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Aetna vs. Kaiser Permanente: Medicare Advantage Comparison

Kaiser Permanente has higher overall star ratings than Aetna, but Aetna beats Kaiser on member experience measures and serves many more states.
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Oct 16, 2025
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Aetna gets the best star ratings among large companies with near-nationwide availability and makes $0-premium plans available to most Medicare members, but it doesn’t have the best customer satisfaction.

Kaiser Permanente’s Medicare Advantage plans are available in eight states and Washington, D.C., and Kaiser uses an integrated HMO care model, so all providers are connected.

Aetna Medicare Advantage - Main
Aetna
4.19
CMS Star Rating
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on http://askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?
Kaiser Permanente Medicare Advantage
Kaiser Permanente
4.42
CMS Star Rating
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?

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

45+ Medicare companies and brands analyzed by our team of experts.

30+ years of combined experience covering Medicare and personal finance.

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NerdWallet’s Medicare content, including articles, reviews and recommendations, is produced by a team of writers and editors who specialize in Medicare. Their work has appeared in The Associated Press, Washington Post, Nasdaq, MSN, MarketWatch, Yahoo! Finance and other national and regional media outlets. They have been cited in publications including Healthline, and appeared on NerdWallet's "Smart Money" podcast.

Aetna Medicare Advantage

Aetna Medicare Advantage plans with $0 premiums are widely available and get good star ratings, but customer satisfaction scores on surveys are underwhelming.

Pros

  • Highest weighted average star ratings among companies that sell plans nearly nationwide.

  • $0 premium plans available to 82% of Medicare beneficiaries.

  • $0 coverage for Tier 1 and Tier 2 drugs on most plans.

  • All plans include SilverSneakers and some dental, vision and hearing coverage.

Cons

  • Below-average customer satisfaction in many markets surveyed by J.D. Power.

  • Maximum out-of-pocket costs are higher than most major competitors.

Other factors to consider

Provider size

4th-largest provider of Medicare Advantage plans.

Medicare Advantage enrollment

More than 4.1 million.

Percent of plans rated 4 stars or higher

68%.

Percent of plans with $0 premium

61%.

Plans available

HMO, HMO-POS, PPO, SNP.

Aetna Medicare Advantage plan availability

Aetna Medicare Advantage - Main
Aetna
4.19
CMS Star Rating
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on http://askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?

» MORE: Read our full review of Aetna Medicare Advantage plans

Kaiser Permanente Medicare Advantage

Kaiser Permanente Medicare Advantage plans get above-average star ratings, but the company sells plans in only eight states and Washington, D.C.

Pros

  • Earns top customer satisfaction scores in California, one of the major Medicare markets studied by J.D. Power.

  • Star ratings from CMS are well above average.

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 are below average.

Other factors to consider

Provider size

5th-largest provider of Medicare Advantage plans.

Medicare Advantage enrollment

Nearly 2 million.

Percent of plans rated 4 stars or higher

100%.

Percent of plans with $0 premium

38%.

Plans available

HMO, HMO-POS, PPO, SNP.

Kaiser Medicare Advantage plan availability

Kaiser Permanente Medicare Advantage
Kaiser Permanente
4.42
CMS Star Rating
on NerdWallet
M-F 9AM-9PM, Sat 10AM-6PM ETSpeak to a licensed insurance agent on askchapter.org
IS THIS PROVIDER AVAILABLE IN MY STATE?

» MORE: Read our full review of Kaiser Permanente Medicare Advantage plans

Find the best 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, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).

Medicare Advantage review methodology

The Medicare Advantage marketplace is concentrated among just a handful of companies; in many places, one insurer serves more than half of the market. NerdWallet reviewed 26 Medicare Advantage brands, with some insurers having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.) At the national level, these reviews include nine of the 10 largest brands by enrollment. At the state level, our research includes at least one major insurer in 47 of the 49 states that offer Medicare Advantage plans, and includes the top two insurers in 35 of those states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.

NerdWallet’s Medicare Advantage reviews are based on ratings data from the Centers for Medicare & Medicaid Services, as well as pricing, plan availability by state, plan types available, consumer experience, extra benefits offered and more. These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for additional information.