Kaiser Permanente Insurance Reviews
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About Kaiser Permanente Insurance
- Quality of care from medical staff
- Convenient access to multiple services
- Affordable prescription prices
- Ability to choose healthcare providers
- Long wait times for appointments
- Communication issues with staff
- Billing discrepancies
Kaiser Permanente Insurance Reviews
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Reviewed Jan. 8, 2017
The staff at Kaiser that I have met have all been nice, competent people. However, Kaiser has created a system that makes it as difficult as possible for the patient to get health care. Yes, it is highly efficient - for the administrators and accountants, but not for the consumer. I was never given any follow-up appointments. No single health care provider seemed to know who I was. Every attempted contact with Kaiser requires dealing with many layers of automated phone prompts and extended waiting. To be told by a machine (each and every time) "your phone call is very important to us" is an insult. If the call were important I would be speaking to a human.
Reviewed Jan. 3, 2017
I rarely go to the doctor because I'm pretty healthy. I chose Kaiser because it was the cheapest option and I have never had issues with any healthcare professionals. I thought that with my minimal visits with the doctor and past healthcare experiences it would be the best option but the cheapest option with Kaiser was not worth it. I had doctors rush me out of their office because they were being timed. I was misinformed on charges that I was going to receive. I have a minor rash under my eye that was misdiagnosed 2x which I have had since May (8 months ago). The rash cost me over 400$ in doctor's visits alone. I made numerous requests to compensate for the charges and get rid of the rash to no avail and eventually opted out of the insurance for a slightly more expensive option. Like I said, I have had very few medical issues in my lifetime.
I spent 3 years living in a developing country with no serious medical issues (saw a doctor 1 time the entire time) and was surprised with how poor the healthcare was with this particular organization. I think our healthcare system is headed in the right direction but it's a shame encountering organizations like this one. From a financial point of view I believe it will be much more advantageous to pay a little more for better quality healthcare to avoid some of the fees that you will encounter with routine medical problems with Kaiser.
Reviewed Jan. 2, 2017
I have been a Kaiser Permanente patient for over 20 years. We have always found Kaiser to offer the very best in healthcare. As a Senior on Medicare, I do not understand why Kaiser supports the YMCA which does not and will not offer accept the SilverSneakers program. Kaiser continually stresses exercise to their patients for good health, which benefits us, Kaiser and the government. The YMCA is one of the only places that offer water aerobics. This is a good way for seniors to exercise and does not stress the joints. The Kaiser and the Northside Hospital as major sponsors should be speaking out for the seniors. The Florida YMCAs take the SilverSneakers program which helps those on fixed incomes.
Reviewed Jan. 2, 2017
I have had Kaiser insurance since September 2016. I started looking for a doctor in October 2016, and I have been referred to a couple doctors so far. The first is really busy and has trouble scheduling appointments due to being booked up. The second has not yet returned my 2 phone calls in 10 days. Her answering machine did not indicate she was on vacation, and it said she returned calls in 2 business days, but I have not heard back from her. So now I need to look for a THIRD doctor in my area. Kaiser also outsourced my doctor visits to another insurance group, so I have to make multiple phone calls to get an appointment.
Reviewed Dec. 30, 2016
I am not writing now about the care, but about the difficulty it is dealing with Kaiser. Whether it be obtaining records, or even trying to pay my bill, as I am now, this place is impossible. I have now been waiting 40 minutes - to pay my bill!
Reviewed Dec. 24, 2016
I have been a paying (not government subsidized) customer of Kaiser for 4 years now. It's done. It's over. I have had allergies for years and as the seasons change I get stuffed up and sometimes they get out of control and I get swollen tonsils, sore throat, fever, etc. I can't get sleep. I have a tough time breathing. I get miserable for at least a week. I used to have a good doctor when I had BCBS, when I had these issues about once a year I'd at least get some strong cough syrup so I could get some sleep to help me get over it a little quicker. But heck this last visit into Kaiser the doctor I was running a fever, my nose was plugged and I was limping by on Advil. The nurse said my pulse was high and my blood pressure was high.
I sat down with the doctor. He wanted blood tests and to put me on an iv fluids drop because he said I was dehydrated that was causing the elevated pulse as I pulled out two bottles of water and said I had to pee twice while waiting in your waiting room. He wanted to send me for chest X-rays etc. I told him my pulse and BP is high because of the fever. He told me, "No." The nurse wrote down my temperature was 98.7 that I'm not running a fever. I told him, "I checked my temperature before I left my house it was 101, I can feel when I'm running a fever." We argued about if I had a fever or not, rather than him re-checking my temp, or checking my BP the nurse took with my sleeve rolled down 4 times. I told him I don't want to be admitted overnight, I just want something to help me get some sleep. He said he can't give me anything, and he told me to go out to see the nurse she will give me my discharge paperwork.
I went out this time to a different nice nurse. I requested if she could check my temp, BP and pulse again. She said, "Gladly," and looked at my charts while checking my BP with my sleeve rolled up. My BP was 128/71 pulse of 100... I agree my pulse was high but my BP was great, my temp the second time was 101.3. She spotted Zyrtec on my chart, and asked me if I'm taking the Zyrtec D. I said, "Yes." She asked me when I last took it. I said, "A couple hours ago." She said, "Well a fever with Zyrtec D is going to elevate your numbers." It took one nice nurse to help this disastrous derailment of a doctor's visit. What a concept looking at a patient's records. Anyways, she went in to talk to the doctor and the doctor recommended Motrin and crap I could buy at Walgreens. Nothing to improve my sleep.
This is how it has been for the last 4 years. You have to fight them to get any care and they treat you for this once a year visit like you are a drug addict or trying to shake them down for prescriptions. The only pill I take is Zyrtec and when my allergies are bad I take a Zyrtec D to unplug my nose. So if you check my charts you'll see I don't have any prescriptions. I have one recommendation of Zyrtec. I pay almost $4,000/yr to see a doctor once a year for about 10 minutes to hopefully get a bottle of cough medicine or something to help me sleep when I get a cold and I don't even leave there with the bottle of cough syrup. Where is my money going. Anyways, thank you Obama for ruining the healthcare system. Kaiser is so bad I'm willing to opt for a high deductible PPO plan to just get away from this disaster. Stay clear of Kaiser.
Reviewed Dec. 17, 2016
The last 6 times I've tried to pick up a standard monthly refill of my daughter's Vyvanse there is always something screwed up. I feel bad for the pharmacy techs because the problems usually relate to some messed up system that Kaiser has put in place. Each time I learn some new part of the system that would have been helpful to know at the beginning. Customer service here really stinks.
Reviewed Dec. 15, 2016
I had a very bad experience with the call center as I was trying to renew my prescription. She was very rude, impatient, and I could hear her and the other workers laughing in the background. She spoke over me, interrupted me, and hung up on me as well. Very bad service! Time was 4:40 on December 14. Very disappointing for having been a patient for over 15 years.
Reviewed Dec. 9, 2016
My insurance is about to change. I checked in 15 minutes late for my appointment. Not only did the provider refuse to see me, but a staff member who clearly saw a patient, me, standing in the area had the nerve to say I should've been on time. I felt very disrespected and that she was very unprofessional. She was even rude enough to say she wasn't afraid to say it in front of me. If you have a choice, take your healthcare business elsewhere. You are just a number up Kaiser and their staff.
Reviewed Dec. 7, 2016
My mother recently had surgery at Kaiser Permanente off Sunset. I couldn't believe what horrible service was provided. We kept informing staff my mother was allergic to **. Instead of providing her with something less strong they were giving her a medication 2 times stronger than **. Anytime she complained she felt tired or that her sodium was low they'd dope her up on more pain killers. In the end I had to get into an argument with a nurse because she refused to check her sodium. Everyone's response we're not the doctor’s secretary. One day my mother yelled for over an hour to have someone come help her to the restroom. Finally after much argument with the nurses they finally check her other vitals and found we were not lying and she did in fact have her sodium low and her heart was sky rocketing. I couldn't believe they almost killed my mom. This hospital needs a complete personnel over haul. Worst than county hospital!
Reviewed Dec. 7, 2016
If you love being nickel and dimed, Kaiser Permanente is the place for you! Been a Kasier Permanente victim for over 10 years now. I can now honestly say they are now the worst healthcare provider my family has ever joined. Started out fine, progressively and steadily declined. My son, who is an avid rock climber, prone to forearm hernias, got a hernia. Easily diagnosed using google and google images. Figured he might need to see a doctor...Off we sent him to see Dr. ** at KP in Escondido, CA, where I had a similar if not worse encounter with a Dr. Mirwais ** (another one to steer clear of).
After spending 55.00, Dr. ** promptly told him just to "Keep an eye on it", that it could also be a "cyst", and sent him on his way. A cyst? How does that occur so quickly after a rock climb Dr. **? No follow up appointment was scheduled. This is just another in a developing line of poorly diagnosed afflictions our family endures with Kaiser Permanente. Save your hard-earned money and go with anyone other than these clowns.
Reviewed Dec. 3, 2016
I agree with another who wrote on Dr. Eric ** in Glendale, I only see one time about I need to stay on pain medication in order to stay out ER every other day. This stupid Dr. ** have some really issues wrong with him. He going to prescribed more pain medication and then prescribed some blood pressure medication name ** which I took that it had me feeling like I'm going to heart attack. And he do talk to you, he have the pharmacy to talk to you. Now he told me that my serious conditions is proven and it's is a daily constantly pain. I explained to him how I feel every day with serious condition because Kaiser doctors did this to malpractice. And now he put in my file that he wants me off pain medication so basically so I can be pain everyday, well see about because I'm going to Congress on Kaiser Permanente in South Bay too.
My primary doctor told me that everyone who has chronic pain will be taken off their medication due to some CDC guidelines and that not true. My family is doing the research on the Kaiser Permanente and is just their policy not the law. And before I leave this crooked hospital they're are not taking me off nothing. And how dare that dr. Eric ** giving me the ** and I told him I'm going to find out what this medication is use for he told me it for pain. He lie old b. My primary doctor told me different. She said they give that to people who is coming off of ** because they will have the shakes. I got mad and I'm reporting all if pain management doctors who just want to expert on me. Like putting in scs battery in me there are quacks and putting cells in pancreas now ing I will died on table.
Kaiser Permanente is going to sue big time for letting chronic disease patients suffer. Dr. ** tell me he is losing his patients because he stop their pain medication because of unknown cause of pain but yours is known and it is a fact. Please my mri show my pancreas is completely damage and it giving time I will die. They did to me and now they wanted me suffer with this. We will see about it. They are treating people like there are selling and addictive. You do know me.
My primary doctor I had for years she know me and if have to follow what Kaiser policy and stop prescribing my medication so I can somewhat be relief of my serious conditions we will see about that too. Something going on with Kaiser Permanente going broke because other hospital is not doing this. And I'm leaving Kaiser Permanente for I'm fighting for my life and I'm fighter with my type 2 diabetes on ** too. And thank you Kaiser for turning me to be diabetic. I sue you once and I will sue you again. One days doctors you will be sick too and in pain and you going to suffer too.
Reviewed Dec. 3, 2016
I am considered high risk with my pregnancy and unfortunately I'm stuck with Kaiser insurance, which is a joke. I am 30 weeks pregnant and they "forgot" to have me pee in a cup to check for protein in my urine... which is standard at every visit. I have not had one protein test in 30 weeks. Also, I have fibroid tumors in my uterus and my OB doesn't seem to care. I've asked to check them since during my last pregnancy I had a fibroid grow to the size of a grapefruit, but my OB is unconcerned and waiting for the standard 32 week ultrasound. (I was told it was because ultrasounds are very expensive and I can only have 3 of them).
I am having pain and tenderness near my cervix where the tumor is as I type this review. They're also mismanaging my thyroid disease so I'm paying out of pocket to go to my old doctor. Since having someone else help with my thyroid I am feeling much better in that department - NO THANKS TO KAISER! If you have a choice do not go with this insurance company. You would be better off with some voodoo witch doctor!!! Most of the physicians I have seen over the last few years are pompous jerks and I can't think of one scenario where they've actually helped with something important. AVOID.
Reviewed Dec. 2, 2016
KAISER does not care for the elderly. I'm Washington DC and my mom is being treated like crap. Went to ER for hallucinations and was told she was ok after doctor saw first hand. I believe they did not want to pay for her to get help. My mom is in her 80's. It's also a practice to tell ** there is nothing they can do for their loved one. THIS HAS TO STOP!!! People of other nationalities get priority treatment, all the help in the world. I'm putting this out there. Once they found out my was ** the treatment was downhill.
Reviewed Nov. 19, 2016
My primary messed up my thyroid a year ago, and keeps trying to push pills (medications) on me. She prescribes meds that interfere with my thyroid, and refuses to acknowledge her mistakes. She treats me like I am paranoid, and blames me for her mistakes. I am annoyed with their automated answering system because I've had to wait over a half hour on hold, and I can never reach the person that I've tried to call back. Their physicians and nurses keep bypassing my email messages and so my treating physician is not making informed decisions. I've requested a specialist (Endocrinologist) in order to get my thyroid medication and levels stabilized again, and she ignores my requests. I had to go to an ER to get my level rechecked and I'm surprised that I'm still alive because my levels are dangerously low.
The plan is overpriced, and the co-pay is increasing by $10 for 2017. I don't like having to travel long distances in order to be seen by one of their providers or to be seen at an urgent care or emergency room. Their support staff is rude, and not well-informed. There are too many telephone numbers and email addresses that have nothing to do with the area that I live in, and I've often been referred to these telephone numbers. The mail order pharmacy is not able to answer questions about how the local KP Pharmacy orders their medications. It's a JOKE!
Reviewed Nov. 15, 2016
My mother died of cirrhosis (sp) of liver due to Dr. Joanna **, assistant head of gastroenterology dept. at santa clara, Kaiser. She received excellent care until her doctor at the time resigned. Dr. **, if you can call her that, stopped checking her iron levels. She had been diagnosed with hemochromatosis. If iron levels are left unchecked it will become cirrhosis of the liver because there is too much iron in the blood. There was and is no excuse for committing my mother to a long and painful illness and early death. Please be aware of her lack of skill and compassion. This person should not be a doctor and certainly not assistant head of a major department.
Reviewed Nov. 13, 2016
Ever since I had Kaiser I cannot get an appointment with my primary care physician that was assigned to me Dr **. This doctor is never available, so I have to see another primary. They have messed up my Thyroid medication the last couple of times and now the physician will not refill it because I have not seen her. Why doesn't Kaiser document if a primary is not available and they sent patient to another primary??? This is extremely poor patient management. Doctor doesn't return my calls or pharmacy calls. Now I am in urgent care getting my Thyroid medication filled and I been here for 2.5 hrs. Unbelievable!! I strongly suggest if you have a choice DO NOT PICK KAISER!!
Reviewed Nov. 12, 2016
I have to start off by saying I am completely biased because I absolutely hate having Kaiser. Without a doubt, have hated it for years and have been on it since 2013. One would think having all of your health care in one building would be helpful but I have been consistently let down by Kaiser for years. They make phone appointments without your knowledge, hire some of the least professional staff I've ever encountered, frequently miscommunicate, and share health information without permission. This was my fault after seeking mental health services at Kaiser I wasn't explicitly made aware that I needed to keep filling out forms saying that I did not want my diagnosis of depression to be placed off of my medical record and I just feel like my signing of one form would have been enough but apparently not. It should have been made clearer but I suppose I also could have asked but why would I after filling out that form on my first visit?
Member services is perhaps (by far) the worst part about Kaiser as a phone call can take an average of 15 min (the average of my calls together, I kept track after the first year). I can get past the sheer amount of time that it takes to be on the phone with them but the miscommunication and unprofessionalism is so extreme that I dread calling them. It's not enough to just email. With Kaiser, the way you can contact them is limited and when you send an email message to the doctor's office it basically goes right to the doctor (I feel like I should be able to email front desk instead of medical records or a nurse not just the nurse advice line, etc.).
I understand lots of bureaucratic processes are a part of healthcare and as I work in healthcare I know how important documentation is but one would think again, having all of your healthcare together would limit how many forms and how many things you fill out. I know I literally just explained about the mental health services but right now I'm referring to the fact that I have to jump through one million hoops to get care. I would never in one million years choose this insurance again if I had the option (have to have it because of work because it's the cheapest option out there). Coverage is the only place Kaiser does well at and I have to say that's probably the most important aspect of insurance so I shouldn't complain too much.
However, I feel like I need to say something so someone, who is considering adding Kaiser to their company or someone looking for individual coverage knows the many, many MANY downsides to this insurance. I know it's cheaper than others and I really do like my providers and coverage but it is like pulling teeth to do ANYTHING and I am a person in good health who can't get the simple care I need. Also, be ready to go to the correct hospital if you do fall ill because you can receive huge charges if you don't pick the one they want you to.
Reviewed Nov. 11, 2016
I went in to Kaiser Permanente, San Marcos California in the morning of 11/1/16 feeling really sick requesting for an appointment. She said I cannot be seen until 2:50 and that I should've call them earlier. I told receptionist that I didn't start feeling really horrible until now. I had to come back at 2:50 pm because she said she had nothing. She even added that I should've called earlier if I wanted any appointments. The Physician Assistant assigned to me briefly spoke to me, did the regular stethoscope, checked my ears and throat visually and touched my lymph nodes. He didn't ask much questions or probed more and concluded I had Bacterial Infection. I was given ** and antibiotics ** & a doctor's note to take a day off.
I got worse and came back to urgent care on 11/7/16. I was told by the same receptionist that they have no appointment and that I would get a phone consult about 4 hours from that time. It was then that I asked "what if this is really serious, what options are you giving me." This is only when she suggested I go to Urgent Care. I saw Dr. David ** and explained how bad this could be and shared all my symptoms again. He claims I have Bronchitis to which I said "could it be Dengue fever since I told you guys that I just came from a tropical country and had mosquito bites." He also did not do anything extra but use his stethoscope. He said it's unlikely and was about to end our convo when I said that I would like to check so I need something done. He didn't do any extra tests to me either but thankfully he agreed to order blood work for me after MY suggestion.
After blood work, I was emailed by my actual primary physician, Dr. Richard **, on 11/10/16 and said that my antibody level for Dengue fever is elevated. Then he added that no specific treatment or follow-up is recommended per the people he consulted with. I emailed him back explaining how is this possible when people with Dengue fever had died! I demanded for a platelet count that evening via email. No one contacted me the next day so at 7:40 am, I called Kaiser and requested for blood work myself. The lab assistant was going to say no because my doctor didn't order it so I insisted that I at least have an email that can show them. Fortunately, she scheduled me at 9:40 am the same day. Before I got my blood drawn, Dr. ** finally emailed me saying he finally ordered what I recommended, as a patient, for myself.
I'm upset that I have been misdiagnosed two times. Been given antibiotics, then asked to continue this on another diagnosis that isn't supposed to take antibiotics and then after confirmation on MY OWN GUESS, was told that there is nothing that needs to be done. I could've died during the times both initially staff didn't take me seriously. This is not appropriate.
Reviewed Nov. 11, 2016
My Name is Asha and I've been taking care of my aunt Joyce ** for some time now. Picking up the pieces that Kaiser had broken apart. She has this terrible diabetes disease and heart disease. Kaiser has been administering/prescribing a high dose amount of insulin for my aunt to levels that caused her to go into diabetic shock. In November 2015 my aunt Joyce ** had been rushed to the ER while on In Home Support care through Kaiser, because of a pressure wound on her leg Kaiser failed to acknowledge.
With that ER visit she had stayed over a period of 6 months in the hospital. With Kaiser racking up her medicare bill and taking $900 a month from her retiree allotment insurance. While being treated for the pressure wound, one doctor at Kaiser noticed that she had CHF which is why she stayed so long in the hospital. They ran test and said it's inoperable and she has 6 months to live! Placed her on hospice.
Joyce ** was placed on hospice March-September at a Kaiser facility called Coming Home. There she did not die and was discharged from hospice after 6 months! The family refused to pay for any nursing facility because of Kaiser negligence, so Kaiser hospice social worker Erica, place my aunt at AgeSong, assisted living for one month where she was rushed to the hospital ER for her blood pressure and low sugar! (She needed nursing 24 hr care not assisted living). While at ER the doctors couldn't understand why she was taken out of hospice and referred her back.
The In Home care nurse and hospice director rejected THAT referral and placed her back at AgeSong. While at AgeSong they didn't bathe her nor take care of her. She acquired pressure wounds severely deep and painful. Kaiser - Erica hospice social worker - told our family they were only paying for one month at AgeSong and that we needed to figure out where to put my aunt who were still dying from her conditions. So Social worker Ericka placed my aunt in Omare a boarding care facility.
When visiting my aunt I noticed she didn't have a bath nor did her dressings get changed from her pressure sores she acquired at AgeSong. She smelled like feces and dressings on her legs were leaking and dirty. She acquired bed sores that were painful. While at this boarding care facilities, In Home support from Kaiser had been overseeing the care of these facilities and allowing the progression to continue without mentioning.
Joyce was sent to the ER for the last time from the abuse and neglected care received from Omare. The In home nurse finally reported her conditions and they sent her to the ER. She had bed wounds so deep she was heavily sedated with ** for her pain. Kaiser then placed her back on HOSPICE care. Sunday November 6, 2016 I visited with my aunt and she was feeling better and the pain had subsided. Tuesday November 8, was my aunt discharge date and before her discharge she was given 10 mg of **.
I later learned Kaiser were administering 10 mg of ** per hour for my aunt's pressure sores. The family wasn't notified of these procedures and when my aunt returned to her home for hospice care she was almost brain dead from the overmedicated doses received from Kaiser! It is now November 11, 2016 and my aunt is still delusional and incoherent from the dosage of ** received from Kaiser South City campus.
The family was given the ** to continue the care at home but my aunt is unresponsive, blood pressure extremely low, and not eating! This huge turn around happened in three days of just going to the ER for pressure sores and wound care! Kaiser failed! They overmedicated her with ** which caused an allergic reaction and now she almost brain dead! She was coming home to receive hospice care with CHF and diseased body from diabetes. Now we're dealing with yet another problem Kaiser caused from their neglected care!
Our family has filed grievance with Livanta and member services. We get to get compensated for what my aunt had endured and is now still enduring. We have a great hospice team from Vitas helping us take care of my aunt now, and we're seeking legal help to prevent Kaiser from doing this to another family! Please refrain from picking Kaiser as your healthcare. They're heartless and are now an entity for profit!
Reviewed Nov. 10, 2016
If I could give negative stars to this insurance company I would! While going through a painful miscarriage I had two horrible experiences with Dr. ** and Tina ** that will keep me from EVER using or recommending Kaiser again. First, I saw Dr. ** for a cold & requested a refill of an empty prescription bottle I brought with me and was then sent home with the wrong prescription and told to do a salt gargle. (I'm all about letting the body mend itself, but a salt gargle?) So I call back a day later after losing my voice and running a fever and am told I'll get a call back with a cough syrup prescription. Well I called back before they closed at 5 to find out my script was ready earlier in the afternoon. I get a call back 2 days later telling me my script is ready after I'd already picked it up. Talk about poor communication and customer service.
Secondly, I had to go to urgent care for the right prescription while Kaiser was closed on the weekend and once again received horrible customer service by Tina ** in member services who didn't return my call the day I filed my complaint for the correct medicine and then treated me as if I didn't matter. When I told her how horrible my experiences were, and asked her how this was acceptable she had NOTHING to say. Even when I threatened to drop them as my insurance, they made NO attempt whatsoever to rectify the situation or keep me as a client. These two staff members should be at a minimum ashamed of themselves.
