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Reviewed June 3, 2023
They are horrible and only continue to get worse. Been with them for 25 yrs and all I can say is they are absolutely horrible anymore. After hurting my back they have made me wait 3 mths to get any therapy to start getting better and make me fight for medication. You use to be able to talk with an advice nurse but now their admin staff decides if you get to actually have medical advice. If you don’t disclose your medical information to these admin people then they just tell you you’ll get a call back. That may take up to a week or more anymore if you are lucky. If you actually want to see your primary doctor it will take at least a month or two for that so they always push you to the premium like urgent care and the ER where your bill becomes huge.
They are an absolute joke and can give a rip about their patients. It so scary after being prescribed medication wrong you need to know about how they are mistreating you and call them on it. All they want to do is prescribe medication regardless if that’s what you need. They never read your charts and always want you to go over everything that is documented In Their charts. Don’t believe their markets because after 25yrs of being with them that when I see their commercials I laugh because it’s so far from the truth it’s comical. They are horrible and you will always fight for the care you pay so much money for!!!!
Reviewed May 31, 2023
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.
Reviewed April 14, 2023
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?
Reviewed March 28, 2023
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.
Reviewed March 28, 2023
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?
Reviewed March 27, 2023
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.
Reviewed March 19, 2023
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.
Reviewed March 15, 2023
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.
Reviewed Feb. 28, 2023
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.
Reviewed Feb. 9, 2023
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.
Reviewed Jan. 25, 2023
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.
Reviewed Jan. 22, 2023
I called them twice. They hung up on me twice while I was asking them nicely about an issue. I haven’t experienced these in any other insurance before! Why would you be called customer service if you guys don’t wanna talk? If you guys don’t wanna do your job then don’t answer calls and just hang up. That is rude. I would understand if a caller/customer is yelling at you for you guys to hang up. Be nice!
Reviewed Jan. 20, 2023
Kaiser Sacramento doctors and staff are terrible, they do not care about patients as actual people, we're treated as a number to receive inadequate "health care" from a corporate service. The doctors are sub-par and most are so young they lack real experience. The staff are rude and treat patients with disrespect. Patients cannot get appointments, responses to messages, all doctors are full so we can't switch to a different doctor. Test results are incorrect and it takes enormous convincing just to get any answers and further testing. Kaiser is a corporate system not at all in service to patients. Kaiser employees, especially the doctors, should be ashamed of the poor quality "health care" they provide.
Reviewed Jan. 13, 2023
By far the worst health insurance and care provider I have ever had. I've had so many bad experiences with them, so I’ll just provide the top 6.
1. Want to see you psychiatrist? You'll only be able to see them 2 or 3 times a year because they're booked out 4-6 months between appointments. Each psychiatrist has about a thousand patients.
2. Want to see a specialist? Good luck. I told my primary doctor that I wanted to see a dermatologist about a couple skin conditions. He insisted I didn't need to and that he was good enough to handle it himself. Another time, I went in because my knee was hurting, which I had surgery on a few year prior. My primary said it was just because I'm overweight and just need to exercise more. I said I really would like to make sure it's not something more serious like so he wrote me a referral to get an x-ray. I scheduled it, went in to get it and found out I was going to have to pay $500. I left, then called to see why I was being charged so much. They said it was because he coded it a certain way and if he coded it differently, it would have only cost me $50.
3. I went to see a my primary doctor (different one than before) because I found a lump I was concerned about. He agreed it was very concerning and was going to write me an urgent referral so I could get an ultrasound. When I called to schedule it, the earliest appointment was over 2 weeks away. Call me crazy, but that doesn't seem like a very appropriate timeline.
4. Kaiser's online portal and general software system is awful. When I have a video appointment, they don't have a way to join from the online portal. I have to wait for them to send me a link to join. That doesn't sound too bad, right? Well, they have either sent me the link only via text message or not at all. So I have to copy the link over to my computer to do the appointment. Still not the worst? Well, when they have sent me the link, I get it 5-10 minutes AFTER my scheduled appointment time.
