How to Apply for the Community Health Access Program – Important Deadlines
Open enrollment for 2022 has ended, but you can add an eligible dependent during a special enrollment period if you experience a qualifying life event.
Special Enrollment Period
You can add an eligible dependent to your account if you have a certain type of event in your life — called a qualifying life event. A qualifying life event is when something important in your life changes. For example, if you get married or divorced, give birth, or lose health coverage because you lost your job, you can apply for coverage through Community Health Care Program.
In general, the special enrollment period lasts 60 days after a qualifying life event.
You can add an eligible dependent to your account by completing an Account Change Form
Where to submit your forms and proof:
By Email:
By Mail:
Kaiser Foundation Health Plan, Inc.
California Service Center
P.O. Box 939095
San Diego, CA 92193-9095
By Fax:
1-855-355-5334
Note: Sending your forms to us does not guarantee that you will be approved for the Community Health Access Program. We may ask you for more information to determine your eligibility.
To learn more about the Kaiser Permanente’s MD Gold Value 0/20/Vision plan or VA Gold 0/20/Vision plan benefits, check out the Summary of Benefits and Coverage to see key features of the plan. You can also get a paper copy at any time without charge by calling Member Services at 1-800-777-7902. Copays listed in these documents won’t apply for most care at KP facilities when you’re enrolled in CHAP.
* Continued eligibility for the CHAP is not guaranteed. We reserve the right to close enrollment or change the CHAP eligibility rules at any time. If you are approved for the CHAP subsidy, the subsidy period is limited, and we will contact you in the future to confirm that you still qualify.