Reviewed Nov. 10, 2016
I have had Kaiser insurance forever and now that I really need coverage, they will not cover. They will not even put a referral on the tab left for it can go somewhere else. After paying hundreds of thousands of dollars. I need this help. They refuse. I now have to look into another insurance company that this Dr will take. So Kaiser thank you for nothing.
Reviewed Nov. 9, 2016
I have more than 15 years KAISER for me and my family and NEVER received any bills therefore I always prefer having them as my health primary insurance. But this year I keep receiving long bills from my child as a collection fees w/o any previous email explaining what and why is now these bills. I called several times, spend hours on the phone their agents told me inc. the supervisor "don't worry about it. Ignore it because is our mistake, you are fine, you didn't change your policy premium, is okay." But the next 2nd months again I receive collection bills of pages with a due date of 6,000 and another of $333.
I called my job HR they are concern and they tried to make them provide me an explanation. I have to take a day off just to dedicate the clarification, but who pays me for that? Finally I was told that KAISER now becomes the second insurance and the primary is from my husband the Health Ins. is GEM another bad service with them. They said will mail the coordination of benefits in order to be completed by the employee beneficiary and have to be returned to them via classic mail, then they will verify the information and will follow up with KAISER. At the meantime the COLLECTION bill is against me and lower my credit score. They have power to damage credits but nobody put them a stop to pay a fee against themselves for doing this damage.
Please audit their business and besides KAISER keeps getting more people from different areas as customers, it's impossible now to get an appointment on the time wanted because they have more people and they use the same building. They charge more, they give collection bills without following the correct process and legal process.
Reviewed Nov. 7, 2016
Horrible HMO! We have had HORRIBLE experiences at the Kaisers in Orange County, CA. Most of the doctors are B rated, they are only into preventative care with happy, healthy families, they do not believe in chronic pain, say "we do not do disability," most surgeries are like an express car wash, and they want you out that day no matter what, and there is little follow up or caring. If you file a complaint, they will stick their disgusting lawyers on you, change your medical records, and tell you "you are crazy and it's all your fault." This is a ruthless corporate money making machine, where you are just a number, not a human being.
Reviewed Nov. 4, 2016
I joined Kaiser in June of 2016. I have never had an experience, with any insurance, that I have been a member of such as the ones I am going to share with you. To began I chose a PCP, which took 2 months to obtain an appointment. I need a referral to an ophthalmologist. I was referred to a doctor in Riverside, which is about 40+ miles, from my resident. When I joined I was told all doctors are in the same building. When I questioned the distance, I had to travel, I was told, "this is the closest one to you." I had to wait 3 months to see this Dr.
When I went there for a pressure check, and inquire about having a cataract removed from my left eye, he examined me and began to tell me, "whoever put that tube in your left eye, you need to go back to that Dr., because I cannot do cataract surgery on your eye. You might lose your sight." I was shocked to hear what this person had to say, because he calls himself a physician. Then he told me, "you have a cataract on one eye, and according to the girl that gave you the vision test, you are half blind in the right eye." I told him this was not true. This was a nightmare that I needed to wake up from.
This man is a rude narcissist and unprofessional. Why this so called doctor was so rude to me, I do not know, but I chose not to return for a follow-up, and informed Kaiser. When I called in to see another Dr., I was told "we are going to put you on a waiting list, and when we have an opening, we will call you." I have never heard of being on a waiting list to see a Dr. Well this was not the worst.
Today I went to pick up a refill that a customer service rep. was suppose to call in for me. She did not. When I arrived at the pharmacy, I was told "your refill is not ready, and has not been called in." I was told to wait, and they would refill it. Well she comes back, and tells me "your ins. has been cancelled." I was shocked. "So, if you want this rx, you will have to pay $100." I called Kaiser, and was told "you have 2 coverages," which I do not. I changed my plan to another carrier eff 1/1/17, which is the way Medicare does things, and these people have cancelled my coverage before 12/31/16. I was the phone for 2 hours or more, trying to correct their mistake, because I have no coverage, and it is their fault.
My premium is paid to these people out of my SS check, but they have sent me numerous letters of cancellation because of non-payment. I was told it would be corrected, but I am doubtful. At this point, I do not know what to do. Have reported them to Medicare, but it takes about 30 days, and I need my medication. Kaiser has abused me, and I am thinking about seeking legal counsel.
Reviewed Nov. 3, 2016
So I try this insurance through my employer, I check and the website says I'm covered and my kids are covered who live out of state. Well, that only applies to the medical insurance, not the dental. So I set my son up for cleanings and then I get stuck with the $480 bill because "Oh no, our dental is only in Portland Oregon, it's the medical that is covered out of state." So wonderful, a week's pay gone. Then I go to use it and I call to make an appointment on October 11th and get told I would get a callback. Wait a week, no call. Call back and they tell me it's a 2 month wait which is unacceptable.
I need work done and this first visit is going to be just someone peeking into my mouth and sending me home. So I call back and ask if they can schedule me for actual things I need and they tell me no, they won't schedule me for cleaning or other work until after someone peeks in my mouth. I know what I need. So I ask will it be another couple of months after the initial appointment and was told yes. 4 months to get a cleaning is nowhere near acceptable. Cannot cancel this crap insurance fast enough. Avoid.
Reviewed Nov. 3, 2016
I had blood work done a few times. They billed me 380,00 and they waited for all the bills to come together then send me the bill. My other insurances never billed me with extras, I just paid my co-pay and thats it. I will not go back. Im going back to my old insurance co.
Reviewed Nov. 2, 2016
They could care less about your health. YOU never get used to your pcp due to constant changing. Doctors are rude and arrogant. PAIN management is a joke. KAISER is the poor man's insurance. Good luck getting a appointment when you need one.
Reviewed Nov. 1, 2016
My patient review is about my personal experience with Dr. Eric Kim Pain Management with Kaiser in Glendale, Ca on Orange St. I have been experiencing chronic pain in my neck radiating to my shoulder for about 9 months now. When I went to see Dr. Eric Cheeho Kim he recommended me to get an MRI in which I did. I had to call them to get the results after a week because I didn't hear from them. It wasn't even the Doctor I spoke with it was his nurse and she told me I have arthritis but was not specific enough. I decided to make an appointment to see the Doctor to get the diagnosis in person. When I called in for an appointment... the appt center gave me one in a month so I had to wait another month.
Now when I saw the Doctor regarding my MRI... he wasn't even able to give me a professional opinion as to what it could be that's been giving me this tremendous dull pain. Nothing absolutely nothing was said on his part that made any sense... I wish I was more assertive as the patient to get better answers from him but that's my fault. Now what he recommended was an epidural shot which I was reluctant or I should say skeptical about it and so he said "you can try a cervical facet joint injection instead which can have less risks" and so I agreed to it. When I got my injection he told me to make a diary every day for a week and to call him if I see no progress and so I did.
The nurse calls me back instead of him and I gave her details as to the dull pain I've been having now worse in my shoulder and arm all the way to my fingers and asked her that I need pain meds to get through the day and so she told me she'll let me know and instead of calling me back she had a pharmacist call me which was NO help at all. I let them all know that this is unfair to let your patient who pays $425/month and going to this terrible pain and to leave me without any meds. Unbelievable!
Now I requested to have a second opinion on my MRI from another doctor which I'm waiting for a call to make the appointment. There is two sad and wrong things here... One is that a Doctor was unable to read or describe my MRI and leave his patient without medication. I do not recommend DR. Eric Kim to any patient especially for an MRI reading. I don't know how to explain all this better but it's coming out of my heart and experience so please believe me and my judgement about this Doctor. They always want the easy way out but cannot even determine what it is you have and yet they tell you you're a candidate for an injection which is not always the right way to go.
Reviewed Oct. 31, 2016
My grandson severely lacerated his arm that required stitches in and out. Was very frightened of dying. He has a learning disability. Also he was drinking but coherent. The staff did restrained him, mind you his arm was cut open. And no one was allowed with him to calm him down. Has a paranoia about needle until mother got there and they finally let her in. His friend that drove him there was forcefully pulled his arm backwards to escort him out. When he left the hospital he started to cry and told us what happen.
One of the male nurses hit him on the head. He has a lump... pressure bruises on forehead behind ear where he was hailed down. Said he couldn't breathe. He kept on telling them he has asthma. And a catheter was force in his penis - nurse told him to shut up before he sticks a bigger one and ridiculed his private. That's when the dr. came in. He was bleeding. I just get upset just thinking about this that I can't write anymore. What happen to the Drs and nurses that cared? The answer is they don't. One more thing. They told him that he had no ins but he didn't have his card with him. They said they needed the bed for patients with ins. How sad.
Reviewed Oct. 27, 2016
I am a 69 year old female. I have a hiatal hernia. I been on 40 mg of ** for many years. 10/1/2016 I became a Kaiser Patient. Dr. ** became my doctor. I ran out of my ** and I call in for a refill. Kaiser pharmacy and Dr. ** will not give me the 40 mg. They say I can get it over the counter. It doesn't come in 40 mg. I am left in horrible pain. I have acid built up and I been suffering like this for a week now... I call medicare and told them what happen. I got to deal with this horrible pain until the first of November when I will have my medicare back. Nothing over the counter work. Why would they let me suffer like this?
Reviewed Oct. 26, 2016
I am writing this review as I recently visited a doctor at Kaiser (**, Melanie, MD) with sore Throat and cough. My whole purpose of visiting the doctor to avoid the worse. Wanted to get some medicines so as I can prevent the fever and to take care of the virus before it becomes strong. Doctor did have a look and told me that she could see some swelling in my throat however, it's just a virus and will go away on its own, she mentioned. Also, it was mentioned to me not to worry and wait for 10 days and come back when/if it get bad. I have seen first doctor in my life who would like to wait till the worse happens rather than avoiding or preventing it.
Anyhow I came back home with disappointment and as suspected, I came down with severe fever late at night. I had to rush to urgent care and since they would not take Kaiser so I had to pay doctor fee and Medicine payment (Walgreens) from pocket which was around $167.00 in total. The doctor at urgent care was very nice and he diagnosed me well and gave medicine and I was on my feet in 2 days. I wish Kaiser Dr had done her job to prevent the same and it would saved me money and more importantly the time. Now Kaiser is also asking me to pay a part of the bill ($110.00) for the visit. Seriously :( I would be paying the bill. But it seems though as if loss of 110 for nothing :( I would never recommend Kaiser to anyone.
Reviewed Oct. 24, 2016
I recently had surgery with Kaiser at the Sunset location. Doctor and all nursing staff was amazing. Best service. What I am rating is the disability dept for this location. They are extremely rude, unhelpful and downright nasty. Slow at processing claims. Only Kaiser I have seen stating by Karria they will take 20 business days to send 2 dates online to EDD. This is completely unacceptable. Other Kaiser locations request 3-5 days. Not this place. I'm sure if one of them had surgery their claim would be processed same day. I am now having to return to work with less than half use of my hand and sutures in place as I am unable to wait 2 months to receive any benefits. This dept has been the worst experience I've ever had to deal with. Such a shame such a big corporation allows this.
Reviewed Oct. 21, 2016
I moved from Nashville this year, where I had a terrible experience with Cigna, my employer-provided insurance company. I signed up for Kaiser Permanente without knowing much about it, but it was one of 2 options from my employer. I have been extremely pleased with their services. Their employees have all been very friendly and seem happy with their jobs. I've barely had to wait on hold for telephone calls, and everyone I've talked to, from pharmacists, to customer service, to doctors, have all been very kind and helpful. I love the online options, like signing up for appointments online -- for a recent illness I was able to find someone to go to the same day. This is such a wonderful change from what I'm used to in having to deal with insurance companies. I would recommend Kaiser to anyone -- in fact, my fiance just signed up because of my positive experience.
Reviewed Oct. 20, 2016
I really loved Kaiser for the three years prior to this year. I felt as if my doctor truly was invested in my care, and help me live the best quality of life possible. As time went by, I learned what triggered my pain attacks, and how to control and manage them. With a lot of help from my doctor. I went from pain attacked every three months to every six months, to nine. My issues are stomach related. There is nothing that can be done except to manage the condition. I use ** for pain, especially at night when the pain is especially bad. Sometimes when food is digesting it feels like glass is breaking in my stomach. There has been times I have crying in bed unable to move.
A year ago my doctor demeanor changed, and he informed me that regulations in pain medication has changed. He starts asking me if I sell my pain medication or allow other people to use it. It was such a stupid question I started laughing. I was also drug tested, which I passed. I called him because my stomach was hurting badly. His reply was to make an appointment with my gastro doctor. That is fine if there was not a two or three month wait to obtain a appointment with her. The pain was so terrible, I ended up in the ER. I eventually was seen by a snotty nurse practitioner a week later that did diagnosis the problem. Though he was the type of health care professional you want to punch in the face.
My pain was under control, and all was well. Out of the blue my leg started to hurt. I tried to make a appointment with my doctor, but I could not get a appointment for two weeks! I ended up going to urgent care and finding out it is a pinched nerve. Sadly, this condition continued. I went to Urgent Care a second time to get a referral to physical medicine because once again, I could not get a appointment with my primary in a timely matter. I saw the physical medicine doctor who had me schedule a appointment with a physical therapist. When I saw the physical therapist she stated I needed to be on steroids so I would not be in so much pain. The amount of discomfort I was in, would not help me.
My doctor's nurse called out of the blue after six months and requested a doctor's visit. I agreed. It was the day after seeing the physical therapist, and I asked him for the steroids she mentioned. He did not seem happy about this and said I should have contacted my physical medicine doctor. Once again I was interrogated about the ** and what and when I use it or if I sell it. I felt it was a waste of a copy payment! He once again treated me like a drug addict. I left feeling violated and dirty.
Several days later I assume I had a bad reaction to the steroids. My back, side, stomach, and leg felt as if it was on fire and cramping also. I literally threw up until bile was all that was left. I ended up in the ER. I was told I was having a episode. They gave me **, and sent me home with nausea medicine and medication to stop the cramping. I emailed my doctor, called him, left three messages for him. He ignored them for four days. He let me suffer in agonizing pain. When he emailed me back, it was basically to call physical medicine. Mind you I was having STOMACH ISSUES. I switched doctors and was told she wanted me to be weaned off the **. I had no say in it. Period. I was re-drug tested.
I am done with Kaiser and their inhumane treatment. There is no excuse for the way I have been treated. I was left in pain, in so much pain I was throwing up and ignored. Treated like some junkie when my chronic pain is real. He is very aware if this. Then not to be given a choice if I want to stay on or off a pain medication. Should that not be my choice!? We are changing health plans. If this is the way people that just take a moderate pain medication are treated, I feel very bad for anyone that takes ** or other pain medication on a regular basis. I guess they do not care if you are in pain. Screw you Kaiser, especially you, Dr. **.
Reviewed Oct. 12, 2016
I am writing this because I feel like I have no voice, especially with a huge entity like Kaiser. My son injured his shoulder in football and has been suffering great pain ever since. I brought my son into the orthopedics department (Arbor Ave, San Diego) on the 21st of September. We met with Doctor C who examined my 16 year old son told him that he would need surgery on his shoulder. He told us that he would look at the MRI we provided him with and call us back THE NEXT DAY. After 5 days went by, I called and left a message for Dr. C. It then took him exactly 1 week to call me back (now putting us at 2 weeks since the office visit which he promised to call back the next day). Unfortunately I was working when he called and I did not pickup. Dr. C's voicemail said is that he can't read the MRI and will have to figure out what to do from there. Why did it take over 2 weeks to discover this and why was I not called immediately?
I called Dr. C back within 30 minutes of his voicemail and of course had to leave another message for the doctor. Meanwhile my son is in pain and is nervous about a potential surgery that Dr. C told him he would need, and asking me what is going on and what he should do. Because of the Dr. C's non-responsiveness and the level of my son's pain, we had to make a decision on what to do. WE NOW WENT OUT OF NETWORK SO THAT MY SON COULD HAVE HIS OPERATION. Since decided to make an appointment with Scripps, who saw my son within a week and were able to schedule a surgery within 2 weeks after seeing the doctor. Perhaps this is what an HMO wants, for members to go out of network.
Reviewed Oct. 12, 2016
For the last 7 years I have been taking pain medication for severe pain due to degenerative disc disease stenosis and arthritis in my entire spine. Today I was told that after all of these yrs of success with the pain medication, they are reducing it by 10% a month because of CDC guidelines. These guidelines were written as a guideline NOT MANDATORY. It took over a year to get the medication correct so I could get out of bed and be somewhat productive. Now I will be bedridden again and they don't care. I am confident they are reducing everybody's pain medication for 1 reason. TO REDUCE COST!
I HAVE BEEN A STELLAR PATIENT. I passed the many urine tests they required me to take. I always take as directed and never called in early with an excuse to get extra medication. Can they do this? They are a insurance company and provider. They are using the guideline as an excuse to make money without any concern of the patient's needs. How can I fight this. Somebody please help me before I am unable to get out of bed, unable to walk and unable to dress myself. What can I do??? I am permanently disabled as it is. Would you take away insulin from a diabetic. They are using the guideline as a rule of law, yet the CDC even said that if your patient is suffering do not make changes.
Reviewed Sept. 28, 2016
This year after being seen by her MD during routine physical my daughter was referred over to what I was told was a "ear, nose and throat specialist". We attending the specialist appointment he the specialist prescribed antibiotics for a possible slight ear infection that my daughter never complained about or knew she had. He the doctor had us schedule a follow-up to be seen two months later. Today she paid that visit, I took the day off from work only for this doctor to tell me that he was going to refer her to a "ear, nose and throat specialist". I told him that I was told and under the impression that he was that person. He seemed to wiggle around the question and said that he wanted to send her to the best to see if he would recommend surgery.
At that very moment I felt swindled and taken advantage of. I paid for not one but two visits only to be referred to another specialist. Swindle because I got the impression that they must really think I have an unlimited number of financial resources and money just falls out of the sky. Well quite the contrary medical cost are high and they are careless of how they refer people. I never had this experience at other medical firms. If I was referred to a specialist that meant that the person I was seen by was the same person that would do the analysis refer to tests and make recommendations and if approved would perform the procedures (surgery etc). To be referred to a specialist with the same title within the same department gives me a lack of confidence and feels like a system that just kicks the can down the road.
Reviewed Sept. 28, 2016
KAISER IS A DISGUSTING MEDICAL SOCIETY!!! I would give Kaiser of Colorado zero stars if I could. Kaiser is a monopoly of doctors who care only about their best interests and not their patients. Having our 3rd son, I have experienced the gomco circumcision and the plastibell. My second son, circumcised with a Kaiser Pediatrician only knew how to perform the PLASTIBELL. I went ahead with it because the gomco method used on my first son went well, so what could the difference really be? Well, there was a huge difference and going home with a ring tied around my son's foreskin caused not only discomfort for almost two weeks to him, but he didn't even want to nurse because leaning himself against me hurt him so much. He didn't want to lean or lay on me because of his plastibell cutting off blood circulation to the skin.
A few days into it, not only did he still not want to nurse much because of his discomfort, but he also started to bleed. Getting a hold of a Kaiser Doctor right away is Near IMPOSSIBLE. You end up waiting on the phone for 30 plus minutes just trying to get a hold of a nurse and then they don't have any useful advice other than take them to the emergency if you're concerned. Kaiser in Colorado is a joke and if you can go with any other insurance, do it. They don't care about a patient's best interest.
As I'm about to have my 3rd son in Colorado still under Kaiser that we pay a boat load for each month, Kaiser will not cover the gomco procedure and talking to various nurses and our Doctor, no one will help us. The best part is, every doctor at Kaiser told me Kaiser would not cover gomco. Kaiser in California gives you the choice between both circumcisions, but in Colorado, the greedy pediatricians out here decided that they would fight to take over the circumcisions because DOCTORS DON'T MAKE ENOUGH MONEY. Right?
What other reasoning is there considering that OBGYNS have done circumcisions since the beginning of modern medicine and now these greedy Kaiser pediatricians fought to take over for their best interest and Kaiser was too CHEAP to train them in both methods, only one. Kaiser is a disgusting medical model and should be avoided at all costs because they only care about their money and the money their physicians receive.
Reviewed Sept. 26, 2016
Kaiser Permanente has provided one of the worse customer service experiences I have ever had, resulting in the termination of my account. I was paying my bill a few days after the month it was due, for instance for the coverage of May 1 to 31, I paid on June 6, 2016. I called Kaiser beforehand to ask if this is okay and I was told it was. When I tried to pay for the month of June in the beginning of the July, I found my account was "Termed." I called customer service and after a 45 minute wait and explanation, I was told that I had only paid from January until April, and thus, I was two months late and terminated appropriately. I was astounded as I thought I was paid through May. Then the phone hung up. I get a call back. I check the statements and find that I had paid through May. This agent refuses to believe me.
After 1.5 hours on the phone, while trying to make me write a complaint to a department I know will ignore me, she finally recognizes her blunder and decides to submit a reinstatement on my behalf. This was in July and I just needed to pay for June! I called every week after this, for at least 30 min to 1 hr conversations, where I was told to wait one week, two weeks, oh actually, it's a one month processing time; Finally, I get a voicemail saying my coverage was terminated appropriately. I call in shock and ask to pay FOR THE REMAINDER OF THE YEAR. I can't live without healthcare. No responses, no callbacks from the manager as promised. Kaiser: never again. I bought my healthcare plan through the marketplace. These plans are given a 60 day window to "make good on your payments." See attachment. None of these procedures were followed.
Additionally, the member services' complaint/grievances form doesn't allow for any punctuation at all, and does not disclose this information before a customer begins writing. This is clearly attempting to deter customers from submitting their complaints/grievances. I drafted my letter and had to meticulously go through each section to remove any punctuation. Absurd and obviously unjust.
Reviewed Sept. 20, 2016
They bill for an annual exam which is supposed to be free and they add some extra tests be done that I was unaware of and did not authorize, and now it has been 6 months and the bill that they told me they would cancel simply continues to linger. They also send what they consider an itemized list that contains a list of "lab test", "lab test", "lab test" which is totally unacceptable. They contacted myself and my place of work agent to notify us that the bill would be "covered" and now deny it ever took place. I have been told there were notes on my account and most recently they are stating that there are no notes concerning the bill being covered. I can only assume that they are making everything as difficult as possible on purpose. Sounds like a case of trying to recover some costs on a "free" annual exam.
Reviewed Sept. 19, 2016
It has taken TWO YEARS to get them to correct my address. Funny how the billing always showed up at the right place. Anyway, the two choices for life sustaining medications is a long wait at the pharmacy, watching the seasons change outside, or the crap shoot called the mail in thing. Just received my latest one, with one med. Ray ** clearly undercounted by at least a third, and most of the other one loose inside of the mailer (a dozen or so were in the sealed bottle), now in powdered form. This has literally become a life threatening issue. The "funny" thing is that this is for my blood pressure - GUESS WHY IT'S HIGH??!!!
Reviewed Sept. 19, 2016
"I am sorry we cannot give you a specific answer as to what is causing your sx. However, we are trying to rule out dangerous things that can cause harm and I am sorry you do not feel that way. We can meet again to discuss more if you want. However, if you feel that we are not providing you with the appropriate care, you are welcome to switch provider or insurance."