5. The pharmacy - what a disaster. When nothing goes wrong, it's fine. Unfortunately, I've had multiple terrible experiences with the pharmacy. One time, they said I couldn't fill one of my prescriptions because it was too soon, even though their system texted me saying it was time to fill. I told them I always pick up my prescriptions together so they should either both be available to fill or neither should be. They looked through their records and said I hadn't filled one of them for over 6 months, which I knew wasn't correct since I take these meds every day and get a 90 day supply every time. Plus, these meds require my doctor to write a new prescription every time I have them filled, which they shouldn't do if I was requesting a refill too soon. I ended up picking up the meds that were ready and having to come back a few days later to get the other.
6. My employer-sponsored coverage started at the beginning of the year. I hadn't received my Kaiser membership cards yet so I called Kaiser. I spent over an hour talking to 2 people from Kaiser, which ultimately ended with them saying, "you'll need to work with your company's HR because we don't see you in the system."
The next day, I asked my company's HR if there was an issue. They said it looked like everything was correct on their end and even sent me a screenshot of my info in Kaiser's system. I was now able to login to Kaiser's portal, but could only access Northern California, where I used to live multiple years ago. I had been a member of Kaiser Southern California for a couple years since then so I was very confused by what was going on.
I called Kaiser back, spoke with a total of 4 people over a couple hours. The call ended with them telling me, "we changed something on your account so you should be able to access it now." I confirmed I was still not able to access Southern California and they said, "give it 24 hours and it should be fixed." The next day, it seemed to have been fixed so I went ahead and requested refills on my prescriptions. Later that day, I get a text saying one of my prescriptions is out of stock. Fine, I'll just go pick up the other prescriptions that are marked as ready.
I go in to pick them up. The price is way higher than usual so I ask why. The pharmacist looked and said, "weird, for some reason it didn't go through the insurance. Do you want me to do that?" Obviously, I said yes. He then takes a while to try to run it through insurance with his manager, comes back and says my insurance only covers a 30 day supply so I'll have to pay out of pocket. I said, "I've been getting 90 day supply for years and it's always gone through." He looks and sees that's true so he talks to his manager for a while, comes back to tell me there must have been a change in the policy in the new year. I said, "fine, I need the prescription so I'll just pay out of pocket."
10 mins goes by so I ask what's going on. He replies, "Oh, we need to re-process it without the insurance." More time goes by. I see his manager talking to someone else about it. He comes back to tell me that they actually can't give me the 90 day supply at all and will need to completely start over to only give me 30. Needless to say, I will not be staying with Kaiser any longer. I wouldn't recommend them to my worst enemy.
Reviewed Dec. 29, 2022
Saw my Dr one time for a very serious condition. Was on lots of medicine. Was not listened to. Was not checked up on. It is a medical factory line. If you are slightly diff from the normal patient and need individualized care you will not receive it here. This is an insurance company out to only make money. Please I beg you do not support them. Thank you for reading.
Reviewed Dec. 11, 2022
Two years ago I had major joint pain. My doctor took X-rays and told me “there’s nothing wrong, it is psychological.” (No psych referral though.) Then, a year and a half later…. I had a physical with my new Primary Care Provider (PCP) in May. He made a comment that I’d “be a diabetic in 10 years.” I didn’t give it thought, until July, when I sent him an email in the KP App. No reply. Every week, for four weeks, I emailed with no reply. Again, I changed doctors. The new doctor had a “first available” in November, three months away. I waited. My KP app showed my appointment, until a week before, when it disappeared. I email a note, asking if it was still on. No reply. Two notes later, and two days before my assignment, I got a phone call. “Unfortunately, we have to cancel that appointment. His next first available is February.” Glad I emailed.
At this point I settled for any doctor that could see me, and got in to meet a very nice resident that spent time with me and even looked at my joints. The referral I was given for my joints got me to a person that could identify swelling and painful areas just by comparing sides. One wrist has fewer wrinkles, since it’s inflamed. Same with my elbows. So, I could have gone six months waiting for an appointment with my PCP, in hopes it would not be canceled again. Things that could have been treated as soon as discussed were discounted and treatment was seriously delayed. I’m the expert on my body and know when it’s not working right. The doctor is the expert on the human body. But, with Kaiser, it seems that people get only urgent treatment anymore. We are told to wait six months for an appointment, but pay our monthly premiums on time. It’s not right.
