Additional Resources

With Community Health Coverage Progam (CHCP), you are enrolled in Kaiser Permanente’s MD Gold 0 Ded/150Rx Ded/Vision plan or KP VA Gold 0 Ded/Vision 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 0 Ded/150Rx Ded/Vision plan or KP VA Gold 0 Ded/Vision plan benefits, check out the Summary of Benefits and Coverage to see key features of the plan. For additional information, please refer to CHCP 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 0 Ded/150Rx Ded/Vision plan or KP VA Gold 0 Ded/Vision plan, which provides detailed plan information.

Note: These documents show copayments for services under the Kaiser Permanente’s MD Gold 0 Ded/150Rx Ded/Vision plan or KP VA Gold 0 Ded/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 CHCP outside the Open Enrollment Period.

Add a family member

Kaiser Permanente CHCP members who want to add an eligible family member to their existing account should use the Account Change Form.

Questions about CHCP?

Call us toll-free at

1-800-777-7902 (TTY 711)

Monday through Friday, from 7:30 a.m. to 9 p.m. Eastern time
(closed major holidays)

Listen to the telephone prompts. A live representative will be available to assist you.

Other Kaiser Permanente coverage options

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

KP Medicaid Coverage

Maryland (MD Health Choice) (coming soon)
Virginia

State	KPIF Plan	Member Services Telephone	Member Services Hours
MD	MD Gold 0 Ded/150Rx Ded/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	KP VA Gold 0 Ded/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.

State

Options available

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.

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.