This is the email that my doctor sent me after I complained that my pain hasn't been helped not do they know what's causing it over 5 months later. I began leaking pus out of my ** btw and they won't run any tests except for obviously painful pelvic exams and ultrasounds. They told me that I don't have a bacterial infection...so their recommendation is to start physical therapy on Oct. 13th when my back hurts so bad that I can hardly get out of bed most days! I'm convinced at this point (since I've been bleeding for a year and a half since I had my son, they tell me it's normal) there's a possibility I could be infertile by now but all they're willing to do is switch up my birth control! And then this! So I'm supposed to just take pain pills and stay out of their office?! And then my doctor tells me to switch insurance companies. Maybe he's right because obviously you won't receive the care you pay for through Kaiser any more.
Reviewed Sept. 18, 2016
My father in mid-Aug went to the E.R... Hollywood-Kaiser... with a lower dual legs bacterial infection and a small amount of fluid in the lower part of the lungs... Speaking, walking and coherent... He was admitted after briefing his medical history... which I witness firsthand... Later during a update by a doctor... she stated that he was giving for pain ** and **. I felt that this type of medication was too strong for a 86-year-old male who in his lifetime did not take anything stronger than **.
After a few days of daily briefing the infection was in submission and the fluids were dissipated... I wanted him discharged but the doctor wanted to try some other treatment for his lower legs. During the next week, under Kaiser 24 hrs care... he developed a large bed sore from their neglect to rotate him. He could not breathe on his own. Need oxygen. For the first time in his life... could not talk, swallow, or open his eye... Left eye 25% open. Kaiser was not forthcoming about his condition... just bits and pieces. Because of the family concerns about his treatment at Kaiser... he was brought home. As he requested a few years early... he had a hospital bed, 24 hrs nurse, oxygen... He died 13 hrs later... AUG 25 13:40 hrs.
The family was never update from Kaiser about his condition when he returned home... Only then the contract nurse stated my beloved father would be dead within 24 hrs. I strongly believe that under Kaiser care at the hospital there was extreme negligence on their part... without intent. My father was a asset to the United of America... worked at Hughes Aircraft on the satellite program till he retired... He deserved better treatment... Someone needs to be accountable.
Reviewed Sept. 16, 2016
I was told by my doctor to call for my monthly refills days ahead to avoid any problems getting my prescription on the day that is due. So I send the email on 9/11/16 to pick up on 9/17/16 (Sat). I get a email back from Monica stating, "Please call the pharmacy for all refills at 1-866-319-4269." So I called the pharmacy and was told that no refill was authorized but will send a request. It's been back and forth many emails, calls, messages, pharmacy and was promise to get it resolved as an emergency.
Now is Friday and the doctor is not going to be in weekends and no prescription has been authorized. They have record of all this call, emails, etc, etc and still no one has called me and answer one simple answer "Is my medication authorized to be picked up on Saturday?" The pharmacy said that they are still waiting for the call to authorize the refill for this weekend. I have been asking for a supervisor or anyone in the doctor's floor and they just told me that "They'll call you." This medication I have been using for several years. They know I have always follow the rules. I never pick up the medication early.
Reviewed Sept. 13, 2016
Terrible customer service by a woman named Grace (represents Northern California Kaiser) who supposedly is an advice nurse. I called to talk to an advice nurse (grace) simply to tell her that both my kids are ill. Not only did she not listen to me when I tried to explain to her that both of my kids are sick as opposed to just one, but she transferred my personal information that I discussed with her to the wrong department! She for some reason couldn't grasp that both of my kids are sick as she never noted this in her comments to the Doctor! She was rude, had an attitude for no reason, no empathy for my two very young children and the worst customer service. It's people like her that made my decision to no longer stay with Kaiser. Sadly, out of my 32 years of experience with Kaiser, I no longer have faith in this healthcare business as this was the last straw in the numerous complaints I have had with their TERRIBLE customer service.
Side Note: In just the past 5 years, they have somehow managed to overcharge me for my 1st pregnancy (had to jump through fiery hoops to get this fixed) and I developed a rash from the beds there (RWC location), they gave me an epidural with my 2nd pregnancy and it never worked when that was my only birth plan (!!), I had a previous incident of a customer service rep being rude for no reason. Another incident was my son's speech therapy being delayed due to miscommunication with doctors and membership services. Thankfully, after being evaluated by another doctor, I was told he didn't need it, but then I get a phone call from them asking me when to set up an appointment. (Did they not communicate this?!)
I had a cyst removed from my arm and now I have a huge scar. People see it and tell me that it should not look this way and that the doctor/surgeon did a terrible job - I have people telling me to get it checked out since it looks so bad. I'm over and done with you Kaiser, I should of have listened to the others telling me that Kaiser is the WORST!!
Reviewed Sept. 6, 2016
Extremely disappointed by the service provided by the Vision Essentials group at the Kaiser facility in Colorado Springs. After calling to confirm that we had vision benefits (and being assured that Kaiser provided discount benefits to members) my wife and I scheduled a contact lens exam. We arrived, paid our $40 copay and had our exam. Afterwards we were asked to pay another $120 because, apparently contact lens exams are not covered under our plan. $160 dollars so far not so bad. Then we get a bill in the mail for another $436.90 for our eye exam!
I understand that perhaps eye exams were not covered under our plan, but why were we not told this when we called for authorization? Or when we paid our deductible? (btw, doesn't a deductible imply that you have coverage? Otherwise wouldn't they just ask for the whole sum upfront). Anyway, now we are in for $596.90 for two eye exams. Any optometrist in town will do that procedure for half that price. We'd never have had those exams at Kaiser if we had any idea what they would try to charge. Absolute gouging! Dropped Kaiser and glad. Will be sharing this on Facebook, Yelp and Twitter too.
Reviewed Sept. 5, 2016
We hate Kaiser! For months we've gotten the runaround with my granddaughter who is 22 months old. She is visually impaired with ONH, from that comes a lot of picky eaters she also is allergic to so many things. Long story short she has been suffering from a diaper rash that wouldn't go away since December, all they could say is it's from the diaper not allow her to air out, too much moisture. For months they threw at my daughter so many creams. Her bottom was so red and raw, the baby would scream. Long story short they never tested her blood or any test for that matter. Everyone could see there was something not right with the baby, she was so pale pasty with no energy.
Finally after months of going to the hospital with even being admitted a few times did they not detected the deficiencies in zinc, iron and so much more. This baby already suffers from her vision and why put her through more. Now she is at roseville's hospital for almost a week maybe longer with a feeding tube. The nurses are so rude! We only dealt with a couple of nice ones. I can go on and on about the care kaiser provides and the pharmacy isn't any better. They prescribed the since on Aug 15th, when my daughter went to pick it up they said they didn't have it, it was something that was over the counter. No it wasn't! It took them 2 weeks to get it and compound it to the milligrams she needed. Dealing with kaiser has been a horrible experience, nightmare! We have to have it because that's what her father's carry.
Reviewed Sept. 1, 2016
My father was diagnose with brain cancer on father's day. Doctor told me take him home let him do what he wants. He had six months or less. Meet by hospice the day of days release. That's when the horror started. First his stay was horrible to treat a person with brain cancer like my father was. An animal at a shelter was treated better than my father, he was strapped to a chair for over 6 hrs no food. No bathroom, his hands were so dirty etc. then hospice. Doctor told me not to tell my father it was best. Well hospice sure thought they needed to tell him.
Everyday was a fight when they came into the home. Doctor Rebecca ** was horrible Gretchen ** was horrible chaplain Sharon ** was horrible. Karen ** the list goes on. The day my father passed he was in so much pain the doctor refused to give him his meds. The nurse came and left in tears due to my father and his treatment. My father didn't even make it a month. To date Sept 1, 2016 I have gotten nothing but the run around. I just don't want anybody else to go through the horrible so called care my father did. No family or family member should go through this. I was told by Kaiser I had a bad team. Really in hospice there is a good and bad team. And if anybody has hospice and not happy you can switch. Never let them think you can't. You have that right to switch.
Reviewed Aug. 30, 2016
Since the end of May 2016, I started out with a bladder infection. My doctor, at Fremont, Ca, Kaiser, Dr. Sarah **, just listed in my chart that stress was my medical issue. So, neither her, or several other providers, including Kaiser ERs, would treat me. They all said, go see a psychiatrist. Well, I had to go out of Network, and in the meantime I suffered from Hepatitis A, multiple kidney stones, hypothyroidism, and immune deficiency, Celiac disease, and intestinal infection, as well as ulcerative colitis. I was hospitalized twice in July, not at Kaiser, as they all literally laughed at me, after Dr. Sarah ** dropped me as a patient.
Then, after I called member services to complain about her and other doctors treatment, Dr. ** cancelled my already ready medication. Then when I called told pharmacy to call her supervisor, she called my meds into an out of town pharmacy. I almost died. Too bad for Dr. Sarah ** and Kaiser I didn't. Because I have the printed proof of her faked phone appointment with me, which they have since erased. Phony records to begin with, now have been erased... Thanks Kaiser, I'm still fighting for my life... They have not figured out the rest yet.
Reviewed Aug. 26, 2016
I have asked Kaiser to stop calling me to have a mammogram for about 15 years. I've filed complaints 3 times with member services. Member services says "It's for my own good" and agrees with the policy to keep calling. I changed my telephone number, so they started calling my son at work to tell me to have a mammogram. I have spoken with the manager at the radiology lab and asked them not to call over and over again. They told me they will not stop. What can I do to get these calls to stop?
Reviewed Aug. 26, 2016
Took two months to get online access since I had insurance and just needed additional for my son. No one followed up in the 5 or so calls I made, and I was paying for services I couldn't really use. Then when I canceled, they continued to bill and I have been fighting them for 4 months to get my money back. I have sent them proof of insurance 2 times now, and no one has bothered to follow up. You also can't cancel or communicate unless by paper snail mail. No fax no email. What is this, 1980? It's a slap in the face that I had to pay for this service at all. By the way, I don't use most conventional medicine and would not need insurance so Obamacare hurts my family and bank and wallet. The healthy pay for the sick to be cared for. Thanks a lot.
Reviewed Aug. 24, 2016
I have been back and forth with my psychiatrist for the last 3 weeks. Each time, she puts me on a new medication. NONE of which are specifically for anxiety and panic disorder. I've been put on an ** (with zero results), an ** (again, no results) and then an ** that nearly sent me to the hospital because of my reaction. Their solution? Put me on ANOTHER ** with no back up or complementary medication like a ** or something similar to cope with the panic attacks - especially if the ** can take 6-10 weeks to finally kick in. My doctor ignored my final emails requesting either a new medication or a complementary one just in case, and proceeded to prescribe the ** anyways. This will be the FIFTH prescription I will most likely waste money on and have a to throw away because they can't get it right the first time, or listen to their patients concerns.
Reviewed Aug. 19, 2016
I have had fibromyalgia for 20 years and my former doctor has managed it for the past 12 years with 7.5 mg of ** at bedtime. I take no other drugs or pain killers. Within the past three months Kaiser's inexperienced know-it-all doctors and administrative staff have demanded I take a stronger more dangerous drug of **. When I refused, they took me off my medication. Now I've gained 20 pounds, can't sleep, glad to quit work and am in constant pain. These monsters should be fired! They cite side effects. ** has far worse side effects than a good night's sleep and health management. According to the Mayo Clinic, ** is a known protocol drug for fibromyalgia and has less side effects than **. Crazy maniacs at work!
Reviewed Aug. 18, 2016
Myself, my mother and my father have all belonged to KP for DECADES. Actually, I got wise to them after three years and cancelled and went to a REAL insurance company. Kaiser made lots of money on my Mom and Dad, as they didn't get ill until they were in their 90's and KP had received all of their Medicare money for all of that time. Dad is gone now. Even though his Dad died of prostate cancer, KP never checked him until he was having problems and his numbers were a whopping 115 (normal is about 2). So Dad dies and now Mom is getting the same runaround. A nice doctor that she can NEVER GET IN TOUCH WITH AND RARELY SEE.
Her latest problem is a blood pressure (after a recent heart attack they didn't find) is low, low blood pressure. She has emailed her doctor and that is just a cylindrical file that goes directly to the trash. I looked at all of the medications she was receiving and about 3/4 of them she did not need. Who gives a person THREE blood pressure medications when they have low bp? Cholesterol for a 90 year old that has been scanned and has no plague. The list goes on. So I wrote the doctor and told him that on a certain date I was going to start weaning her off of medications. NO ANSWER.
I weaned her off. She has recently called... oh that is a good one... calling KAISER. EVERY SINGLE KAISER IN CA HAS THE SAME NUMBER THAT YOU DIAL. TWO MILLION PEOPLE CALLING ONE NUMBER... It's really fun. Of course, rarely does anyone answer. And no one answers the messages you leave. Mom's recent email about bp at 80 over 50 was very upsetting. No answer. So I went to a nurse and she told me to take her off of the blood pressure meds (I had already read up and taken her off of the extra one) and keep checking her bp until it starts to rise. So that is what I'm doing.
If she gets a heart attack or stroke I'm suing Kaiser to the hilt! Right now all I can do is warn all of you out there to NOT GO TO KAISER! Now that Obamacare has come into existence Kaiser sees another way to make money. All of the Welfare and Disability patients aren't enough for them... Now they want all of the Obamacare patients too. So, as a result, she NEVER gets to see her own doctor and he NEVER answers his emails and she can't get KP to answer the phone... much worse than it was before... if that is possible.
So I am telling you, people, DO NOT SIGN UP FOR KAISER. They say they need 10,000 more doctors to fill their quota (they is the Kaiser Doctors and Kaiser nurses). They don't have enough facilities to take care of the huge amount of people they have. Also, I was told by a Kaiser doctor... THIS IS THE BIG ONE, that they get paid bonuses by the amount of lab tests and procedures they DON'T DO. The less they do, the bigger their bonus. If they are bad and actually treat people, NO BONUS. I didn't just make this up. I was told this by a Kaiser Doctor! So, what do YOU think? Want to try Kaiser?
Reviewed Aug. 16, 2016
I am a Pulmonary/Critical Care Medicine physician who deals with patients requiring home supplies frequently, particularly those who necessitate tracheostomy supplies. My father himself has a tracheostomy (not on a ventilator), and requires care supplies for management of the tracheostomy site and also nebulized air compressor device/supplies to provide mist while wearing a tracheostomy mask. On most occasions, I order the supplies for him so that my parents do not have to deal with the challenges of reordering supplies.
I am appalled by the customer service provided by the monopoly that is Apria Healthcare and Kaiser Permanente. I had to order TWO supplies only, and this took the span of approximately 2 hours, with a total of 4 phone calls required (1 to the Kaiser DME department at 877-317-6230, 3 to Apria Healthcare at 800-277-4288 with 3 of the calls leading to being placed on hold for ~30 minutes, and then somehow the line was transferred to the wrong location). This is from a physician who knew EXACTLY what supplies AND reference numbers/item numbers to utilize.
After this, it turned out that they did not order the correct supply and were going to charge me erroneously for the cost. I then contacted Apria/Kaiser the following day (Thursday), spent another 2 hours of time with them regarding the wrong order, and was told that I would not be charged the cost of the supplies. I then called the 3rd day (Friday) to verify the information because I did not believe in the competency of the staff after my first 2 days of interactions. I ultimately discovered that (1) the correct supplies/quantities were NOT ordered (there were only 2 of them needed!! Mind boggling.) and (2) I was billed the cost of the supplies that were sent incorrectly because they had already left the warehouse. This again took another 1.5-2 hours of my life. Ultimately, we added 2 more items on that day, but there was still a mistake in the quantity delivered.
My frustration is obviously for my time invested - in ordering just 2 supplies, mind you. I am also frustrated about being billed supplies that I did NOT request. More importantly, I am frustrated for the thousands of patients who have NO medical background and need to deal with Apria (and Kaiser) on a recurrent basis. The service department makes it so difficult to obtain the correct supplies, and more importantly have extensive "hold times" exceeding 30 minutes. They then transfer you to the incorrect locations without your confirmation when they specifically report this will not happen.
They do not call you back when they disconnect you from the line even though they verified specifically that they would call back in this situation, and also reconfirmed (my) telephone number for call-back. After my 2nd disconnected call, I started verifying that they had the contact information so I would not have to spend such a long time on "hold", but they did not provide the courtesy of returning a call.
During our interactions, I remained civil and professional, having to recurrently relay the issues with new staff members every time. It was very frustrating, however, to deal with the incompetency that exists with the staff in this specific aspect of healthcare. Medical supplies, partially for those within limited HMOs, are contracted to specific companies and thus exists the monopoly with Medicare and co-payments. To ameliorate the problem, I would have liked to bypass Kaiser all together, but this was not possible as it is his HMO provider.
I have placed a request for the reimbursement for the supplies that were delivered incorrectly, but was informed that (1) it will take over 1 month for my file to be reviewed by Kaiser and (2) they will most likely not provide a reimbursement even though it was their error. This is an abuse. I don't care if it's $3 or $300 out-of-pocket cost, it's still an abuse of a multi-billion dollar industry and should not be happening. How can we fix this? How can be make these people accountable? And how can I get reimbursed for the erroneous supplies AND my time? My telephone logs along will verify that I was on the phone with them for these extensive time periods.
Reviewed Aug. 13, 2016
I am bipolar and I have counseling. That is until now. I have been very depressed and I have try to get appointing. This is after being in a step-down program which was not check out. When I walk in there was bm all over floor. It was like a convent home. I was to be given counseling. I had 3 sessions. I choose to leave in a week. I was trying to get help because my niece had just committed suicide. When I got back I saw my counselor and case manager. They told me I was going to see case Manager for a couple of weeks and I found out that I can't be helped for six months. I am fighting with them. I have a complaint with medicare and member services. I pull my records and Kaiser has put in a note that one there that files can't be seen. Also I need a adviser to help. Someone please help me. They got fine 4000000 for not giving service in a timely manner.
Reviewed Aug. 10, 2016
This year as of 2-25-16. I've had nothing but unresolved medical conditions. I've not been able to move or anything and keep getting shoved off for care. No one seems to want to care or take the time out of their busy schedule to figure out what's been the underlying issue. Rather than medicating me. I'm frustrated to no end. And it's been months I still can't walk or lay down without going numb.
Reviewed Aug. 8, 2016
Since last more than 3 weeks, I have a problem with kaiser web service help, I cannot attach anything to the letter I wrote to my doctor. I call almost every body in member service and lots of tech. support. Every member service I talk to gave me an advice. To do this and that. One member told me to take my laptop to one kaiser silver spring center nearer to me, I have no choice but to follow her instruction. Once I reached to this center they said they do not have any body can resolve my problem. Somebody said ask my doctor!
I spend my own money and hire well known tech person who goes all over world, He check everything and finally he said there is nothing wrong from my side only it can be fixed from Kaiser side. Tech support cut the ticket to 2nd tier tech support. No one call me since 3 weeks. Even I tried to get director's phone number, but no one gave me phone number nor their e mail address, Kaiser has no system to resolve the tech problem. Directors are so isolated that they do not know what is going on. Why they do not have online contact info,
Reviewed Aug. 4, 2016
During the first week of July 2016 I went to Urgent Care at Kaiser. They treated me for back / neck issue. When I went to my primary care physician, he would not write me out of work despite really excruciating pain. Upon writing to Kaiser, they called me back and wrote me out of work, but there were more problems to come. The primary was supposed to refer me to get an X ray. Office personnel sent me to the wrong place and when I did get to the right place, there was no order. The primary put in their report that I had been given prescriptions for drugs that I've never been prescribed. A few days of waiting and I had to contact Kaiser. The referral to a surgeon never happened. They had to take care of that. The surgeon wanted to try physical therapy and said they would contact Kaiser - who was supposed to contact me. That never happened.
From the first day of July 2016 to the current day (4 August 2016) there is no record of any of this save of the initial visit to Urgent Care. So, they have tried to send me back to work injured; they've done relatively little to help me get treatment; they've stopped recording my visits, prescriptions, etc. BTW, they sent me back early from a sickness a few years ago. I pleaded with them for three more days, but they sent me back. I got injured the day I went back and was out for months due to injuries sustained.
Reviewed Aug. 3, 2016
Kaiser Permanente is the worst insurance/medical group I have ever experienced. Went to the ED, Dr. ** said I needed a MRI asap on my shoulder and put in a request to my primary care for referral. Neither the Dr or I have heard a word from my primary and when I try to call and at least speak to his nurse the operator won't even put the call through. Said I have to wait till they are ready to speak to me then they will call. Funny how an ED DR from Legacy hospital is more accessible than my own supposed primary care... This is NOT THE FIRST TIME I'VE HAD ISSUES LIKE THIS...--I ABSOLUTELY HATE KAISER PERMANENTE!!! NO time, horrible patient care, unskilled Dr's, cut short visits after waiting hour passed appt. time. Horrible all around!!!
Reviewed Aug. 2, 2016
I've been having several symptoms for the past 4 months and still no diagnosis of what's causing all my issues. I've been off work for two months already and my issues are simply compounding. I have visited the E.R. about 7 times, 4 visits outside of kaiser's network. More work is done at other hospitals in one E.R. visit, compared to 2 months going from one place to another with kaiser (quality care). The E.R. Doctor, not from kaiser, advised me to see my doctor right away. When I spoke with Kaiser and gave them the same message, they kindly said, "oh yes, we have an appointment available 30 days from now" (pathetic). The E.R. Doctor also recommended a nuclear treadmill test. When I passed this message over to a cardiologist from kaiser, he flatly denied to have such a test taken. We ended up arguing, and he flat out walked out the room. This kind of service is outrageous and deadly.
Treatment at kaiser is a joke. I won't speak for everybody, but I can certainly speak by my experience. So much time is wasted between procedures. Their scheduling strategy is a danger to public health. You pretty much have to push your doctor around to get things done. The only way you'll actually get effective treatment is if you are literally dying in front of them. At least that's the way they make it sound and look. Example, Visit the urgent care department. They can't do much. You're advised to see your doctor. Well good luck. That's a month down the road, but come back to urgent care if you feel the same way again to be told the same thing and get nothing done again.
It doesn't add up. File a grievance? Good luck as well. Nothing much gain. Pretty much their own people. But worth a try. They make it sound like somebody's hand was slapped. Doctors are so passive, not proactive. It's like you have to go in there and tell them what you think you have in order for them to take action or else you'll be sent home with nothing done. And no,they're not the kind of doctors that follow up on your health. So yes, you need to be pushy. They rely so much on xrays and blood work. If nothing comes up with these basic tests, you are literally on your own. They have no expertise, to think beyond the scope of those tests to give you some insight of what's wrong with you. If that's what it takes to make money at kaiser. Then sign me up!!! I'll just sit here, and wait to see what the xray or blood work tells me to do for patients.
Forget patient testimony. What you have to share with them doesn't matter, if it wasn't picked up by an xray or lab. They're lost. "Go home. You're fine. You have anxiety." (Oh really?). Just tell me, you don't know what to do. I am paying monthly dues to have procedures done on me for the sake of my health not to hear doctors talk about why they refuse to order procedures that may hold the answer to my sickness. First chance I get, I'm switching.
