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If the State says so, it must be true.
Posted by Pawn on 11/22/2010
LOS ANGELES -- After NOT receiving services (the staff "lost" my specimen), I requested a simple refund of my copay. After zero response from several Kaiser customer service points, I complained to the State (Managed Health Care) who said "my copays are not contingent upon degree of satisfaction or reason for service."

I'm sorry, but receiving competent service is a basic tenet of business law. No service, no pay.

Is $25 worth it to Kaiser to be posted on every site I can access?

     
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Posted by Anonymous on 2010-11-22:
Unfortunately, yes. Kaiser Permanente is Goliath, and you are David without a slingshot or a stone.
Posted by sam35 on 2011-03-06:
You know that Kaiser has the most comprehensive mental health service of any insurance provider !
If you stay with Kaiser you might need them ? If
you are paying $70.00 a month Kaiser is worth it,
however is your paying $700.00 a month and have the nerve to pay cash ? You can do better ,and you won't
need to see a counselor !
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I have to say, I really like Kaiser!
Posted by Keldawwg on 05/28/2009
SAN JOSE, CALIFORNIA -- I grew up in Sacramento, California, and we had Kaiser insurance my whole life. Back in those days, I remember waiting for literally hours to see my doctor... It was pretty bad, but it was also because their system was so completely overloaded... They had too many people for the hospital and clinics they had.

Now I'm all grown up, and although I work in San Jose, I live 60 miles away. My choices for insurance were Kaiser or a PPO that I would have to come into San Jose to see a doctor. I chose Kaiser because they have Hospitals and clinics pretty close to my home.

In the 19 years that I have had Kaiser on my own, I have no real complaints. I have never had to wait long enough to finish a magazine article when I go see my doctor or a specialist. The longest I have ever waited was for a blood draw, but the lab waiting room was packed! When I saw how many people were in front of me, I thought I'd be there all day, but it turned out to be about 45 minutes.

My wife is an OB/GYN Nurse Practitioner, and she knows a lot about Kaiser. (She has never worked for them, but she does know quite a few nurses and doctors who do) She says that she likes Kaiser because it's so convenient and easy to get what you want from them. It does take a little effort on your part to work their system, but the Advice Nurse that you call into for questions or treatment has the ability to get you in to almost any specialist very quickly. ( A tip when talking to the Advice Nurse, you don't want to be macho and downplay your problem. Their questions are directed at you to screen whether you need immediate treatment or just a routine doctor visit with your PCP (Primary Care Physician) If you want to be seen today, there are frequently "code words" that if they hear them, they will schedule you for an almost immediate appointment... (It helps for me when my wife tells me to call the advice nurse, and be sure and say "Blah, blah, blah" But even if you don't know these code words, you can usually guess what kind of thing would trigger them to get you in right away... Say those things!)

I have had a few health issues over the years, and I can say that I am extremely happy to have had Kaiser. I got into a motorcycle accident five years ago, and I was in hospitals for about two months. The first 5 days I was in San Jose Trauma, and the bill from them was over $100,000. And they didn't do all that much besides dope me up and stabilize me... I had to have two hand surgeries, and over a month of rehab in the Vallejo rehab hospital. If I had the PPO insurance, that accident would've left me broke.

They just built a brand new hospital right at our little town's border, and it's really great. I have been to their emergency room twice, and the service has been excellent and very quick. If I was ever considering another job, one of my questions would be if Kaiser insurance was available. If not, I probably wouldn't go. :)
     
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Posted by sam35 on 2011-02-19:
I really liked Kaiser too. At least until I was hurt! You should not have to lie to see a Doctor.
Iam not a R.N but even I know To say you passed
out or your bleeding from your backside ! I think
I would stick with passing out . You would not like
what their going to do about bleeding from your backside !
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Kaiser Won't Let Me See Specialist
Posted by Krane1208 on 08/17/2013
PORTLAND, OREGON -- I got some kind of issue where the hair follicles on my chin would get itchy and secrete a clear fluid - also some swelling.

My Kaiser doctor told me I had a sexually transmitted disease. I had not had sexual contact for over 20 years before that happened.

I was denied an opportunity to see a specialist.

I switched carriers and saw a specialist. I had some kind of bacteria. I was treated by a SPECIALIST!

