To be eligible for the Kaiser Permanente Bridge Program, you must be a Georgia State Undergraduate or Graduate student, currently enrolled in one of the following programs:

• Health Informatics (accepted into the program, not pre-health informatics)
• Nursing (accepted into the nursing program, not exploratory students)
• Nutrition (accepted into the program, not pre-nutrition students)
• Occupational Therapy (accepted into the OTM program)
• Respiratory Therapy (accepted into the program, not exploratory students)
• Social Work (accepted into the School of Social Work, not pre-social work students)
• Physical Therapy (accepted into the DPT program) 

Requirements for eligibility include:

• The primary applicant must be a GSU student currently enrolled in one of the above programs.
• The primary applicant and all applying dependents must live in Kaiser Permanente’s metro Atlanta 20 county service area*.
• Live in a household with an income no more than 100% of the federal poverty level. Household includes self, spouse/domestic partner, and dependents (see chart below).
• The primary applicant and all applying dependents cannot be eligible for other public or private health coverage such as, but not limited to, Medicaid, Peach Care for Kids®, Medicare, an affordable job-based health plan, or financial help through the health benefit exchange.
• All child dependents must be younger than 26.
• Completion of an applications and submission of required supporting documents.
• Signed Community Partner Verification Form with University designee’s signature (Contact Felisha Norrington at 404-413-1000 or [email protected] to schedule an appointment).

*Bartow, Butts, Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, Lamar, Newton, Paulding, Pike, Rockdale, Spalding, and Walton counties.

For families with more than 8 people, add $4,720 for each additional person per year. 

Please follow these steps to learn more and/or to apply for the program:

1. Review the Kaiser Permanente Bridge Program flyer and brochure.
2. Review the Bridge Program Overview PowerPoint which includes instructions for completing the applications.
3. Complete the Kaiser Permanente for Individuals & Families (KPIF) Application AND the Community Health Subsidy Eligibility Form.
4. Print Community Partner Verification Form and have the authorized Georgia State University staff member sign your Community Partner Verification Form (see ‘Requirements for eligibility’ above).
5. Include all supporting documentation requested on the document check list with your applications. Be sure to sign and submit the document check list.
6. Email, fax, or mail the completed KPIF Application, Community Health Subsidy Eligibility Form and all supporting documentation to:

Email: [email protected] (Include "application" in the subject line)

Fax: 1-855-355-5334
Mail: Kaiser Permanente
Attn: CHC
PO Box 23127
San Diego, CA 92193-3127

Please be patient and allow 30 days for your application to be processed.  If you have questions/issues, contact the Member Services Contact Center at 1-888-865-5813. Be sure to provide the representative your name, date of birth, and the date you applied.

Please click on the link and review the following documents:

1. Kaiser Permanente Bridge Program Flyer
2. Kaiser Permanente Bridge Program Brochure
3. Kaiser Permanente Bridge Program Overview PowerPoint
4. KPIF Application: KP GA Gold 500/20 plan/KP GA Signature Gold 500/20 plan
5. Community Health Subsidy Eligibility Form
6. Application Submission Tip Sheet
7. Document Checklist
8. Community Partner Verification Form
9. Income Attestation Form
10. Profit & Loss Statement
11. After Applying Information
12. KP GA Gold 500/20 Summary of Benefits
13. KP GA Signature Gold 500/20 Summary of Benefits