Reviewed Dec. 8, 2022
From what I have been made aware of and it was backed up by the pulmonary doctor my problem started on June 15 2021. I was not aware that I had fluid in my lung then but it states that in the info on their website. I was never treated for that or informed of it either. I was treated for a POSSIBLE blood clot but they said they thought it was a blood clot but not for sure. They put me on blood thinners and hospitalized me for 3 days.
I talked to the pulmonary doctor and she agreed with me. She said she did not think it was a blood clot I had back then and took me off the blood thinner because of the kind of work I do. Because an injury could cause me to bleed out faster. She figure it was the lesser of two evils because the downside of that is that in putting me on a blood thinner and taking me off them I am now more likely to a blood clot than if I had not been put on them. I was not aware of this until I started checking the info on my doctor visits starting with June 2021 when I was hospitalized for a POSSIBLE blood clot.
Anyways now onto the rest. I had multiple visits after the being hospitalized as follow up appointments. I went in on Sept 21, 2021 to the urgent care with swelling in my legs. They treated me but it never really went completely away. Then on Dec 8 2021 I went to the urgent care who sent me to the er because I was suffering from shortness of breath. All they did was prescribe me more meds & sent me home. They never did a chest x-ray. It kept getting worse to the point that on April 12, 2022 I again went to the urgent care complaining of shortness of breath. They prescribed me more meds and sent me home. Again they never did a chest x-ray. And again it got worse not better and I went back to the urgent care on April 26th with the same complaints. They prescribed me more meds and sent me home. Again they never did a chest x-ray.
We waited thinking that maybe it was kidney related and since I had an appointment with my kidney doctor on May 16th. Nothing came of that and it kept getting worse. It got so bad that I could not walk half a block without gasping for air. I had to be pushed in a wheelchair by my girlfriend from the parking lot when I had to go in for my MRI because I could not walk that far without having an attack. After that we waited hoping that my phone appointment with Dr ** would be able to get some results because the urgent care visits were a waste of time since all they would do is prescribe more meds and send me home without doing a chest x-ray.
I missed the phone appointment because I could not answer the phone in time. I waited 30 minutes for him to call again and he did not call again so I called to try to let his office know what happened and the person I talked to could not get hold of anyone in his office so I left a message telling what happened. I got another appointment with Dr ** for June 10th, 2021. Meanwhile my girlfriend and me as well as her son had called his office trying to get help at least twice so he aware there was a problem. On June 10th, 2022 I got a call early in the morning cancelling my phone appointment with Dr ** and they rescheduled it for the end of July.
On June 11, 2022 I went back to the urgent care with the same complaints as well as complaining my shoulder hurt when I fell down from having a problem breathing. I basically passed out when that happened. They finally did a chest xray but did not contact me with the results. On June 15th 2022 I came home from work and felt really bad, so bad it scared my girlfriend who told me, "You are going to the urgent care again" so I went back to the urgent care and the doctor there took one look at the xray from my last visit and sent me to the er where they hospitalized me. One lung was almost completely full of fluid. Obviously it had been building up for the last year and until the one doctor saw the xrays they did nothing to treat me for it, just gave me more pills & sent me home each time.
Reviewed Dec. 7, 2022
I am so frustrated with Kaiser in Northern California and the service that I am receiving. They are horrible, it takes months to get in to see someone, to get a specialist is almost impossible and the doctors just don't seem to care if you are hurt or in pain.
Reviewed Dec. 4, 2022
Kaiser Folsom is the worst insurance to have. Doctors prescribe meds without even examining you. When you have a urgent matter they don’t return your calls. I have been sick for 3 weeks now and they keep prescribing meds and have not seen me once. They need to be investigated.
Reviewed Nov. 3, 2022
Kaiser doctors do not give adequate consideration to the symptoms you report. Instead, the symptoms are brushed off based on statistics and age believing that everything is ruled out and advising to take better care of yourself. When you already take care of your health and body and practice a healthy lifestyle but still have certain symptoms that are dismissed, something is wrong with the system. Kaiser is not for people with real concerns, nor is it a good health insurance provider. The doctors having the power to decide whether referral is warranted for a specialist or specific test is detrimental to one's health.
