Care and Coverage | Kaiser Permanente (2024)

Care and Coverage | Kaiser Permanente (1)

Kaiser Permanente has been providing high-quality health care and coverage for more than 75 years. By connecting care with coverage, we pioneered a new model for health care, where things are designed to work together — and help our members thrive. Our care model enables our teams to think and work as one, coordinating your care seamlessly, so you don’t have to — and delivering better care when it matters most.

Care that’s built to support your total health1

Care and Coverage | Kaiser Permanente (2)

Care teams

23,271 physicians
64,306 nurses

Meet doctors

Care and Coverage | Kaiser Permanente (3)

Facilities

39 hospitals
715 medical offices

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Health plans

Providing care and coverage for over 12.4 million members

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Better care from a connected team

When you’re a Kaiser Permanente member, your whole care team is connected — to you, and to each other — through your electronic health record. Every visit is captured, so your doctor can use your health history to inform your care. If you need to see a specialist, they’ll have important information about your health before they even meet you in person.2 And when you fill a new prescription, your pharmacist can make sure it’s safe to take with your other medications. This enables us to deliver the right care faster — and help members avoid unnecessary visits, serious health conditions, and sleepless nights.

Care and Coverage | Kaiser Permanente (5)

Connected care makes your life easier

Our doctors, hospitals, and health plans are all part of one team. That means your eye doctor can remind you if you’re overdue for a cancer screening. And the app you use to view your lab results is the same one you use to pay your bills. It takes the hassle out of health care — so you can focus on living your life.

See what it's like to be a member

A partner in health

When everything about your health care, including your health plan, is connected, everyone is equally invested in your total health. We take an active role in helping to keep you healthy from the minute you become a member — not just when you get sick or injured. Because of our care model, it’s in everyone’s best interest to provide the right care, not more care — and when our members thrive, everyone wins.

Preventive care to help you stay ahead of health problems

Many common health conditions are preventable — so a proactive approach to prevention is the foundation of how we practice medicine. When you’re a Kaiser Permanente member, your electronic health record triggers automatic reminders for screenings, so we can let you know when it’s time to make an appointment. Your care team sees a complete picture of your health at every visit. And your care gets documented along the way. It’s how we help many members avoid serious health issues, and help others catch problems before they’re serious.

Specialty care you can trust

When faced with serious health problems, you’ll get great doctors, the latest technology, and evidence-based care — all working together to support your journey back to health.

Learn more about our specialty care

A leader in clinical quality3

In 2019, Kaiser Permanente led the nation as the top performer in:

  • Prevention and screening
  • Cardiovascular care
  • Comprehensive diabetes care
  • Mental health
  • Maternity care

Convenient, hassle-free health care

You expect convenient options from restaurants, retailers, and banks — so why not health care? At Kaiser Permanente, you can get care where, when, and how you want it. With more options to choose from, it’s easier to stay on top of your health. And isn’t that what health care is for?

Choose how you see your doctor

Care and Coverage | Kaiser Permanente (6)

Video Visit4

Care and Coverage | Kaiser Permanente (7)

Phone appointment4

Care and Coverage | Kaiser Permanente (8)

In person

More simple ways to get care in the moment

E-visit

Fill out a short questionnaire about your symptoms online and get personalized self-care advice from a Kaiser Permanente health care professional.

24/7 care and advice by phone

Call us for advice when you need it most. We’ll help you find out what care is right for you, schedule appointments, and more.

Email

Message your doctor’s office anytime with nonurgent health questions.5 You’ll get a response usually within 2 business days.

The Kaiser Permanente app

Download the app to manage routine appointments, refill most prescriptions for mail-order delivery, see most test results, and more.6,7

More than just health care — support for healthy living

We’re here to help you stay healthy — not just take care of you if you get sick. Good health goes beyond the doctor’s office, and living a healthy lifestyle can help you thrive for years to come. That’s why we support our members in ways that go beyond providing great health care, including:8

  • Special rates on fitness classes, gym memberships, fitness gear, and more.
  • Wellness apps to help improve sleep, mood, relationships, and emotional health.
  • Personalized online programs to help you lose weight, quit smoking, reduce stress, and more.

Built to be different — and better

Having a good health plan is important. So is getting high-quality care. Kaiser Permanente was built to give you both.

Telehealth and convenient, connected care

See why telehealth works best in a connected system — and how that benefits you.

Making the most of your doctor’s appointment

Find out how to get the most out of the time you spend with your doctor.

5 health care terms to know

Learning these common health care terms can help you plan for the cost of your care.

Shop our plans

Compare all our health plan options, get a quote, and apply online.

Shop plans

Doctors and locations

Find top-notch doctors, specialists, and pharmacies near you.

Find doctors and locations

Thrive together

Discover new ways to thrive — in mind, body, and spirit.