Kaiser does NOT treat people - only takes their $$$
     
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Posted by clutzycook on 2013-08-18:
It wasn't Kaiser, it was the doctor. That's why second opinions are so important.
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Kaiser Is an Assembly Line With Low Standards
Posted by 2.rellie on 07/30/2013
SAN JOSE, CALIFORNIA -- Kaiser mishandled my father's last week of life and the process leading up to this. They violated their pain management care claim as stated in their handbook which is basically false advertising and misrepresentation of what actually goes on once inside chaotic Kaiser care. My father suffered a very painful death all because of their lack of urgency, lack of prescribing the correct pain medication and many other incidences that were not monitored by my father's oncologist and medical team. Once on hospice the hospice nurses were negligent in effectively monitoring my father's pain and he basically was bleeding to death from his rectum. At one point I called "Gio" on Santa Teresa hospital's supervisor line. Gio said that he could not get a hospice nurse out to see my father for another 3 hours. This is while my father lay there bleeding profusely in pain. It took a call to my father's attorney and a threat to sue for Kaiser to get a hospice nurse to my father sooner and to get him situated and prepared to die with dignity. Should people have to do this to get healthcare staff to do their jobs?

Next, my brother also was recently diagnosed with colon cancer and wanted specific information about his upcoming surgery. Kaiser states this and on Dr. Wright's (his former surgeon's) website he clearly states how he likes to ease the comfort of his patients as surgery can be a daunting experience. Dr. Wright had misread my brother's chart on more than one occasion, and later with specifics about the surgery. This was a concern so more questions were asked of this Dr. to ease my brother's mind about the procedure. After a few hours Dr. Wright called my brother stating it be best that he have another surgeon perform this procedure. What kind of doctor doesn't have the integrity to finish what he started? What a loser to just walk away at the last minute when he is just being asked to do his job and ease the patient's mind for an upcoming procedure. Providing more information is too much sweat off of Wright's brow? Wright is clearly Wrong just as my father's oncologist Dr. Kwong was wrong. Fascinating how the names connect so well with these experiences. It's easy to make jokes of the care or lack of, at Kaiser. They must take the rejects from more reputable healthcare groups. I don't have Kaiser and I will not lower myself to a place which operates below standard. I am fortunate I have a choice.

I will surely stand up for family and friends who have Kaiser. They are easy to outsmart and not very bright, and quite irresponsible to just name a few....and these are their good qualities.

     
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I Am an Abused Volunteer- KP Ignored Facts and Threatened to Sue Me
Posted by Joeret2005 on 07/21/2012
PANORAMA CITY VOLUNTEER, CALIFORNIA -- Volunteer abuse-humiliation-baited- here is the rsvp from the ceo- a letter from the legal dept threatening me with retaliation-revenge actually 6-17-12 should you have proof that what I have reported is untrue submit by noon June 21,2012 or this will be posted as promised---if you disagree now is the time to say so--- KP has had over 8 months to investigate-now it is your turn to be investigated-sorry it is your choice.

Ceo have you lost control of your company. Do you have any respect for victims of humiliation in your corp that are seniors & for 4 years and play with your job? I received a call from Gale, who doesn’t know how to speak up or leave a definitive message. She said I was getting a letter and carefully do what it says??- Good bye good luck.

6-2-12 just courtesy reminder—if someone else reads this letter would you be proud of the handling thus far including your non response and why not, since volunteers have a right to know the abusers and good organizations that are safe? KP set a record in fines for confidentiality will ceo ??????? Have the same honor in violating a volunteer of 4 years civil and human rights—not even common courtesy—your choice- my job is done and way to lenient would you be so lenient with me ---Micelle was not- actually abusive. The end if you want it that way or not. Out of my hands comes June 4 week.

May 15 , 2012
Chairman and Chief Executive Officer, Kaiser Permanente
1 Kaiser Plaza Oakland, California 94612
Phone: 510-271-5953 Fax: 510-271-6493

re: deplorable treatment of senior volunteer- “bullying” humiliation, Oct 17, 2011. Panorama City pharmacy n3. Sorry for this contact but hopeful of resolution.
This situation has no dignity or values of KP and surely embarrasses all of KP I wish to bring to your attention, numerous deplorable acts on me as a 4 year senior volunteer at Panorama City Facility. Especially arrogant attitude of managers to act equally for justice and to ascertain factual accounts and base a decision on the merit of the complaint or the employee’s action.

