About Kaiser Permanente Insurance
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At first I thought Kaiser was great! Everything under one roof, blood work, x-ray, doctor, Pharmacy etc... Yeah, that's great and all but if you can't see your Dr when needed what is the point of having a Dr. Today I hurt my back and I mean hurt!!! I couldn’t even walk, couldn't put weight on my legs, they would just collapse, couldn't stand up straight, had to crawl and they said they could get me in in a WEEK. A week, really! Or I could go to Kaiser er she said, Kaiser doesn’t even have an er in Stockton, you have to go to another hospital. A few months ago I had kidney stones and went to another hospital associated with Kaiser and got prescribed medication there that I was allergic to. My face was swollen and my eyes were swollen shut.
I contacted my Drs fill in through email and she suggested I should POSSIBLY see someone. Really, possibly, no apt, nothing! When I called the other hospital he changed the meds right away without being seen and said stop using it right away and that my airway could have closed off. Also I was sent to a dermatologist who misdiagnosed me. I handed over my money just for them to tell me I have something that I don’t and not treat what I did have, which was obvious. The list goes on and on...
This medical facility Kaiser Permanente is about as weird crazy non-caring worst Healthcare negligent delayed diagnosis medical facility I've ever experienced in my life. I won't even go into my detail. It's too long of a story and it would take way too long to say, type, read, etc. Portland Oregon Clackamas in particular has no doctors that help people at all. I have had an acute issue on top of my chronic problems and they have yet to see me after 14 months in regards to that they have not even scheduled a surgery for it. They put all kinds of stipulations on you in order to get your health care and if you can't get into those stipulations you can't abide by the rules they send you to a psychiatrist opiate addiction counselor or smoking counselor a weight-loss counselor.
It's amazing to me that Kaiser can come back with their debt collectors (Rawlings Company LLC) more than a year from when a claim occurred and they only give insureds a short timeframe to dispute charges. From the time the police called and told us she was a passenger in an accident, we contacted Kaiser on our way to the hospital where she was taken. They KNEW where she was and the circumstances involved (this happened 03/30/17). We received a letter 09/17/18 that we owe Kaiser a dollar amount that will take us about 4 years to pay. Oh, and, we issued a complaint with the State's Attorney's office regarding another issue and out of the blue, Rawlings Company LLC sends the letter I referred to above. Kaiser is the least expensive plan being offered - it isn't the same as it was years ago.
My daughter was injured in an accident while away at school which is approximately 200 miles away from home. Due to this accident, she experienced issues with her knee and ankle. Kaiser refuses to give her a referral to see a doctor near the school. They rejected the request. My daughter is suffering from these issues and Kaiser, a cruel, ruthless and evil organization, refuses to help my daughter. So now we have to make a trip to bring her home to see her doctor to get a referral which means it could be another 2 to 3 weeks before she will be able to see an orthopedic doctor. How cruel can an organization be? They don’t care about your health. It is all about their processes and no flexibility. Kaiser is fake. They don’t care about you. It is all about money.
Waste time running to appointments, paying co-pays, needing pain meds - not getting any prescriptions! Still in pain - BUT have MRI results with a torn meniscus with swelling! Really - home exercises! In excruciating pain and waited a month for an appointment just to be seen be a PA - not the Orthopedic Surgeon! Co-pay after co-pay! This is really a scam!
I have been a member of this service because the union is the only service that offers us and it really makes fun of people for more than a year that I have been telling my doctor about a treatment and the truth is that they only deliberate the coas for another side saying I do not have anything. That is fine and the truth I took the medicines of pain and now I do not know what to do since again I have to weigh the treatment again mind and not know what to do now with this injustice.
My family had KP in the past around 15-10 years ago. I started w/KP again this year w/my employer. Today, my step-father received a letter from KP of a "professional bill summary." This letter was addressed to him and w/information of MY services stating that I owe KP. My step-father does not use KP and has not had KP as an insurance for 10 years. Why is he receiving a letter w/my personal information? Lastly, I have checked the estimate generator if I owed anything to KP, I do not owe anything. I filed a grievance immediately. I called member services twice; during the first call the rep asked me to hold and after 16 mins of holding the call disconnected. KP completely bungled this whole situation.
I was able to speak with someone at length today who was helpful and who will be following through. So hoping for the best and grateful for the help today.
I have been a member of Kaiser since 1990 and have always raved about the many good aspects of their care. But now I could write a book on how Kaiser Dental had mistreated me, not once apologizing for mishandling a situation that caused me great suffering. However, to even repeat that experience in detail would only re-traumatize me. I will simply mention my recent attempt to obtain a refund for overpayment. I talked with countless people, sent letters, was transferred numerous departments and had my bank send documentation.
