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Kaiser Permanente fax number
(866) 519-1693
Medical Financial Assistance (MFA) Program
Used for: Submit the MFA application for financial assistance with Kaiser Permanente medical and pharmacy bills; applications can be submitted online, by mail, or by fax.
Fax destination details
- Department
- Medical Financial Assistance (MFA) Program
- Purpose
- Submit the MFA application for financial assistance with Kaiser Permanente medical and pharmacy bills; applications can be submitted online, by mail, or by fax.
- Form
- MFA application — Medical Financial Assistance (MFA) Program Application
- Address
- Kaiser Permanente MFA Program, P.O. Box 7086, Pasadena, CA 91109-7086
- Voice phone
- 1-800-390-3507 (TTY 711)
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Complete the MFA application and provide required income and household information; instructions are available on the MFA page and in the PDF forms.
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