Kaiser Permanente Insurance
Kaiser Permanente Insurance Reviews
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Since laying off over 3000 doctors and nurses for (rightfully) refusing the COVID vaccine, the quality of care and the ability to get appointments in a reasonable timeframe have taken a steep nosedive. Currently, I cannot make an appointment to see my primary doctor under any future timeframe. The automated phone system one has to wade through for the any type of communication will drive a normal person crazy. Call backs to specialty departments are required to use the generic main line and at least 20 minutes of selections and repeatedly submitting the same information. This is my last year with Kaiser. They are not what they used to be.
Kaiser claims to cover, (providing endless letters and phone calls to remind customers to do) three preventative cancer screening tests. They do not disclose that they only partially cover these services. When a breast cancer image does not clearly show the breast tissue, additional images are taken during the visit to make a clear diagnosis and to reduce unnecessary return visits for clarity- not an unusual event according to my unscientific research of all females around me. Kaiser states they only cover 1 mammogram per year. This additional imaging is considered "extra yearly mammograms" and the customer is required to pay. I am required to pay.
Unless one falls under specific medical diagnosis (and this narrows the crowd significantly), complete anesthesia is not covered for Colonoscopy screenings. Has anyone ever had a colonoscopy and wanted to be aware of the procedure? They state they will cover a sedative that numbs feeling but you are awake, possibly slightly groggy in the best of circumstances. If there is too much discomfort the procedure cannot be completed. Have not gone through the procedure to attempt a cervical cancer screening - I can't even start to review what could they possibly not cover for that.
Preventative services are done for early detection and need to be done completely to make an accurate diagnosis. During procedures Kaiser has told me it is my responsibility to ask at every action "does Kaiser cover this?" How would the person doing screening possibly know the answer to this - only accounting with the codes can truly answer. There needs to be governance over this type of selective billing. A procedure needs to be covered to the point of making the accurate diagnosis. This screening reduces their costs, why are they penny pinching for this, WHY ARE THEY ALLOWED TO PENNY PINCH FOR THIS?
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Kaiser has refused to pay for my son's out of network therapy sessions. Kaiser was and is still unable to provide the necessary help for my son's mental state. He needs long term help and therapy. I am very disappointed with Kaiser's plans. Kaiser needs to realize that mental health is serious, and that teens and young adults are dying due to the lack of service Kaiser provides. Kaiser's once a month therapy sessions are not enough. Kaiser's short term inpatient services are without a doubt not helpful.
Please pay more attention to mental health, especially in teens and young adults. Stop sponsoring many events, and start helping our teens/young adults with therapy and long term mental health. If kaiser cannot provide this help, please pay for out of network help. We have an individual plan, and pay an arm and a leg every month. Other insurance companies know how serious mental health is, and are willing to pay for the services. My family and I are seriously contemplating switching to another insurance company.
Kaiser NW claims to have acupuncture, chiropractic and naturopathy in their Medicare Advantage plans. However there is no communication between the CHP group (where these services are funneled through) and Kaiser. I pay my premiums and even get text and email notifications about this great benefit. However CHP shows I don’t have Kaiser insurance. And, Kaiser does not respond to requests for verification. It’s March 27th. So far 3 months. It seems that KP wants you to sign up for their plan. And, not live up to their promise. I call that fraud. What else do they do this with?
Kaiser Fontana: My 4 year old son was refused service for not having a mask on. My child has battled with anything obstructing his face or head because he had to wear a cranial helmet for a long time as an infant. Kaiser refused to see him even though 20% of people at the hospital were not wearing masks. Not including Kaiser staff either wearing it inappropriately or lowering it below their chin to speak to me. I took off of work to schedule this appointment, only to be refused service. When I spoke to a manager, they advised me that if I cared enough to have him seen, I’d force a mask on him. And don’t let me get started on their ** ER. You have to be metal detected to gain entry and the area itself is extremely unsanitary. Save your money! They’re trash since they’ve begun to accept HMO.