When calls that were accidentally lost (after repeating my story to countless people)- I got no callback, no one cared to follow through. I get sent the same letter telling me what to do- when they did not even read the letter I sent to them explaining I had already taken those steps and nothing has been done yet. This is the worst I have ever been treated by any business- my assumption is they don't want my business or they would invest in HUMAN BEINGS (as they once did) who would take the time to resolve your matter. Terrible service as opaque as it can be - no transparency here. Buyer beware.
My husband had had Kaiser for years, but I have always had PPO, and he said his insurance was "fine". It was not until got onto mine that he realized the extremely poor Kaiser really was. With Kaiser you can only see you own primary doctor, which was not necessarily a bad thing, however, when you have to wait months just to see the doctor it becomes an issue. One time he was in so much pain due to a soccer injury, it was "off" hours, so they told us to go to another hospital that is approved, upon getting there we were told that they were closed and that we could not be seen. We were then referred to another hospital for ER. We went there and was not told by Kaiser or the hospital that the insurance would not cover the expenses and it cost us $4000.
After moving to my PPO, my husband was astonished to find out that all you have to do is call and you can get seen the same day more often than not. Which was not available with Kaiser. The service was so bad with them that he just avoided going whenever he was sick because it was such a hassle. My experience with Kaiser was not too dissimilar, hard to be seen, slow or delayed surgery times, poor or incorrect information from customer service. It is amazing to me that a company as large as Kaiser could be so incredibly bad, that they are as bad as some of the government offices that really only care about getting through the day for a paycheck. Kaiser should close its doors or fire all their executives with people that actually can do healthcare right.
I received a letter from Kaiser one day that they had terminated my health insurance because I had a balance passed due of... 1 cent! Yes, no kidding, $0.01. When I tried to understand why I wasn't notified about this "debt" it turned out that Kaiser has sent me notification... to an old e-mail address that I was not using for months. I had updated the e-mail address in my profile on Kaiser's web site months ago but they kept sending messages to the old address. And every department I call at Kaiser give me the same robotic answer of reading me the policy that they can cancel my coverage if there is a balance due for more than 3 months. No one there seems to care that they made a mistake and the balance past due is a freakin' 1 cent!!
It's cheap, but you get what you pay for. And that's very little. Every time I really need a doctor I can't get an appointment. I'm usually healthy, but when I'm not I'd like to be able to see a doctor. This is apparently too much to ask of Kaiser. They have no problem taking my money every month, but big problems whenever I need anything from them.
I had surgery on the 15th of last month, and immediately after, I filed a request for my medical records for that day as no one was telling me all that went on other than 'Here are some pills, go home'. This is not the first time I have been refused my records either. I had the same issue getting my records last year, as well as my sons records. Oh don't get me started on my son’s records. Those took me SIX MONTHS of arguing and threatening to get his records. He is a member of Kaiser as well, so there is no reason why those would be restricted to me.
Is it not against the law to refuse records? I pay this company to help me stay healthy, and they turn around and refuse a copy of what I paid for. Don't get me started on their treatment of me for the actual surgery and after care, that is a whole different reported issue. For the past four days, member services has told me "we will have someone call you tomorrow to get this taken care of" only for no one to call. If I call in myself, no one can be found who can help me. This is horrible treatment, and I will keep reporting and demanding my information wherever I can for it to be done.
Kaiser Flu Clinics do not open until late September. I am leaving for Alaska on 9/13/18. Kaiser will not provide my needed flu shot prior to 9/13/18 nor will they pay for one provided by Walmart, Safeway, Walgreens, CVS, etc. What happens if I come down with the flu in Alaska? Will Kaiser pay for my treatment? I think not. Kaiser is not into medical care. They are into making money and screwing people on Medicare (Medicare Fraud???). How disgusting.
I have been seeking treatment for hip pain since January. I was told by an outside physician I needed a double hip replacement. Kaiser of Tacoma has 1 surgeon and NO appointments or openings for surgery until at least December. I found a physician outside their network that had time and space to treat me. I pay for insurance and expect to get the care I need WHEN I need it - not be left to suffer more pain and possibly lose my job because they cannot hire enough physicians. What's the point of having insurance if they won't give you the care you need? Disgusting money grabbing pigs.
The so called radiologist RO, Kyung ** told me wrongful information and misguided me, totally abused my trust in a physician. She intimidated me and made me believing that I was at the risk of cancer when she knew it’s just microcalcification. RO Kyung ** tricked me into taking biopsy procedure, which is very painful and costly. RO, Kyung ** is not qualified to be a doctor, the worst physician I have encountered.
