Kaiser Permanente Insurance Review & Complaints: Health Insurance (2024)
Kaiser Permanente Insurance Company offers a wide selection of health plans and related products for individuals, families, and businesses including individual health insurance, family health insurance, and the Kaiser Permanente Medicare plan. Our Kaiser Permanente's insurance review could not get estimates for Kaiser Permanente insurance rates, but we did find a AA Kaiser Permanente insurance rating from Fitch and S&P.
Free Health Insurance Comparison
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
Licensed Insurance Producer
UPDATED: Sep 26, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: Sep 26, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
Kaiser Permanente Health Insurance Company is a nonprofit health care coverage organization that operates across nine States and Washington, D.C. They currently have footprints in Northern and Southern California, Colorado, Georgia, Hawaii, Maryland, Virginia, Oregon, Washington, and Ohio.
The Kaiser Permanente organization currently employs over 200,000 people and services over 11 million healthcare members. They were founded in 1945 by Henry Kaiser and Sidney Garfield and are headquartered in Oakland, California.
What products are offered?
Wondering how to buy health insurance? The first thing to do is to check the reviews and the products offered by the provider you are interested in. Although Kaiser Permanente is a nonprofit organization, they do offer a wide selection of health-related products and low-cost health plan options for individual, family, and business customers. Their most popular health coverage items include:
- Individual Health Insurance Policy
- Family Health Insurance Options
- Medicare Health Care Plans
- Employer-sponsored Health Insurance
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Are there any patient and customer complaints?
Kaiser Permanente medical group is not accredited with the Better Business Bureau (BBB) and currently has an F rating. This is very odd because there are only 44 complaints on file over the last 3 years as some of their major competitors have more complaints yet receive better ratings.
The BBB site does state the reason for the poor rating is due to the company’s failure to respond to seven complaints, as well as five complaints that were filed that were unresolved. While the F rating still seems a bit harsh, the BBB is known to be quite strict with regard to unresolved complaints.
There are a number of other profiles with better ratings on the BBB for different locations of Kaiser. However, in our example above, we used the company’s headquarters.
What do consumer research reports say?
According to reviews, Kaiser Permanente scored the highest ratings possible in customer satisfaction during the 2017 Health Insurance Plan Study put on by JD Power and Associates. Kaiser ranked the highest in six regions: Maryland, South Atlantic, California, Virginia, Northwest, and Colorado.
What are its financial ratings?
Rating Company | Grade | Financial Outlook |
---|---|---|
A.M. Best | NR | NR |
Fitch | AA | Stable |
S&P | AA | Stable |
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Kaiser Permanente Insurance Claims Process
Ease of Filing a Claim
Kaiser Permanente Insurance offers multiple convenient methods for filing insurance claims, ensuring flexibility for their policyholders. You can initiate the claims process through their online portal, over the phone, or by using their mobile app. This variety of options caters to different preferences and allows you to choose the most convenient way to report and manage your claims.
Average Claim Processing Time
One crucial aspect of insurance is the speed at which claims are processed. While specific processing times may vary depending on the nature of the claim and other factors, Kaiser Permanente Insurance is committed to efficient claim processing. Policyholders can typically expect a reasonable turnaround time, ensuring that claims are handled promptly and fairly.
Customer Feedback on Claim Resolutions and Payouts
Customer feedback is a valuable indicator of an insurance company’s performance in claim resolutions and payouts. Kaiser Permanente has received positive reviews in terms of customer satisfaction with the claims process.
Feedback from policyholders suggests that the company strives to provide fair and timely claim resolutions, which is a key factor in establishing trust and confidence in an insurer’s services.
Digital and Technological Features of Kaiser Permanente Insurance
Mobile App Features and Functionality
Kaiser Permanente’s mobile app offers a range of features and functionality designed to enhance the overall customer experience. With the app, policyholders can conveniently access their insurance information, view policy details, check claim status, and even submit claims directly from their mobile devices.
The user-friendly interface and robust features make managing insurance on the go more accessible than ever.
Online Account Management Capabilities
In addition to the mobile app, Kaiser Permanente offers comprehensive online account management capabilities through their website. Policyholders can log in to their accounts to review policy documents, update personal information, make premium payments, and track claims. The online portal provides a seamless and convenient way to stay in control of your insurance coverage.