Reviewed Oct. 19, 2022
Kaiser is good when it is good but overall bad in an emergency unless I suppose you get to Emergency in an ambulance. After experiencing acute and severe debilitating back pain (on my knees on the floor and unable to get to the backroom) and receiving the lack of care I felt necessary left me with serious doubt about my future care within the Kaiser health care system. I could not get an appt to see a back doctor (in person appt is and was 2 months out). I managed to get to Urgent care and got medicine but medication did not help in the least.
Managed to snag a same day appt with some unknown doctor who prescribed stronger meds to address my back pain. Still did not help. Was finally referred to Physical Medicine where a doctor there prescribed medication strong enough to alleviate the inflammation. Managed to see my PCP (only because there was a patient cancellation, otherwise wouldn't have been able to see him) who said there was no diagnosis (when in reality there was and I didn't even know as nobody bothered to explain to me I had lumbar radiculopathy aka sciatica). Lack of and poor communication.
I am really fed up with doctors asking me questions when I'm a patient and they should be aiding and guiding me. Neighbors and friends said I need a cane to assist me walking and to secure a Handicap Parking Placard. I had to go inquire over and over and over to get the placard to assist me as I continued to limp along due to two herniated disks. I'm looking to switch to PPO insurance. Kaiser is FOR PROFIT regardless what the ads that say otherwise. Until Kaiser hires sufficient doctors to address the volume of patients, it will continue to dole out less than acceptable standards in dealing with patients with acute onset immediate crisis care needs.
Reviewed Oct. 18, 2022
Kaiser's doctors and health practitioners give me the impression of having 0 interest in patients and just try to do as little as possible interaction with patients and treating patients. Kaiser pays the most and hence attracts these types who are motivated only by money. Those who must interact with patients are understaffed so they have a line of patients at any given time and do not have time to provide human interaction. I have had to resort to holistic herbal treatments and energy healing since switching to Kaiser. I avoid going to the doctor because I leave feeling so awful. Luckily I am from a country where health care is also exclusive to the wealthy and useless for everyone else, so we know how to treat most diseases with herbal medicines. I am horrified to imagine Americans without this background trusting their Kaiser doctors who I can tell do not at all, or do not have time to care.
Reviewed Oct. 13, 2022
I am trying to get a refill for some medication. The Kaiser pharmacy said it can take up to 5 business days get the refill. That's up to a week if it's not placed on a Monday. Crazy right? I tried to contact my doctor by email. The response I got was from her assistant telling me it can take up to 5 business days for her to respond to emails. Sigh. No help there. There is no way to call your Dr. office directly. So basically I'm screwed. I may go to urgent care as a last resort. What a waste of time resources.
Reviewed Oct. 8, 2022
I am having severe back pain since last February, God knows how many months it took Kaiser to schedule me to see Pain Management and physical therapy. Finally, they agreed base on my condition to do pain block and I have been waiting two weeks for them to call and schedule me for procedure. They called me this morning at 7:15 am and I missed the call and once I called back they told me I have to wait till next week. I am so pissed off. If you file complaints it takes them 3 months to respond and they send you bunch of papers which takes you hours to read… Horrible service. I can’t wait to reach 65 and get different health insurance and I am encouraging my husband and my sister both to leave Kaiser… they are worthless.
Reviewed Oct. 7, 2022
As a self-employed individual I have had insurance through Premera in 2020, Regence in 2021 and Kaiser in 2022. Kaiser was by far, the biggest mistake. Aside from catastrophic coverage which thankfully we did not need, I would accept Kaiser coverage for my family if it was given for free. I chose Kaiser because monthly premiums was slightly less expensive and I believed the combination of insurance and providers would turn out to be superior. I was wrong.
Kaiser's approach seems to be downgrade, delay and deny. Initial contacts may go through a web or phone consultation that is about as useful as self research using online sites like WebMD. Getting even simple prescriptions like a rash cream would be denied. My explanations that I have already tried self-researched and over-the-counter remedies is ignored. You must go through the Kaiser process at every step, even when you are happy to pay directly. The next step is typically the office visit with a general practitioner or PA. There is no luck going to straight to a specialist even when you are experienced and knowledgeable with a condition. You will wait to get these appointments unless Kaiser deems urgency.