Reviewed July 26, 2016
I want to file a complaint against the radiology department at Kaiser Permanente in Morrow, GA and against the person that was supposed to do a mammogram on me last Wednesday but did not. She refuse telling me that my doctors do not know what they are talking about that I do not need to get another mammogram since I just got one less than six months ago. She continue on telling me that if she did the breast exam then she would get in trouble with her doctors and she told me that my doctors who told me to get the mammogram done because they saw lumps in my breast from the first mammogram that look like it might be cancerous don't know what they are talking about.
If two different doctors tell me that there is something going on in my breast and they need another mammogram to find out what is going on I do not understand how someone who do not practice medical can go against what my doctors are saying. I also do not understand how Kaiser Permanente can have a million commercials about early detection and prevention and you would have someone like this person trying to discourage me and refusing to do the mammogram work for you.
My appointment was for Wed, July 20, 2016 at 2pm. I got there and was told that I was at the wrong location. They said that I could be seen but I would have to wait until 4:50pm. I wait almost 3hrs. I went back into the room, got undress, went into the room where the mammograms are do and that's when she start to tell me that my doctors don't know what they were talking about, I don't need to get another breast exam, I need to wait until August to get my breast exam again and if she does the mammogram then she would be in trouble with her supervisor. I pay almost $200 a month for this health insurance and for someone to refuse to do a mammogram that I do need to see if my the lumps are forming into cancerous cells - a person that never went to school for medicine is trying to convince me that the doctors don't know what they are talking about when it is her who do not know what she is talking about.
I pay too much money to go through what I went through. She was unprofessional and rude. You see all of these commercials for Kaiser Permanente about early detection for cancer and that is what I am trying to do but can't get the screening that I pay for. I think I will file a lawsuit in this matter because of the refuse of treatment when my the month that I pay covers mammograms. I will file a lawsuit. I have contact an lawyer right now as I speak. I want this person fired and any and everyone that had something to do with this. I have the right to get an mammogram - that is what I pay for every month and for you to or to have any staff advise someone not to get a mammogram when two different doctors suggest that I get one is crazy. I am a ** women and In women under 45, breast cancer is more common in ** women than ** women.
Overall, ** women are more likely to die of breast cancer. FIVE ** WOMEN DIE NEEDLESSLY PER DAY FROM BREAST CANCER IN THE UNITED STATES. I have made it my mission to find out who she is and who her supervisor is and all the people responsible for refuse me service. I pay my health insurance almost $200 every month and I can't even get an mammogram when my doctor told me that I need to get an second mammogram. I see that you are trying to save money but are you trying to save lives?
This company doesn't even live up to what they are stand for. Early detection, prevent care is what you show on the t.v commercials but not what I saw on Wed, July 20, 2016. I am in a lot of pain. My breast hurt and I am going to take legal matters. My health insurance pay so that I can get breast exam and for me to sit there while someone who never went to medical school, who is not a doctor tell me that my doctors are wrong and I don't need a mammogram is like insulting my intelligence. She need to be fired today!!! The fact that someone who does not have a degree in medicine, who never been to school for medicine could tell me that I do not need to get another mammogram and that my doctors do not know what they are talking about is outrageous.
To me a person like that should never be allowed to work in a hospital. She should be fire and anyone that had anything to do with it like her supervisor since she said that she would get in trouble with her supervisor she should be fired as well. If you do not practice medicine then you have no right to tell a paying customer that you advise them against getting a mammogram.
Is this how you "VALUE" your customers and how Kaiser Permanente take pride in the quality of the health care and the quality of the service they provide? Hiring people like her who refuse to even give me an mammogram that could help if I detect breast cancer, for Kaiser Permanente to have someone like that on their staff says a lot and if she did that to me how many more people is she doing the same thing to?
What is Kaiser Permanente? Are you trying to save money by limit the services that your customers are paying for? Are trying to cut corners on the behalf of your customer's lives? If you value your customers like your motto say then why would I be refuse service for a simple mammogram that can detect whether or not I have breast cancer? Is my life not important to you? Do my life even matter or just the money you receive from me the important part? Do you even care that I might have breast cancer? I care. It keeps me up at night sometimes wondering and praying. I want to tell all consumers not to ever have Kaiser Permanente as your health care. Find someone that really cares and not just say that they do.
Reviewed July 22, 2016
I had been with Kaiser for a few years, and during that time was diagnosed with an ascending aortic aneurysm, pulmonary aneurysm, aortic valve leakage and mitral valve leakage. I am also overweight. Their advice was to lose weight, which I am in total agreement with. Now, trying to get any help, nutritional guidelines etc out of Kaiser was impossible. I spoke with my primary, my cardiologist, another covering cardiologist who told me flat out when I asked for help losing weight "There is no help for you, get out of my office", and got no assistance whatsoever. They did tell me about a medical weight loss program they offered, which is not covered at all by Kaiser, and would have cost me $2,700.00 for 3 months.
I switched to a PPO plan with a different insurance carrier and now see a cardiologist (read one of my previous posts about my fight with them about my heart conditions) and a nutritionist in the cardiology department, and in one visit I have all the proper nutrition guidelines I need, and am on my way to a healthy weight and BMI. Do not go to Kaiser for help with nutrition, weight loss, heart problems - or anything. They won't help you, but they will be glad to take your premiums every month for what adds up to nothing.
Reviewed July 20, 2016
Kaiser Permanente is the worst healthcare available in this country. The personnel is incompetent. Since joining six months ago, I have experienced nothing but frustration with the smallest of things. Getting someone on the telephone is impossible. You cannot even leave a message because voice mail boxes are full. No one returns calls. I have requested films/X-rays that got lost and/or took 3 weeks to show up. I have been "lost" while sitting in waiting rooms waiting for my name to be called. My prescriptions have been "lost." My doctor has ordered extra tests for which I have been billed during routine exams. The list goes on and on. INCOMPETENCE is the only way to describe this organization. Poorly run and poorly managed. Cannot reach anyone by phone. You are not allowed to walk in and speak to anyone. They insist that you "email or call." No one responds to calls or emails.
Reviewed July 10, 2016
I was sold a bill of goods. As a retired senior on Medicare I was with United Health Care. A salesperson told me how good KP was and that my hospital coverage would be less with KP than my United plan (not true). So I got on board. BIG MISTAKE! First thing is I told them to take my payment out of my Social Security. They said fine. Then got a bill and called them. They told me they were having problems with SS so I best pay the bill direct. Gave her a credit card. They hit the card not one time but two times!! Two days later Social Security sends me a letter that they were withholding funds and paying KP as I had agreed. So now they were billing me and being paid by SS!! Took weeks and long time on hold to fix this problem they created! My co pays are higher.
Also when you see a doctor pay that co pay just wait. You will get a bill for more very soon! You never can call your Dr's office as you would. You have to call some 800 number and talk with someone that seems clueless most of the time. I made a big mistake. Now I must wait until October to sign back onto United Health Care and that will not take effect until Jan. So as of now I will avoid using KP and hope I can hold on until Jan without needing heath care. I have zero trust in KP. Be very aware before you make the same mistake as me!
Reviewed July 9, 2016
An 18 year KP veteran experiences a pre-identified, pre-disposed anticipated back surgery scheduled 6 days from now. Requires primary care provider visit to get a referral to back surgery for. The soonest available primary care provider appointment in 11 Days!!! Poor Management; Overworked/overscheduled staff.
Reviewed July 8, 2016
They agreed to reimburse me for a bill inconsistent with their original quote. To me, that remedies the problem.
Reviewed July 6, 2016
I signed up with Kaiser Permanente through Marketplace. For last year everything went fine but this year after May 2016 my monthly premium jump 200%. I called and was told they received info from Marketplace. I did a conference call with KP and MP, spent 3.5 hours on phone and Marketplace confirmed no change was made on their side since 1/1/2016. See billing logs for record: 05/01/2016 $398.47; 04/01/2016 $108.73; 03/01/2016 $108.73; 02/01/2016 $108.73; 01/01/2016 $108.73.
For month of June they fixed the billing but remove my dependent (my wife) from my policy. Again I called, spend few hours with KP. They hang up on few times saying I have to call Marketplace as they send the change request. I called Marketplace, spent 45 min on phone. They confirmed no change on their side and they escalated the case for someone to look into this.
Please do not sign up with KP. They make unauthorized changes to your account and will hold you responsible for payments. They will not see you no matter how serious sick you are. In my case my wife is suffering like fish without water for lower stomach pain but these money hunger devil will not see her because her policy is deactivated when it should not be. I wish to move away from them as soon as open enrollment and trust me 50+ of my families and friends will do the same! Externally disappointing to see your loved one suffering and can't do much. :(
Reviewed July 4, 2016
I have been changing HMOs every year since my doctor retired about 5 now and Kaiser is the worst. You have to do everything yourself. My old doctor took care of me, let me know when I needed test or whatever, talked about my problems. These guys do nothing. You have to tell them, diagnose yourself, they'll look up on the computer to see what to do and print out a paper of what you are supposed to do (could of done that online. GOOGLE). And then they say everything in one place. Why do I have to travel 10 miles to see a specialist. I live 5 mins from the main hospital and closer to other facilities, how is this all in one place. In conclusion, I HATE KAISER PERMANENTE.
Reviewed July 3, 2016
Kaiser used to be good, if not very good. It has been two years now that from mostly what we believe is they damaged my nerve during the surgery, and of course they won't take responsibility. For two years, they keep misdiagnosing me with every kind of condition there is. First they told me I have Lyme disease. Took a month worth of medication, then they said I never had it. One spine doctor said "You may have a tumor in the spine." That was false! I was told I may have MS. That was also false. Now they are saying I may have a autoimmune neuropathy, which I have to get tested still. Anyways the runarounds. I have to visit the ER so many times, because the pain gets so intense, and they just prescribe neuropathic medications, which I don't get any use out of so far. I am close on cancelling my insurance with Kaiser.
Reviewed July 1, 2016
I have had a number of jobs where fortunately I have always had PPO. My latest company only offered Kaiser. My husband who had Kaiser for years and decided that he would go with the insurance carrier that I had with my previous employer. He was shocked how incredibly efficient the doctors who accepted my PPO. When I took on a new role with this another company, it was my first-hand experience with Kaiser. My husband who by this time loved the PPO remembered why he never went to the doctor previously when he had Kaiser. My doctor which is the same as his told me that I had gallstones and that I needed surgery to take them out. I asked if there was an alternative solution to surgery. He said no. Then I asked, "What happens when you go untreated?" His immediate answer was "You die." Really??? Is THAT what doctors are suppose to say?
My husband had to go in to the same doctor for a knee injury. Not only did the doctor provide the wrong prognosis on what was wrong - he sent my husband to the X-ray office and marked the wrong leg for X-rays. When he got to the hospital they said they could not take him because the doctor needs to correct on paper that it was the wrong leg and my husband would have to come back when it is corrected. He was not allowed to just simply tell them that it was the other leg. Lastly when my husband was told by the Kaiser customer service representative on the phone to go to the Kaiser urgent care on Saturday. When we got there, and he had to painfully hobble to the counter, the lady behind it said, "Oh sorry, we can't accept you because our facility closed 5 mins ago. You will have to go to our affiliate hospital." Little did we know that we would have to pay $4K to go to that one. Kaiser really does SUCK!
Reviewed July 1, 2016
On Tuesday June 28 a phone conference was held concerning my wife's medical coverage (Donna **) who is currently in a nursing facility here in Florence, Oregon (Regency Florence). Kaiser has determined that my wife should be discharged from Regency. My wife had surgery in March that inserted a drain tube into her stomach, removed her gall bladder, sectioned her intestine, and then operated on her brain to repair the damage that resulted from a stroke she had the same day. All of this occurred within a 4 hour period on March 17. My wife is paralyzed on her right side, she cannot toilet herself, needs total hands on assistance for daily activities, and has a feeding tube to her stomach. How can Kaiser believe she is ready to be discharged?
Since her stroke and surgeries she has only been outside a nursing facility once and that did not go well. I would love to hear the reasoning behind Kaiser's decision to discharge her. I know that there is no way in the world that I can provide the level of care that my wife needs. I've been a member of Kaiser since 1974. I have always supported and spoke highly about Kaiser. I think that is coming to an abrupt end. I will be posting my feelings of my wife's treatment everywhere possible. With everything we've been dealing with, Kaiser's refusal to continue her treatment/rehab is something I never expected. Fool me once...
Reviewed July 1, 2016
We pay thru our employer. We pay thru our pay check. We pay a copay. We pay for services that are overpriced. No in house financing. We need to get approved for outside financing. What if we can't get approved? Can't afford to pay more.
Reviewed June 30, 2016
For at least 8 months prior to Sept. 2015, my fiance and I had tried to get Kaiser to acknowledge something was wrong with my fiance's father's mental state. He was a danger to himself and others. IE: Erratic driving, causing accidents. Set fire to his kitchen and tried to put it out with bug spray. His roommate stopped him. His personal hygiene was atrocious, he reeked of urine and feces with stains all down his pants. Taking medication not prescribed to him, belonging to his girlfriend who has schizophrenia. We witnessed this!
He was missing for over a week and had moved 2 times to new residences within that 2 weeks. He was very paranoid. Police had to help us locate him. Kaiser wanted to do psych eval and told us since he goes to AA, they would send a team to the AA meeting but we had to have police with us. We set that up, called Kaiser in the morning to tell them we were ready to do this. They then told us they don't do that. We eventually got him into the ER on Sept. 4/2015. He had stomach pain and called us to take him in. They were refusing to do the psych eval. Had a social worker talk to us, who seen nothing wrong with the accidents, fire, buying random people iPhones or giving random people his bank account numbers, etc.
I threatened to sue them. We were not leaving until they did the psych eval. They did the eval and determined he was not capable of being on his own and admitted him to the Jewish Home for the Aging which is hour drive one way from where we live. We were up to see him almost every day, when we weren't, we were cleaning his apartment out which was full of mold. We fought with that facility's social worker to be able to get him to sign POA to his son. I went above social worker's head and found out he was lying to us and cannot deny him legal representation which this social worker was also doing. Even his attorney friend got into it with this social worker. It took us over half of Sept. to get this signed.
We had to clean out his apt. and get his stuff into storage and the other apt. he had as well. He was diagnosed with dementia, psychosis with behavioral disturbances. He was released to our care on October 4th, 2015. It's been a constant fight with Kaiser. The stomach pain they said at first was two small hernias while he was in Reseda but they were not going to do anything about it. It was not, it was one big hernia that we had fixed after he came home with us, along with cataracts on both eyes. We had a cyst removed that he was pulling at and aggravating it. It was growing fast. We asked them to remove another one on his lower back he kept messing with but they refused, saying it would not cause issues.
It then became inflamed overnight with pustules on it. Called Kaiser to make appt. No call back as they said they would. Called Kaiser Urgent Care the next day as it was worse. Nurse wanted him in asap and said it was infected. Took him in, it was too infected to drain. Medication given. It broke open. Called Kaiser, no appt. Called Urgent Care, got him in, again. They cleaned and bandaged it. Gave us some supplies, changed medication to stronger medication and a pain med.
When it could be removed, finally got him into surgery. His health is going fast. He was complaining of back pain in his spine. We took him to Dr. several times and they said they didn't know what was causing it. He keeps leaning to the left and has gait ataxia really bad. Took him to chiropractor who said his spine was very out of alignment, adjusted it and it lasted for a week. Come to find out, he has arthritis in his spine and several disks that disintegrated and Kaiser had known this for 6 years! We found out he is supposed to see neurology once a year and missed last apt. in 2014.
Got him apt. Dr. was nice. Frontal lobe dementia was determined and were told most aggressive form. He has diffuse brain atrophy so the parts that control inhibition is damaged. He gets violent. Psychiatrist put him on medication for aggression. It made him sleep constantly to where you couldn't wake him at all. He wouldn't drink or eat during this. Kept telling them he was fecal hoarding, they said no. He's just manipulating. WHAT? We gave him stool softeners and laxatives they prescribed. It wasn't working. Had to call 911 for an intervention on 2 occasions as he got violent.
Second time, we get call from social worker at Kaiser the following day, who immediately told us on the phone that if we did not pick him up they were going to charge my fiance with abandonment. No one had said anything to her except, "hello," when we answered the call. That social worker was way out of line. We had been told that they were keeping him for a few days to run tests and IV for dehydration. We even called up there several times a day to check on him and his son visited him, taking him clothing, prior to that call from her.
They keep pressing us to put him in a home and keep saying they can monitor him 24/7. There is nothing a home can do that we can't do here at ours. This month, June 2016, we woke him up one morning and he had these marks on his skin and a huge water blister on his inside elbow. We thought maybe some kind of reaction to the medications caused the blister and we keep telling them he picks at his skin, saying there are strings in his skin or something crawling on him. I and the psych nurse thinks it's some kind of neuropathy. I have neuropathy, so I know it can feel like that. Kaiser had him go to Sunnyside nursing facility for rehab. He was in fact, fecal hoarding and required enemas and such several times a day. It was blocking his intestines, exactly like I had told them he was doing.
Just because I am not a doctor does not mean that I am an idiot either. I had even told them his pain was what was causing his aggression, time after time. We had a meeting with a social worker, doctor and nurse at Sunnyside. I reiterated my issues with Kaiser and no one seemed to be on the same page. The doctor at the meeting assured us if we put him in a home, they could keep him from falling. Her and I slightly argued about this. They also said that doctors told them that we wanted to put him in a home, which was never said by us. They would not tell us which doctor said this. They NEVER do. I inquired about a hospital bed because on one of the papers we got from Kaiser after an appt. clearly said under INSTRUCTIONS: Bed bound, wheelchair bound. She said that's not what that means.
How else can that be interpreted? We then met with the physical therapists who did not understand why they would have given him a cane or even do physical therapy because he cannot retain the information. He could only walk 30 feet with a walker and even then, there were 2 people holding him up to do it. I had inquired about a hospital bed in the meeting so it would be easier for him to get up when he could and such but we were told no, that there was no reason for that bed.
After we had left, we got a call from Sunnyside about an incident where he got up from his wheelchair and bolted after a non-existent child, fell and cut his eyebrow above his right eye and had other contusions. That blew the doctor's theory out of the water that they can prevent falls. We told them it was not their fault because he does exactly the same thing at home when he gets those hallucinations like that and we even told them in the meeting we just had. Upon his release, they were going to have a nurse come by our home and physical therapist.
The nurse was just here, June 28/16 and even she says it is clearly obvious he cannot walk and does not understand why they had given him a walker and that he does need a hospital bed but that physical therapist would have to request this. He was not coherent enough to even talk to the nurse. Kaiser had told us that the nurse would be here in the morning and the physical therapist in the afternoon. Nurse said that wasn't accurate, that the physical therapist would call us within 48 hours to schedule a time to come and if they don't, to call them.
The medication is making him like a zombie. He barely eats or drinks and is having issues with chewing and swallowing. He sleeps almost constantly. He yells if you try to lightly touch him, that it hurts. We think he hurt his shoulder when he fell at the facility, he is complaining of shoulder pain and cannot move that arm hardly at all. What blows our mind most of all, is the psychiatrist's view of this. First meeting with him, I think was October of 2015. He said to not say or do anything to create fear, talk softly to him. Then right after he said that, right in front of my fiance's father, like he isn't even there, he said... "He has dementia. He is going to die," and shrugged. WHO DOES THAT?
I looked at his father and he sunk down into the chair with this terrified look on his face. Now every time we have to see the psychiatrist, he fights us and cries, real tears. He begs us not to put him away in a home and thinks that is what we are planning when we tell him he has an appointment with the psychiatrist. Kaiser set us up with a wheelchair rental with Apria but every time we try to pay for it online, it won't go through. The first payment went through, fine. Then it won't work and it has locked my fiance out of it.
We didn't know it had not gone through the second time. It looked like it had gone through. We had Apria reset the pw for the account and still cannot access it. The bank says there were no requests for the payment to even be denied by the bank. My fiancé went in person to talk to the bank. Originally we had gotten the wheelchair delivered at the end of January but it was defective so it took them a couple weeks to give us a different one. It's a mess and hard to know what is even going on with that because you try to call them and you can never get through so you leave a message.
Not many people have my fiancé's cell number. We use his for medical things to do with his father and mine for other friends and such to call. We get calls from blocked numbers, usually it's Kaiser or people affiliated with Kaiser and when we answer the call, either the person doesn't say anything and hangs up or they talk to us in Spanish and we can't understand them and they hang up. We think that's what's happening with Apria. We think it's them calling us but really don't want to deal with the payment issues on that wheelchair.
I am now looking elsewhere to purchase one instead of this renting. We are frustrated by the misinformation, lack of information we don't get that is detrimental to this man's well being. The nurse that was here told us that the departments don't have the same access to the medical history and records, that they are on different systems, between doctors and departments and that it was worse when everything was on paper. Their issues within their hospital should not reflect on what we do or try to do. People there need to get on the same page between each other and us. We are thinking about calling his old employer to see if we can't get a different medical coverage because Kaiser is horrible.
Reviewed June 30, 2016
I would give this pigsty masquerading as a healthcare institution a zero star if this was an option. Kaiser Permanente in Southern California keeps sending me fraudulent charges. It took months for them to clear everything. I thought the worst was over until I noted on my recent credit card statement copay charges for service that was not rendered. I did not give them my credit card information. They must have stored this somewhere and automatically charged my card without my authorization. Please check your credit card statement closely.
There are a lot of wastage at Kaiser because the majority of their managers especially upper managers are so inexperienced and incompetent. Most of them got their degree from diploma mills like University of Phoenix. These folks wasted so much money in creating useless positions so others can do the work for them. They have layers and layers of bureaucracy. It is tough to get into Kaiser to work for them because their HR is retarded. They have so much staff in HR that they do not know what to do except going to meetings all day long. They do not take in experienced workers. Don't feel bad if you could not work for them. Consider yourself lucky.
Most of their union folks are conservative Republicans. What an oxymoron, right? They reap money for don't exactly nothing. They need to make more money so that they can waste more. They do this by ripping off their unsuspecting customers. Well, they finally struck the last nerve of this customer. If any attorneys want to contact me, please do. I post this in hoping to find more people like me who received fraudulent charges. We need to let them know that we are not their typical stupid consumers.
Reviewed June 28, 2016
I have had Kaiser insurance my entire life. It used to be great, but it has really gone downhill. I just cancelled my plan. There are so many problems, I'll try to touch on a few of the worst ones. Care - I have received substandard care at Kaiser pretty much continuously over the last couple years. Many of the Drs seem completely incompetent, and the few that are not, seem equally as disappointed in the company as I am.
I was misdiagnosed, had serious problems go undiagnosed, had serious lab results go unchecked which landed me in the hospital, they continually try to push more drugs (pain pills, anti nausea pills and antidepressants) instead of actually curing the problem. I was told my low quality of life was the best they could do for me. I payed out of pocket to see a out of network Dr, and within two weeks of different medication and supplements after testing, I felt better than I had in years and have totally regained my life! I truly feel Kaiser would have just let me die rather than help me. Most Drs visits last only 5 minutes, the Drs refuse to listen to anything you say, and end with them trying to drug you up instead of running needed tests.
Billing - I had auto bill pay set up with Kaiser and multiple times a year they would over charge me by $200-$500. Trying to get the money back was always a nightmare and consisted of hours on the phone, multiple calls and over a month to be reimbursed.
Testing - Kaiser's policy is to not run certain tests. In my case they would never test my vitamin levels, full thyroid panels or hormones even though I had numerous symptoms of having these problems. (I had to go out out of network for both of these, and in both cases my levels for all were dramatically off, some simple meds and supplements were all I needed!)