I've had them 2 months, and very unsatisfied. Have a broken arm, to even get Tylenol 3. They want me to sign a contract, you taken some labs they should know I don't even drink, I've been sent to speak is after specialist, MRI, CT scan, etc. Paying out half of my SSDI in their co-pays, Dr. thinks I have an infection in bone area, yet after two weeks of trying to get that specializes test scheduled I give up. Canceling this insurance immediately, I stick with my Medicare...
I became quite sick about 10 days ago. Six days ago -via fax- I requested that KP email me my records so that my physician will see me. Still waiting almost a week later. They now say it could be another 5 days!! The Medical Records office is understaffed, slow, poorly run, or out of touch with what it means "to serve". No way to expedite my request? I've made it clear that I'm very sick and that I need to get this information. This is what makes America mediocre.
MRI Appointment at Kaiser - Washington DC - Kaiser specialist Dr requested to do a MRI scan and on checking for an appointment, the next available appointment at Reston is about a month from today, and to the next nearest one Tysons is 1 and 1/2 month from today. If I have a pain because of which an MRI scan is required, what sort of service they provide to get a treatment after a month. I'm sharing in the issue of public and please make your choice. Next year, I plan to choose a different health provider.
Updated on 10/31/2018: Now I'm getting calls and letters from the hospital because Kaiser has been unresponsive and uncommunicative! Even though I go to a great doctor HERE, I get phone calls and letters from these idiots all the time telling me that I need this service or that service, that I need to come in. I have spent eight years telling these morons that I pay for a PPO so I can pick a GOOD doctor --not one of their cookie-cutter bozos -- so please stop calling. Nearly every single week -- for over EIGHT YEARS!
Obviously even the office staff is learning impaired and THEIR doctors are quacks -- have a fellow employee who actually went 90 minutes to their HMO and got an incorrect diagnosis and a prescription could have killed her -- even though she told them she was allergic to ** and it's knock-offs. Luckily she took the script to her own pharmacist and he caught it. If you're covered under Kaiser, I'm so sorry! They are a dreadful company. Luckily I'm not old enough for Medicare and I can't switch fast enough!
Original Review: My employer provides insurance to us via Kaiser. My company owner is in Northern Virginia, however our company is NOT. We are in Chesterfield County. The nearest HMO is 90 minutes away in Fredericksburg so we all have to pay way more for a PPO plan so we can at least choose a doctor 10 minutes away, rather than 90 minutes away. Their nearest "approved" hospital is THREE hours away from here! I was in hospital back in July and they called me in the hospital to say they were going to send an ambulance for me and take me to Stafford County (three hours away) to their approved facility.
Not only does this not sound medically safe, it doesn't even sound HUMANE to take someone away from the support of their family. My kids all work and have small children. Would they have been able to see me or help me with a three hours one way drive??? Now they have decided they won't cover my hospital stay because I turned down moving! They "might" cover it under their Tier Two (whatever that is) but I'll be responsible for 20%! If they are going to provide coverage for my employer, shouldn't they be required to provide fair and equitable insurance for ALL employees? A 90 minute drive to an HMO and moving a patient three hours away is NOT fair and equitable!
I need MRI head scan and prepaid $559, I was shocked to see the change is $6,262 plus $270 diagnostic which amounts to $6,532. My final amount is pending... I did a search for MRI head charge in Los Angeles area, $1500 maximum. Kaiser charge 4 times above average???
My daughter went to ER on a Sunday for a Bronchitis. Waited 2 hours sitting in the waiting room to finally see a Doctor who consulted her and gave her one medication to treat Bronchitis. All in all the Doctor spent 5 minutes with her. I have been charged $2000 for that. I disputed the invoice. After almost one month, I receive a denial letter. Kaiser maintains its billing and refers to EOC where it stays 40% is on me. But I am not disputing my part of the bill. I am disputing the bill itself. If my daughter was informed the bill would be $2000, she would not even stay for the consultation. The letter says Brad **. Can be called at ** but Brad's phone goes always to voicemail and 3 messages left and never returned the call.
I just have to share how amazing everyone at Kaiser in Roseville is. I went in the other day at 3am, sadly having to drag my poor daughter with me. I ended up having really painful side effects from my IUD. Everyone I came in contact with went out of their way to make my daughter and I as comfortable as possible. They got us in right away, and brought us an extra bed for her ♡. They also brought her crackers, apple juice, and coloring stuff. They ran a bunch of test to make sure I was ok and it wasn't anything serious. Test came back fine, then finally the OBGYN Dr came down and helped me remove the IUD, which they could have said, it wasn't an emergency and to come back. But she wasn't busy, so she came down. And like I suspected, that was the root to all my pain. Thank you, to all the employees at Kaiser for all their top service. Especially those who were able to make my daughter and I so comfortable.
