About Kaiser PermanenteKaiser Permanente is a managed care organization from which consumers can not only purchase a health plan but can also receive medical care from any of the Kaiser Foundation Hospitals and medical centers. Headquarted in Oakland, California, the company was founded by industrialist Henry J.Kaiser and physician Sidney Garfield in 1945.
The company is made up of three interdependent groups, the Kaiser Foundation Health Plan and its regional operating subsidiaries, Kaiser Foundation Hospitals and the regional Permanente Medical Groups. The company has issued over 8 million health policies and has annual revenue of over $47 billion. Approximately 167,000 employees have been associated with the company and the company has 37 medical centers and 611 medical offices and the company also has more than 14,000 physicians practicing in the Kaiser managed care network. It is the largest managed care organization in the United States and serves around 12.3 million members.
Health Plans offered by Kaiser Permanente
Using Kaiser’s healthcare providers network, individuals can purchase a health insurance plan from the multiple options ranging from classic plans, essential plans, HSA plans and advantage plans. The company brings competitively priced health plans along with top quality doctors and hospitals that provides people with the option to obtain healthcare benefits and coverage for themselves and their families. Health insurance plans offered by the company include:
Individual & Family Health Plans
Kaiser Permanente offers Individual and Family Health Plans that covers benefits required by individuals and their families. The plans are offered with the aim to put preventive care and individuals overall wellness first and hence this plan covers routine appointments, wellness programs, preventive screenings and more healthcare services to prevent individuals from getting sick first. The individual and family plans are offered in three metal levels, gold, silver and bronze plans available in different range of cost shares and premiums.
Kaiser Permanente medicare health plans provide more coverage than original Medicare as individuals enrolled in the Medicare plans receive affordable, high-quality care and prescription drug coverage, all in a single plan. With Kaiser Permanente Medicare plans individuals get Part A hospital insurance, Part B medical insurance and Part D prescription drug coverage, all in one plan. However, if individuals wish to obtain vision, dental and hearing benefits too then they can opt for these coverage also. Medicare plans offered by the company include:
- Original Medicare
- Senior Advantage (HMO) Individual Plans
- Part D Prescription Drug Coverage
Medicaid, a federal and state health coverage program, is designed for people with low incomes and limited resources and if one qualifies fr Medicaid under their state’s program then he/she is eligible to obtain medicare health care from Kaiser Permanente. Medicaid plans offered by Kaiser permanents provides a core set of health care benefits that include doctor visits and immunizations. Individuals eligible for Medicaid are covered for several health care services like, outpatient care, pediatric services, medication, hospital inpatient care, emergency care, laboratory services, maternity and newborn care, mental healthcare, preventive and wellness services.
Some of the other health insurance plans offered by Kaiser include:
Classic Plan – Kaiser offers classic health insurance plans in which the insured need to co-pay for doctor’s office visits. With this plan insured also receive unlimited doctor’s visits, emergency services, after-hours visits and generic drugs, all these benefits are offered with a co-pay amount. The classic plans offer yearly deductibles and the amounts may vary by state.
Essential Plan – The essential health insurance plan comes with co-pay options for covered outpatient services. After insured met their yearly deductible then there is no co-pay. The co-pay covers visits outpatient services and generic prescription drugs. In clasic plans also the deductible amounts may vary by state.
Advantage Plans – Advantage plans offered by Kaiser provide coverage for primary doctor care visits, first two specialist’s visits, emergency room services and generic prescription drugs. All these benefits are offered for a co-pay until and unless the insured meet the year’s deductible. There is no charge for covered services after the insured meet the yearly deductible, the amount of which vary by state.
Health Savings Plan – Health plans offered by Kaiser also provide the option to add a Health Savings Plan option. It is a saving account in which insured can save money to use toward their deductible expense or other health-related expenses. If the saved money is spend for health-related expenses then it is tax free. The HSA-qualified plans have an individual deductible of $5,000 and a family deductible of $10,000.
Vital Facts about Kaiser Permanente
Kaiser Permanente for nearly eight decades are proactively responding to people’s critical need for quality health care through their array of health insurance plans and services. Some of the distinguished facts related to the company include:
- Kaiser Permanente is one of the U.S. largest not-for-profit health plans company.
- The company was formed with the simple idea that everyone deserves the chance to live a healthy life and so the company aims to provide high quality care as well as coverage in one place.
- The company provides a diverse choice of plans and plan types.
- The company provides top-notch doctors at world-class facilities to every member
- The company has some of the lowest rates of the health plans and offers an array of choices compared to other health insurance companies.
- Each and every plan offered by the company covers a certain percentage of preventative care, primary care, specialty care, and prescription drugs.
- The company renders special services like online access to personal health record, e-mail connection with doctor’s office, and online prescription refills for the members.
- The company’s product and services are designed keeping in mind individuals and their families along with Medicare eligible individuals.
Kaiser Permanente medical services and health insurance plans are available in nine U.S. states including Colorado, Georgia, Hawaii, Virginia, Maryland, California, Oregon, Washington, Ohio and the District of Columbia. The health care company is the largest managed care organization in the United States.
Kaiser Permanente has high customer satisfaction ratings based on diverse survey results, as high percentage of customers are found completely satisfied with the company’s products and services. Fitch ratings has also given this company an A+ rating and even Standard and Poor’s has also given the company with A+ rating. The company also has high claim processing rate, as it has been given 4.5 out of 5 and both customer service and value for price both received 4 out of 5 ratings. Kaiser has been awarded by J.D.Power and Associates with the highest customer satisfaction ranking for health insurance consecutively for the sixth years.
The Bottom Line
Kaiser Permanents is a nonprofit health insurance company, which is driven by the needs of their members rather than the needs of shareholders. The company also understands their responsibility towards the communities and thus provide assistance to the uninsured and special populations, impart training to new health professionals, launch new delivery process in the healthcare field and develop and share improved ways of caring patients. The company has set them apart through their integrated model of health care delivery and hence provide and coordinate all healthcare for their members that include:
- Preventive care
- Baby and prenatal care
- Screening diagnostics
- Emergency care
- Hospital and medical services
- Pharmacy services