The providers are fine, but the care is still general and if you will pay the deductible, suffer the condition and be delayed. This will often be another wasted appointment. You will not be able to bypass the system. Your experience, research and knowledge is meaningless as is the inconvenience, expense, time and suffering. I never made it to the specialist within the process. My attempts were denied or delayed. My child was unable to sleep properly for months or to use drugs recommended for days, not continual use. When I asked to go to specialists outside of Kaiser and pay completely out-of-pocket, it was denied. They put barriers to even working with outside providers.
I literally had to go to an outside provider, walk in to their office, explain and beg them to ignore my insurance, to provide service and charge me directly. Calling was not sufficient. When my child was eventually seen by a specialist outside Kaiser, they initially recommended a long regiment of antibiotics, since we had tried a standard regiment the year before. Kaiser denied all but over-the-counter and home remedies we were trying for years. They didn't care. Stay in the system. Outside information is not considered.
The outside specialist also recommended a further diagnostic should this not work. We did not want to wait or go through the roadblocks that Kaiser would undoubtedly put up and had the specialist perform the diagnostic immediately. As we expected, there was reason for the chronic problem and an easy solution. It took us at least six months, much effort, costs, sleepless nights and unneeded suffering of our child trying to Kaiser. A horrible value is an understatement. Thankfully we never needed urgent medical emergency coverage and I suppose that provides some value. Beyond that, I would accept Kaiser's coverage if it was offered free of charge. Do yourself a favor, pay more in premiums elsewhere.
Reviewed Sept. 30, 2022
I called for an appointment four months ago to reduce a medication I felt was causing anxiety attacks. The nurse on the phone insisted I go to ER to ensure I wasn't having a heart attack. I did and thankfully was not, but was told by the ER doc (outside of KP) to see a cardiologist without delay. KP insisted I see my regular doc (I just switched to KP two years ago) in order to get a referral to see a cardiologist despite my having been seen by an ER doc with all tests done at their insistence. First available appointment was a month away so I made the appointment. The morning of the appointment I get to the KP facility and am told my GP is out Sick. "Can I see another Doctor for a referral and just have the blood drawn for tests?" Nope. I make another appointment- first available is three weeks out. I am on the way to the appointment and get a phone call cancelling because my GP is *still* out Sick. No one else available? Nope.
I make another appointment with another KP doctor at another facility only a week out thanks to a cancelation- I get a phone call the morning of telling me the doctor won't do the paperwork I need because she isn't my GP. I MAKE ANOTHER APPOINTMENT (Each phone call to make an appointment takes minimum 40 minutes on Hold BTW). I manage to get a phone appointment another week later with yet another GP. This one says she's happy to get all the paperwork done - And does it over the phone sight unseen. (Bless her).
I finally get a phone call to schedule the Stress test I am told I need to do before the cardiologist can see me. First available is three weeks out. The morning of the test I get a phone call telling me they have to cancel, BECAUSE THE DOCTOR HAS CALLED IN SICK. I manage to reschedule in the phone call - FOR MORE THAN THREE WEEKS OUT. That's where it stands now. To save people the math, I am now more than four months since calling to change medication that the KP Nurse insisted could be a heart attack and sent me to ER - where the doctor said see a cardiologist without delay. Assuming the next appointment isn't cancelled (mind, I am 0 for 4 in actually seeing a doctor who will do anything), it will be five months before I even get the Stress test to then see a cardiologist sometime after that. KP - Health Insurance in Premium Only.
Reviewed Sept. 28, 2022
I have a special needs child who will be 18 soon: with an intellectual disability/autism. I needed a VERY routine form filled in as I need to gain limited conservatorship (medical powers). It has a question where it asks if my child is capable of making informed medical decisions. Mind you this doctor chose to write a letter in lieu of the form. I explained to her that the form is a document that must be signed by her medical doctor and that the letter will not hold up. I know no one who has had this issue so I do know this is doctor specific. She had the audacity to call and say she won’t sign it because “I could sue her.” I asked for my child to be referred to someone who would. Many psychs in this department called me to say “Why won’t she do it? She is her doctor.”
