Patient Access Business Services Department at any Kaiser Permanente hospital. In every church, there are numerous administrative tasks that need to be handled efficiently to ensure the smooth running of the organization. A Patient Financial Advocate will advise you and investigate other sources that might provide financial assistance. , in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc. Owning a car is often a necessity, but unexpected repairs can be a financial burden for many individuals and families. Complete the MFA application on the following page. If you meet the income requirements you can have your co-pays, and prescription costs reduced or waived completely based on your area. In recent years, the Indian government has taken significant steps to digitize various aspects of daily life, including financial transactions. chubby pornhub If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. To cancel an appointment, log onto kp. MFA helps qualified patients who are uninsured or underinsured, and people who. If you have any questions or need help with your application or need to check the status of your application, please call 1-844-412-0919 (TTY 711), Monday through Friday 9:30 a to 3:30 p, EST. Fax your completed application to 1-800-687-9901. Complete the MFA application on the following page. Medical Financial Assistance (MFA) Program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. Contact the medical provider for an explanation of confusing items on medical bills. Name: A maximum of 30 days for services provided outside of KP POLICY TITLE POLICY NUMBER. Fax your completed application to 1-866-519-1693. Our Medical Financial Assistance program can help. This is an application for medical financial assistance at a Kaiser Permanente facility. Jan 1, 2024 · 2 This policy describes the requirements for qualifying for and receiving financial assistance for emergency and medically necessary services through the Medical Financial Assistance (MFA) program. The requirements are compliant with Section 501(r) of the United States Internal Revenue Code and applicable state regulations addressing. I do not understand my bills from Kaiser Permanente. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. y appeal the decision. horny asian creampied again Medical Financial Assistance Program and Discount Payment Program. , in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc. Kaiser Permanente Attention: Medical Financial Assistance Unit P Box 30006 Walnut Creek, CA 94598 Drop off Submit a completed application to Patient Financial Operations at any Kaiser Permanente facility. Name: Complete the MFA application on the following page. Mail your completed application to: Kaiser Permanente MFA Program 2101 East Jefferson Street Rockville, MD 20852 Complete the MFA application on the following page. Pharmacy locations Find a pharmacy near you. Fax your completed application to 1-866-519-1693. This is an application for medical financial assistance at a Kaiser Permanente facility. Utility assistance programs provide financial aid to help households pay for energy co. Medical Financial Assistance (MFA) Program application. These programs provide financial assistance and other resources to help T. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. Attn: Financial Assistance. Fortunately, there are rental assistance programs available to help. By telephone at 928-336-7030. If you have any questions or require assistance with this application, please call 1-866-899-6018 – 5 p AppealsIf your application is denied, you m. Interpreters are available 24 hours a day, seven days a week, at no cost to you. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. You can also talk to a financial counselor at designated Kaiser Permanente locations. Be prepared to provide all th. Call us.
With the Sky Contact Us free number, you can get the help you need quickly. MAILING ADDRESS (STREET) Fax it. I do not understand my bills from Kaiser Permanente. Medical Financial Assistance (MFA) Program. preverse family porn Call the Kaiser Permanente Medicaid Assistance Center at. If you qualify for financial assistance, you’ll need to purchase your. Contact the medical provider for an explanation of confusing items on medical bills. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of. How do I Apply? You can apply for medical financial assistance in several Kaiser Permanente Renton Campus. Jan 1, 2024 · 2 This policy describes the requirements for qualifying for and receiving financial assistance for emergency and medically necessary services through the Medical Financial Assistance (MFA) program. You can also talk to a Member Services representative at any Kaiser Permanente location. xxx nude amateur handjob Kaiser Permanente is committed to providing programs that facilitate access to care for vulnerable populations. These programs provide financial. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of. Fortunately, there are a n. In today’s fast-paced business world, companies are constantly looking for ways to streamline their operations and maximize productivity. If you have any questions or need help with your application or need to check the status of your application, please call 1-844-412-0919 (TTY 711), Monday through Friday 9:30 a to 3:30 p, EST. Kaiser Permanente Attention: Medical Financial Assistance Unit P Box 30006 Walnut Creek, CA 94598 Drop off Submit a completed application to Patient Financial Operations at any Kaiser Permanente facility. milf xnxx com The number to call for an international directory assistance service varies depending on where the request is basedS. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. , NE Atlanta, GA 30305 Medical Financial Assistance (MFA) Program. Fax your completed application to 1-877-829-3547 Complete the MFA application on the following page. The completed application also may be returned to a Prisma Health facility located near the patient. Español: 1-800-545-7263 Medi-Cal provides free or low-cost health coverage to low-income individuals and their families.
