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Qualify for Community Health Care Program

You or your family may be eligible for Community Health Care Program if:

  • You live in a Kaiser Permanente service area that is open to new enrollment and:
    • You’re younger than 19 with a total household income between 266% and 300% of the federal poverty level.
    • You’re over 19 with a total household income over 138% of the federal poverty level.
  • Your household income is no more than 3 times the federal poverty level (for example, up to $43,740 for a single person or $90,000 for a family of 4 in 2023)
  • You don’t have access to any other health coverage, including Medi-Cal, Medicare, a job-based health plan, or coverage through Covered California.
Household/Family Size Monthly Household Income no more than: Annual Household Income no more than:
1 $3,645 $43,740
2 $4,932 $59,160
3 $6,216 $74,580
4 $7,500 $90,000
5 $8,787 $105,420
6 $10,071 $120,840

You don’t need to be U.S. citizens to qualify for the Community Health Care Program.

Need more information? Check out our brochure.

Kaiser Permanente service areas

You must live in a Kaiser Permanente service area to qualify for the Community Health Care Program. Explore our service areas below.

 

We review each member’s eligibility for the Community Health Care Program by regularly sending you a form to confirm household income and other information. If you no longer meet the eligibility requirements, you will be disenrolled from Kaiser Permanente’s Community Health Care Program. You will remain enrolled in the Platinum 90 – HMO plan, but you’ll have to pay the full monthly premiums and out-of-pocket cost unless you ask us to end your membership or until you fail to pay the full premium.

Other Kaiser Permanente coverage options

If you do not meet the requirements for the Community Health Care Program, financial help from the government could help you get affordable health coverage for you and your family. Other Kaiser Permanente health coverage options include:

Medi-Cal

You may be eligible for Medi-Cal if:

  • You’re younger than 19 with a total household income at or below 266% of the federal poverty level (for example, $79,800 for a family of 4 in 2023).
  • You’re 19 or older with a total household income at or below 138% of the federal poverty level (for example, $20,120 for a single person or $41,400 for a family of 4 in 2023).

Please note: Many California residents-including non-citizens-now qualify for Medi-Cal. Those who qualify for Medi-Cal are not eligible for the Community Health Care Program.

Learn more about Medi-Cal with Kaiser Permanente.

Health insurance plans from Covered California

You can buy health care coverage on California’s health benefit exchange, Covered California. Covered California has Kaiser Permanente plans as well as other health plans for purchase. If you meet certain income guidelines and other requirements, you may be able to get help paying for premiums and copays, but only if you purchase coverage through Covered California’s website.

Click here to see which Kaiser Permanente plan fits your income and needs, or you can call Covered California at 1-800-300-1506 (English), 1-888-889-4500 (TTY), or 1-800-300-1533 (Chinese).

A range of other plans are available

If you don’t qualify for Medi-Cal or Covered California plans, we offer plenty of other choices to help you find the best plan for your family. Click here to find out which Kaiser Permanente Individual & Family Plan best fits your needs. You can also call us at 1-800-488-3590, or 711 (TTY). Please note, you will have to pay a monthly premium for these plans.

*Continued eligibility for the Community Health Care Program is not guaranteed. We reserve the right to close enrollment or change the CHCP eligibility rules at any time. If you are approved for CHCP, the subsidy period is limited and we will contact you in the future to confirm that you still qualify.

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