Medication - Kaiser only prescribes certain brands and types of medications, (I assume the ones they make the most money on) and if those don't work for you, too bad.
All and all I feel like Kaiser almost killed me. My thyroid issues were so bad I was having heart problems, autonomic nerve dysfunction, my average body temp had dropped to 96.8, and I had pretty much completely lost all quality of life. Just a few visits to a different Dr have saved my life, and completely restored my health. I'm shocked I suffered so bad for over two years (had become almost completely bedridden) and the answer for me was SO SIMPLE. I'm now happy and healthy again and feel like my old self. It's criminal what Kaiser is doing to their patients. If anyone is having long term health problems and has Kaiser insurance, I urge you to cancel and see another Dr. It could save your life!
Reviewed June 28, 2016
So for over 6 month my Girlfriend has been talking 400mg of ** thinking it was ** and vise versa, due to a complete lack of doing your freaking job correctly... Thank you Kaiser for completely messing her up physically and emotionally... not to mention the fights and constant sleeping, me telling her she is on drugs that were not prescribed (now I feel like a complete **) and almost wrecking the truck and car due to the fatigue... About to lose her job because they're also just not being understanding. She kept in contact with you for month informing you idiots of how she felt the weight gain, fatigue, the trouble she was having in her personal and work life... but did you give two **! No you pushed her aside demanding she continue this ** RX and just about killed her! You should all be ashamed of yourselfs.
Don't you know she is a recovering drug addict and she could have relapsed due to your negligence and altogether lack of giving a crap?!? Like how in the hell do you mix up a sleeping pill and **? They look almost alike but the numbers and texture are not the same... How is it her fault because you can't label correctly? You are disgusting, making her feel like she is wasting away mentally, can't remember anything or make new memories because her brain is pretty much fried!! Can't produce serotonin now because you overdosed her on ** sleeping pills for like 8 months... Now her job is giving her ** because of the repercussions of the last few months and the side effects of taking this stuff... In that dose it's like a damn controlled substance!!! How stupid are you people...
You think I having been keeping everything now, all those emails and that visit to the ER which of course was through Kaiser, for you to pretty much tell her "oh it's ok to take 400+ mg of ** a day for 6-8 months... no you dumb-ass not like that and then tell me 600mg is the max... um no ** for an in-patient being monitored and giving a 50mg updose every 3-4 days for an extended period of time... Not to mention all the other medications that interact with that ** on such a high dose... I could seriously die inside because of what you have done to her and us and her relationship with her mother... Go to hell KAISER and take your POS Pharm techs with you.
Reviewed June 24, 2016
I write this so others may know of my experience which may help them to determine if Kaiser is the right insurer for them. First off, I very rarely see the doctor. I do see my gynecologist yearly, and also get a full exam and blood work up. I chose Kaiser because at open enrollment, they seemed to offer the best plan at the best price for me. I was impressed with their emphasis on preventative care and even offered Acupuncture. I thought - great - they are progressive, forward thinking and I also liked that I could go to one place for appointments, blood work, or x-rays should I ever need them, which happens to be a short drive from where I live.
Since I signed up online, it has been nothing but trouble. First of all billing: I signed up to have auto-pay via my credit card. The first payment went through fine then I got a new credit card (same #) with a new expiration date, and it didn't occur to me to update my record on Kaiser. So the next billing cycle, I got a letter saying my credit card was denied. After waiting 30 - THIRTY minutes on the phone to get to a customer service rep, they updated the expiration date, and took my payment over the phone to bring me up to date. I thought all was well. The next month I get another letter that I am past due, and the credit card was declined.
I call Kaiser again. I was on hold a LONG time. There was NO option like some agencies have where when they are experiencing high call volume, they will simply call you back later the same day. I had to wait and wait. Got another customer rep who saw the notes on my expiration date being fixed, confirmed everything was in the system correctly and told me it may just be that it sometimes takes 2 billing cycles for billing issues to resolve. She took my payment over the phone for the outstanding balance and assured me it should correct by the next billing cycle. It did not! Same thing happened AGAIN and now my outstanding balance has grown!
So I call again (another frustrating wait on hold), this time asking to speak with a manager. A manager came on the line and explained to me that clearly there was something wrong with my financial institution (Chase) and that I should call them to find out why they were declining the charge. After explaining to him that I use that credit card regularly, including for online vendors such as Amazon, and had never once had any problems with it, he considered this and concluded that maybe their billing system needed yet another cycle to "clear" whatever problem was happening. He took my payment over the phone for the outstanding balance, and assured me all would be well. This time of course my confidence was not good so I went online and saw that my payment was in "pending" status at Chase and I thought at LAST it is fixed! but it was NOT!
I need to close up this part of the problem by saying that in order to resolve this, I sent numerous emails via their internal system to their complaint/grievance department, I sent a certified letter to the address/person listed on my paper bill and "credit card declined" letters; and all I got back was emails and letters stating that a specialist would be in touch. Eventually someone determined that it was their own systems causing the problem. One system had me on auto pay via credit card, and another had me on paper billing. The paper billing system was overwriting the auto pay system so that's why the charge would show up on my bank as "pending" then disappear.
Their OWN system was the problem and it took 5 months of extensive time and work on my part to get it fixed. Someone did call me back after it all to ensure I was "completely satisfied" with the resolution and I said to her "if this is a known problem in your systems I would suggest you coordinate with the first line team who handles billing problems to let them know so they can resolve it on first call!" But I could see she didn't really want to do anything, just make her call, and wish me well. Dealing with Kaiser on this I felt like I was dealing with a corporation and employees who were doing whatever was required of them by Kaiser- key thing being to close out any phone call as quickly as possible.
As I considered this I wondered god forbid I should have an actual medical issue will they treat me as robotically and systematically as they did with billing? My next issue is medical. I had an issue going on and needed to see a dr. I picked whoever was "taking new patients" and made an appointment. Luckily though their online system I was able to see open times and kept checking and got lucky to get an appointment quickly due to a cancellation. This part of Kaiser worked extremely well. The issue I had is one I have had in the past - several years ago - and so I described what was going on, and what I had been prescribed in the short term that helped me.
One issue is that I had not been sleeping well for many months and it was taking its toll. I asked for ** as that has worked well for me in the past. She said "Kaiser doesn't like to prescribe that because of problems people have had, so let me give you this other drug." I told her I am sensitive to medications, I hardly ever take prescriptions (it's been over 2 years since I needed anything) and I would prefer to take something that I know has worked for me in the past. I had a very bad reaction to ** (another sleeping pill) and did not want to take chances trying new things. Not doing. For my other issues, same thing.
She would not prescribe me a medication that I know has worked well in the past, a very common medication that has been around for years and years. Instead she gave me a list of books to read, and a list of supplements to buy at Vitamin Cottage. She is an MD and acted like a naturopath. I love natural medicine. I have no problem with supplements. But for the issues I was having I needed basic medical prescriptions for an immediate issue short-term that she refused to provide. I tried the sleeping pill she recommended, and next day I was groggy, head fog, couldn't get out of bed and my stress levels further agitated. I was so angry. I felt like she didn't really listen to me, she had her own agenda, and stuck with it.
By email she finally agreed to give me the medication I had previously requested and that I told her has worked for me but only a very very small quantity and said she would not ever give me any more. She treated me terribly and made me feel horrible. I haven't been on any prescription meds for over 2 years and when I have been on them it's always been short term and I end up throwing out the leftovers. She apparently didn't believe me and treated me like a drug addict on the mission to get some **.
Needless to say I will never go back to her as a doctor and if I can I will drop Kaiser. I did hear from others that at Kaiser everything depends on your PCP. I am told there are good ones but those usually are not taking new patients. So for any of you seeking services bear this in mind. After these experiences I simply cannot trust that should I have a medical emergency or diagnoses of any kind that Kaiser will treat me as anything but a number with a list of symptoms for which there is a pre-defined path to follow. Might as well be seen by a Robot.
Reviewed June 22, 2016
I am a current Kaiser member that needed umbilical hernia surgery. I had a appointment on June 13th 2016 to be evaluated by the surgeon. The hernia was verified and surgery was recommended. I was told a scheduler would be contacting me sometime in the future. I was contacted the same day scheduling my pre-op on June 15th 2016 and the surgery on the June 17th 2016. I put in for the time off from work to address this matter. I went in for the pre-op testing, which they asked me about my medical history - heartbeat and lung sounds. No EKG was done, and I was not informed to run by the lab on my way out. The following day I called Kaiser about not having my labs done. They told me that my labs were drawn on June 9th 2016. That is literally impossible due to the fact that my first appointment at the surgery center was on June 13th 2016.
At this point I am getting concerned about the ability of Kaiser to result labs under the correct patient record. I call and talk to a Kaiser rep concerning my labs and I was directed to the closest Kaiser facility near my house. The following day, June 17th 2016 my check-in time for surgery was at 12:30. I check-in to pre-op on June 17th 2016, and get ready for surgery, (IV etc.). My nerves at this point are elevated waiting for the surgery to get underway. Surgery was scheduled for 14:00 and I waited until 16:15 at which my surgery was cancelled due to unforeseen reasons. I do not understand why no other surgeon was on call. I was told I would be a priority and that I would probably be contacted the next day to reschedule.
I was not contacted until Monday June 20th 2016, and they were calling me to see how my recovery was going. I could not believe it! The right hand does not know what the left hand is doing!!! I was told by the scheduler that the soonest they could get me in would be around the end of July 2016 due to my surgeon education/vacation time. I have lost ALL confidence in Kaiser's ability to perform the simplest tasks, like paperwork, pt record files etc. I am no longer going to patronize your so call medical facilities. I hope the corporation I work for pulls our account in the future, which I have issued a formal complaint to benefits. I feel like my rights have been violated and I am seeking my legal rights.
Reviewed June 22, 2016
May 15th 2015 at 11:30 am - This CLAIRE ** MD works for Kaiser at their Irvine location. My son has a goiter which is nodular and is quite obvious. Dr. ** bedside manner is nonexistent, she is abrasive with a frigid personality. CLAIRE ** MD walked into the room my son and I were waiting in with an attitude as if we were wasting her time. She look at my son and said, "Stop so much eating Mcdonalds." Really? I replied, "We don't eat fast food" and she gave me the most scornful glare. I insisted she check his neck to understand what I am talking about, which she did but said... "it normal for some people to have goiters..." My son cried as we left her office.
Reviewed June 22, 2016
When I tried to make a dental hygiene and check-up appointment, I was told that there were no appointments available and they would call me when they opened up the schedule three months in the future. I did not receive a call even though I was supposedly put on a waiting list. I called back two times in an attempt to get an appointment and was told not to call back. I was very polite each time. I submitted a complaint to Membership Services and filled out the form for a complaint to the Insurance Consumer Fraud Division. The attorney at the State Department advised me to do so as my insurance payments were all on time and Kaiser's Patient's Rights state that I have a right to timely treatment. The third time that I called requesting a dental appointment, I politely told the representative what I had done for being denied services for which I had paid. Within minutes I had an appointment.
Reviewed June 16, 2016
I'm a senior, and a mental health patient who's been with Kaiser on my wife's policy. I'm going to apologize up front my memory for dates is bad. I'll do my best and if you need more I can call my daughter and see if she remembers. I am a Southeast Asia war veteran; diagnosed with Bi-polar, anxiety, nervousness, ADHD, sleep troubles, highly agitated, memory problems, anti-sociable with extreme mood swings with a dash of Diabetics and high cholesterol. My wife and I went to Kaiser member services around the first of the year to check out my options. We were divorcing and I had to be taken off my ex wife's policy. A nice lady told me about Kaiser senior advantage and cost of approx. 80.00 per mo. actually it didn't seem all that bad. It seems that if you fight in a war you have certain rights. One of these is Health Care for free.
I explained that to her and she totally understood why I was declining. She never explained that I was to sign anything! My Mental State around Dec. & Jan. was really bad. My 15 yr marriage dissolved, lost my home and my medications were so screwed that I was hallucinating and could barely function, my memory and comprehension, balance were at the worst ever! I was not competent at this time to the point where my daughters were trying to have me committed. They had to fly in from LA and Phoenix to move me into a temporary residence. During this time I guess Kaiser says they were trying to reach me and it was my responsibility to let them know my new address? Why, I had gone to membership services. As far as I knew Kaiser and I were through. Apparently they had sent me some correspondence stating that I had to sign some form? I had already handled this at Kaiser Membership.
Several months later I started receiving letters that had the wrong address (Caymus Dr. Sacramento) I lived at **, Citrus Heights, Ca. I have no idea where Caymus is and why we're trying to contact there? I was starting to smell trouble so I called Kaiser Membership and they began to explain to me that I was delinquent on my Senior Advantage program which they put me on without my permission and I owed them $261.00 in back payments. I explained that I had declined that program months ago. They insisted that that I owed. My case was sent to a case mgr. Daniel @ **. We talked and she said she had to check things out and would get back to me soon. No reply after 1-1/2 weeks so I called her to see what's happening (this was Friday). She informed me she had a few more things to check out and she would let me know.
The next day (Saturday) a letter came from Daniel said it was legal to sign me up without my permission and they could dis-enroll me without the stated letter. From this point on I left 3 messages to Daniel, not only would she not call me back; it became obvious that she had caller ID; she would never pick up no matter what time I called, but it was clear I had no choice but to pay $261.00. I'm a senior citizen living on SSi disability and small VA disability and that's it. This leaves me about $400.00 discretionary income to live on, so you see if I pay $261.00 06/15/16 which doesn't leave me much. I don't want any problems so I paid it. I feel ripped off and I don't feel this was appropriate!
Reviewed June 11, 2016
Kaiser is the worst insurance possible. It seems for the past 5 years their service is diminishing and their costs are increasing. It is absolutely IMPOSSIBLE to get an appt. It is like the Drs are always booked. Their parking is also horrible. I know the Fontana and Ontario locations tell you to arrive 30 minutes for your appt to allow for parking. What place does that? They build and expand but don't add parking. Where do they expect all these people (equals $$) to park? I complained to Member Services and was told they are adding Valet parking with a charge. Of course, to make more money. Taking away parking from the people that either can't afford parking or don't want or feel they need to pay for it.
Kaiser states they care for their members. They do not. I have a friend who works for Kaiser and she does not like Kaiser. She does not even have their insurance even though it is free to her. Her husband pays for insurance. She says she only works there and sees that Kaiser will do ANYTHING not to pay any claims that are filed against them. I want to change Kaiser once open enrollment comes up. I have been with Kaiser since I was a kid over 25 years but this is no longer the Kaiser that I grew up with. Kaiser is just money hungry.
Reviewed June 10, 2016
My mother who is 80 and suffers from dementia had an appointment at Kaiser Medical Center at Downey. We arrived and checked in 15 minutes early. After not being called for 40 minutes and watching others who arrived after us leave before us, I inquired when would she seen. She was immediately seen after that. When I wrote an email complaint on the kp.org account for her which I set up and only I use, I get a reply email not saying they would look into the matter but they are going to cut off the account because only my mother who is 80 and has dementia can use it. Somehow this seems like a threat for reporting fault with their methods.
Reviewed June 2, 2016
I was informed (5/2016), that Kaiser executives has made an executive decision to reduce the use of ** with ALL its patients. I am 52 post menopause. My RX was reduced from 30 per month to 3 per week. Menopause does not take 4 days off per week and it is ludicrous to think so or prescribe based on that thought process. Kaiser board members, did you ever think about your patient's individual needs? No you did not. Kaiser went general on the reduction of this drug class. Kaiser never considered why the patient is taking the medicine. Kaiser generalized us. Kaiser, thanks for being God, judge and juror for me and my individual medical needs. THRIVE by Kaiser is LAUGHABLE.
Reviewed June 2, 2016
I was injured in a ski accident at Mammoth, California. I broke my leg when I had a run in with a tree. There is no Kaiser facility at this location. I was taken by ambulance to Mammoth Hospital and had surgery. Kaiser approved the procedure and hospital stay, no problem. After a few days, I needed to be transferred to a rehabilitation facility. I have three flights of stairs in my home and could not live there alone. Kaiser authorized my transfer to Bishop Care Center (the closest rehab facility). I was a guest of Bishop Care Center for 7 weeks. I received excellent care. The physical therapists were great. The nursing staff caring and there were activities to pass the time. Kaiser approved my stay without any hesitation. I was discharged. I was also 300 miles from home. Kaiser did not provide transportation home.
I live in Los Angeles. I had a friend pick me up and I went to stay at my friend's house in Las Vegas (for a week to allow some more time for healing and mobility). A week before my departure, I contacted my primary care doctor. I arranged for continued physical therapy and a follow up visit with an orthopedist. I also asked for a walker to be provided prior to discharge from Bishop Care Center, so I could ambulate. I had a phone appointment with my primary care doctor. He approved my requests. In a couple of days, I was contacted by both the orthopedist and physical therapy and I was able to schedule appointments for dates close to my return date to Los Angeles. I was contacted by APRIA, the durable goods provider for Kaiser about delivery of a walker to me in Bishop prior to the discharge date and was assured I would receive it by FedEx. The walker did not arrive as promised despite several follow up phone calls.
When I was discharged, my friend went and bought me crutches, so I could walk. We arrived in Las Vegas. APRIA was contacted repeatedly for a few days and they kept promising, but failed to deliver the walker. Out of frustration, I wrote to the CEOs of both APRIA and Kaiser. Never got a response from CEO of APRIA. But I got a response from Mr. Tyson, CEO of Kaiser within 10 minutes although it was Memorial Day. He assured me it would be resolved. Long story, but next morning at 9 am, I got a phone call from APRIA that the walker would be delivered that day. (Had been getting that promise for 5 days already, but no walker). I was given a Fed Ex tracking number and the personal cell phone number of the person calling me. By 2 pm, my walker was delivered. I received a phone call thereafter from Mr. Tyson's secretary wanting more detail about the problems with APRIA. Yesterday?
I received another nice email from Mr. Tyson making sure everything was ok. Most people write in with complaints. If they got what they expected, it's just taken for granted. I wanted to write a review expressing my appreciation to Kaiser for everything they have done to provide me with a worry free recovery. My care is still ongoing and I hope it will continue to go as smoothly as it has so far. Only word of warning is that APRIA is unreliable and don't believe their promises. Keep on top of them until they deliver.
Reviewed May 26, 2016
I have been a member of Kaiser for 10 years. At first I was Kaiser Added Choice, which meant I could use outside doctors. When I became 65 Kaiser dropped me from this plan and put me on the Medicare Advantage Plan. That one is an HMO and all services must be within Kaiser. After suffering a bout with cancer I became aware of how politically this system is. I needed Physical Therapy for lymphedema in my arm, but the only person who performs this service is not in town, but an hour away from the population center. I was too sick to make this trip so I was unable to get the service. I have not been able to find a good Primary Care Physician. Kaiser says you have a choice, yes, BUT few of the doctors are taking new patients, and those are the doctors people don't want. The good ones are taken.
Since the advent of electronic medical records, the PCP's just sit behind the computer and look at your tests. At most they will listen to your lungs. Even when you have a complaint, they only have 10 minutes and they just order a prescription or test. If that doesn't work, they give you another one to try. It seems like diagnosis by prescription trial. My PCP misdiagnosed a basal cell carcinoma on my nose until I cried for her to refer me to dermatology. I now have a scar that runs from between my eyebrows, down the bridge of my nose, and across to my cheek. The PCP's are the gatekeepers to the specialists. You can't see one on your own. Kaiser is mired in outdated medical practices. They will not use the cologuard stool test, which is 99% accurate because their standard is the outdated FIT test or a colonoscopy.
The doctors' areas are all behind locked doors. The patients sit in waiting rooms until someone lets them in. When I had surgery, my family was waiting for me in the surgery waiting room. The surgery ran into past midnight, but my family was told to leave the waiting room at 9 p.m. and it was locked. I have complained and complained throughout the Kaiser system and nothing gets changed. When open enrollment comes up I am going to change my plan.
Reviewed May 24, 2016
The reason for this bad review is to warn other patients of what Kaiser doctors will do to you if you get angry and complain about them, as I have in the near past. I hate Kaiser because of all the pain, and suffering, they've caused me and my family, and friends. Their blatant negligence has caused many deaths and they are allowed to get away with it, to this day! Therefore, I complain all the time because nothing has changed since I was a kid in the early 1960's, when they made my mother suffer needlessly! Yet, nothing is better! I've been forced to become a Kaiser member, again, because that's all my employer offers. And, this is to let you all know that they manipulate our medical records to suit them when they've misdiagnosed us, and if we complain in anger! Oh, yes they do! I have complained about the blatantly rude, and arrogant doctors I've had to suffer in the past 6 years, and I have written scathing reviews of several of them.
Now, all of the sudden, there's an entry that states a condition that I do not have! I have never been seen for it, and none of the lousy doctors I have seen, practice that wing of medicine! So, now I am on the hunt to try and track down the creep who entered that into my medical records! I am pretty sure it was a female doctor at one of the Marin County, CA clinics who I complained about because she was extremely arrogant, and had a crazy glare in her eyes. I ended up seeing her when I went in because one of my legs was really painful, and it felt like it was going to explode. I told her I was afraid it might be a clot. Wow, she went off on me, and yelled that if I truly had a clot, my leg would be red, and swollen, and in pain! Well, it was in a lot of pain.
I argued back to this woman that she was wrong because my sister had gone to her private doctor to remove varicose veins in her legs. She's a body builder and wanted to look good. She had NO pain, OR symptoms. She purely went in for cosmetic reasons, yet her doctor found several clots in each leg! I told that arrogant woman that, and she got even more angry, and crazy! The story goes on, so when I got home I immediately sat down, in anger, and sleep deprived, because I work nights, and I wrote a long and very accurate complaint. So, now I have this illness on my med record, and it is a blatant falsehood!
So, my warning is this: I URGE ALL PATIENTS TO GET A COPY OF WHATEVER THE KAISER DOCTOR SAW YOU FOR, THAT VERY DAY. Then go back and periodically recheck your med records because they do make changes to them without your knowledge! They do it to protect themselves by altering, and adding verbiage so they can deny any wrong doing, and they will enter their "opinion" of you personally to be vindictive if you complain. So, when I get off work on Friday morning I'm going to have to travel 40+ miles to begin the painstaking ordeal of trying to find out who entered that illness into my records. I will have to waste gas, bridge fare, and time to deal with this but I am not going to stop. I will keep you posted!
Reviewed May 23, 2016
Billing is deliberately confusing in an effort to generate more revenue. At first I assumed that they were just behind on crediting accounts. However, on my most recent statement Kaiser combined money due for the current month with money due for the next month and labeled the entire balance as being past due. When I called Member Services to clear up the situation, they had the nerve to attempt to get another month's payment from me stating that the month of June would be paid while in actuality I would have been paid through the month of July.
Reviewed May 22, 2016
Hi. Just got a letter from KP saying my bill is past due and will be sent to collection agency in 10 days. I went online to check if I can pay it or appears on any of my accounts. The bill does not does show up on any accounts. How consumers are suppose to pay such bills? Kaiser's payment systems seems to be buggy. It may be a good candidate for class action lawsuit.
