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Qualify for Community Health Access Program

You or your family may qualify if you live in a Kaiser Permanente service area and meet these age requirements:

  • Live in the Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. service area, excluding the District of Columbia
  • Live in a household with an income up to 300% of the federal poverty level
  • Can’t be eligible for other public or private health coverage such as, but not limited to, Medicaid, Medicare, a job-based health plan, or financial help through the Maryland Health Connection.

You don’t have to be a legal U.S. citizen to qualify.

Household/Family Size Monthly Household Income no more than: Annual Household Income no more than:
1 $3,190 $38,280
2 $4,310 $51,720
3 $5,430 $65,160
4 $6,550 $78,600
5 $7,670 $92,040
6 $8,790 $105,480

Kaiser Permanente service areas in the Mid-Atlantic

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

Please note: the program is open in all Kaiser Permanente Mid-Atlantic service areas except Washington, DC.

We review each member’s eligibility for the Community Health Access Program by regularly sending you a form to confirm your income and other information. If you stop meeting these eligibility requirements, you won’t be able to stay in CHAP. Enrollment in the Kaiser Permanente’s MD Gold Value 0/20/Vision or VA Gold 0/20/Vision plan will continue, but you will be required to pay the full monthly premium and your out-of-pocket costs, unless you ask us to terminate your membership.

Other Kaiser Permanente coverage options

If you do not meet the requirements for CHAP, financial help from the government could help you get affordable health coverage for you and your family. Other health coverage options include:

Maryland

  • Consider Medicaid. This option may be available if you were born in the United States, you are a legal permanent resident, and your yearly income is at or below 133% of the federal poverty level (for example: $16,971 for an individual or $34,846 for a family of 4 in 2020). Kaiser Permanente is a Medicaid provider and may be available to you. Please visit kp.org/medicaid/md for more information.
  • Buy health coverage through Maryland Health Connection. If you qualify, you may get help paying for your plan premiums or out-of-pocket costs. For more information visit marylandhealthconnection.gov.

Virginia

  • Consider Medicaid/FAMIS.  This option may be available if you were born in the United States, you are a legal permanent resident, and your yearly income is at or below 133% of the federal poverty level (for example: $16,971 for an individual or $34,846 for a family of 4 in 2020). Kaiser Permanente is a Medicaid provider and may be available to you. Please visit kp.org/medicaid/va for more information.
  • Buy health coverage through the health benefit exchange. If you qualify, you may get help paying for your plan premiums or out-of-pocket costs. For more information, visit HealthCare.gov.

 

 

* 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.

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