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Kaiser Permanente

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5.7

Overall Score

Author: Kaitlyn Short

LAST UPDATED: November 10th, 2024

Kaiser Permanente was founded in 1945. It is a nonprofit health insurance provider with years of industry experience. It offers employer-provided plans, Medicaid, Medicare, charitable health insurance, and other private insurance plans. Kaiser Permanente's plan selection makes it easy for people to find good health insurance. Its plans are available in eight states and Washington, D.C.

Kaiser Permanente offers quality patient treatment and care through its networks, which also makes it a good option. Kaiser Permanente health insurance plans provide insurance coverage at Kaiser Permanente hospitals and clinics. Each Kaiser facility is staffed with high quality health care providers including primary care physicians and specialists.

Members can receive several different kinds of medical care and treatment at one medical center, which makes receiving health care treatment convenient. This offering makes Kaiser Permanente stand out from other insurance providers. While some may find the restriction to receiving care only at a Kaiser Permanente Center, it is helpful if there's a Kaiser Permanente clinic or hospital in your community.

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The Good

  • Positive Customer Reviews
  • Easy to View Plan Options
  • Variety of Health Insurance Plans
  • Charitable Health Insurance
  • Unique Provider Network Approach
  • Member Services and Resources
  • Additional Tools and Perks
  • Customer Service

Positive Customer Reviews

A majority of Kaiser Permanente's reviews are positive. Reviewers mention good experiences with care providers and the convenience of working with Kaiser Permanente.

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Customer Review: Vicki from Clearwater, Florida

"I was with them for years and I really loved them. All your doctors, hospital, tests, specialists and medications are Kaiser and in their facilities. You should check for your nearest Kaiser hospital/medical center first because most of your tests are done there. But being all in one it is incredibly easy to get everything you need done. The web site is also really good. You can check your appointments, test results, re-order prescriptions very easily."

Easy to View Plan Options

The plan selection at Kaiser Permanente is quite admirable. Kaiser Permanente won't require you to give out personal information like your date of birth or parts of your medical history to get even the most basic information about its insurance policy options in your area.

You just say whether you are turning 65 during the year, whether you get insurance through an employer, and whether you are looking for a plan for yourself or for a group. Then you input your zip code to see health insurance options in your area.

Getting the cost information for a plan will require further research because the monthly premium depends on several factors, like age. But the initial questionnaire will give you access to brief descriptions of the types of plans available and the overall coverage you can expect.

Variety of Health Insurance Plans

Kaiser Permanente offers individual, family, and employer-provided health insurance plans. Employer-sponsored plans help employers add value to their employees' benefits package.

Kaiser Permanente also offers Medicaid, Medicare, and charitable health insurance to individuals who qualify. It also offers catastrophic plans. Some Kaiser Permanente plans are compatible with Health Savings Accounts (HSAs). An HSA allows you to save pre-tax dollars to use to pay for medical expenses. Funds in your HSA roll over year to year.

Employers interested in adding vision and dental insurance to their employee health benefits can offer dental and vision insurance through Kaiser Permanente.

Premiums, coverage, copayments, coinsurance, annual out-of-pocket limit, and annual deductible, of course, depend on the individual plan. Before purchasing a health insurance plan, it's important to understand the full cost of the plan, which is not just the monthly premiums. In some cases, it may make sense to pay higher insurance premiums to have lower out-of-pocket expenses.

Charitable Health Insurance

Kaiser Permanente also provides charitable health coverage for low-income individuals who don’t qualify for public health insurance or have access to private health insurance. This offering makes it stand out from other health insurers.

Kaiser Permanente provides subsidies on premiums for these plans and additional financial assistance for out-of-pocket costs when care is received at Kaiser Permanente facilities for covered services.

These plans are available in California, Colorado, Georgia, the Mid-Atlantic (Maryland and Virginia), and Oregon. The name of the Kaiser Permanente’s charitable health coverage is different in each region

Unique Provider Network Approach

As you consider Kaiser Permanente medical insurance plans, keep in mind that it does not offer typical network structures, like Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO) plans. Instead, Kaiser Permanete has its own facilities and providers for patient care. Care received elsewhere is not covered by the insurance provider. If you're interested in a plan with more typical network structures, consider other health insurance companies.

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Customer Review: Fay Falatea from Kaneohe, Hawaii

"Me and my family have been insured by Kaiser Permanente for 13 years. The Drs I had were great and customer service from the receptionist was always pleasing. Was sad when I had to change to another insurance."

You should also consider the coverage offered by a plan before finalizing enrollment. Most plans fully cover preventive care. See what the coverage looks like for other treatment, care, or services you may need.

