Kaiser Permanente vs. Blue Cross Blue Shield: Medicare Advantage Comparison

BCBS is available in more states, but ratings vary by company and in some cases Kaiser outperforms.
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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.
Blue Cross Blue Shield is a collective of 33 different companies, and many are geographically specific, offering benefits targeted to local members.

Here’s a look at how Kaiser Permanente and BCBS Medicare Advantage compare.

45+ Medicare companies and brands analyzed by our team of experts.

30+ years of combined experience covering Medicare and personal finance.

Governed by NerdWallet's strict guidelines for editorial integrity.

NerdWallet’s Medicare content, including articles, reviews and recommendations, is produced by a team of writers and editors who specialize in Medicare. Their work has appeared in The Associated Press, Washington Post, Nasdaq, MSN, MarketWatch, Yahoo! Finance and other national and regional media outlets. They have been cited in publications including Healthline, and appeared on NerdWallet's "Smart Money" podcast.

Kaiser Permanente Medicare Advantage

Kaiser Permanente Medicare Advantage

Kaiser Permanente

3.93

CMS Star Rating

Kaiser Permanente plans get slightly below-average ratings, and the provider sells plans in only eight states and Washington, D.C.

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States available

8 states and Washington, D.C.

Members in high-rated plans

Medium (50% to 89%)

Member experience

2.30 (Below average)

States available

8 states and Washington, D.C.

Members in high-rated plans

Medium (50% to 89%)

Member experience

2.30 (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

Provider size

5th-largest provider of Medicare Advantage plans.

Medicare Advantage enrollment

1.9 million.

Percent of plans rated 4 stars or higher

43%.

Percent of plans with $0 premium

51%.

Plans available

HMO, HMO-POS, PPO, SNP.

Kaiser Medicare Advantage plan availability

» MORE: Read our full review of Kaiser Permanente Medicare Advantage plans

Blue Cross Blue Shield Medicare Advantage

Blue Cross Blue Shield Medicare Advantage

Blue Cross Blue Shield

3.93

CMS Star Rating

Blue Cross Blue Shield plans are widely available and affordable, but some companies earn higher marks than others on member satisfaction.

(855) 432-0512 / TTY 711

M-F 9am-9pm ET, Sa 10am-9pm ET

Speak to a licensed insurance agent on askchapter.org

GET A QUOTE

on NerdWallet

We will connect you with Medicare companies based on the information you provide. They will help you find a plan that suits your needs. If you prefer to speak to a licensed insurance agent right away, please call the number listed above.

States available

48 states and Puerto Rico

Members in high-rated plans

Medium (50% to 89%)

Member experience

3.41 (Average)

States available

48 states and Puerto Rico

Members in high-rated plans

Medium (50% to 89%)

Member experience

3.41 (Average)

Pros

  • BCBS companies offer plans in 48 states and Puerto Rico.
  • $0-premium BCBS plans are available in 44 states and Puerto Rico.
  • BCBS plans offer extra benefits like chronic condition management and preloaded debit cards for over-the-counter items.

Cons

  • Ratings and member satisfaction vary among BCBS companies, and some score lower than others. You may not have access to a highly rated BCBS company.
  • BCBS companies offer special needs plans in only half of U.S. states.

Other factors to consider

Provider size

3rd-largest provider of Medicare Advantage plans.

Medicare Advantage enrollment

5 million.

Percent of plans rated 4 stars or higher

45%.

Percent of plans with $0 premium

57%.

Plans available

HMO, HMO-POS, PPO, PFFS, SNP.

BCBS Medicare Advantage plan availability

» MORE: Read our full review of BCBS Medicare Advantage plans

Still deciding on the right carrier? Compare Medicare Advantage plans

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?

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.