Digital Tools and Resources
To further assist policyholders in making informed decisions and staying informed about their coverage, Kaiser Permanente provides a variety of digital tools and resources.
These may include educational materials, calculators, and resources to help you understand your policy, coverage options, and healthcare-related information. The availability of such tools empowers policyholders to navigate their insurance needs with confidence.
What is the bottom line on customer service?
Kaiser Permanente medical group scored the highest on the J.D. Power study regarding customer satisfaction. They have very few complaints on the Better Business Bureau and other consumer forums compared to their competitors. Additionally, they are not-for-profit, which some people may find as an added benefit. Kaiser Permanente is an all-in-one health care provider that covers patients on both ends. This can become an issue because they are the insurance company as well as the patient or medical care provider. This seems to be a conflict of interest because they control both the treatment and the money. For example, if a particular treatment is very expensive, the concern would be that they could deny the procedure for the patient because, ultimately, they would have to foot the bill.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Frequently Asked Questions
What is Kaiser Permanente Insurance?
Kaiser Permanente Insurance is a health insurance provider that offers a wide range of healthcare services, including medical, hospitalization, prescription drugs, and preventive care coverage. They operate as an integrated managed care consortium, providing both health insurance and healthcare services to their members.
What types of health insurance plans does Kaiser Permanente offer?
Kaiser Permanente offers a variety of health insurance plans, including individual and family plans, employer-sponsored plans, Medicare Advantage plans for seniors, and Medicaid plans for low-income individuals and families. They strive to provide comprehensive coverage and access to a network of healthcare providers.
How can I contact Kaiser Permanente Insurance?
To contact Kaiser Permanente Insurance, you can visit their official website and find the contact information specific to your region. They typically have customer service phone numbers, email support, and online chat options available to assist with inquiries and concerns.
Are there any reviews available for Kaiser Permanente Insurance?
Yes, there are various sources where you can find reviews for Kaiser Permanente Insurance. Online platforms such as consumer review websites, social media, and insurance review websites often have feedback and ratings from policyholders. It’s recommended to explore multiple sources to get a balanced perspective.
What are some common complaints about Kaiser Permanente Insurance?
Common complaints about Kaiser Permanente Insurance may include issues related to customer service, claims processing, network limitations, coverage denials, and difficulties in finding preferred healthcare providers. However, it’s important to note that experiences can vary, and individual circumstances may contribute to specific complaints.
How can I file a complaint against Kaiser Permanente Insurance?
If you have a complaint against Kaiser Permanente Insurance, the first step is to contact their customer service department. They have dedicated staff to address concerns and attempt to resolve issues. If you’re not satisfied with the response, you may consider filing a complaint with your state’s insurance regulatory agency.
Are there any alternatives to Kaiser Permanente Insurance?
Yes, there are alternative health insurance providers available in the market. Some popular alternatives to Kaiser Permanente Insurance include other major health insurance companies, regional or local insurance providers, and government-sponsored healthcare programs like Medicaid or the Health Insurance Marketplace.
How can I make the most of my Kaiser Permanente Insurance coverage?
To make the most of your Kaiser Permanente Insurance coverage, it’s important to familiarize yourself with the details of your specific plan. Understand what services and treatments are covered, which healthcare providers are in-network, and any limitations or requirements for pre-authorization. Additionally, take advantage of preventive care services to stay healthy and manage your healthcare costs effectively.
Can I switch my health insurance to Kaiser Permanente Insurance?
Whether you can switch your health insurance to Kaiser Permanente Insurance depends on several factors, including your location and eligibility for their plans. If Kaiser Permanente operates in your area and offers plans that meet your needs, you may be able to switch during the open enrollment period or due to a qualifying life event.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Dani Best
Licensed Insurance Producer
Dani Best has been a licensed insurance producer for nearly 10 years. Dani began her insurance career in a sales role with State Farm in 2014. During her time in sales, she graduated with her Bachelors in Psychology from Capella University and is currently earning her Masters in Marriage and Family Therapy. Since 2014, Dani has held and maintains licenses in Life, Disability, Property, and Casualt...
Licensed Insurance Producer
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.