Reviewed May 21, 2016
I advise that users be careful in taking advice about benefits from representatives that you do not know or trust. I suggest you document all the details you were given so you have a way back to those who advised you. I have a great dr. that I know and trust very much. I would never turn her advice down. As it turns out I had to go in and my dr. was not available. I seen an alternative dr. who suggested that I go to the emergency room for more tests. I specifically and at least two times asked if this was covered by insurance and I would try and get this procedure done another way than the emergency room. I was told that this was obviously covered by insurance and that I should go... Big mistake. I now have a bill of biblical proportions that must be paid and it was my responsibility. I hope other members do not have to suffer the consequences as I do. BEWARE.
Reviewed May 19, 2016
I had insurance with Kaiser for a year. When an automatic withdrawal payment didn't process, they didn't notify me. I learned a month later that I owed for the prior month. This is all due to my debit card expiration changing. I changed it online before the date and thought it was all good. I called once I realized I owed for an extra month to make sure they had the right card on file and they did.
A month later, my insurance was cancelled. I called customer service and they admitted fault by saying it was a computer error and that they would take care of it. Nothing was taken care of. They told me I had to file an appeal (which could take up to 6 weeks) to get my insurance reinstated. I told them I wasn't going to do that. I wanted a letter stating that they were at fault for cancelling. They said I would have to file a complaint. This was back in March.
Here we are, almost June, and they told me that they wouldn't take any responsibility for cancelling my insurance, which basically won't allow me to get insurance with anybody. I have an 8 yr old daughter, and I'm a single dad. They better believe I'm getting lawyers involved, because, at this rate, me and my daughter will be without insurance for almost a year. DO NOT USE THIS COMPANY. I heard horror stories before I had their insurance and I disregarded it. Please don't make the same mistake I did.
Reviewed May 12, 2016
Beware KP money making scheme. I believe most doctors get pay bones depend how many prescription or lab work they order. Especially if you have high co-pay. Beware if you have high co-pay. I have like Asthma problem but I don’t get asthma attack, I use inhaler only before I run, exercise or play soccer. I have this issue for over 35 years. Since I enroll KP, I felt doctors want to sell to me their medication and their lab work. That how they make money. My doctor, forcefully prescribe me multiple asthma medication that I don’t need and I resist to use or buy. Even, when I requested refill with my inhaler, he treated to me not to give refill unless I use or buy other prescription he order. Doctors can check their system how often you buy the medication counting their $. I hate when doctors think their clients are stupid and they can tell or sell to them everything.
I visit my doctor for TB screening for my work and I had chest x-ray about 10 month earlier. Again, doctor told me to do chest x-ray, multiple blood. I resist to do x-ray again within less than a year then Dr. negotiate I do blood work. Surprise when I done the blood work, lab technician give me a container for urine test. I told her for what reason I need for urine test, she said “I just follow Dr. order.” I refused to do urine test, I am not here for drug or alcohol test which I have never drink alcohol or take any drugs or used. Now, I am scare to visit KP doctors and I feel like I will visit a car dealer, I have to negotiate and go thru all the hassle.
Reviewed May 10, 2016
I called Kaiser seven times today in an attempt to get a referral to a local therapist in Santa Cruz for my daughter. She was in a serious car accident and her car was totaled. She needs to see a therapist to help her with her feelings of depression and fear. She cannot sleep, eat, and is shaking. After talking to customer service, the nurse advice line, the on call therapist at Kaiser they refused to refer her to a local provider. In fact, Alona, the MFT, stated that she could refer my daughter to the business office but basically I have to pay for any care out of my own pocket. Since my daughter doesn't have a car and is too stressed to drive (the closest Kaiser facility is 40 miles from my home) and Kaiser has refused to refer her to a local therapist, so they have basically denied her care which she needs. It appears that Kaiser is very good at giving enrollees the runaround and handing off calls (and their RESPONSIBILITY) to the next person on the list.
Not once did anyone I spoke to actually try and provide a solution or come up with ANY care plan for my daughter. I was told by Alona, the MFT (!) to call the business office and try and get some help or that I would have to pay for any care my daughter gets out of my pocket. Following are the numbers I called on 5/10/2016: Customer Service 1-800-464-4000. They said they couldn't help me and sent me to. Nurse advice line. 1-866-454-8855. Person said she was a TSR, named Linda, said she couldn't help me and referred me to the nurse advice line. I call the nurse advice line and was informed that the person answering the call was a receptionist screening calls and that she couldn't help me, referred me to the mental health line.
Called the mental health line, 1-408-972-3095 and got another receptionist who said she would send a message to the on call therapist. Got a call from Alona, said she was an MFT, who stated she could not refer me to a therapist in Santa Cruz and could not help me. SHE REFERRED ME TO THE BUSINESS OFFICE. I didn't bother to call the business office? When you are paying $1,000/month for a family health plan and have a $12,000 out of pocket deductible how can Kaiser get away with this practice? How can this organization, which essentially has an extremely convoluted process, claim it has five star customer satisfaction ratings? These ratings cannot possibly be true or accurate.

Reviewed May 7, 2016
Kaiser cut my insurance off before my grace period they took my payment and told me that I didn't pay my premium. I was not three months behind, only one month. These are nothing but ripoff artist. They don't care about no one but their self. They return one payment back to me and say I have to pay for the service I had on May 2, 2016. My question is why charged me for something that was their mistake. I was only one month behind not three. I hope they get run out of business because their company is a fraud to get consumers' money.
Reviewed May 5, 2016
All they will do is give you estimates: high, low, & expected. Don't accept that. It's illegal for them to not allow you to limit what they charge you. Do what I do: get first from your KP doctor a description of what you need. Then call their billing department & have them quote you what it will cost. They will give you a range, but pin them down. Ask them why it would vary. Usually, it's because of an error they make that they want to bill you for (i.e., an out-of-focus or ill-placed x-ray). Then put in writing what the range is and what you are willing to pay for within that range. Also, state that you are not willing to pay for whatever it is if they make a mistake.
Print, date, sign it, bring two copies, and staple one to the credit card receipt and keep it. Give the check-in lady the other copy. If she won't take it, just make a small video of your trying to give it to her. If they then try to charge you more than your written agreement to them, show the copy to the billing department. But do not pay the greater amount. Just what you agreed to. If (when) they start dunning, you file a complaint with the DHMC. If that doesn't work, file a small claims; the $30 you spend might be the most satisfying you'll ever pay.
Reviewed April 27, 2016
My mother has been sick with chronic pancreatitis for approx a month. Severe intermittent abdominal pain with nausea. Started on 4/1/2016. Since then, there have been 13 encounters. Phone calls for advice, appointment with a Nurse Practitioner, another call for advice, a trip to Salem Hospital for ER visit (where she was seen and diagnosed with chronic pancreatitis and sent home, denied admission by Kaiser MD). Following day there were two phone calls to primary MD, office visit with separate MD at Kaiser, following day appointment with OB at Kaiser. 10 days later a phone call to Kaiser OB for results, another visit to Salem ER for severe abdominal pain, persistent nausea, and weakness (again denied admission by Kaiser, sent home with same medicine for nausea and pain that she was previously taking and wasn't helping). Next day call to primary, call returned as usual by office RN.
Kaiser Permanente seems to be more concerned about reimbursement for services provided than providing much needed care to patients. My mother is elderly, has symptomatic chronic pancreatitis for almost a month, and as hard as we try we cannot get her treatment by admission to a hospital. They want to temporarily bandaid her symptoms with pain medicine and anti-nausea medicine even though they know that is not the standard of care for pancreatitis. Admit the patient, treat the symptoms, find the underlying cause. TREAT THE PATIENT. What a shameful disgrace of a healthcare provider and a real disappointment to the patients that depend on them.
Reviewed April 25, 2016
On several occasions when I call Kaiser, I'm told that there is no appointment and I have to go to urgent care. Note the trick to that is for patients to pay a higher copay because of course, urgent care is more expensive. On Thursday, my son was running a 102 degrees fever. They searched all of the surrounding offices and said there was no appointment. After literally crying on the phone, they finally gave me an appointment to bring him in. The doctor gave me no medication because they said it was viral.
On Saturday, he was running a 103 degrees fever. I called the nurse line and was told to bring him back because it might be an infection in the lymph nodes. I brought him in. The doctor spent two minutes sounding him up and told me the same thing and still no medicine. They charged me $70. Now I'm not saying they should treat what is not there, but why charge me again when you told me to bring him back and you did nothing to help him. I don't know how they feel comfortable stealing from hardworking people.
They don't give a flip about people. They only want that money. I'm a single, struggling mom and the last thing I need is for someone to take from me and my kids. Kaiser, I pray you go out of business for the fraudulent that you continue to commit. Don't tell me take many child in because you think it might be something else, you don't test for what you think it is but you charge me again. A bunch of thieves.
Reviewed April 20, 2016
I am not sure why I have to fight for any care from Kaiser, OHP and Health share both say it is Kaiser denying me. I feel I have proved that I have a different diagnosis than they are coming up with and they have not tested me for the one I have. This one does not show on a scan - you can only test for it and I have been thru all the test at Spinal diagnostics. It’s a coding problem. I guess the doctors are coding things so they are not covered instead of so they are covered. Because I’m on OHP. I heard it straight from 2 nurse at my appts. It saves Kaiser from losing money because OHP does not pay. That was nice to hear from 2 nurses that works for Kaiser. I was wondering why I had to fight so hard to get care. And just don’t understand how you can allow someone to be at a 10 on pain scale and deny care making them an invalid.
The ESI injections or Ablations have been the only thing that helped in past and I could walk a mile a day. Since not receiving them for the last 17 months year I am now an invalid. I am sorry I have to fight so hard and get angry but being in this level of pain everyday makes you mad when you can’t get the care you need so badly. And I have been fighting for over a year now and now I have to pay out of pocket and they say it’s a mood disorder - this kind of pain and rejection is what caused my mood disorder. Kaiser has made me an invalid. It may take several injections to get me back to where I was before going back to Kaiser and I cannot afford to pay out of pocket when on disability for my back problem. We are only talking 3-4 injections a year to keep me more active. And in less pain, I was receiving them prior, and I do not understand why they will not help me and have made my health decline so badly and to do nothing about it.
Yes it makes me mad. I also learned if you complain to Kaiser and do not wait the full 30 days for a call back and you complain about something even if not related again you get punished and have to wait another 30 days before they will call you about your complaint - it washes away all your prior complaints. Is that really fair? It just prolongs my pain and agony. I had denied every time I tried to see the pain clinic, finally I get into pain clinic and still receive no help unless I've paid for so much out of my own pocket it has cost me thousands of dollars. I really do not think it’s right for a disabled person to have to fight and get so much worse. Because of Kaiser's lack of care and trying to save money.
In the year I have had no care for my back except pain meds and have been to pay for myself due to a doctor coding. It was just back pain again because they won’t use my prior facet syndrome. It does not show on a scan and the tests had already been done but they don’t care. It’s their opinion only that counts not my past records and tests all so Kaiser does not have to pay. I feel it is neglect. If they would have listened to me and pulled my old tests and coded it right OHP and Health share say it would have been covered.
Being at an 8-10 pain level everyday is unbearable and Kaiser refuses to provide me the care I had in the past that worked and kept me mostly active. Yes I still had pain but a 5 pain level is so much better than a 10. I also did not have to fight to get care that puts so much stress on me I can’t stand it so yes I have a mood disorder due to pain that is not controlled by your doctor’s lack of care...
I’m pleading with you to please cover these ESI injections, or Ablations, so the fight can stop and I can listen to their patients on what works and look at their other records that have been provided. As I said try and get better. Physically and mentally. This level of pain is no way to live. Diagnosis. Because it keeps getting denied, now I pay for it myself so they don’t have to and they can’t even tell me what it is going to cost. Just sign here to take responsibility. With no amount I will have to pay. Now tell me that’s right. Just giving drugs does not help. I am really sorry your doctors will not.
Reviewed April 18, 2016
Please all beware!!! This is the worst WORST insurance plan you could ever get. I have called, complained and still no help. The doctors e-mail you back a week later if you get a response at all, the hold time for assistance is ridiculous. My prescriptions can't even be filled because my doctors decided to not be in for Friday (all weekend of course) and then Monday. I am in severe pain as we speak and no other doctor is willing to help me. I have to now go to the emergency room and pay this expensive bills just to not be in pain. I am beyond livid, that I pay money and yet still in pain and treated as if I have done something wrong or I am a bother. I will tell EVERYONE I KNOW TO NEVER EVER waste their money. I have never felt so cheated and been in so much pain with insurance and get ZERO help. Kaiser you are a major disappointment!
Reviewed April 18, 2016
I spent the morning trying to make an appointment with an OB-GYN. If you go to Kaiser's website, you will see a host of them. However, if you call to make an appointment, you will find that there are only a small number (very small!) of doctors who are actually available through Kaiser. What looked like over 7 pages resulted in only 7 doctors in Portland, only one of which is an MD (the others are Certified Midwives, etc.). I was shocked that I had to give four names as options for doctors and none of these were in their system (the first was retiring but their website says she is accepting new patients).
I had to speak to a supervisor because I thought the woman who was on the line was incorrect, but she was not. You actually need to know where the doctors are located in order to make your appointment. You cannot use their website effectively if you are new to the area and don't know that only one place exists under Kaiser's insurance. The supervisor did not know the website well and wanted someone to call me and walk me through it when the problem was not using the website, rather, the information contained on the website! I now understand why so many people at my employee orientation who lived in Oregon went with other insurance providers!
Reviewed April 16, 2016
I have no choice but to use Kaiser as it is the one provided by our union contract. I feel I am not being given the care I need and will not get better if I keep going back. I think they are giving me the wrong meds and advice to make money. Something is very wrong. I feel like a number not a person they want to help. They called me to return to the hospital for follow up test while I was still in bed hooked up to the heart monitor and not even close to leaving. Yet they did this many times and harassed me with phone calls to make appointments they already made making me stressed.
I cannot pay what they are wanting out of pocket for what feels like a store rather than hospital. I had a different doctor it seems every day. When asked why they did not want to do the surgical procedure they said I needed the last time I was there but rejected, I got no answer which led me to believe they base my care on money etc. not me and I am forced to use them because I am poor.
Reviewed April 16, 2016
I severely injured my knee. I went to urgent care and x-rays were done. The x-rays showed I had a swollen knee. I was diagnosed with arthritis and I was not given any care instructions and had to ask repeatedly for a brace. The brace was so cheaply made it would slide off my leg and had no support. Week two I went to my primary care doctor and I was given instructions to care for my knee and given pain meds. I asked to see a physical therapist. Week three I found out I was sent to a knee class. The person who gave the class noticed I was in severe pain and referred me to a one on one with a physical therapist. I Sat down with the therapist for one hour to examine my knee and asked me several questions. Now it is one month since my accident and in severe pain. I was referred for a MRI. After the MRI I was finally diagnosed with a torn meniscus and I did not have arthritis.
Once Kaiser had my diagnosis, they gave all my personal information and medical records to a third party to ask me if someone else hurt me, if I was hurt at work, or if I was going to sue Kaiser. I made a complaint to Kaiser about waiting one month to get an MRI and giving my information to an unknown third party without my permission. Two months later Kaiser said it is not mandatory for anyone with a hurt knee to get an MRI. Now Kaiser is discontinuing my physical therapy. I was hurt at the end of December 2015. It is now April 2016. I can only walk very slow without a metal hinge brace I bought for myself. I can't stand for long periods of time, can't run or walk fast, can't walk down stairs without a brace and not bending my bad knee. I take 1500 MG of Tylenol a day.
I was told if I repeatedly re-injury my knee I will have to get surgery. Not to mention I can only afford the least expensive Kaiser plan, so I am on a payment plan for my copayments. The MRI alone was $750 and I can't afford to pay. Kaiser only allowed me to be on payment plan after I made a complaint. But now they have canceled my physical therapy. Kaiser is for profit corporation who only cares about getting as much money they can get out of you. They don't care about diagnosing or resolving your injury or sickness.
Reviewed April 15, 2016
I work in an acute care setting as a registered nurse. Had a patient (with Kaiser Permanente insurance) come to our clinic in dire need of help. He was in severe pain from a kidney stone and needed a CT scan. Our secretary called this insurance company to get the patient pre-certified for his CT scan but was given the runaround. I then personally took the time to call this company. I was also given the runaround. I was placed on hold countless times and shuffled from one incompetent person to another. The physician then got on the phone and explained our predicament! NOBODY would help. I was put on the phone with a supervisor by the name of Becky who was also extremely unhelpful.
This insurance company is quite obviously schooled in the practice of frustrating people to the point where they give up trying to help people get the testing that they need. These people who pay their premiums and expect service are being robbed!!! The fact that this company so clearly has no respect for patients or providers and is not willing to help sick people is disgusting. This insurance company is the reason why healthcare is broken. The time we as providers have taken to get absolutely nowhere with this company has taken away from time that should have been spent with other sick patients. I would NEVER recommend this company to anyone and would urge those that have this company as their insurance provider to cancel ASAP. In the event that one would need prompt urgent care, this company would rather mess around on the phone until someone dies waiting for them to figure out how to do their job.
Reviewed April 14, 2016
I am just wondering how much Kaiser is raking in due to confusing and duplicate billing, and Healthcare Marketplace overpayments. I had a Kaiser plan through the Marketplace in 2014. I went to two well care visits, and that was it for the entire year. I have been billed repeatedly, and reported to collections, for visits that were legally supposed to be covered under the Affordable Health Care Law. According to Kaiser Member Services, I have 19 open accounts for the 2 visits. What??? I have paid them twice and am still being billed! This is so infuriating; I could become ill and have to see a doctor!
That is only one of my problems with Kaiser. I disliked their system, so much, I switched to a different carrier for 2015. In 2016, I received a 1095 for my taxes that said Kaiser had been paid nearly $400 a month, for 4 months in 2015, on my behalf, by the Healthcare Marketplace. (I had cancelled Kaiser in December 2014.)
I called the Marketplace and Kaiser several times; mostly so I could get a corrected 1095 for my taxes, but to no avail. Each said it was the others responsibility to correct it. Nobody seems to care that Kaiser collected nearly $1600 in payments from the Marketplace that they shouldn't have. That's just 1 case. I am certain mine is not the only case. How many other people has Kaiser scammed the system for??? If Kaiser corrected the 1095, they would be admitting they collected money they were not owed.
How long does Kaiser get to keep ripping off the American taxpayer!!! The Marketplace funds belong to us all. We should all be outraged by the theft and waste!! What does it take to pin down a big company like this? Kaiser is a sorry excuse for a Healthcare entity. I guess causing more stress is a way of creating your own job security...
Reviewed April 14, 2016
Why is that when you hear the word cancer and find out the person has Kaiser insurance you know they will die? This is not the way it should be. With every other insurance you know they have a fighting chance. My sister-in-law has been told each week they do not know what she has but she has to wait another week to get re-tested to see what they can do. Kaiser is just waiting for her to be in stage four so they will only have to give her pain meds and not help her. She should just go to one of the VERY good cancer institutes and get all her results in three days. I hope my brother sues Kaiser for neglect. All any of use can do is pray she does not suffer for long because she paid for insurance that does not care and wants her to die.
Reviewed April 11, 2016
After I moved to another company for work, my insurance changed to another provider. During the lapse, I wanted to contact my doctor but the website cut off all communication saying that "I'm no longer a Kaiser Permanente Member". I was planning to pay out of pocket to see my doctor but I can't even reach them. When I call, I am on hold listening to elevator music for literally 40 minutes, then I get disconnected.
Reviewed April 11, 2016
#KAISERKILLS - My mother went to the ER yesterday due to negligence and unprofessionalism on the part of Dr. Sunil ** at the Ontario Vineland Center. She is a CLL patient on the drug IMBRUVICA and has been denied through Kaiser of receiving the medication. Outside facilities have been calling this doctor to assist in obtaining the medication and he and his team return no calls. I myself and my fiancé have called a total of 10 times with no return calls. You would think a hospital facility who knows that a patient needs a specific medication in order to maintain themselves would be trying to do whatever they can to ensure that their patient receives it but no one cares not even the doctor, social worker/case manager. A patient living on Social Security is not going to be able to pay $2700.00 a month for medication. Why would this not be an ongoing medication that the medical facility ensures this patient receives.
The Consumer Affairs Website has over 546 complaints about Kaiser and even when you call their patient affairs office to speak to someone you're on the phone for 45 mins then they come back and tell you there is no one to speak to. What's the purpose of a Patient Affairs? She has been without the medication for 3 months now, and Dr. Sunil ** has done nothing to accommodate this life threatening need! As a result she went to the ER, and unfortunately has now been transferred to Kaiser. When I say Kaiser Kills and not Heals, my mother's life is on the line! If you are with Kaiser and you can escape please do, as your life will depend on it!
Reviewed April 7, 2016
Having a problem with my hip and simply hoping it would improve with time and dreading Kaiser and their confusing and time-consuming ways, I FINALLY couldn't take the pain and asked my husband to take me to the ER. I was promptly seen. However, my husband and I were taken into a room and rudely asked "Why are you here?". We explained and then were asked "Did someone ask you to come here?" What? NO EXAM. NO NURSE. NOTHING. I'M 61 YRS OLD... I'M NOT OUT JOGGING... SOMETHING HURTS. Big sigh like I'm bothering him. Asks me "what do you want me to do about it???" Jeez I dunno. Maybe be a doctor? Was humiliated and my husband said "let's go somewhere else." HE NEVER GETS ANGRY! We just left and I called member services the next day. This man has the bedside manner of a moth. They say that's Kaiser...delay and deny. I just read "thrive or take a dive". You got that right.
Reviewed April 6, 2016
I've been to Kaiser Permanente in Downey CA for a hand surgery last year and now again for my OB. Both times was a disaster. For the hand surgery they booked the appointment for the wrong hand and the DR. didn't correctly do the surgery. One month later I had to redo the surgery and AGAIN it was booked for the wrong hand. I was told that the healing time was 10 days. I ended up being out of work for a month. Later they told me it takes up to 4 months to heal. It's been a year and I still have pain and can't straighten my finger. Now I'm going there for my OB/GYN and again they are not properly explaining anything. They have me a form that says I need my first trimester blood work between 4/4/16 to 5/1/16. I took the morning off and went today 4/6/16 and was rudely turned away claiming I was there too soon. When I showed them the form they said "well I don't know who gave you that." What a waste of a morning.

Reviewed April 2, 2016
I have way too much to say. All bad. Kaiser Drs. including pain management do not give pain medication. Even when you provide an mri that shows a very big problem. I have to leave Kaiser to get my medicine. I have been taking pain medication for over 10 years due to a severe injury. The Drs. with Kaiser do not care about you or your pain. On my first appointment with pain management all the Dr. is telling me is that narcotics are bad for you. Well pain is worse. I am dependent on my medication. It does not take the pain completely away, but it helps me to be able to spend time with my family and to be able to get out of the house. There is a reason they make pain medication. Don't make people suffer because you don't believe in prescribing the medication. You don't know our pain.
Reviewed March 31, 2016
I was a Kaiser member through my job and loved it. When I had to switch an on-call position due to not having a constant babysitter I lost coverage and had to reapply through WA HealthPlanFinder. I applied during open enrollment in November 2015. At the time I chose the plan that I wanted for year 2016 which was the Silver 2016 plan that was offered. They (WA) had me also choose a coverage for the remainder of 2015 year which was just December. The plan I choose for 2016 was offered so I chose a Bronze plan - I figured it was just for 1 month.