In order to capsulize these events: I was set upon by Michelle, in pharmacy 3 n---- she followed and antagonized me in three separate instances and “screamed” in my face. Finally, she tracked me from the supply room where she pushed a cart into the shelves near me as I removed an eyelash clouding my vision and did the same while I read the bulletin board and finally to the other side of the pharmacy approximately 30-35 feet. She actually pursued me. She screamed---type that she lurched forward at me and lowly screamed in my face—she was trying to bait me into a fight with contact but I disappointed her--sounds odd but it's 100% true--just not audible throughout the room. Security cameras!! In addition I was in resource management and at least 6 rn’s can vouch for my demeanor and even improvements, I made several suggestions that resulted in better archived files, more functional meeting room and accuracy of work file and pick up point for tasks for me.

Eve-ng- vol dir allowed a tottering older woman to have her personal dog at a KP banquet where capacity was overflowing with over 500-600 people---the woman even tripped and fell into the carving station ----this is the kind of bias and mindless decisions that permeate KP---unless you are chosen-
why bother you with such trivia…well to illustrate the culture of arrogance that even includes managers, employees and gender baiting all sources have been exhausted. There are no scruples of KP that KP can be proud of in this activity
i thought KP had a policy of non – retaliation and fairness—it is not being exhibited to show you this. I stated that I would prefer to have the door open in the resources office as it has been for over 3 years—I was thoroughly screeched at by one of your director/a manager practically slammed the door --- KP is so blind to old volunteers as to miss this implication---of course you get it----suppose a young woman said that, what should the manager have done????? Enough my focus is on Micelle’s cohort’s aggressive and erratic/belligerent behavior in pharmacy n3 –
respectfully submitted for your consideration. Please by June 1 2012, appreciate it.

excerpt of my letter to KP editied for space---ever hear of a company threatening a volunteer attacked on the job with legal action---KP did-imagine I was threatened by the legal dept for reporting abuse-vol director is humorless, contentious and vindicative and is the ceo---see their response---none???? Except more threats to me.
     
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Posted by trmn8r on 2012-07-21:
Maybe it is too late. I can't figure out what happened or where someone was a volunteer. Something happened in a pharmacy and at a banquet, but that is all I could figure out.
Posted by jktshff1 on 2012-07-22:
Simply put....what happened?
Posted by clutzycook on 2012-07-22:
Yeah, I'm not sure either. But if the OP is being threatened with a lawsuit and they have a legitimate reason to complain about KP, then perhaps the OP should look into retaining a lawyer.
Posted by madconsumer on 2012-07-22:
"re: deplorable treatment of senior volunteer- “bullying” humiliation,....."


it is very clear what this review is about. the poster was a volunteer, and was abused.

thank you for the warning. i have heard far to many people that have this insurer and have told me stories of their deplorable payment to their insured.

very helpful review and voted as such!
Posted by tnchuck100 on 2012-07-22:
Not understanding a review DOES NOT diminish its importance.
Posted by jktshff1 on 2012-07-22:
Well put tnchuck
Posted by raven2010 on 2012-07-22:
I think this company is the "ashley furniture" of healthcare
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Do not use Kaiser weight loss
Posted by Ceodad on 01/11/2012
LAFAYETTE, COLORADO -- Kaiser is great in many areas. My 1 star rating is for their weight management and customer service group. They are not equipped with fluoroscopes to do lap band fills so they have to guess. If you get sick and come back the next day because they put too much in, they charge you again. Today, they did nothing but tell my wife to go to their downtown office where they have more equipment than Rock Creek and charged $50 dollars. The doctor and customer service both agree there should not be a charge because they did not do anything, but neither knew how to fix it without a formal 30 day complaint. This is very poor care and bad process when no one can make a simple charge correction and force me to have spend 1+ hour on the phone explaining the same thing to multiple people.

Go somewhere else for lap band care - even without insurance the fee for a fill is less with better care.
     
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DNR orders
Posted by Cholmes56 on 10/21/2011
If any reader of this post has been a patient at a Kaiser Permanente hospital, or has a loved one who has been a patient at a Kaiser Permanente hospital, and was pressured by a Kaiser Permanente administrator for a "DNR" (Do-Not-Resuscitate") order, please respond to this post.
     
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Posted by Anonymous on 2011-10-21:
Why are you asking? That is a personal family matter and you should state your reason for asking people to respond to your post with such personal information. Is this a solicitation for an attorney?
Posted by Ben There on 2011-10-21:
I was thinking the same thing John... That, or this is an attorney.
Posted by Anonymous on 2011-10-22:
Well, lets see if they answer. Since they are supposed to be coming back to check for responses if we hear nothing back then we have our answer.
Posted by clutzycook on 2011-10-22:
Yeah, I want to hear more about this myself. I have worked in hospitals for 10 years and I have never heard of a hospital administrator talking to a patient about signing a DNR order. In pretty much all of my experiences, it has been the duty of the nurse or the physician to bring that sort of thing up when and if the need arises.

