Kaiser Permanente
4.41
CMS Star Rating
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Kaiser Permanente vs. Anthem: Medicare Advantage Comparison
Kaiser Permanente’s star ratings are higher, while Anthem is available in more states. Here's how they compare.
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Written by Kate Ashford, CSA®
Lead Writer
Kaiser Permanente’s Medicare Advantage plans are available in eight states and Washington, D.C., and Kaiser uses an integrated care model, so all providers are connected.
Anthem Medicare Advantage plans offer competitive benefits but are available in a limited number of states.
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Anthem
3.52
CMS Star Rating
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Here’s a look at how Kaiser Permanente and Anthem Medicare Advantage compare.
Why trust NerdWallet
Kaiser Permanente Medicare Advantage
Kaiser Permanente Medicare Advantage plans get above-average star ratings, but the company sells plans in only eight states and Washington, D.C.
Pros
Earns top customer satisfaction scores in California, one of the major Medicare markets studied by J.D. Power.
100% of 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
Provider size | 5th-largest provider of Medicare Advantage plans. |
Medicare Advantage enrollment | 1.9 million. |
Percent of plans rated 4 stars or higher | 100%. |
Percent of plans with $0 premium | 47%. |
Plans available | HMO, HMO-POS, PPO, SNP. |
Kaiser Medicare Advantage plan availability
Kaiser Permanente
4.41
CMS Star Rating
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Anthem Medicare Advantage
Anthem's Medicare Advantage plans offer a range of benefits and flexible care, but they're available in only 14 states and receive below-average star ratings.
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.
Cons
Available in only 14 states.
Below-average overall star ratings from CMS.
Higher average maximum out-of-pocket costs on plans.
Other factors to consider
Provider size | Part of the Blue Cross Blue Shield collective, which is the 3rd-largest provider of Medicare Advantage plans. |
Medicare Advantage enrollment | More than 500,000. |
Percent of plans rated 4 stars or higher | 13%. |
Percent of plans with $0 premium | 49%. |
Plans available | HMO, HMO-POS, PPO, SNP. |
Anthem Medicare Advantage plan availability
Anthem
3.52
CMS Star Rating
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IS THIS PROVIDER AVAILABLE IN MY STATE?
Find the right Medicare Advantage plan
It’s important to do your research before selecting a Medicare Advantage plan for yourself. Here are some questions to consider asking:
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?
» MORE: Best Medicare Advantage plans
If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).
Medicare Advantage review methodology
The Medicare Advantage marketplace is concentrated among just a handful of companies; in many places, one insurer serves more than half of the market. NerdWallet reviewed 26 Medicare Advantage brands, with some insurers having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.) At the national level, these reviews include nine of the 10 largest brands by enrollment. At the state level, our research includes at least one major insurer in 47 of the 49 states that offer Medicare Advantage plans, and includes the top two insurers in 35 of those states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.
NerdWallet’s Medicare Advantage reviews are based on ratings data from the Centers for Medicare & Medicaid Services, as well as pricing, plan availability by state, plan types available, consumer experience, extra benefits offered and more. These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for additional information.