At the end of January I call Kaiser to make an appointment. But as it turns out, I didn't have coverage. Apparently the Silver Plan was never sent to Kaiser. Which is not Kaisers fault. What is their fault is the process and how long its taking to get coverage. That day a Kaiser representative told me that I need to contact WA and have them send it over. Simple enough I thought. So the process began. I called. They sent. I waited 2 weeks, called Kaiser - still not a member, they are processing info. "Fair enough" I thought. 2 weeks is soon. I wait another 2 weeks. This time never mind, they never receive anything. Even though I have a ticket number to track it.
So I again I call WA (keep in mind the wait on hold is so long for both places. I once waited 1 hour 10mins). Again they said they are waiting - things didn't go through so they will send another ticket which was already 3/2/16. I give it a week to go through and call Kaiser again. They received it. "It's in process, give it 10 business days and it should go through." I waited until 3/30/16 because we were out of town and what do you know, I called and again it's being processed. The worst part is when I would ask about how long this should take each time they would get defensive and make it seem like it was my fault. I spoke to them so much and only once did I get someone helpful and willing to help and explain.
Reviewed March 30, 2016
Kaiser is NOT in the business of caring! If you don't THRIVE they could care less if you take a dive. Kaiser treated me so HORRIBLY after they caused a serious medical error during my surgery. They did everything to protect themselves instead of helping me. I am now left disabled and in severe pain. My life sucks now, and Kaiser doesn't care because they know they can't be sued.
Reviewed March 29, 2016
Kaiser has been by far the WORST medical care system I have EVER received. I have seen 7; SEVEN different doctors regarding a knee problem which has also included an Emergency Room Visit at their Panorama City Hospital with still nothing solved! I am UNABLE to walk, bend my knee, lay down to sleep, work, move without assistance of crutches or wheelchair, etc. After being toyed around with ** promises that I would get a callback to schedule appointments to see a doctor that is more "specialized", I have YET to get any follow-up phone calls for these specialized doctors. If the last doctor seen does not order tests (like an MRI for instance) to be done, THEY REFUSE to do it.
They will NOT go the extra mile for any kind of diagnosis or result. Instead they have used the excuse of having to see someone else and have sent me home time and time again with pain pills and empty promises on their "specialized" services, WHILE collecting fee after fee for each visit. Meanwhile, 2 doctors have REFUSED to write a doctor's note to excuse me from work. Did I mention, I CANNOT WALK?! THIS IS PATIENT NEGLECT. I will NEVER recommend this health care system or plan to anyone. I still have yet to have results for my knee and am forced to go outside of the Kaiser system.
Reviewed March 28, 2016
Kaiser Permanente is not what they use to be years ago. The doctors leave you waiting in the room forever without checking on you. This is very frustrating to wait over an hour and the doctor only spends 5 mins. Southwood, Panola Road are the worst. If you are looking for a clinic then Kaiser is for you. If you are looking for great service, avoid Kaiser!!!
Reviewed March 26, 2016
Kaiser was a nightmare. Costing $500 a month where making appointments is the hardest to do and doctors are the worst where they don't listen to patients and they make fun of their health concerns. I was denied getting appointments multiple times first 2 months we signed up even though we pay $500 a month. There is an internal scam operations at Kaiser where they claim to not have appointments to eliminate services up front. Their doctors are the worst I ever experienced and they don't help. They make things worse and worse. I am not even sure why they are still in business. They steal innocent patients' money and refuse to provide any valuable service. I will never go with them again.
Reviewed March 23, 2016
The most recently bad experience - 3/22/16 - I had a swollen right side of my face. Part was solid, hard, elongated lump, got soft and mushy under the eye. Eye swollen, looked like I had been slugged in the face. The hard mass lump continues down to ear in the front, continues behind the ear and down to behind my ear, around hair line neck where there is a (now larger) solid, hard mass, red/white (puss is my guess), extremely painful, cannot wear glasses due to pain and swelling.
First thing went to Minor Injury Clinic where I had been treated for a bug bite turn staph infection. This looked similar and staph can be deadly. I arrived before doors opened hoping maybe someone cancelled or they had an opening. The MA's know me, it is a small office in just a small medical facility. I was asked "You do know we are not a walk-in clinic. Did we not give you a card last time to call head of time?" I was there seeking help, not attitude - simple request.
Made the appt for 1:50 pm (it was 9:13 am). Left, too painful, sought an appt at the larger facility/hospital/ER/plastic surgery... Everything in another close by city. 11:05 am appt: The Dr. came in, shook my hand, sat a few feet away from me, asked what's wrong, how long going on etc. Explained, said possible bug bite from previous experience. Didn't even put on gloves or roll her chair closer, just sat there looking at me and said “Umm could be shingles. No, um wait, yes it is shingles.”
I said “this whole area of my face is solid/rock hard. Are you sure this is shingles and the boil like lump on my neck? Is this normal? This hard?” (No tiny blisters, just 2 big hole like shapes back of head - possible carbuncles and furuncles. 2 similar on front of face at temple.) She called the eye dept., inquired about shingles in the eye. “Come back if eye gets red. Are you allergic to any medications? Ok I will prescribe you 4 medications.” (None for pain.) I was crying, it hurt so bad.
Inquired about the "Medications I am going to prescribe you." 2 were for OTC items I could purchase at Walmart/Big Lots for under $7 for both! Motrin for $15? Neosporin for $15? Really? Guessing at what my injuries are, and then "up-sell me" for OTC items that DO NOT REQUIRE A PRESCRIPTION? Did not even touch me. Looked at a distance. Still painful today. If it goes into staph what then go to the ER for even more $$$. Upselling me to the ER. They are the Taco Bell of health care, sounds good at the time but then after... you regret it.
If I am not diagnosed properly, and have to go back and back and back again at $30 per visit to correct what they diagnosed wrong, who pays me for that? On 2 Rx's, 1 for Shingles, 1 for bacteria. Did get pain medication after asking. Guess I just keep my fingers crossed and hope for the best? Looked online, does not resemble shingles. My face is so swollen, my hair line is "stretched" so far back from my normal facial line.
I look like a monster. I also have a HUGE event this Monday! This is not the first horrible experience I have had. They just sit and look at you and look at their computer to prescribe overpriced OTC, upsell, upsell, upsell. I have had a few experiences and finally my health, my job and my pocket book have had enough. Didn't know this site existed until I googled Bad Kaiser Experience.
Reviewed March 22, 2016
I changed my plan before the new year to a more affordable plan... or so I thought. After calling Kaiser and being informed that I had successfully transferred the plan with payment, I received a notice that the plan I was trying to change to had been terminated because of failure to pay the first premium and the old plan somehow persisted. I called them again receiving in no uncertain terms reassurance that it had been a mistake and the problem had definitely been resolved this time. Nope.
I literally have dealt with this same rigmarole 3 times and each time I'm more shocked when I receive an email indicating that the problem was actually never resolved. It's been about 3 months now and I just found out again that the issue still ongoing despite my most patient and rationale effort to fix a seemingly simple issue. Uncertainty for months about whether I'm actually covered has been a completely unnecessary source of stress when the issue should have been resolved months ago. I feel like I'm taking crazy pills.
Reviewed March 21, 2016
When my husband's company filed Bankruptcy and cancelled our insurance, he wanted to stay with Kaiser. We tried to sign up in Oct of 2014. That didn't happen until Jan 2015 because of confusion between Covered CA and Kaiser. That should have been our first clue. My husband went on Medicare with Kaiser in Oct. of 2015. We have been on the phone for hours every week since then trying to straighten out my coverage. They have told me I am terminated one day and that all is well the next. Then, a day later, I'm terminated again. I was not getting bills and would call and told it was up to date. We paid several times via web. On the one bill I did receive, for Dec. I believe, I paid by phone, because I got it one day before it was due. Then I got a notice it was late. I went online and paid it again.
When I called to check, I was told all was up to date. I was refused my prescriptions from Oct. until the end of Dec., even under the "we believe" policy. Kaiser blames it on Covered CA and visa versa. They do not communicate with each other well at all. We thought that having to resign up in Jan. would straighten everything out. Didn't happen. The premium went up and we paid the bill in good faith. Once again, I was told I had been terminated. I went on Medicare in Feb. and waited until then to see the Dr. and get my prescriptions because of all the misinformation we had been getting. Thinking, of course, that it would straighten out when I went on Medicare. When I got my first prescription on Medicare, instead of the $20 it should have cost, they deducted $600 from my checking account from my debit card.
I called the bank and put in a claim. That was put back in my account by the bank. I've been told by "Resolutions" that that will be the end of it, but somehow "WE DON'T BELIEVE". We received a bill for over $3400 saying that the premiums had not been paid since Oct. -- for either me or my husband. Well, he didn't owe anything, because he was on Medicare! I had paid the bills I received and had not received, to try to keep up with them, in good faith. One payment they would not even accept, because they had said the balance was $0. We finally filed a grievance. We are now dealing with the incompetence of that system.
To make matters worse, Covered CA has sent the 1095 only showing coverage through the Oct. date. Then they sent a revised one that has voided it. When called one day they said we were covered for the full year. When called the next day, they said we did not have coverage at all in 2015. It goes on and on...Customer Service is the epitome of an oxymoron. Both Covered California and Kaiser need to take equal blame in this horrendous mess (to put it politely). Everyone says they will get it straightened out, but it gets worse with each call.
We still have not gotten the bill for the $3400 straightened out and been told that if not paid our coverage for Oct thru Jan would be terminated and we would be responsible for any bills incurred. I recommend that anyone having problems with Kaiser Member Services, Plans or Premiums, file a grievance and put in a complaint with the insurance board.
Reviewed March 21, 2016
I've been with Kaiser Permanente for many years through my husband's employer. I can only give a mediocre review for the following reasons -- 1) inconsistent quality of doctors (after complaining of fatigue, my primary Dr said it was due to age, which is BS; she also laughed at me after I broke my foot; very strange; another time I was diagnosed with pneumonia, which turned out to be a kidney infection); 2) a big problem is having to drive across town to go to an approved hospital; 3) factory model of medicine -- I got tired of feeling like I was on an assembly line. Positive aspects include: Advanced Care Center -- a miniature ER that you can go to anytime; also being able to call an advice nurse anytime.
Reviewed March 17, 2016
Besides ridiculous costs for prescriptions and the impossibilities of getting appointments, I have tried for 3 months now to get an explanation of benefits for 4th qtr of 2015. HOW HARD CAN IT BE??? Do you not keep records? Beyond frustrated.
Reviewed March 16, 2016
I tore a rotator cuff again last June. I waited 2 months before going to the doctor because I have been through 3 shoulder surgeries and the recovery time is a minimum of two years. I was hoping it wasn't torn and that it would heal. I went to my primary care physician (a doc on Kaiser's payroll) in August who had a radiograph done but would not order an MRI. I was told to see an orthopaedics doctor to get the MRI. I finally got an appointment at the end of September with an orthopaedics surgeon who agreed with me that the rotator cuff was probably torn. I had a very severe closed head injury as a child and acquired a claustrophobic anxiety disorder as a result. I explained to the physician that I needed an open MRI due to my phobia of enclosed spaces. He ordered an open MRI for me and Kaiser would only approve a closed MRI.
Apparently in my area they have no facility within their network that offers an open MRI. I have been trying to get an open MRI for 6 months now. I even filed a complaint with the state insurance commission but there isn't much they can do to help me. My doctor's office has tried to resolve the issue but at this point there isn't much else they can do. I believe that the only thing left to do is to hire a lawyer to go after them. We cannot change insurance until June of 2016. We have our insurance through the state of Colorado (my husband's employer). If I were a dog I would have had the MRI and the surgery at least 5 months ago. I should know. I am a veterinarian. HMO's have destroyed medical care in this country. We are paying exorbitant fees for coverage and the medical care is truly abysmal.
Reviewed March 10, 2016
Just when you thought this production line health care system couldn't get any better with their billing, they went and made it worse. An upcoming appointment tomorrow for Radiology. I received a call (while at work) from Kaiser, representing herself to be a caring nurse to tell me about my upcoming appointment. Instead, she asked me for my deductible payment. "Can I run your card today for the payment?" WOW. I haven't even had the service yet, so... "NO!" This is unacceptable and completely disgusting. I pay high enough premium, that I am forced into, and a high deductible, because my work doesn't want to spend the money to split the high monthly costs. 5 years ago, heck even a few years ago, this was not an issue. Classic, Kaiser... Asking for payment of service days before the appointment.
Reviewed March 10, 2016
I normally do not do reviews unless it's from a really great experience. However this time, I thought people deserve to know how terrible our experience are with Kaiser. Last year we had a health insurance through Humana HMO. Humana informed us that they do not have that plan for Colorado anymore. I don't know what happened. It was already December 2015, we had to rush to get a replacement because both me and my husband have maintenance medication. We tried enrolling through their website but their website is not working well so we decided to go through eHealth marketplace.
Our Kaiser Permanente card arrived on the second week of January. On the end of January, I tried ordering my Nasal spray from Walmart. They said it is still so high and it is the same price. In month of February 2nd week I had to rush to CSHP because I was experience urinary tract infection. I was prescribed a medicine. We decided to send the prescription in Walgreens because they said it is a network pharmacy of Kaiser. I had two kinds of medicine--the antibiotic and some kind of a pain reliever. We picked up the medicine and they said we have to pay the full price. I didn't question it anymore as I needed it immediately.
Almost 2 weeks later, I received a letter from Kaiser telling me that the prescribed medicine was categorized as maintenance medication and they do not cover it in another network pharmacy. The letter also said that we have to call the current network pharmacy to transfer the prescription to Kaiser. They will not do it for you. You have to manually do it. Once you have requested the transfer you have to go back to their website and order the prescription from there. You have the option to go to their 3 branches in Southern Colorado, order refill by mail or through phone and pick it up. From January-February, I have spent for 3 medication without being able to use the insurance. I feel so drained. We are paying almost 400 USD but we could not even use it for our medicine.
Reviewed March 9, 2016
Kaiser was auto-drafting my wife's checking account for our monthly premium. I called at the end of February to cancel that auto draft so I could start paying online from my accounts. I am not a fan of auto draft. I was told that my wife's information has been taken out of the system and that I can now go online to make payments. I hung up, got online, and paid our $744 monthly premium. Then a few days later, my wife's account STILL got auto drafted and they took the $744 out. My wife only had $300 in her account and this over-drafted her account and accrued a $34 charge as a result. My wife found out they took the money out because her card got declined at the grocery store... Humiliating.
I call them and they originally told me refunds take 8 weeks to process. WHAT?! I spoke to a supervisor and that person told me they processed the refund and it would be refunded in 3-5 business days. That was on March 1st. I also filed a complaint with the company so they could refund the overdraft charge. March 7th arrives and there still has been no refund. I call in (my wife has no money at this point) and they assure us it will come the next day. March 8th comes, and no refund. March 9th comes and I call in (I am beyond angry at this point) and get transferred around to several different departments and every time I have to reexplain what is going on. This goes on for a half an hour. Then I finally talk to someone who informs me that because the refund is to a checking account, that it will take up to 6 weeks to get a refund. WHAT?!
Angry, I ask to speak to a manager. Another 12 minutes of waiting goes by, and finally a lady answers named Sheila **. (I have started to write down the people I talk to now because this is escalating quickly and may come to litigation). She proceeds to lecture me that I should have read the fine print that I signed 2 years ago when I signed up for auto-draft. Apparently it can take up to 30 days to take off an account from auto-draft. Yet, I was assured that the account would not be charged again when I took it off the account.
Apparently I am supposed to read and remember fine print from 2 years ago, but the staff is not required to read it and understand it. Apparently it is okay for the staff to misquote information on multiple occasions and you are held responsible when you listen to them, trust them to know the policies, but really they have no idea what is going on. We were told incorrect information by no less than 5 people over the last 10 days. This company is terrible, and it is no wonder why they have had so many lawsuits. They stole money out of my wife's account without our permission and are not going to give it back for 6 weeks. Now I have to decide what makes the most sense in how I pursue this.
Reviewed March 9, 2016
I think it's important that people understand the sham that is Kaiser. I use Kaiser in Colorado through my employer. They are a nightmare. NEVER use them. If you have an employer who uses them - quit and find another employer that offers decent health coverage. You will lose your doctor, lose your pharmacy and not be allowed to talk to their doctor offices and staff. You are required to talk to call center employees to assign a Kaiser only doctor to you and to set up any appointment (call center employees actually ask what your medical issues are - uh, really? It is disgusting).
You have to have an appointment with a call center employee before you are allowed to use the Kaiser pharmacy. Yes, that's right. You also have to use their pharmacy, no more using what you're comfortable with, they don't give a **. They also don't have doctors listed online. I went online to find a doctor and all they listed were physician's assistants and nurse practitioners. I complained about this as well and you have to talk to a special department to find an actual doctor. Want information about the doctor? They have to send you every bio individually.
Additionally, after filing a complaint with Kaiser about their abhorrent practices, they contacted my employer to tell on me. My employer called me in to talk to me about my complaint. This is an extremely disgusting organization. RUN, RUN, RUN from Kaiser. As I received this "insurance" scam through my employer I am currently looking for another job so that I can once again have actual insurance. Do yourself a favor and vet every potential employer to ensure they do not use Kaiser.
Reviewed March 1, 2016
I transferred from Southern California to Northern California. This seems to be beyond their ability to cope with. They took the money for my premiums, but informed me that I am not transferred.
Reviewed March 1, 2016
Kaiser's billing/payment process is a nightmare. I had a surgery in July 2015 and was receiving bills from the surgery slowly(!) over the next several months. One bill for $190.99 came due in August and I paid it in September. They kept asking me to pay the SAME bill over the next several months and I kept sending in payments. Other fees were also being assessed (all from the same July 2015 surgery) and I kept sending payments. Total payments made were for $1,557.08.
In February 2016 I was sent to collections for the $190.99 bill I had paid in February. Ultimately I had to pay that amount AGAIN to the collection agency. The SAME DAY (February 15, 2016) I paid that bill to collections I was frustrated and called Kaiser and asked them exactly what I owed them. They told me $246.09. I said "I am sending you a payment for the balance." And I sent the payment via Bill Pay at my bank. The payment arrived at Kaiser on February 18, 2016.
The next month I get another call from Evergreen collections saying I owe them $246.09. I told them I already paid that balance but they can't do anything. I called Kaiser and they said it's too bad the account is already with collections and there is nothing they nor I can do. If I don't want my credit to get hit I have to pay collections another $246.09 and HOPE Kaiser sends me my money back, which they won't do until everything is processing on my account. (This according to a horrible man who basically tuned me out... I know because I'd get total silence on the phone and then a "what?").
I had a mammogram last week (as Kaiser reminded me I needed to do) but Mammogram is a preventative service and is FREE under my insurance. The same insurance I have had for 2 1/2 years! So I have no idea when I might get a credit. Apparently Kaiser is UNABLE to communicate with its collections company and tell them the bill was paid. And DESPITE the fact that I called and TOLD them I was sending payment the fault falls on ME to pay them TWICE. Going by the amount of time it took them to just bill me for the July 2015 surgery, this is probably going to be MONTHS. Kaiser's billing is a travesty. Apparently no one can fix any errors because "it's automated" (as I was continually told). No customer service errors count against them. EVERYTHING falls on the head of the patient and it is the patient who loses out.
On top of it I can't even start on the confusion that is hospital billing. There is no way on earth to prove if what I am paying is correct... no way at all for the patient to verify. Kaiser doesn't even understand its own billing practices! I was talking to customer service about my account and the lady (who claimed she had previously worked in billing) said my charges looked wrong and that it looked like some charges were charged as hospital fees when they should have been professional fees. Each billed at a different rate. She said she was going to send it in for re-evaluation. I never heard anything back. My calculations based on the 80% coverage I have on surgeries told me I should pay around $1400, but I have paid over $1500 at this point with no guarantee they won't come up with something else to bill me for.
Reviewed Feb. 29, 2016
Kaiser is the worst automated phone system that I have ever had to call. To get test results back, I have to call the standard number for everything to take several prompts to not get to the office I want but instead an hour and a half hold time to get only get transferred to the office where I need my results back. So try the online service to get your results back. I forgot my password and instead of resetting my password immediately when I talked to customer service. They had to send me a new password in 10 days to my house! But I received an email that my password has changed.
Reviewed Feb. 25, 2016
M2016 m and my dad is suffering. Dad contacted Kaiser and November 2015 he submitted the form for care--they say December 14th 2015. He was told it would be 3 months before they could schedule surgery for his hip replacement. He did not get a call and finally a couple of us have called and complained. After calling and complaining he got a call for April 5, 2016. This is too long for an elderly man 85 who cannot walk to wait and wait! They cannot provide anything more than drugs. He is suffering and waited and waited. Why is there such a delay and little care by the organization that has too many patients and not enough doctors??? I am his daughter and this is my complaint. I would actually give them no stars but it requires any star and they don't deserve it.
Reviewed Feb. 19, 2016
Both my sister and my neighbor have been told by Kaiser that their knee surgery is elective, and that is why Kaiser provides no skilled nursing or convalescing coverage after the surgery. Both have been admonished by Kaiser to get a family member or friend to come to their homes after leaving the hospital to take care of them since they will be unable to leave their beds except to go to the bathroom for several days. In fact, Kaiser suggested they pay someone to look after them. They will be unable to cook, clean, or maintain themselves in any way for several days after the surgery. My personal, albeit limited, experience with friends in the Sutter, Blue Cross and other systems, is that convalescence immediately after leaving the hospital is included in their coverage.
My complaint is on two issues: how can Kaiser declare this an elective surgery? The alternative in both cases would be to become unable to walk. In both cases they are severely disabled due to the pain in their knee. This is not a condition that is elective, and the surgery to correct it is necessary to remain healthy, i.e., mobile. How can Kaiser tell their patients that necessary care after surgery must be paid for by the patient? Isn't that what we are already paying for when we buy Kaiser health insurance?
Reviewed Feb. 13, 2016
My husband and I purchased Kaiser Permanente Insurance through his work. There seemed to be an excellent coverage area around us and the rates were the most reasonable. The commercials on TV were convincing as well so we did it. Then I got pregnant. I started calling OBGYNs that took Kaiser, only none of them took OUR Kaiser. See, we weren't given any options for a plan when we signed up, and were assigned HMO, even though it wasn't called HMO when we signed up. The local doctors all only take PPO and Multi Choice, and the nearest HMO doctor is 60 miles away. That's ANY HMO doctor, not just OBGYN. Then last night I started bleeding, and since we hadn't been able to get an OBGYN yet, we called the nurse line.
For 30 minutes we had to wade through a terrible call with a woman who spoke so rapidly and with such a horribly thick accent that I had to have her repeat nearly everything. I'm no stranger to a thick accent, as my husband is foreign, but this woman was beyond unintelligible. She wasn't remotely interested in my bleeding and instead spent 30 minutes arguing about my location, my insurance type, and my zip code. She kept telling me I had several local doctors and insisting I was wrong despite the solid FACT that I had called literally ALL of them. I was in tears worrying over my baby and she didn't care. At. All. I ended up hanging up on her. I think I'd rather have no insurance at all than this terrible garbage. We've put in an appeal with our local health plan to reverse us back to Blue Cross.
Reviewed Feb. 13, 2016
Don't waste your time to get this health insurance! All the doctors are like robots. They don't care - all they care about is their paycheck. I been there several times - can't wait till August to change my insurance. Look at all the reviews above - they're all right!!! This is an awful healthcare provider. Makes me sick I have to pay for service like this. This company needs to be shut down!! Don't waste your time cause they have wasted enough of mine!