Member Services and Resources

Kaiser Permanente members have access to some great benefits, like an online member portal, mobile app, and glossaries of terms. My Health Manager is the name for the online member portal through which you access your account. Through My Health Manager, you can

  • View the benefits of your health plan
  • Make a payment
  • Download a form you need
  • Set up (or change) a date for a doctor's appointment
  • Email your primary care physician or specialist about a minor question
  • View your medical record

Extra abilities like viewing your medical records make this member portal, even more, personalized and convenient. Plus, members can benefit from Kaiser Permanente's mobile app that allows you to do many of these same tasks.

For members, there's also a dedicated FAQ section that gives you answers to questions you may have about getting an ID card, looking up a Kaiser doctor, and paying a bill.

There is also a dedicated member phone number to contact as well. Kaiser Permanente eases not only logistics but also health care education. Members and nonmembers alike can use Kaiser Permanente's glossary of health care terms, which might come in handy when shopping for a plan, learning how to use your benefits, looking up a provider, and more. Resources like these make the company more transparent and customer-centric.

Additional Tools and Perks

Kaiser Permanente offers many of the same added advantages that other health care insurance companies offer: discounts on health-related products, education about health care as an industry, and a mobile app. These added perks demonstrate Kaiser Permanente's dedication to supporting its members' health and well-being. Each company that offers these additional features puts its own twist on these features, and Kaiser Permanente is no exception.

The mobile app for this company is called the Kaiser Permanente Mobile App, and it allows members to do many of the same tasks that the member portal does. These include contacting your doctor, making a payment, finding a health care providers and medical offices, and viewing your medical history.

Kaiser Permanente has a lot of different discounts as well. Some of these are for fitness club memberships and for massage therapy. In addition, Kaiser Permanente has a wealth of information in its health guide.

Kaiser Permanente also offers health classes and healthy lifestyle programs to help people live healthier lives. If you're trying to make a healthy change in your diet, if you're trying to quit smoking or lose weight, or if you're struggling to manage a chronic illness, these resources would be helpful for you.

Customer Service

Kaiser Permanente values high-quality care. The company website is very helpful, with lots of details about the types of plans Kaiser Permanente offers, member resources, and ways to make the most of the plan benefits.

Kaiser Permanente also makes it possible for customers to get help in either English or Spanish as well.

Flexibility is found in other areas, too. With a health plan here, you can switch doctors at any time and use the find a doctor tool to find a different Kaiser physician. Kaiser Permanente has millions of members. With so many customers to serve, the company has developed a wide selection of resources. The company is transparent about its health plans. It makes navigating the member portal easy and intuitive. Kaiser Permantente anticipates customer questions well.

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The Bad

  • Negative Customer Reviews
  • Service Areas
  • Limited to Kaiser Permanente Hospitals and Medical Centers
  • No International Health Insurance

Negative Customer Reviews

Kaiser Permanente has also received a high percentage of negative reviews on BestCompany.com. A high proportion of negative reviews is not uncommon for health insurers. However, consider issues found in reviews as you decide whether or not to buy a health plan from Kaiser Permanente.

Reviewers who left 1-star reviews on BestCompany.com shared difficulties with claims payments and dissatisfaction with care received from Kaiser Permanente's providers.

Service Areas

One major limitation of Kaiser Permanente is the span of states that Kaiser Permanente can work with. This company limits itself to just several states out of 50, which means its health plans aren't even an option for you if you live outside of these states. If Kaiser Permanente's plans are not available in your area, you'll need to consider another insurance company.

Limited to Kaiser Permanente Hospitals and Medical Centers

Unlike most health plans that allow enrollees to choose the provider network structure (PPO or HMO), Kaiser Permanente plans only offer coverage for its hospitals and medical centers.

If you prefer to have more options when choosing a physician, you may want to consider another insurance provider that offers out-of-network coverage with some of its plans.

No International Health Insurance

Unlike some of Kaiser Permanente's competitors, the insurer does not offer international health plans. If you are looking for an international health plan for your company or yourself, you'll need to find another health insurance company.

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The Bottom Line

Kaiser Permanente is a great company for health insurance because of its industry experience and plan offerings. It offers many different types of health plans, including group plans for employers to offer employees, plans for individuals and families, and charitable health insurance for those who are not eligible for Medicaid but also can't afford to purchase their own health insurance plan. Kaiser Permanente also offers dental and vision coverage, and good member resources.

For specific information on plans, insurance premiums, and out-of-pocket expenses in your area, contact Kaiser Permanente directly or visit its website.