I wonder if the OP is thinking about a Living Will or Power of Attorney, or just even asking the patient if they have a DNR. But then again, why would an administrator be asking that?
Posted by Anonymous on 2011-10-22:
We placed a DNR for my sister while she was at Kaiser. We were not pressured. In fact, they were very compassionate and they didn't take the situation lightly. We were informed of all of the possible options and made one that was what we felt was in the best interest of someone that we loved very much. No administrator or health plan would pressure me or anyone with any common sense to do something that we didn't feel was right.
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False Patient Summary
Posted by Lawrencebucher on 09/10/2011
Date: 09/07/2011

I left my primary physician at KAISER PERMANENTE the morning of only to find out after getting a physical for Life Insurance and in spite of my labs coming back PERFECT that based on the industry standard BMI Chart (Body Mass Index) which is a pre-determined standard on one's body fat based on height/weight ratio, I was deemed OBESE, and my life insurance will now by eye-gouged due to such.

So, back to the BMI, because I am 5'10" 214LBS, yes, they wrote me as obese. And because I'm this weight is in direct proportion of training 3-5 days a week of high resistance conditioning (last 10 years) as I'm TRYING TO GAIN WEIGHT in which the above mentioned physician refused to address in my permanent medical record; which underwriters all have access to, and refused to refer me to get an actual body fat test conducted.

Now, while one may think how innocent a BMI chart is, let me catch you and the rest of the world up-to-speed. The BMI is "Industry Standard" which Life Insurance Co. (and others) go by, and regardless if you were truly only at 14% body fat and in EXCELLENT condition, if you fall within the box you fall within, this is the speculative predetermined evaluation.

So, on ones medical record, this BMI which is complete speculation, is a fact on one's record all for a Life Insurance to go by, so they can further jack up one's premium.

Below is a chain e-mail between me and my doctor getting into it; as e-mail is the only way to speak with a doctor/nurse; which is something I've NEVER experienced. Christ, I feel like a care at a Jiffy Lube with these douchebags.

*E-MAIL MESSAGE BELOW IS READ FROM MOST RECENT*
____________________________________

RE: My BMI resultPrinter-friendly version To:
Larry Bucher Jr.

From:
KENNEATH KAMFAT CHU MD

Received:
09/09/2011 4:36 PM

Your BMI concern does not warrant a referral to a specialist.
You can seek a second opinion from another physician. Just call appointment center.


----- Message -----
From: BUCHER, LARRY JR.
Sent: 9/9/11 02:46 PM
To: KENNEATH KAMFAT CHU MD
Subject: RE: My BMI result

You already made it clear that you could not deleate BMI! Am I missing something here?!

I said I NEED for you to note in MY medical report within the BMI data that the BMI is in direct relation to muscle mass/training and in no way related to obesity. Again, am I missing something? Then there's no need to send any letters out- it's all in my report/summary.

But we could too, and more sensably REFER me to get an actual test done from an ACE certified trainer or another physician/nurse as so to not "speculate" my true BMI. All I want, as well as the rest of my medical information, is to be ACCURATE.- LB

----- Message -----
From: KENNEATH KAMFAT CHU MD
Sent: 09/09/2011 1:08 PM
To: Larry Bucher Jr.
Subject: RE: My BMI result

I am unable to alter medical record and delete BMI!
If you want me to write you a letter to life insurance that you are applying for and for me to state that in my opinion, I think your elevate BMI is from muscle mass 2nd body training, I am more than happy to do so.


----- Message -----
From: BUCHER, LARRY JR.
Sent: 9/8/11 07:44 PM
To: KENNEATH KAMFAT CHU MD
Subject: RE: My BMI result

Dr. Chu, while I can appreciate your position with this, I'm asking you do likewise with me, and while you never put "obese," however the BMI score of 30.71 in-of-itself is an obese measurement.

If you can not conduct a skinfold test within your office, then I request an outside referal, or on your own fruition a note in these reports that I am athletic built; addressing the BMI diagnosis.

Sincerely,

L. Bucher

----- Message -----
From: KENNEATH KAMFAT CHU MD
Sent: 09/08/2011 3:27 PM
To: Larry Bucher Jr.
Subject: RE: My BMI result

Unfortunately we do not have skinfold thickness measurement or bioelectrical impedance testing.
We can not remove BMI.
However, I never put diagnosis of obesity as your medical condition.