I brought in all her latest assessments that prove she is unable to make her own medical decisions (This she knows because she did write the letter. She is not against it) but she did not sign the legal form. This form is 100% necessary and there is no “not filling it in.” Because of this my child’s medical care beyond 18 is up in the air. If you have a special needs child run far far away. No one waiting Kaiser has any idea on how to care for autistic children and now even adult!
Reviewed Sept. 21, 2022
I have been with Kaiser for years. I have always had a good experience until this year and it's more than 1 bad experience. In January my son had a Cat Scan for a medical issue. A cysts was found on an Organ. The Kaiser MD is the responsible Dr to report this to us and did not. Then again in May he had a Cat Scan again, and again the cysts was reported in the paperwork to the kaiser Dr. and again the same Dr failed to tell us. If I had not started reading all the hospital reports and lab work for other appointments I would not have known about it, and it does need to be seen to. The same Dr had 2 opportunities to look at his medical report correctly and didn't. This is just neglect. I filed a grievance with Kaiser in mid July and was told I would get a letter. I got no letter. I called back, they said they will resend. I got no letter. I sent an email to notify them that I would like to talk to someone about this, that no one has reached out to me.
The person that received that email just assigned a new case number and filed another grievance against that grievance. So I called and escalated to a manager, they sent an email to the case manager and the case manager's manager and told me they will call or reach out to me. It’s been over a week, no one has bothered to reach out.
In another incident, I just tried to get an appointment for my child but they are booked up at all facilities today, no appointments when I call at 7am. He needs to be seen today so I pay to go private outside of Kaiser. My son needed a prescription filled. I took the prescription to Kaiser and they refused to fill it because one of their Dr's didn't write it! But they take my monthly premium for prescription services! So now I have to pay 100% of the cost of the medicine- it makes no sense. They also canceled 2 appointments back to back the morning of the appointment with different Dr's and my son ended up in the emergency room. They really have gone down as a service provider.
Reviewed Sept. 6, 2022
I’m here unfortunately writing a review on Kaiser in Virginia. I’ve had one bad experience after another. I’m sorry to say this is the absolute worst insurance in the area. My son, with disabilities, could not get any services, and we were left to go out of network. Their mental health capabilities are atrocious. Beyond that their customer service is subpar. Please I know the price is right, but try to find another provider.
Reviewed July 29, 2022
Kaiser Permanente has to be the worst insurance that has been my biggest displeasure of doing business with! I have had nothing but problems with them ever since I signed up in August 2021. First, let me start with my prescriptions. Transferring prescriptions from your old pharmacy to Kaiser’s mail order pharmacy is a joke! I called their mail order pharmacy and had to wait 45 minutes for someone to call me back because I didn’t have time to wait on hold. I had to babysit them for a month before they were finally transferred to AllianceRX. I was so frustrated that I had to get my former employer involved, and they were even getting frustrated.
Fast forward to March: I had trouble with their mobile application not letting me send e-mails to my doctor. I called technical support the first time, and they weren’t able to figure it out, so they escalated this issue to a “Tier 2” concern. I waited a week, and they still hadn’t fixed the issue, so I called back a second time. The woman on the other end told me I needed to call my doctor directly if I needed help, and she wouldn’t let me speak to anyone else, telling me they don’t take calls for Tier 2 concerns. So in other words, they are unable and unwilling to do their job, so I have to put up with the inconvenience! I called back again, and they raised my concern to a “Tier 2” again. Weeks passed, still no action.
I finally got my employer involved, who investigated the matter. They told me that Kaiser mentioned that since I switched to a PPO from an HMO, I wasn’t allowed access to e-mail my doctor since their database store information only for HMO patients. This makes zero sense because I had a PPO since August and I was able to use their e-mail in the app back in January! To top this all off, each time I seek care from them, I am told that I don’t have an active policy when this is clearly not the case. I highly recommend against doing business with this insurance company. They apparently care more about making a profit from their customers than they do providing the quality care they deserve!
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