In fact, the main reason you may not want to use Kaiser Permanente's insurance might just be that you don't live in a region that this company services. For that reason, Kaiser Permanente is admittedly more limited than some competing insurance carriers. If Kaiser Permanente's medical facilities are not convenient to you, you may want to consider another insurer for purchasing health coverage.

If you want more flexibility when choosing care providers, you may also want to find an insurance company that offers out-of-network coverage.

Depending on the type of coverage you're looking for, Kaiser Permanente's plan details might not match up either. However, Kaiser Permanente members benefit from great member services. These include an online portal to manage your health plan, a mobile app, and discounts on health-related products. You'll experience these excellent benefits when you buy a plan from Kaiser Permanente.

For the right customers, this company offers transparency and a common goal to keep you healthy, both of which build trust.

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Star Rating

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2.6

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336 Reviews

Review Breakdown

5 grade

26%

4 grade

10%

3 grade

7%

2 grade

8%

1 grade

49%

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Dayna Denver, CO

I haven't even had this insurance for one week and it's seriously the worst experience I've had. I have one prescription to transfer and I've been on the phone all week trying to get it transferred. They said they wouldn't transfer the prescription unless I saw one of their doctors. I talked to their schedulers and they couldn't get me in before I would miss a dose. They told me to contact the doctor about my situation. I did and their office called me and said they wouldn't perscribe it before my appointment. Then I rescheduled my appointment with a different provider further away. I get to the appointment only to be told the provider they scheduled me with could not perscribe the medication. I went all the way down there and took off of work for absolutely nothing. They are a cheaper insurance option. Which is why I decided to give them q chance, but they have proven you get what you pay for. Update: they were able to get me in to see an actual doctor and they were able to renew my prescription. The new doctor I saw was great! While there does still seem to be organizational issues and I had to fight a lot to get what I wanted, it did end up working out. Overall, some doctors are great while some of the staff don't know what they are doing.

3 years ago Edited January 10, 2022

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Stephen Foltz Portland, OR

The only good thing about Kaiser is the people that work in the ER, hospital and labs. But their membership support needs help. They were good at making sure all my prescriptions were up to date, but the website is hard to navigate, links do not always work, previous visits, vaccinations, etc. are never listed in alphabetical order or by date order. Phone numbers that are listed as 7 days a week and daytime hours are closed. I get a text that my prescription can't be refilled due to a payment issue and then I can't get through on the phone. Third try I'm told they are closed on weekends. I really enjoyed the consistent communication and services I received from Adventist Health in Portland. Kaiser cannot begin to compare to the efficiency of Adventist Health systems. AHS is not perfect, but much better overall.

3 years ago Edited January 14, 2022

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Brad Willis ,

I'm been with Kaiser my entire life and I'm in my late 50s. I think that if you are young and healthy, Kaiser can be very good. But as you age and actually start having problems, perhaps there are better options. In my case, I had not had labs in about 3 years. That's partially my fault, but also I think my doctor should have pressed me a bit to get them done. When I finally got them done, I saw that I had type 2 diabetes and kidney damage. I requested a referral to a nephrologist several times and was denied each time, despite having micro albumin of over 700! (below 20 is normal). Now I'm much worse, again largely my own fault, but I do think that a specialist would have helped me to keep things under better control. I will be doing a teleconference with a doctor on Monday and I'll press hard for a specialist. It's my view that they try quite hard to avoid referring you to a specialist in order to save money for the company, and that's not right, in my view. My mother has had chronic heart failure and I think her experience has been a bit better. Years ago, I had a woman throw a wine glass at me, severing an artery in my wrist. The surgeon simply tied off that artery, so now I only have one instead of two. I've been told that was probably not the best way to address that issue and that the artery likely should have been surgically repaired. I did have a different doctor who did a good job on the tendon repair and nerve reattachment. So again, if you are young or quite healthy, they can be a very good option. If you have chronic problems, you should explore all options.

4 years ago

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Brendan Krafty Decatur, GA

Everything seemed to make this insurance the best, but it was too good to be true. I started to realize every doctor I was seeing (about 5) had this same grumpy careless attitude. As a result I never felt like I was receiving good care. The system and facilities themselves are great, as are the pharmacists and customer service people. Ultimately went back to a higher premium plan and at least I can now go to Emory and see the best docs in the country.

5 years ago

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xyz999 Santa Maria, CA

Recently, Kaiser Permanente Mental Health Professionals on strike to protest the long wait for patients who need help for mental health care in the Bay Area, because they were under staffs. But Kaiser claimed this is all about pay raise issue. In my personal experience, it took me 6 weeks to a see a mental health care specialist. I believe Kaiser is under staffs and underserved their patients who seek help in this field.