----- Message -----
From: BUCHER, LARRY JR.
Sent: 9/8/11 10:30 AM
To: KENNEATH KAMFAT CHU MD
Subject: My BMI result

Dr. Chu, I am requesting that a skinfold thickness measurements, or a bioelectrical impedance test be done on me. I REFUSE to let underwriters for my life insurance (based on this ridiculous BMI chart which does not take into account athletes), use this information which is nothing short of preposterous.

My medical records are for accurate information; not speculative. Either remove the BMI info as "obese" from my record altogether or accurately test my body fat.

Sincerely,

Lawrence Bucher



     
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Posted by macdave on 2011-09-10:
BMI is what it what it is. The doctor cannot change it but seems willing to let the insurance companies know that it is high due to your weight training. If you want the other tests done, why don't you get one done somewhere else. It seems pretty clear that Kaiser does not offer these as part of the standard physical.

David
Posted by drugdoc121 on 2011-09-10:
I don't get it. The doctor said he was willing to state that your elevated BMI was due to muscle mass in a letter but cannot delete it from the record. If he cannot delete it but is willing to explain it, what else do you want him to do?
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While quality of medical care improves, quality of membership-related customer service take a dive
Posted by 14july1 on 07/13/2011
I called Kaiser Permanente Membership Services regarding a contract change which was extremely time-sensitive. Translation: I had only a day or two to ensure some contract changes that would save me some money on my sky-high monthly independent-contractor health care dues. One more translation: I am a little old nanny, and what I pay in monthly fees could feed a small nation. Okay - more like a village.

I called the # offered. After a 22-minute wait (love that Muzak!) the bored Kaiser-person said I needed to call another #. Long story short but not so sweet, I was on the phone for most of an afternoon, being transferred from here to there to some planet far, far away, and nothing was resolved.

I decided to take an (unpaid ) morning off of work to venture a trip to the Kaiser headquarters in Rockville, Maryland. When I arrived, it became clear where all that money hundreds of thousands of us send monthly is going. The place is castle-like in size and appearance; fortress-like in security. A security guard informed me that I was not allowed to go up the winding staircase to the membership offices to request help. Would he deliver a letter to them? No, not allowed. It seems he was not authorized to leave his post.

"Did I come to the CIA instead of Kaiser?" I asked. No reply. Not authorized to joke, I guess. I was told to wait, and a Kaiser representative would be down to talk to me. I waited. And waited. It was better than being on the phone, because I got a break from that damn music.

The upshot: I left. I had reached my humiliation quota for the day.
On my ride home, all I could think of was all the money I have sent them throughout the years. And how a good customer like myself is treated. And deep regret that because our health care system is so unfair, an honest working person should be subjected to this kind of treatment. And deep compassion for all the other Kaiser Permanente customers who share my frustration and disillusionment.
     
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Kaiser provides no information to customers
Posted by Neil1277634655 on 04/30/2011
UNION CITY, CALIFORNIA -- I own a business and recently switched to Kaiser for me and my employees' medical insurance. These are a few of the things that happened in the first one month that had me regret my decision to move to Kaiser:

1. Kaiser did not send any information about how to access account to the members. I, the group admin, had to send multiple emails to get the membership id information. However, when it came to billing, the first month premium was immediately charged to my account. The members were not able to avail any healthcare services for one month because they did not have any clue about how to take an appointment with the doctors.

2. There is no way to contact them outside business hours, not even to make payments! There is just one phone number for customer support and that too has very restrictive hours which makes it hard for someone with a full-time job.

3. I did not get any information about how to set up account for online access. Neither did I get information about how and where to send payments.

4. The notification of the first bill came on two days after the bill was due! How is anyone supposed to know that the bill is already due if the notification comes later than the due date?

5. There is no way to reset password online for group administrators. You can't even check for email responses without logging in! This is too much restriction in the name of security. This is so ironic because when I called an operator reset my password and told me the password over phone! What kind of security is this when you can't reset my password online and a live person can just speak out the password over the phone!

6. The website is really very difficult to use. The navigation controls are tedious and non-intuitive. It is very slow and does not provide information about how to pay bills.

I hope this review helps you make decision on choosing the right medical insurance plan.
     
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Posted by Alain on 2011-05-02:
You might try contacting Kaiser Permanente's headquarters in Oakland, CA, and ask to speak to a human that can help you with these questions-510-271-5800. Good luck. You'll need it.
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