Four steps to apply for Child Health Program
3. Include copies of proof of income
4. MAIL TO KAISER PERMANENTE
Mail* both applications and required information to:
Charitable Health Coverage Operations
PO Box 12904
Oakland, CA 94604
*Please do not fax applications; Kaiser Permanente will not accept faxed applications.
Please keep a copy of your applications for your records.
Completion of these applications does not guarantee that you will be approved for the Kaiser Permanente Community Benefit subsidy that helps pay monthly payment amounts and cost sharing for KP CA Platinum 0/20 health coverage. You may be asked to provide additional information to confirm your child’s eligibility for the subsidy.
For questions, contact Member Services at:
800-464-4000 (toll free)
800-777-1370 (toll-free TTY for the hearing/speech impaired)
* If your child is not eligible for Kaiser Permanente Child Health Program, you can still enroll in him or her in a Kaiser Permanente Individuals and Families (KPIF) plan, but you will have to pay to the full price of the premium. You can enroll your child in a KPIF plan as long you live in one of the Kaiser Foundation Health Plan, Inc. service areas.
For more information about Kaiser Foundation Health Plan, Inc. service areas, go to: http://info.kaiserpermanente.org/html/childhealthprogram/serviceareas.html.
If you wish to enroll your child in a KPIF plan, please call our National Direct Sales Center at 1-800-307-5945 to get more information about plan choices.