When your circumstances change, Kaiser Permanente can offer you a wide variety of options to continue your health care coverage. But where do you begin?
The information below will help you navigate through the options and choose the plan thatís best for you and your family. You can also download a brochure that explains health care coverage options in detail, defines key terms, and provides phone numbers and resources for further information.
Do you prefer a plan that doesn't require a medical review? Do you want coverage that's the same or similar to what you had through your employer without a lapse in coverage?
If you lose your group coverage, your employer group may offer COBRA continuation coverage. If your employer group does not offer COBRA coverage, you may be eligible for other group continuation coverage. Both types of group continuation coverage require no medical review. For more information, check with your employer group.
General information about COBRA eligibility, and potential financial assistance that may be available, may be found at the U.S. Department of Labor Web site.
Conversion plans also give you the opportunity to buy non-group coverage from your former group insurer. You'll experience no lapse in coverage, and no medical review is required. To qualify, we must receive your completed application no later than 30 days after you received notification that your group coverage is ending, to ensure that you have no lapse in coverage. After a lapse in coverage has occurred, this option is not available. For more information, call 808-432-5955 (Oahu) or 800-966-5955 (toll free) (Neighbor Islands).
Looking for comprehensive coverage?
If you have small children, want predictable out-of-pocket expenses, or need to see the doctor often, then one of our Individual and Families Copayment Plans may be right for you. You'll know in advance exactly how much you'll pay for prescriptions or visits to the doctor. Medical review is required.
Are you a Senior Advantage member or a Medicare-eligible member?
Please visit our overview section for more information or call our Customer Service Center at 800-805-2739 (toll free) or 877-447-5990 (toll-free TTY for the hearing/speech impaired), seven days a week, 8 a.m. to 8 p.m.
Not sure if you can afford health coverage? Think you might qualify for aid from the government?
Hawaii Medicaid/QUEST provides health insurance coverage to low-income parents, children, seniors, and people with disabilities, as well as coverage to uninsured children from families whose income levels are too high to be eligible for Medicaid.
If you qualify for Medicaid/QUEST and live on Oahu or Maui, you can choose Kaiser Permanente as your health plan.
You might be eligible for assistance through Kaiser Permanente's Medical Financial Assistance (MFA) program. Our Medical Financial Assistance Program (MFAP)
provides temporary financial assistance to low-income or uninsured people for services provided at our facilities and through our providers. MFA is not a form of health insurance.
You may qualify for our MFAP if you have exhausted private and public sources of support, and meet certain eligibility requirements.
Financial assistance is awarded on a case-by-case basis according to certain federal poverty guidelines, and may be limited based on available funding.
If you qualify for free care, you must receive it at Kaiser Permanente facilities and through our providers, even if you have coverage elsewhere. In the event you do not qualify for free care, you may be offered a discount.
You may pick up an MFAP application at any Kaiser Permanente facility. For more information, please call or visit any of our Business Services/Cashier Departments at the following Kaiser Permanente locations during normal business hours.
- Moanalua Medical Center / Mapunapuna clinics: 808-432-7940
- After-hours / hospital (urgent information only): 808-432-8154
- Honolulu Clinic / all Windward Area clinics / Hawaii Kai Clinic / Ala Moana Clinic: 808-432-2020
- Leeward Area clinics: 808-432-3297
- Maui clinics: 808-243-6580
How do I know if my income falls under the guidelines?
- Big Island clinics: 800-598-5928 (toll free)
View the federal poverty guideline charts. To calculate income level at 200 percent of the federal poverty guidelines, multiply by 2; for 300 percent, multiply by 3; and so on.
Interested in finding resources available to you in your community?
We can help put you in touch with many resources, such as food, energy, tax, pharmacy, and health care assistance, and provide easy access to applications for these programs.
To complete this confidential assessment, please go to the BenefitsCheckUp Web site.
Federally funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. To locate a center near you, visit the Health Resources and Services Administration Web site.