If you are a parent dealing with Kaiser when you have a child that has complicated symptoms can be a nightmare. To begin my daughter has had repeated visits to different doctors at Kaiser for at least the last five years for stomach and headache related concerns. These were suggested to be a normal complaint for children or possibly anxiety related. My repeated request for imaging to be done was pushed away as unnecessary to expose her to. Finally after all the ignorance of ignoring her symptoms my daughter has started to have neurological symptoms that resulted in an ER visit where the verbal suggestions were possible multiple sclerosis and should see a neurologist and have an MRI. I requested the possible suggested diagnosis be documented but upon review of her records it was not. I changed her pediatric doctor and clinic to who after reading reviews I thought would be a great doctor.
Wow after a review of my daughters records the doctor criticized me for being so demanding and suspects that wonderful child syndrome is in play Whatever that means. I was also criticized in the records for not allowing the second dose of the HPV shot because symptoms seemed to get worse after her first dose. One thing did come out of that visit my daughter did see a great neurologist who actually listened and did the needed MRI which sadly shows 6 brain lesions and we are now playing a wait and see game to see a multiple sclerosis specialist and my request for a timely appointment are being ignored. In her record it states I am the one who suspects the multiple sclerosis as if I invented this, when it should be documented that the ER gave the suggestion. I am learning a lot while we wait. No family or child should have to go through this.
I started looking up doctors on the state doctors website and one of the doctors my daughter was sent to that put off her 20 day periods as normal and offered birth control as the Fix has already had an arbitration Malpractice award against her. Kaiser’s slogan when they send those reviews to patients say "Good is not Good enough." I can’t even say that my daughter has received good care. Multiple Sclerosis is incurable and if that’s what she has then Kaiser is to blame fully as being negligent. I pray it’s something else but time will only tell as Kaiser plays the wait game with us despite me filing a grievance almost one month ago. Kaiser doctors can continue to criticize me for being an advocate for my child when they have continued to fail her but as her mother I will continue to fight for her well being because that is my job as her mother.
Got a simple ordinary eye exam at Kaiser. Our plan calls for us paying 80% of this cost. No physical glasses or contacts were purchased. Just the eye exam. The cost was $314 for this exam. We had to pay $262. There was even a lab charge for this exam. What an exorbitant rate considering what other eye doctors charge. Kaiser is pitiful.
I have been on KP Insurance for most of my life, childhood and on, and I've had some experiences. These doctors have earned my contempt for sure over the years. Most certainly, one of my most awful experience was with a KP gynecologist, when I was 17. I'd gone in for a bacterial infection and learned I was pregnant. Pretty heavy for a teenager. This Dr proceeded to tell me if I wanted to go to college and not ruin my life, to get an abortion. Besides that, I had an "abnormal" pap smear, and had her nurse call and harass me for months after! What a weirdo!
This is just one experience out of several... Oh, and did I mention that a KP doctor is partly responsible for taking too long to get my mother to see a specialist for her liver. Instead he kept having her try different medications and she had a huge red basket full by the time he was done dicking her around! So finally a liver specialist... to tell her, "You've got 6 months to live... Why didn't you come in sooner!" And now, not only has KP contributed to my mother's death, but now I'm not sure if my daughter's death was purely accidental because NO one ever answers an e-mail with real answers! THANK YOU to the Oregon/Washington Kaiser Permanente Doctors!!! You all suck!
My previously healthy brother was constantly going to emergency rooms, and making appointments for his primary provider the last year of his life. It's criminal how Kaiser let his health decline by NON-TREATMENT / NEGLIGENCE. It seems like his doctors were all about saving costs. In the hospital, doctors rotate EVERY WEEK. WHY??? To prevent a doctor-patient relationship? The doctors might actually try to help the patients if they get to know them - causing increased costs.
My brother felt horrible, was very weak (to point of not driving), he had abdominal pain, nausea, bruising, intermittent confusion (normally sharp mentally - civil engineer). Kaiser did nothing, but say he had "vertigo" (dizziness) and send him home. VERTIGO IS A SYMPTOM NOT A DIAGNOSIS! His last month of life we family/wife were taking him to the ER 4-5 times a week. He was finally admitted on a Thursday, almost discharged home that Sunday, then on Wednesday we were told he had one week to live. He died of "Hepatorenal syndrome" caused by an acute inflammation of the liver 6 days later.