I have had Blue Shield, Aetna, and now Kaiser. Kaiser is so bad, that I found another job to get better insurance coverage. They lied to me about how to get routine care, and then charged me for their lies. If you might ever need a mammogram, a flu shot or basic care, don't expect it from Kaiser. When I finally found a way to submit a complaint, the person I talked to wasn't the person reviewing it and the person reviewing it only responded to a small portion of the story and never talked to me directly. They never asked me any questions, they just made a decision based on a small portion of what I was saying.
Originally, They told me I needed one of their providers to refer me for a mammogram and that if I made an appointment, and got that referral, then they would partially cover my mammogram. So upon the advice of the person at customer service, I made that appointment. The person I made an appointment with said they would make the referral but, I never got the referral and they charged me for an appointment to get a referral (there was no exam, just a request for a referral.).
When I finally found a well-hidden way to submit a claim, they said I could just self-refer and pay for my mammogram myself. So, 1) they lied to me and 2), if I am paying for it myself, what is the point of Kaiser? I was so frustrated that I found a job this better insurance because thanks to Kaiser I've gone 2 years without a mammogram when I am at risk and supposed to get one every 6 months. This entire situation has been going in circles for way too long. If you just want health, care, or healthcare, get as far as possible from these people who will deny you that while trying to extract office visit payment for doing absolutely the opposite of what they said they would do.
I have acid reflux, my throat sore, ears hurt and they tell me it's nothing they can give. You tell me what kind of doctors are they. It's really sad how Kaiser treat people. All I can say is hurry up November, I be so glad get rid of ** ins. I would like to give them no stars. They always say they call you back 24 to 48 hours, that's a lie. When you go back in the room waiting for the doctor you're in there for at least half hour. It's ridiculous.
I feel ignored, doctors not reading or interpreting test results. A long wait for a specialist. 1 month to see a neuro then another month for MRI. I am sick NOW! I have been bed ridden for 3 months with no care or concern from Kaiser. A month wait to see a cardio while I suffer from chest pain, difficulty breathing, light-headedness. No timely response from care team. The only provider in the county for Medicare supplement but where is the timely care as stated on their mission statement. I have asked for out of network referral to a cardio who can see me sooner but no response. At this point even sitting up in bed has become difficult. Please protect yourself or any elderly loved ones from Kaiser. In all my years I have never been treated in this manner.
Kaiser is horrible. They charge a ridiculous amount to the patient when receiving doctor recommended tests and procedures, including cancer screenings. Cancer is one of the number one reasons people even have insurance and preventative medicine should always be covered not charged to the patient for thousands of dollars on top of your monthly health coverage. Their business model is to make money off of people, not to help people.
I HIGHLY discourage you from Kaiser. The care was always below par, but after Covid, I noticed it went even further down in quality. Medical standards that they follow are the absolute minimum they can get away with. For example, I requested to have a mammogram since I am in my 40s. They told me that "THEY changed the guidelines. You don't qualify for one anymore." Okay. Odd. I then switched to Premera Blue Cross, and requested the same test. They ordered the test for me, and told me that the guidelines have NOT changed within the American Gynocology Organizations but with a Medical Insurance provider. So it's a money issue, and Kaiser decides to follow the Insurance guidelines rather than the Medical Field guidelines. That's a red flag.
I mentioned to my dr that I felt like I needed to drop a few pounds after Covid lockdowns. She looked at me and said "You look fine." I asked for a referral for mental healthcare. They provided me with a code, but they didn't pay any amount for coverage. OVERALL, terrible care. I hate to say that because I'm sure the people who work there care about their patients to some extent. But I am beginning to think that Kaiser hires the lower half of the graduating classes of Medical School... it's also no shock that they (locally) bought out another healthcare facility that was renowned for horrific care (Group Health) and was nicknamed Group Death.
Kaiser Permanente author review by Joseph Burns
Kaiser Permanente is a unique health care management program that is located mainly in the western United States. In California, Colorado and seven other states, patients who have Kaiser coverage get health care services, including hospital stays, at Kaiser health facilities.
Offers low-cost health plans: Kaiser offers several different levels of service with varying premiums, deductibles and co-pays.
Kaiser offers all services itself: This company provides health care services as well as health care coverage, making it easier to get needed services and file claims.
Online application process: It’s easy to get a quote and sign up for Kaiser.
Kaiser Permanente Insurance Company Information
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- Kaiser Permanente
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