6 years ago

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Paul Vancouver, WA

Type 1 diabetics should be cautious of Kaiser. The insulin on the formulary is antiquated (Humulin circa 1978) and only available in vials. Clinicians are well-meaning but ignorant of the prices patients must pay for more modern insulin so they will prescribe better insulin, but a shock comes at the pharmacy when its time to pay. The whole health care industry needs greater transparency around the total cost that patients are asked to pay: premiums + labs + drugs + negative health consequences of using antiquated medications.

7 years ago

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Linda Walker Fairfax, VA

Kaiser physicians are great. Their billing department should be fired!! They said they could not accept a payment through my bank and I should pay by credit card. Now they have taken BOTH payments and have BILLED ME AGAIN FOR THE SAME INVOICE!!!!!

2 years ago

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Carlos M. Hercules, CA

Kaiser Permanente is a great hospital to go. they take care of you really well. they keep up with you on any issues on health problems you have. you can get your prescriptions in as little as 30 minutes after your appointment. They have affordable insurances, but some of them do have high deductibles.

2 years ago

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Lynsey Burnett Atlanta, GA

On the HMO plan they rarely are able to see kids on the same day. Locations are spread out so you may have to drive an hour to get an appointment on the same day or next day. If you decide to got to an external Dr and cover the cost out of pocket you can't take a prescription to kaiser to get it filled. Their Dr has to write the prescription

2 years ago

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omari newell Waldorf, MD

I went to wash dc capitol hill location on 3/21/22 and their greeter was very rude when I asked why only I was asked to use hand sanitizer. She stated with an attitude because they are employees. Cov19 affects everyone your not safe because your an employee

3 years ago

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Brittany Alshawy Colorado Springs, CO

This place is going downhill. All the primary care doctor's are not allowed to perform any medicine. You need a referral to another department doctor for EVERYTHING. And it takes so much time to get in for those departments you're either suffering from long-term problems by the time you do get in, or you're better. It's not holding my confidence. In the last 10 years they went from caring and showing you that care and consideration; to seeming out-of-practice which borderlines incompetence. Quite frankly, it's scary.

4 years ago

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Debbie Ziegle Fairmont, WV

My husband works in California. We sold our home there and I have been living in WV for 3 years. Kaiser has a location about 4 hours from me. I am able to go to Urgent Care of the Emergency Room, but not able to see a Family Doctor unless I return to California or drive about 4 hours. When we DO go to Kaiser in California they are very professional and caring.

4 years ago

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jcleaton San Diego, CA

Kaiser is an important health care provider in terms of being innovative in delivering affordable healthcare. Their system requires a person to "work" the system constantly since they are organized around the concept of keeping costs low. I do not recommend Kaiser for people who aren't willing to complain, question or be "pushy" with their health care provider.

4 years ago

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Tom Newnan, GA

Kaiser doctors are good but if you dont live close to downtown atl you have to drive an hour to get to specialist or a hospital I live in newnan and it is a pain to see anyone but primary care physician.

2 years ago

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Amy Farmer Provo, UT

I was on my family’s insurance when we had Kaiser Permanente and it just seemed really expensive for what it offered. Just did not give me a bang for my buck. Or even give me something worthwhile for my money. But maybe that’s just how all health insurance is in America.

5 years ago

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Douglas Larson Pleasant Grove, UT

I was completely covered when an infection led to a emergency surgery, although if they had helped me out when I went to the office, the surgery probably wouldn't have been necessary. I think their doctors are over-booked, because it took a while to get in to receive care.

6 years ago

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Mindy Clarke Tacoma, WA

I had this insurance for 1 year, I really like it as the price was good and barely any OOP expenses however, it is difficult when you need emergency care.

1 year ago

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Mackenzie Taylor Portland, OR

Decent, but definitely messy processes. Extremely hard to get thru to a real person in your doctor office. Always routed to a call center. Long waits for med fills. Short appointments. I like the app.

6 years ago

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Christy Suguturaga Orem, UT

I really don’t like that nothing is personal. It’s too big. You don’t know who will see you and your choices are so limited. I feel like a number. It’s my last choice

5 years ago

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Rosie Hansen Salt Lake City, UT

Kaiser has great coverage, I just wish there were more Kaiser facilities around the U.S.. I hate the fact that you can only go to a Kaiser facility because of this insurance.

5 years ago

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Dre35 West Valley City, UT

I've used Kaiser since I was a child. The only problem I have is supply and demand. Sometimes it takes weeks to get an appointment.

4 years ago

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Anna Lower Saint George, UT

Average health care for an average price so overall pretty good if you don’t need much

5 years ago