Talk to a transitions specialist at 1-800-603-3743 (TTY 711) Hours: Monday through Friday, 6 a.m. to 7 p.m. PST, except major holidays

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Frequently asked questions

If you’ve got questions about your eligibility for coverage, your plan options, or how to enroll in a plan, we’re here to help.

Yes. For questions about Kaiser Permanente for Individuals and Families (KPIF) plans, please call 1-800-270-4095 from Monday through Friday, 6 a.m. to 7 p.m. PST, except major holidays. For questions about your eligibility for any other plans, please call 1-800-603-3743 (TTY 711) from Monday through Friday, 6 a.m. to 7 p.m. PST, except major holidays.

We’ll work with you to understand your needs, then review the full range of Kaiser Permanente plans in your area to help you choose the right option. It’s one of many reasons you can feel good about coming back to Kaiser Permanente. 

Open enrollment for individual plans begins November 1 each year for coverage that becomes effective on January 1 or later. But when a major life change causes you to lose health coverage, you may be able to enroll in a new plan any time of the year, for a limited time. Explore your new options.

A household includes you (the tax filer), your spouse if you have one, and your tax dependents. For more information, see who to include in your household.

1.    Start with your household’s adjusted gross income (AGI) from your most recent federal income tax return. You’ll find your AGI on line 7 of IRS Form 1040.

2.   Add the following kinds of income, if you have any, to your AGI:
    a. Tax-exempt foreign income
    b. Tax-exempt Social Security benefits (including tier 1 railroad retirement benefits)
    c. Tax-exempt interest
    d. Don’t include Supplemental Security Income (SSI)

3.   Adjust your estimate for any changes you expect. Consider things like these for all members of your household:
    a. Expected raises
    b. New jobs or other employment changes, including changes to work schedule or self-employment income
    c. Changes to income from other sources, like Social Security or investments
    d. Changes in your household, like gaining or losing dependents

4.    Now you have an estimate of your expected household income.

For more information, visit the healthcare.gov income calculator.

The federal government may provide financial assistance to help you pay for health coverage if you can’t afford it. This is usually determined by income level and family size. Find out if you qualify. Depending on which state you live in, you may also be eligible for state financial help.

A health benefit exchange is an online marketplace where you can purchase health plans. You can compare health plan options from different providers, get answers to questions, and find out if you’re eligible for federal financial help or special programs.

No, but a health benefit exchange is the only place to get federal financial help, if you’re eligible. You can also buy coverage directly from a health plan provider like Kaiser Permanente, or through your employer.

Of course. We’re committed to helping you find the health care plan that’s right for you. Please call 1-800-603-3743 (TTY 711) ) from Monday through Friday, 6 a.m. to 7 p.m. PST, except major holidays, with any questions.