Cigna vs. Kaiser Permanente: Medicare Advantage Comparison - NerdWallet (2024)

Cigna Medicare Advantage members have access to a $0-premium plan in every Cigna market, and most of Cigna's members are in highly rated plans.

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.

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

Cigna Medicare Advantage

Cigna vs. Kaiser Permanente: Medicare Advantage Comparison - NerdWallet (1)

Cigna

3.75

CMS Star Rating

Cigna plans are low-cost and member experience scores are about average, but star ratings from CMS have declined.

(844) 905-0539 / TTY 711

8am - 11pm EST, 7 days a week

Speak to a licensed insurance agent on MedicareEnrollment.com

GET A QUOTE

from MedicareEnrollment.com

States available

29 states and Washington, D.C.

Members in high-rated plans

Medium (50% to 89%)

Member experience

3.53 (Average)

Pros

  • More than 8 in 10 Cigna plans are $0-premium plans.
  • Offers a range of member benefits, such as 24/7 telehealth, meal delivery and transportation to and from health facilities.

Cons

  • Below-average star ratings.
  • Available in only 29 states and Washington, D.C.
  • The National Committee for Quality Assurance gives all Cigna plans a score of 3.5 stars or lower on their 5-point scale.

Other factors to consider

Provider size

7th-largest provider of Medicare Advantage plans.

Medicare Advantage enrollment

More than 580,000.

Percent of plans rated 4 stars or higher

46%.

Percent of plans with $0 premium

83%.

Plans available

HMO, HMO-POS, PPO, SNP.

Cigna Medicare Advantage service area

Kaiser Permanente Medicare Advantage

Cigna vs. Kaiser Permanente: Medicare Advantage Comparison - NerdWallet (2)

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.

(888) 614-3549 / TTY 711

8am - 11pm EST, 7 days a week

Speak to a licensed insurance agent on MedicareEnrollment.com

GET A QUOTE

from MedicareEnrollment.com

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 service area

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, visitMedicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).

Cigna vs. Kaiser Permanente: Medicare Advantage Comparison - NerdWallet (2024)

FAQs

Cigna vs. Kaiser Permanente: Medicare Advantage Comparison - NerdWallet? ›

Kaiser Permanente: Medicare Advantage Comparison. Kaiser Permanente's overall star ratings are higher, but Cigna gets better scores for member experience. Kate Ashford is a writer and NerdWallet authority on Medicare.

What is the most highly rated Medicare Advantage plan? ›

Our Top Medicare Advantage Providers
  • Best Consumer Reputation: Blue Cross Blue Shield.
  • Best Nationwide Coverage: Humana.
  • Best Local Support Services: Aetna.
  • Largest Provider Network: UnitedHealthcare.
  • Best Additional Benefits: Cigna.
  • Best Overall CMS Rating: Anthem.
Jun 3, 2024

Is Cigna Medicare Advantage good? ›

Cigna was not rated in the other states that J.D. Power looked at. Overall, Cigna's Medicare Advantage plans have a slightly below average 3.5 out of 5 quality rating from the Centers for Medicare and Medicaid (CMS). Cigna scores particularly well for its pain management and kidney disease monitoring coverage.

What is a disadvantage of choosing Kaiser? ›

Cons Explained

Though it has a strong presence regionally in California, Colorado, the Pacific Northwest, and the Mid-Atlantic, Kaiser is not available in most of the country. HMOs are the only available plan type: Kaiser only offers MA plans of the HMO variety.

Is Kaiser a good choice for Medicare? ›

Members are in strong plans: Eight out of 10 Kaiser Medicare Advantage members (80%) are in a plan rated 4 stars or higher. Prescription benefits: Most of Kaiser's Medicare Advantage plans include drug coverage. Limited availability: Kaiser Permanente plans are available in just eight states and Washington, D.C.

Which Medicare Advantage plan is best for seniors? ›

Here's an overview of our top picks for Medicare Advantage plans:
  • Best for size of network: UnitedHealthcare Medicare Advantage.
  • Best for extra perks: Aetna Medicare Advantage.
  • Best for local support: Blue Cross Blue Shield Medicare Advantage.
  • Best for low-cost plan availability: Humana Medicare Advantage.
May 13, 2024

Why are people leaving Medicare Advantage plans? ›

Most individuals that dislike a Medicare Advantage plan usually have had a bad experience with in-network providers, plan authorizations for medical care, or having to wait a long time to have an appointment scheduled. Some of these concerns can be attributed to the healthcare provider.

What is the Kaiser Permanente controversy? ›

Kaiser Permanente agreed to a $200-million settlement and major changes to its mental health services after investigations revealed the healthcare giant canceled tens of thousands of appointments and failed to provide timely care, the California Department of Managed Health Care announced Thursday.

Why do people like Kaiser so much? ›

With Kaiser, many members like the fact that everything is in one location. They don't have to bounce from doctor to doctor. Tied in with this is the fact that Kaiser is able to coordinate health care among different doctors, labs, etc. To round this out, a person's health history and notes are all centralized.

Is Cigna good insurance? ›

Is Cigna good insurance? Cigna is a good insurance company, but it isn't usually the best option for most people. Even in the states where its rates are cheaper than the state average, Cigna usually isn't the cheapest health insurance. And its customer satisfaction is typically lower than average.

What is the difference between Kaiser Senior Advantage and Kaiser Senior Advantage Plus? ›

As a Kaiser Permanente Senior Advantage member, you enjoy the ease of combining your Medicare coverage with Kaiser Permanente coverage in a single plan. Now, with Advantage Plus, you can get valuable comprehensive dental, extra hearing, and extra vision benefits added to your plan.

Does Kaiser Senior Advantage cover Medicare Part B? ›

Kaiser Permanente is a Medicare Advantage Plan (Part C) and delivers more value than Original Medicare. Our plans combine Medicare Parts A & B (Original Medicare) and Part D (Prescription Drugs), as well as offering you additional benefits for vision, dental, hearing & fitness.

How many stars does Kaiser Permanente have? ›

5 out of 5 stars from Covered California

Kaiser Permanente was the only health plan in the state to earn 5 stars for overall quality. We've received 5 stars for overall quality for 5 years in a row. We also earned 5 stars for “Members' Care Experience.”

What states have 5-star Medicare Advantage plans? ›

What states have 5-star Medicare Advantage plans?
  • Alabama.
  • Arkansas.
  • California.
  • Colorado.
  • Florida.
  • Georgia.
  • Hawaii.
  • Idaho.
Sep 8, 2023

What is the best Medicare company to go with? ›

Our Top Medicare Supplement (Medigap) Plans
  • Best Additional Plan Benefits: Humana.
  • Best Membership-Based Perks: AARP by UnitedHealthcare.
  • Best Plan Variety: Blue Cross Blue Shield.
  • Best Rewards Program: Cigna.
  • Best Financial Reputation: State Farm.
Jun 3, 2024

Which Medicare Advantage plan has the most enrollees? ›

Total Medicare Advantage Enrollment, 2023 = 30.8 million
  • UnitedHealthcare (8.9 million; 29%)
  • Humana (5.5 million; 18%)
  • BCBS plans (4.4 million; 14%)
  • CVS Health (3.3 million; 11%)
  • Kaiser Permanente (1.8 million; 6%)
  • Centene (1.3 million; 4%)
  • Cigna (.6 million; 2%)
  • All other insurers (4.9 million; 16%)
Aug 9, 2023

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