Kaiser Permanente Medicare Advantage plans are available in only eight states and Washington, D.C., while Anthem-branded plans are available in 14 states. While Kaiser Permanente’s average star ratings from the Centers for Medicare & Medicaid Services (CMS) are higher than those from Anthem, neither company is above the industry average. Member experience scores from CMS for both Kaiser Permanente and Anthem are lower than most major providers.
Here’s a look at how Kaiser Permanente and Anthem compare.
Kaiser Permanente Medicare Advantage
Kaiser Permanente
3.94
CMS Star Rating
Kaiser Permanente plans get average star ratings — lower than last year — and the provider sells plans in only eight states and Washington, D.C.
M-F 9am-9pm ET, Sa 10am-9pm ET
Speak to a licensed insurance agent on askchapter.org
States available
8 states and Washington, D.C.
Members in high-rated plans
Medium (50% to 89%)
Member experience
2.44 (Below average)
States available
8 states and Washington, D.C.
Members in high-rated plans
Medium (50% to 89%)
Member experience
2.44 (Below average)
Pros
- Earns above-average customer satisfaction scores in California, one of the major Medicare markets studied by J.D. Power.
- Eight in 10 members are in a highly-rated plan.
- Most plans include drug coverage.
Cons
- Available in only eight states and Washington, D.C.
- Offers mostly HMO plans, so most members must work within Kaiser’s network of medical providers.
- Member experience ratings overall are below average.
Other factors to consider
|
5th-largest provider of Medicare Advantage plans. |
|
|
Medicare Advantage enrollment |
|
|
Percent of plans rated 4 stars or higher |
|
|
Percent of plans with $0 premium |
|
Anthem Medicare Advantage
Anthem
3.45
CMS Star Rating
Anthem’s plans offer a range of benefits and flexible care, but plans are available in only 14 states and receive below-average star ratings.
M-F 9am-9pm ET, Sa 10am-9pm ET
Speak to a licensed insurance agent on askchapter.org
States available
14 states
Members in high-rated plans
Low (49% or less)
Member experience
2.89 (Below average)
States available
14 states
Members in high-rated plans
Low (49% or less)
Member experience
2.89 (Below average)
Pros
- Most plans cover prescription drugs and offer some coverage for dental, hearing and vision care.
- Anthem’s “Essential Extras” benefits let members choose extra plan benefits that meet their needs, such as $500/year toward assistive devices or $150/quarter toward household utilities.
Cons
- Available in only 14 states.
- Below-average overall star rating and member experience scores from CMS.
- 4-star rated plans available in only three states.
Other factors to consider
|
Part of the Blue Cross Blue Shield collective, which is the 3rd-largest provider of Medicare Advantage plans. |
|
|
Medicare Advantage enrollment |
|
|
Percent of plans rated 4 stars or higher |
|
|
Percent of plans with $0 premium |
|
Find the right Medicare Advantage plan
-
What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
-
Is your doctor in-network? If you have a preferred medical provider or providers, make sure they participate in the plan’s network.
-
Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
-
Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
-
Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?
Source link
:max_bytes(150000):strip_icc()/INTCChart-19dfdcef36794591a8dab39cb4d76413.GIF?w=390&resize=390,220&ssl=1 "Intel Stock Nears Chart Support Despite Disappointing Earnings Report")
:max_bytes(150000):strip_icc()/GettyImages-2149425278-10b7e09c3986402ab8fa5ae540068c9d.jpg?w=390&resize=390,220&ssl=1 "Biden Administration Expands Push to Shift Workplace Rules in Favor of Workers")
:max_bytes(150000):strip_icc()/INV_StrategicPetroleumReserve_GettyImages-1434804700-930b2f63ac494dccb1223603d993391a.jpg?w=390&resize=390,220&ssl=1 "US Emergency Oil Reserves Remain at Near Four-Decade Low Amid Rising Global Tensions")
