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Qualify for Community Health Care Program

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

  • Fresno, Kings, or Madera counties: 25 and under
  • Other counties in Northern California: 18 and under

You must also:

  • live in a household with an income no more than 3 times the federal poverty level (for example, up to $38,280 for a single person or $78,600 for a family of 4 in 2020)
  • can’t be eligible for other public or private health coverage such as, but not limited to, Medi-Cal, Medicare, a job-based health plan, or financial help through Covered California. Children younger than 19 living in households with an income at or below 266% of the federal poverty level are eligible for Medi-Cal.

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 in Northern California

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

Please note: the program is open in all Kaiser Permanente Northern California service areas except Santa Cruz county.

We review each member’s eligibility for the Community Health Care Program by regularly sending our members a form to confirm 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

Medi-Cal coverage is provided to all low income children under the age of 19, regardless of immigration status. Medi-Cal coverage offers a comprehensive set of benefits for children comparable to those available to Community Health Care Program members.

If your family’s total annual household income is less than 267% of the federal poverty level or $69,692 for a family of 4 per 2020 guidelines, you and your family may be eligible for Medi-Cal.

Medi-Cal enrollment is year-round.

Please note: Young adults 25 and under — including noncitizens — now qualify for Medi-Cal. Those who qualify for Medi-Cal are not eligible for CHCP.

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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