Reviewed Feb. 13, 2016
I have the best doctors and am overall very happy with Kaiser for me and all 7 of my children. My husband and his parents love Kaiser too. Even when we had a lapse in our coverage they believe me, policy was helpful too. Thank you Kaiser.
Reviewed Feb. 13, 2016
This is written in a sequence of events to make it easy to read. My primary doctor provided me refills on a medication I need to prevent Acute Gout attacks when I feel one about to start: Prednisone. Months pass and I go back and see her about an attack that happened because I had run out of the first bottle and couldn't get in during the week to get the first refill because (Complaint 1) you have to get the prescription filled at Kaiser or the insurance doesn't pay and they are not open 24/7 and they give you major problems to have it moved somewhere else.
The doctor gives me 15 5 mg. codone pills for pain. Note that I can tolerate a fair amount of pain. When I need pain pills I'm nearly at the "I'm going to scream" level. Note also that I'm football player sized guy so 5 mg. is absorbed and have no effect. I had to double up the pills and take 4 Ibuprofen and take this combination every 4 hours to be where I could tolerate it, so they only lasted the evening and part of the next day. (Complaint 2: Inadequate pain management when I need it, which is very rare so long as I have my prescription for Prednisone available.)
Since I was already running out and had a very acute attack this time, I immediately scheduled for next-day appointment. This doctor prescribed some additional pain meds to help and an anti-inflammatory which helped a lot. However, for some reason he also prescribed Prednisone again but with no refills. This eliminated my refills! (Complaint 3: Why did this doctor screw up my refills?!) It has been some time and I used up that bottle of Prednisone. I tried to get a refill and discovered the re-written prescription eliminated the refills. So I call in to see if my regular doctor will get a refill so I can avoid an attack. Answer? Well I hear back several days later. It's a No. WHY? Why deny them when I had them and never got them? (Complaint 4: The doctor had previously prescribed 2 refills, and I only got 1 when the prior doctor re-wrote it. Why not let me get the 2nd refill?)
Oh well, I'll create a new appointment. Nope, there are none to be had anywhere near me. So now I'm wasting my Friday going to a very late appointment and driving an hour away for it. (Complaint 5: WHY ARE THERE NOT MORE AVAILABLE APPOINTMENT SLOTS?) I tried since 12 pm till 4 pm before I could get this appointment. Wasting 4 hrs. of my time just to be scheduled and wasting another at least 3 hrs. just to get a new prescription and having to pay the copay on top of that when it was their screw up!
Reviewed Feb. 11, 2016
I am quite disgusted with Kaiser, as a previous reviewer stated: "Kaiser is always trying to sign-up new members." Current members are facing months of waiting to get in to see a Doctor or in my case a dentist/denturist. I have been waiting since Monday the 8th for Kaiser to call me to make an appointment. They called when I was out and left a message: "We are currently making appointments for May." I fail to see how this wait is fair as today is February 10th, this is ridiculous! We PAY for this insurance coverage, Kaiser fails to provide services in a timely manner.
My hope is that I can locate an attorney willing to file suit against them, and would like other members that have had to wait so long for an appointment to get involved as well. Please note: I find that it never just takes one appointment with them either, they prefer to get you on the Kaiser Merry-Go-Round to milk as much from you as possible. I would like to end and say that about half of the Kaiser doctors, dentists, and staff have been very professional and kind.
Reviewed Feb. 10, 2016
I was seen by a midwife with the last name of **, yesterday on 02/09/2016. I must admit this was the worst experience I've ever had at a gynecologist. Herself and her nurse made me very uncomfortable, as they were very dismissive and I felt like I was being belittled everyone I asked a question. I left in more pain than I came in, and even though she didn't find anything inside me, she didn't try to find out why I've been having so much abdominal pain. I had to walk out because when she pressed on my ovaries the pain intensified and she had no concern at all. I am a new member and after this experience I'm already thinking about dropping KP as my provider.
Reviewed Feb. 10, 2016
I changed insurance from Blue Cross Blue Shield HMO and went to Kaiser. That is the biggest mistake I made in my life. When I switched I had certain meds I had to take. I went 15 days without my thyroid medication (I had my thyroid radiated so I have no thyroid) so if anyone knows this can be a VERY SERIOUS SITUATION. They finally approve the medication AFTER I HAD TO NUT UP WITH THEM. Then I went in with severe pain in my shoulder and this was going on for 3 months.
I waited till my new insurance kicked in. Boy what a mistake. I then had to nut up again for my referral. Well it didn't take long after that went to the doctor I was referred to and he then referred me to another MRI for nerve damage and again had to nut up the day before my MRI AND AGAIN THE MRI WAS PENDING. I AM SO FRUSTRATED with this insurance company. I've came to the conclusion that the doctors with Kaiser just don't give a ** about their patients, just their money. Oh and I scheduled a yearly exam in January, it is now February 9th and they have rescheduled 4 times because my primary is never in the office. So my advice to whomever goes to Kaiser good luck.
Reviewed Feb. 8, 2016
My fingers had such horrible pain, both hands, that I had 2 sleepless nights. The pain kept getting worse and spread up the inside of one arm to my elbow joint. On the other hand, 2 fingers swelled up. I could not use either hand, I couldn't sleep for the extreme pain, and when the swelling occurred on my fingers, I called 911. You can be "AWAKE AND ALERT" and be dying from blood poisoning or an allergic reaction. This was the reason they use to refuse to pay: IT WAS MY FINGERS AND HANDS.
I got a bill from the L.A. Fire Dept. for $1225.00 for that ride. I called immediately and they said that Kaiser refused to pay. I had not been notified by Kaiser, and this invoice said it was PAST DUE! I was sent a letter from Kaiser explaining why THEY decided it wasn't an emergency. I couldn't drive because I couldn't use my hands or bend my fingers, and was on the 3rd day of pain killers. The PMs wrote symptoms of Carpal Tunnel and I told them to change it, that's not what I said, I know the difference. They did not change it. The wrote that I was sitting up and talking. Why not? My hands/fingers were throbbing with pain and I couldn't use them.
Then it said the ER Doc examined me, but he didn't. He referred to the 'carpal tunnel' report, did not take blood. No exam or tests. I thought it might be blood poisoning because it was spreading or an allergic reaction to something. So an incorrect PM report and no MD exam at Kaiser, BUT Kaiser decided it wasn't an emergency and they refused to pay. I followed the instructions for an appeal. The Fire Dept told me that Kaiser was supposed to tell them that it was being appealed, but they didn't, even after I then called and told them to advise the Fire Dept. I have been waiting for some kind of communication from Kaiser about this, a third party was supposed to decide if my appeal was rejected, but I never heard anything more.
Today I got another PAST DUE BILL from the Fire Dept. Kaiser isn't even doing their job with my appeal. I was unable to drive. I am on SSI and have the medi/medi plan. Senior/disabled/alone/impoverished. None of my neighbors drive so I had no choice but to call 911, it was late at night. If they want people to go to Urgent Care, they should provide transportation like many other plans do. If they do not pay this bill, how can I ever again feel comfortable calling 911 again?
I'm not the doctor. If I am reluctant to call and could die from my condition... THEN WHAT? I don't have money for an atty. I have excellent credit which is about to be ruined. This 'ride' cost was $300 more than my monthly income. If they don't pay it, I will simply switch my medi/medi plan over to Cedars who provides ALL of the Medical Benefits that I am entitled to, but after 3 1/2 years of begging at Kaiser, there are MANY procedures and services that they just refuse to get for me.
They push pills and vaccines. They don't have a licensed Psychologist. They have no weight loss plan. I qualify for the stomach sleeve thing and each of the 3 rejection letters had different reasons why I didn't qualify. When I only had Medical... I did qualify and I'm fatter now. Kaiser can't wait to make money hoping I get diabetes, heart attacks, a stroke and whatever else comes with being overweight. SHAME ON KAISER!!!
I am so upset that I have once again to take a day out of my life on the phone tomorrow, being transferred, hung up on, repeating the story, and nobody knows anything! Last time I tried to straighten it out I got a shooting pain up the side of my neck into my brain. Who knows what that was? I was so upset I had to take a tranquilizer. They are so much worse than Medicaid, they have NO SHAME. Pharmacies on nearly every floor. Plus they send you to locations as far away as 50 miles for some services that they don't have locally. I'm talking about the heart of Los Angeles. How could they not have these services? They want me to pay up to 39% of the total to The Los Angeles City Attorney's office.
Reviewed Feb. 4, 2016
Mr. **, injured party, was at Kaiser Anaheim, ER with his hearing aids. He would be transported to Kaiser Irvine for surgery. Mr. ** was transported during the evening hours to Kaiser Irvine (sometime after 0300 hours), for surgery. The Admitting Department for the Surgery Center documented receiving him and the hearing aids. Kaiser contacted Alicia ** that Mr. ** was going into surgery (at approximately 0900 hour). Mrs. ** checked in at the Surgery Center at approximately 1015 hours on 12/24/2015, where she was informed Mr. ** was already in surgery. Mrs. ** had to leave, but returned (at 1715 hours on 12/24/2015). Mr. ** was out of surgery and in Room 419. Mrs. ** noticed he was not wearing his hearing aids. Inquiries were made to the nursing staff several times. The nurses checked the log and confirmed he arrived with the hearing aids. The surgical department was contacted and they were checking.
On 12/26/2015, the RN on duty advised they were still checking the Surgery Center. She stated the Case Manager advised her, that personnel (who were working at the time) from the Surgery Center were being contacted, at home. The caseworker stated it is their responsibility for locking up any valuables items. These hearing aids cost approximately $3,000+ and not covered by insurance. This is an out-of-pocket expense. The notation, stated in caseworker's letter. The documentation also includes that your personal belongings, including your hearing aids, were given to a family member prior to you be taken to the Surgery Department is not true. We have asked for protocol of the complaint process and/or if legal action is necessary. Acting on behalf of patient is Alicia **, Trustee, and having Power of Attorney, for Mr. Alfonso **.
Reviewed Jan. 29, 2016
My experience with Kaiser, medically, has been wonderful. My experience having medical insurance through Kaiser has been HORRIFIC. Worst experience ever. I am a long time member of Kaiser. When I started a new job last year, I found the company didn't offer Kaiser Permanente medical insurance. Because I have a complicated medical history and the team of doctors at Kaiser have been so helpful, I was reluctant to change providers. I decided to become a member of Kaiser through Covered California and not chose the medical provider offered by my company. The experience of being a member of Kaiser through Covered California compared to being a member of Kaiser through the cushy group policy of a large corporation is HUGE. I cannot complain enough about the administration and website coordination with departments and billing.
I have had my Kaiser Account terminated twice now, through NO ERROR OF MY OWN but due to incomplete bureaucratic process internal to Kaiser. Both times Kaiser claimed that they were back-logged with memberships thru Covered California and whatever the pathway of paperwork flows from Covered California and Kaiser... the channels were blocked thus I ended up without coverage. The first time was for over month until things caught up. They assured me things would get handled and I should go get Kaiser for treatment under their "Trust Me" policy with those of us in the purgatory of Covered California. I tried this and was turned away from a routine visit as it showed my medical coverage was cancelled.
Fortunately, I experienced no real medical emergencies during that time, but the terror of no medical coverage and the impending financial ruin of a large medical bill was almost too much to bear. I have experienced this twice through Kaiser in a 2 year period. I was on the phone daily for almost a week with Member Services the first time. Anyone that would listen, but each time it was new person that didn't know what the person the day before had said. Computer screen notes if the representative could locate them were insufficient to help. At the end of at least 5 different re-routes of Customer Service Reps, none knowing with the other was doing...the one after more apathetic than the previous.
Now, I'm sitting here facing this again. I'm on hold with Member Services (the 3rd department line I tried, 1 hour into explaining my story to 3 people). I am unable to logon to the website to reorder my prescriptions because they are telling me one policy was ending as a new was being loaded. This is the worst. Covered California people are those that need the coverage without protection and they are treated the worst.
Reviewed Jan. 18, 2016
Clearly, Kaiser could care less about making it convenient for their members. Just a few examples: I am on auto-pay but they still send me a paper bill with no indication that I'm on auto-pay. When I tried to sign up for auto-pay online it would work. When I called for help, I was told that online sign-up with a debit card has never worked properly even though it has been reported multiple times. She talked me through doing it a round about way. I received a guide with 2016 coverage changes and there was no indication on the guide that it was the final revised copy.
If I order medication online, it asks for my credit card information and then proceeds to tell me that they can't tell me what the charge is (I would have to wait for my statement). I sent a message to that affect to www.kp.org and was told that they are unable to do that right now (which I already told her. duhhh!) and that after delivery they would send me a confirmation with the charge (THEY DON'T). DON'T CHOOSE KAISER!!!
Reviewed Jan. 17, 2016
I became extremely ill in 2005. Over the next 3-4 years I saw perhaps 12-15 different Kaiser physicians, spending huge dollars. After 4 years my primary care physician (pcp) told me "time to see a psychiatrist. We can't find anything wrong with you." Instead I saw a non-Kaiser physician at Rocky Mtn. Internal Medicine. In 5 MINUTES he diagnosed an E. Coli (!) infection that had started in my bladder and spread to my kidneys, often causing me to pass out. KAISER RUINED 4 YEARS OF MY LIFE AND DID NOTHING ABOUT IT. When I told my pcp my diagnosis he responded "You must have just caught it last week." Couldn't even admit his mistake that cost me four years of my life, as I could not function whatsoever - I've never been so sick in my life.
The doctor that diagnosed me, told me that Kaiser physicians should have found the infection at my first visit, with a simple urine test. He was clearly angry, mostly due to the fact that NOT ONE OF THE KAISER DOCTORS I SAW, EVER FOLLOWED UP ON MY TREATMENT TO SEE IF I WAS GETTING BETTER. Not once. They gave me medicine for a "stomach ache" which turned out to be my infected bladder, and never asked if it helped. I also suffer horrible back pain, my back is trashed. I saw my "new" pcp about treatment or medication for relief from the pain. The first thing she does is order me to stop taking ibuprofen or other nsaids, saying she suspected an "autoimmune disorder" from taking too many. And also ups my thyroid medication by 50%.
Within a couple months I had lost over 40 pounds! I sweated constantly, from every pore in my body. My socks and underwear were soaked with sweat every day, all day. I was extremely irritable, and could not control my temper. I itched all over and scratched my face, neck, chest, legs and back raw with scabs and scars. When I brought this up to my pcp, she responded "let's not worry about that now." When I had lost almost 50 pounds, I self-diagnosed the fact that she had totally overdosed me on my thyroid me. AND LIKE THE KAISER DOCTORS BEFORE, NEVER FOLLOWED UP ON MY MEDICATION CHANGE, and then refused to discuss the problems I was having. And of course when I informed her of the fact I was being given way too much levothyroxine, she denied that the dose was too high!! And then cut the dose in half - without even telling me!
I've received absolutely no treatment for my back pain save for a cortisone injection in my lower back that caused almost as many problems as it eased. NOTHING for the severe pain my neck (probably caused by KP!), my middle back pain, or my right side sacroiliac pain. I've tried to keep up my level of physical activity, through PT and engaging in the activities which I love, hiking, camping and fishing. Several times this year I ran into severe trouble when my back seized up on me in the middle of a hike. What did my pcp tell me? "Quit hiking."
What's the biggest cause of the high rate of suicides of arthritis sufferers? Not the constant pain usually. It's the loss of mobility, the loss of being able to engage in things they love. My experience with KP doctors is, they don't care. Nor will they ever admit to wrongdoing, mis-prescribing medications, misdiagnosis, no mistakes at all. I guarantee you any physician who found themselves in the level of pain I have to put up with every day, would be on opiates, no question. Tough crap if you're a patient in the same boat. They will refuse to assist you.
If you have ANY REASONABLE ALTERNATIVE TO KAISER'S PCP PLAN, TAKE IT. Do not sign up with KAISER unless you have NO CHOICE. If you have anything but a cold, the sniffles or strep throat you will be out of luck. I've been forced to stick with this awful company due to circumstances beyond my control, or I'd have been out the door years ago!!
Reviewed Jan. 14, 2016
Around mid-2015 I was referred to Kaiser Podiatrist by my Kaiser Primary. On my first visit with the podiatrist he said that by looking at my x-rays of my ankle it looked bad. First he wanted to try medication and a tie up ankle support. After a couple weeks I called back and left a message for the podiatrist saying that my current brace was not helping. When his assistant called back she said that I needed to come into the office and get an ankle support. At this time I told her that I already have the tie up brace, she then asked "When got the brace?". I told her she gave the brace to me on my first visit. The podiatrist ordered a fitting for the Arizona brace at a local company. It only took one week to get into the local place for the fitting, but it took multiple phone calls to Kaiser and 6 weeks to get the brace.
About 3 months later my medication ran out and using the brace daily I was still in pain. I made a follow up appointment with this doctor. During this appointment the doctor asked why I was still wearing the brace if my ankle was still hurting, I told him "Because you told me to wear the brace". His comment was "If it doesn't work then why do it". He then said that he wanted to try cortisone injections but he felt the shot would not work. We also talked about another option if the shot did not work and this was I needed to have my ankle fused. He told me that I would have to drive south to have this procedure done because no one here could perform this procedure.
After 4 weeks I sent a message saying I was still in pain. He wanted me to come in and talk about a follow up with another injection or consultation with orthopedist for surgery. After waiting hour the doctor came in and we started talking about my options. He then pulled up my x-rays again and said that my ankle did not look too bad, after telling me on my first visit that my ankle looked bad. It was at this time I noticed that he starting talking down to me and talking to me as if I were stupid.
He told me that I could make an appointment here with a doctor and see if they would perform the surgery but he did not think I would get the surgery, after telling me that no one here could perform the surgery and that I needed surgery. At this time I told him if he wasn't going to refer me to a doctor down south "Why did you want me to come in and talk about my options, surgery and injection". He also told me that the injection would not work. Because of the way this visit was going and the way he was talking to me I told him this visit was over.
UPDATED ON 05/19/2016: I currently live in California and have Kaiser Permanente. On 01/14 Kaiser sent me to and Orthopedic Surgeon, this surgeon recommended a total knee replacement so on 02/14/14 this doctor performed a total knee replacement. After 4 months and still in a great deal of pain this doctor said that he did not know why I was still in pain, walked with a limp, could not straighten my leg and could not bend my leg more than 90 degrees. Said, "I cannot do anything more for you and you need to get another opinion." I also have to add that this doctor delayed therapy for 3 weeks and stopped therapy twice.
When I did get a chance to see another Orthopedic Surgeon at Kaiser this time, he sent me to their Pain Management Department; they put me in a walker and pain meds. I have talked to other none Kaiser Orthopedic Surgeon and they said I need to have my knee done again. So on 09/01/2016 I will be put on Medicare because I am disabled and will get my knee fixed by a non-Kaiser Orthopedic Surgeon.
Reviewed Jan. 14, 2016
Being a patient at Kaiser, I found it difficult to get appointments. Kaiser continues to advertise for new patients, but they don't have enough doctors for the patients they have. I had to wait 5 months for an eye exam. Once the appointment is made, the doctors spend a minimum of 15 minutes with patients, then don't always make a specific diagnosis. I've had to change doctors too many times to find one that had common sense. Once receiving test results, due to medical jargon, the results are often difficult to understand and are not fully explained - even if you contact the extra help nurses who are supposed to be knowledgeable. I had one tell me she couldn't remember because she had studied these things too long ago.
Rarely seeking a cause, Kaiser doctors rely on prescriptions. They do not make any dietary or any other kind of recommendation to help the patient improve his health. Prevention is rarely considered. I was not pleased to hear that Kaiser has merged with Merck Pharmaceuticals, patients are already given too many prescription drugs as opposed to trying to determine a cause. As for customer service, on far too many occasions, I found that the black receptionists and pharmacists are often rude and arrogant to white patients, yet go out of their way to smile and be kind to their black compatriots. This is not a very welcoming or comforting attitude in a medical facility. I finally left Kaiser to seek another provider and would not recommend them.
Reviewed Jan. 11, 2016
I applied for health care benefits via HealthCare.gov. I am not entitled to any credits because I am a high earner. I searched several plans to ensure my family doctor and ophthalmologist was covered in the plan. When I did a search for my doctors, both names came up. I thought great. Later I made appts and my family doctors are not part of Kaisers Plans, and then I scheduled an appt to see my ophthalmologist first.
I am suppose to pay $550 per month with none of my doctors included in the Kaiser Plans. I called HealthCare.gov and nothing they can do. They said "We cannot verify if the plans, doctors or anything that is truly covered." I said, "Who oversees if the information provided by the health care providers is correct?" They did not know. I feel like I have been mislead by both Kaiser and HealthCare.gov. I just now called Kaiser looking for an explanation and they said. It appears Kaiser left out a step to choose a plan first. My health care plan I was choosing does not include my doctor. I am pissed and the Kaiser member services agreed with me the URL does not mirror what I used to select. Major issues.
Reviewed Jan. 11, 2016
Kaiser has made many billing errors in 2015 and they now want $2,600. I'm on my second grievance which will hopefully give me until 1/31/16 until they can terminate me. I have been to Covered California and they gave me a document (enclosed) to show the correct payments and they just refuse to work with me. I don't have $2,600 at this time. I have kidney and cancer issues so I don't want to have go through finding other coverage and establish myself with new doctors. I have heard there are many others. What can I do? Thank you.
Reviewed Jan. 9, 2016
I have been a patient at Kaiser for over 10 years. My doctor seems reluctant to run tests. Instead, she takes one look at me to determine what my medical issue is. I have HBP and Diabetes. She actually told me that I must take a particular brand of cholesterol medication or my life would be in danger. Really??? The nurses are in control of how much insulin I take and my diet. The doctor acts more like the nurse to me. This is extremely puzzling!
Reviewed Jan. 7, 2016
I came to the conclusion that Kaiser is all about numbers and statistics. Doctors rarely spend more than five minutes with you and for the most part are reluctant to order tests. Our own bad experience happened a few years ago. After a few visits to primary doctor complaining of CHEST PAIN and an ER visit with same complaint (no test done on any of the visits) was told due to being 20 years old, and no drug, alcohol, tobacco or caffeine use, it was probably due to stress. Next visit to ER was a few weeks later. While home alone, felt dizzy and passed out. Was taken to ER only to be told it was probably due to stress and was going to be sent home again until it was made clear to the doctor that there was numbness in the arm. Then they decided to do bloodwork and EKG.
To their surprise HEART WAS RACING AT 175 and rhythm was irregular. They immediately gave medication try to and bring down to normal. Gave a second pill 2 hours later again to try and regulate it and doctor said would call Cardiologist if that didn't work. It did and was sent home. Diagnosis Atrial Fibrillation (AF). ER doctor was the same doctor on both visits. He may have caught it then if EKG had been ordered. Follow up with Cardiologist was frustrating. She did not feel any test for the heart were necessary due to "age". This, she said "is seen in older patients not 20 year olds". Three months later we switched to Anthem Blue Cross. The convenience of having doctors, labs, x-rays, pharmacy all in one place maybe why people stay with Kaiser. We are currently very happy with our current provider and doctors and DO NOT recommend Kaiser.
Kaiser Permanente Insurance Company Information
- Company Name:
- Kaiser Permanente
- Website:
- healthy.kaiserpermanente.org