Speak with a Kaiser Permanente Medicare specialist 7 days a week, 8 a to 8 p 1-855-832-0353 (TTY 711) Medicare nondiscrimination notice | Language assistance. • Drop off your completed application a. If you have any questions or need help completing your application, call us toll free at1-866-399-7696, weekdays from 8 a to 5 p The Central Unit is closed from 11:30 a to 12:30 p in Northern California: Call us for advice. Kaiser Permanente’s Medical Financial Assistance program provides financial assistance for qualifying patients who need help paying for emergency or For help or questions about the medical financial assistance application process, please call 800-390-3507, or talk to a Financial Counselor near the Patient Access Business Services Department at any Kaiser Permanente hospital. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. Medical Financial Assistance (MFA) Program application. Reading Hospital shall widely publicize the availability of. Ask if financial assistance is available. If you need help paying for health care services or prescriptions you have had, or are scheduled to receive, from Kaiser Permanente, our Medical Financial Assistance (MFA) program may be able to help you. In person at Yuma Regional Medical Center Support Center at 720 Rio Vista Drive, Yuma, AZ, 85365. Mail your completed application to: Kaiser Permanente MFA Program Nine Piedmont Center 3495 Piedmont Rd. Medical Financial Assistance (MFA) Program. Medical Financial Assistance (MFA) Program. As an integrated health care delivery system serving more than 10 million members nationwide, our organization and its members were affected by the law in many different ways. Name: A maximum of 30 days for services provided outside of KP POLICY TITLE POLICY NUMBER. anna claire clouds nude The health and vitality of New Jersey's waterways, lakes and estuaries depends on the responsible and safe ma. LOS ANGELES, Nov. For medical records and clinical review information: Financial Assistance Need help paying your medical and pharmacy bills? Our Medical Financial Assistance program helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical care received from Kaiser Permanente. In today’s digital age, streaming services have become increasingly popular, offering a convenient way to access a wide range of entertainment options. Medical Financial Assistance (MFA) Program Application. Kaiser Permanente is committed to providing programs that facilitate access to care for vulnerable populations. Medical debt can be negotiated. Section 1: Patient Information. Return to your personalized action plan. You may apply by completing and submitting an application, including your household income. Kaiser Permanente Medicare specialistsmm. Kaiser Permanente is committed to providing programs that facilitate access to care for vulnerable populations. Kaiser Permanente supports access to health care for people in need through Medicaid and charitable care programs, including the Kaiser Permanente Medical Financial Assistance program. The health and vitality of New Jersey's waterways, lakes and estuaries depends on the responsible and safe ma. LOS ANGELES, Nov. Fax your completed application to 1-877-899-5635 Complete the MFA application on the following page. Complete the MFA application on the following page. A Program PO Box 7086 Pasadena, CA 91109-7086Dro. Mail your completed application to: Kaiser Permanente MFA Program PO Box 30006 Walnut Creek, CA 94598. Call us. 2 This policy describes the requirements for qualifying for and receiving financial assistance for emergency and medically necessary services through the Medical Financial Assistance (MFA) program. Calling directory assistance numbers may seem obsolete since days of the Internet, but many are using it when they’re unable to find results online or if they don’t have access Living with visual impairment can present numerous challenges, but thanks to advancements in technology and design, there are now a wide range of assistive products available to he. Patients can apply for the MFA program in several ways including online, in person. y appeal the decision. hiring jobs for teens near me Fax your completed application to 1-866-519-1693. Fax your completed application to 1-877-829-3547 Complete the MFA application on the following page. You may apply by completing and submitting an application, including your household income. 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For help or questions about the medical financial assistance application process, please call 844-412-0919, or talk to a Medical Financial Assistance Specialist within the MFA Department or the Administration office at any Kaiser Permanente medical office. 1-877-644-1774 or 711 (TTY) Financial assistance: Medical Financial Assistance Program: 1-800-390-3507. This article will cover four of the most popular options in an effort to help you de. Complete the MFA application on the following page. This is an application for medical financial assistance at a Kaiser Permanente facility. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc. By emailing financialassistance@yumaregional In the emergency room, our admission areas of the hospital and in our ambulatory clinics. Call the Financial Advocates at 3074620. Speak with a resource specialist 1-800-443-6328 (TTY 711), Monday through Friday, 8 a to 5 p Fax your completed application to 1-866-497-0005. Fax your completed application to 1-877-899-5635 Complete the MFA application on the following page. , Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of. , in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc.