Kaiser Permanente, often referred to simply as Kaiser, is headquartered in Oakland, California and was founded in 1945 by industrialist Henry J. Kaiser and Doctor Sidney Garfield.
Kaiser Permanente is made up of three entities that are interconnected to form an integrated managed care consortium. These groups, or organizations, are the Kaiser Foundation Health Plan, Inc. (KFHP) and its regional operating subsidiaries – Kaiser Foundation Hospitals, Permanente Regional Medical Groups.
Unlike many major health insurance coverage providers, Kaiser Permanente is not present in every state, not even in most states. In fact, outside of California, Kaiser Permanente serves members only in Colorado, the District of Columbia, Georgia, Hawaii, Maryland, Oregon, Virginia, and Washington.
However, its member client base is close to 13 million people, and it is the largest managed care organization in the United States
Kaiser Permanente: Spotlight on California
Kaiser Permanente in California currently has 9 million affiliates or members, which is roughly a quarter of all Californians. In fact, Kaiser is the largest managed care organization in the state.
In addition to being headquartered in California and only a few hours from the state capital, Kaiser Permanente has made a point to contribute to the health-related well-being of Californians in programs that benefit all Californians, not just Kaiser members.
According to the post news storyAnd the
In 2020, KP gave $25 million to one of Newsom’s flagship initiatives, a state homelessness fund to get people from the streets to hotel rooms, according to a KHN analysis of charitable payments made to the California Fair Political Practices Commission. In the same year, she donated $9.75 million to the State Afflicted Relief Fund.
However, the same story is that a special arrangement allows Kaiser Permanente to restrict enrollment in Medi-Cal (California’s Medicaid health care program) primarily to former enrollees, except in the case of adopted children and people who qualify for both Medicare and Medi-Cal.
Opponents of this deal include other Medi-Cal managed care insurance plans who have argued they risk losing hundreds of thousands of patients and millions of dollars as a result.
In a recent press release from Kaiser, the managed healthcare giant announced an expanded set of default plan options for 2022. These include new small business employer plans through Small group default redirect and plans for individuals and families through KPIF a program.
Kaiser Permanente in 2022: What’s Still Great
Kaiser has had its share of labor strikes, lawsuits, and difficulties with other managed care providers, but it is still considered one of the best health plans available by the majority of its members.
As a personal finance site ValuePenguin RegardAnd the
“Kaiser Permanente consistently has the highest ratings for individual insurance and Medicare plans, often far ahead of any competitors. It has a unique model of having Medicare and insurance as affiliates of the same company. This is great for those who want a streamlined experience between health insurance and Medicare, but These policies are not appropriate for those who want flexibility when choosing health care providers.”
Going on to review the Kaiser Permanente website to note that Kaiser has been repeatedly named one of the best health insurance providers in the country. HealthCare.gov and Medicare.gov give ratings of Kaiser plans from 4 to 5 stars. This is consistently higher than most other major insurance companies operating in the United States.
Another great feature for many members is that their insurance coverage works in tandem with all Kaiser Hospitals and Medical Centers. This means a simpler approach to your claims and coverage process.
This also allows Kaiser to keep its costs low so that it can offer affordable plans to its members.
However, it is both the aspect of comprehensive managed care and its limited coverage that are real downsides for many who prefer to get Kaiser Permanente for their health coverage.
Besides being limited to members who live in eight states and the District of Columbia, one of the biggest downsides to Kaiser health insurance is that most of their plans don’t have out-of-network coverage except for urgent care visits or emergencies.
JC Lewis Insurance: When you need health insurance tips and tricks
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We are a California family owned and operated health insurance agent based in Sonoma County that specializes in helping find and manage medical insurance plans for small businesses, as well as for individuals and families, and for people who have Medicare.
Not only are we expert brokers, but we are also licensed and approved by each of these insurance companies to offer coverage to individuals, families, and small group employers as well as supplement and prescription drug plans for seniors.
For small business owners and employers willing to offer health coverage benefits, we are both a guide, experienced, and well-respected in the field as well.
If you are self-employed, or if your employer does not offer health benefits, an individual or family plan may be the best option for you or your family.
And if you are looking to purchase medical insurance for you and your family, you will likely have many questions and concerns. Ask your questions about health coverage insurance and you can be confident that the insurance services of JC Lewis will help you find the right solution.