Kaiser Permanente Enrollment: How to Apply for Free Health Care Services


  1. Your child between the ages of 0 to 18 may be eligible if your family:

    • Meets income guidelines
    • Does not have affordable health insurance through a parent’s employer.
    • Does not qualify for Medicaid (FAMIS Plus) and FAMIS.

    Note: Citizenship is not required.

  2. Complete and sign the application and all forms

    Get the application, forms and a checklist to gather the information needed to apply.

    Or - call 703-324-7315 to request an application.

  3. Return the completed the application, forms and all the items on the checklist to:

    Department of Family Services
    12011 Government Center Parkway
    Fairfax, VA 22035
    ATTN: MCCP/Kaiser Enrollment

  4. What to Expect After You Return Your Application

    A case worker will call you within two days of receipt of the application to review it with you.

    If you do not return all necessary information, your application will be denied 45 days following the date your application is received. Please call your worker if you need assistance with collecting the required information.

 

 

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Get more information about:

Medical Care for Children Partnership: Information for Families

 


 




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Fairfax County Department of Family Services
[ 12011 Government Center Parkway, Fairfax, VA 22035 ]
[ 703-324-7500 ]

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