Additional Resources

With CHAP you are enrolled in Kaiser Permanente’s MD Gold Value 0/20/Vision or VA Gold 0/20/Vision health plan. These plans include many benefits, such as preventive care, medication, vision services, and pediatric dental coverage.

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. For additional information, please refer to CHAP Benefits.

Members can also get a paper copy at any time without charge by calling Member Services at 1-800-777-7902. You’ll need your plan name, which is stated above.

Members can also review the Combined Membership Agreement, Disclosure Form, and Evidence of Coverage for the Kaiser Permanente MD Gold Value 0/20/Vision plan or VA Gold 0/20/Vision plan, which provides detailed plan information.

Note: These documents show copayments for services under the Kaiser Permanente’s MD Gold Value 0/20/Vision or VA Gold 0/20/Vision plan. Under Community Health Access Program, you do not have to pay co-payments for most covered services at Kaiser Permanente’s medical offices.

Special Enrollment Period

Qualifying Life Event (QLE)

A change in your situation — adding a dependent, such as getting married, having a baby, or adoption of a child —  can make you eligible for a Special Enrollment Period, allowing you to enroll into the CHAP outside the Open Enrollment Period.

Add a Family Member

Kaiser Permanente CHAP members who want to add an eligible family member to their existing account should use the Account Change Form – Maryland | Virginia

Other Kaiser Permanente coverage options

If a member does not meet requirements for CHAP, financial help from the government could help get affordable health coverage. Other health coverage options include:

KP Medicaid Coverage: Maryland (MD Health Choice PDF) | Virginia (VA Premier)

State	KPIF Plan	Member Services Tel#	Member Services Hrs
MD	MD Gold Value 0/20/Vision plan	1-800-777-7902 (TTY 711)	Monday through Friday, 7:30 a.m. to 9:00 p.m. Eastern time (closed major holidays)
VA	VA Gold Value 0/20/Vision plan	1-800-777-7902 (TTY 711)	Monday through Friday, 7:30 a.m. to 9:00 p.m. Eastern time (closed major holidays)

State	Options available
MD	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 138% of the federal poverty level ($17,609 for an individual or $36,156 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. Call the Kaiser Permanente National Consumer Sales Center at 1-800-488-3590 or visit buykp.org to learn about other Kaiser Permanente Individuals and Families plan choices.
VA	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 138% of the federal poverty level ($17,609 for an individual or $36,156 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. Call the Kaiser Permanente National Consumer Sales Center at 1-800-488-3590 or visit buykp.org to learn about other Kaiser Permanente Individuals and Families plan choices.