Filing · f0352

Kaiser Permanente Hawaii

Kaiser Permanente · Medicare Advantage · HI · H1230 · CY2025

In 2025 this plan received 22,497 standard prior authorization requests and denied 7.1% of them. The median for Medicare Advantage plans of comparable size is 10.5%.

Standard denial rate

7.1%

22,497 standard requests, 1,594 denied. 63.6% of appealed denials were overturned.

Requests and outcomes

	Total	Approved	Denied	Denial rate
Standard	22,497	20,903	1,594	7.1%
Expedited	1,661	1,608	53	3.2%
Extended review, approved	0

Appeals of standard denials

Appeals filed	11
Denials overturned	7
Overturn rate	63.6%

Turnaround

	Mean	Median
Standard	1.9 d	0.6 d
Expedited	6.0 h	1.0 h

Kaiser Foundation Health Plan of Washington	6.1%
Kaiser Permanente Northern California	10.5%
Kaiser Permanente Southern California	19.5%
Kaiser Foundation Health Plan of the Mid-Atlantic States	5.5%
Kaiser Foundation Health Plan of Colorado	9.6%
Kaiser Foundation Health Plan of the Northwest	12.6%
Kaiser Permanente Southern California - Medi-Cal	6.4%
Kaiser Foundation Health Plan of Georgia	3.1%