Read articles


1
Data as of June 2020.
2When you get care from Kaiser Permanente providers.
3Kaiser Permanente 2019 HEDIS® scores. Benchmarks provided by the National Committee for Quality Assurance (NCQA) Quality Compass® and represent all lines of business. Kaiser Permanente combined region scores were provided by the Kaiser Permanente Department of Care and Service Quality. The source for data contained in this publication is Quality Compass 2019 and is used with the permission of NCQA. Quality Compass 2019 includes certain CAHPS® data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass® and HEDIS® are registered trademarks of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality.
4When appropriate and available.
5When you get care from Kaiser Permanente facilities.
6See note 5.
7To use the Kaiser Permanente app, you must be a Kaiser Permanente member registered on kp.org.
8The services described are not covered under your health plan benefits and are not subject to the terms set forth in your Evidence of Coverage or other plan documents. These services may be discontinued at any time without notice.

Care and Coverage | Kaiser Permanente (2024)

FAQs

Is the Permanente medical Group the same as Kaiser? ›

The Permanente Medical Groups, which provide care for Kaiser Permanente members, continuously develop and refine medical practices to help ensure that care is delivered in the most efficient and effective manner possible.

Are Kaiser and Kaiser Permanente the same? ›

Kaiser Permanente is made up of three distinct but interdependent groups of entities: the Kaiser Foundation Health Plan, Inc. (KFHP) and its regional operating subsidiaries; Kaiser Foundation Hospitals; and the regional Permanente Medical Groups.

How is Kaiser different from other insurance? ›

We serve our members using a unique business model that combines health coverage and care delivery into one coordinated experience. Unlike a traditional insurance company, we are a membership-based, prepaid, direct health care system.

What is another name for Kaiser Permanente? ›

In 1984, the region opened its first pharmacy and officially changed its name to Kaiser Foundation Health Plan of the Mid-Atlantic States. Founded in 1980, Kaiser Permanente of the Mid-Atlantic States, headquartered in Washington, D.C., comprises: Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

What hospitals are affiliated with Kaiser Permanente in California? ›

Award-winning care for all that is you
  • Kaiser Permanente Antioch Medical Center. ...
  • Kaiser Permanente Fresno Medical Center. ...
  • Kaiser Permanente Redwood City Medical Center. ...
  • Kaiser Permanente Roseville Medical Center. ...
  • Kaiser Permanente San Francisco Medical Center. ...
  • Kaiser Permanente San Jose Medical Center.

Why is Kaiser Permanente so popular? ›

When members visit Kaiser Permanente, they can be sure they're getting the best, most appropriate care for their condition — care that is based on the latest proven research. That's because all our doctors, nurses, and clinicians have quick and easy access to our Clinical Library.

What states use Kaiser Permanente? ›

Kaiser Permanente service areas include all or parts of: • California • Colorado • Georgia • Hawaii • Maryland • Oregon • Virginia • Washington • Washington, D.C.

Can I go to Kaiser with medical? ›

The California Medi-Cal program provides health care coverage for some of the most vulnerable populations in the state and Kaiser Permanente participates in the Medi-Cal program to provide high quality care to enrolled beneficiaries in most counties currently served by the health plan.

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.

What are the cons of Kaiser Permanente? ›

Takeaways:
Pros of Kaiser PermanenteCons of Kaiser Permanente
Best Average ACA Plan RatingsLong Wait Times
Convenient Care OptionsLimited Choice of Providers
Excellent Average DeductiblesRestricted to Certain Parts of the U.S.
Predictable CostsLack of Coverage for Many Services
6 more rows
Jun 19, 2024

Why do people love Kaiser Permanente? ›

Connected care. Kaiser Permanente combines care and coverage — which makes us different than your other health care options. Your doctors, hospitals, and health plan work together to make exceptional health care easy to get.

What is better Blue Cross Blue Shield or Kaiser? ›

Kaiser offers all the medicated care with the providers connected whereas BCBS has flexible plans that can be customized according to the local needs and that include both, in and out-network care.

Which is better a PPO or HMO? ›

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

Is Kaiser a PPO or HMO and why? ›

Kaiser is an HMO (Health Maintenance Organization) with a closed network of providers.

What is the largest medical group in California? ›

The Permanente Medical Group is the largest medical group in the United States — and one of the most distinguished.

Is Kaiser Permanente an insurance company in the USA? ›

Kaiser Permanente Insurance Co operates as an insurance firm. The Company offers life, accident, and health to groups and individuals. Kaiser Permanente Insurance Co serves customers in the United States.

Is Kaiser Permanente part of Medi Cal? ›

On January 1, 2024, Kaiser Permanente will have a Medi-Cal contract with the California Department of Health Care Services (DHCS) in your county. You no longer have to enroll in another Medi-Cal health plan first, to get coverage and care from Kaiser Permanente providers.

Is Kaiser Family Foundation the same as Kaiser Permanente? ›

KFF is not a foundation and has no connection to Kaiser Permanente.

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