When he was admitted, lab work showed he had normal kidney function. He developed kidney failure in the hospital. Nothing was done to prevent it, or treat it. He/we knew nothing of liver impairment until 6 days before his death, but his hospital and doctor visits for the prior year were all related to liver impairment symptoms. My brother was not a spring chicken, but he was too young to die!!! He had a wife, 3 children, and very young grandkids. Both parents and 6 siblings, including his twin brother, who we are very worried about because of the depth of this traumatic experience to him - all are grieving him. WHY??? Because Kaiser would rather save money than have costs from diagnosing and treating a sick person.
My Doctor put in an urgent referral for a wound nurse and for me to call the next day to see what time a nurse would come out. I called Home Health and the lady, Patricia who schedules nurses said I'd have to wait another 24 hours. I said Doctor put urgent and he said a nurse would be out in 24 hrs. She said she does the schedules and Doctor can't tell her when to schedule and she doesn't go by urgent. I said she needed to call Doctor as I will also call him. She said not a problem she will call Doctor and tell him not to give time frames. I am in horrible pain and can't get to E.R. This isn't the first time Home Health hasn't been able to do their job. They need to train these people and remind them we are paying their salaries, they don't pay me. If you have choice not to pick Kaiser definitely DON'T choose them. Just horrible service all around.
I have had two medical needs for which I have sought help from Kaiser since my employer switched to them to save money. It is very clear that you get what you pay for. After waiting for birth control for two months, I am still using the diaphragm I've had since 2006. The bumbling incompetence of everyone I spoke to about getting a new one, in which process I learned that most doctors at Kaiser don't know anything about them, and those that do, do not communicate with the others about how patients can go about getting one, has been astounding.
I have also had severe neck pain that makes me unable to turn my head for the past month, and have asked my provider for a referral to a chiropractor. My provider, after standing me up for a phone appointment and failing to respond to several of my emails, finally sent a referral to the referral department. Another 10 days, and my referral came through... To a chiropractor that told me they are not in-network for Kaiser. I give up on getting health care from Kaiser. I'm going to just try not to get sick until we get a reasonable administration and Congress and we get Medicare for All, which is the only sane alternative to our dysfunctional for-profit health care system.
I have always been on PPO but switched to Kaiser Permanente because my Family goes there and it is close to home. Now I can't wait for open enrollment to run back to PPO. At Kaiser I was falsely accused of positive urine test results for Narcotics. I asked for a retest and was given one and again they said it was the same. I requested the test results and was told I could see them on the Patient website. This was over 2 months ago and still no results. Due to these "positive" test results. My Dr. Stopped my sleeping medication - I have suffered from Insomnia for many years. I emailed the Dr requesting my medicine and it was denied. I don't know why this test was done to begin with. Is the Patient suppose to be notified?
It's been almost 4 months since this happened. My Mother passed away late May and with my Bereavement, I sleep no more than 3 hours a night. Before my Mother passed away, I saw my Dr. For excessive anxiety (my Mom was on Hospice at home) and still no sleep. I requested something for the anxiety. I felt I was going to have a heart attack. Again, my request was denied. Her response was "I am not going to prescribe narcotics." Instead she recommended I go see a psychiatrist. (I was grieving.) I don't and have never been a drug user. My work does random drug tests throughout the year. I would not jeopardize my job. I am very disappointed and can't wait to get another Ins. I've read some reviews on here and see how many people go through the exact same thing... Why are they allowed to do this?
They take our $$ by way of co payments and of course medication that they want to give us... Not what we need. If a procedure or test is needed, they say no. My Mother requested a D-Dimer test to check for blood clots in her legs due to pain and was told she didn't need it because she didn't have them. After she got a new Dr. The test was performed and it was positive for blood clots. MRI was done (at my Sister in law's request) and it took forever to get it. We had to take her to the ER because she also had blood clots in her lungs... This whole time they wasted could have kept my Mother here longer (wishful thinking). The MRI results showed a mass in her pancreas and liver. Stage 4 pancreatic cancer. We lost her 3 weeks later.
Kaiser knows what my Family and I have gone through. I am going to Counseling and was told I needed my sleep to function when I return to work. I agree and through this painful time in my life with no sleep and anxiety. I still can't get the help I need and have requested from Kaiser. I am given medication that does very little or nothing to help. I hope and pray to God that nothing happens while I am commuting to work.
Went to see Dr ** for my minor child's physical and she asked if she could see her privately, which I said ok to and then the doctor tried to actively sell her on the HPV vaccine when I had said we are still doing our research on it and did not want it yet. Doctors should not be undermining parents.
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