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Kaiser Permanente

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5.7

Overall Score

Author: Kaitlyn Short

LAST UPDATED: November 10th, 2024

Kaiser Permanente was founded in 1945. It is a nonprofit health insurance provider with years of industry experience. It offers employer-provided plans, Medicaid, Medicare, charitable health insurance, and other private insurance plans. Kaiser Permanente's plan selection makes it easy for people to find good health insurance. Its plans are available in eight states and Washington, D.C.

Kaiser Permanente offers quality patient treatment and care through its networks, which also makes it a good option. Kaiser Permanente health insurance plans provide insurance coverage at Kaiser Permanente hospitals and clinics. Each Kaiser facility is staffed with high quality health care providers including primary care physicians and specialists.

Members can receive several different kinds of medical care and treatment at one medical center, which makes receiving health care treatment convenient. This offering makes Kaiser Permanente stand out from other insurance providers. While some may find the restriction to receiving care only at a Kaiser Permanente Center, it is helpful if there's a Kaiser Permanente clinic or hospital in your community.

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The Good

  • Positive Customer Reviews
  • Easy to View Plan Options
  • Variety of Health Insurance Plans
  • Charitable Health Insurance
  • Unique Provider Network Approach
  • Member Services and Resources
  • Additional Tools and Perks
  • Customer Service

Positive Customer Reviews

A majority of Kaiser Permanente's reviews are positive. Reviewers mention good experiences with care providers and the convenience of working with Kaiser Permanente.

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Customer Review: Vicki from Clearwater, Florida

"I was with them for years and I really loved them. All your doctors, hospital, tests, specialists and medications are Kaiser and in their facilities. You should check for your nearest Kaiser hospital/medical center first because most of your tests are done there. But being all in one it is incredibly easy to get everything you need done. The web site is also really good. You can check your appointments, test results, re-order prescriptions very easily."

Easy to View Plan Options

The plan selection at Kaiser Permanente is quite admirable. Kaiser Permanente won't require you to give out personal information like your date of birth or parts of your medical history to get even the most basic information about its insurance policy options in your area.

You just say whether you are turning 65 during the year, whether you get insurance through an employer, and whether you are looking for a plan for yourself or for a group. Then you input your zip code to see health insurance options in your area.

Getting the cost information for a plan will require further research because the monthly premium depends on several factors, like age. But the initial questionnaire will give you access to brief descriptions of the types of plans available and the overall coverage you can expect.

Variety of Health Insurance Plans

Kaiser Permanente offers individual, family, and employer-provided health insurance plans. Employer-sponsored plans help employers add value to their employees' benefits package.

Kaiser Permanente also offers Medicaid, Medicare, and charitable health insurance to individuals who qualify. It also offers catastrophic plans. Some Kaiser Permanente plans are compatible with Health Savings Accounts (HSAs). An HSA allows you to save pre-tax dollars to use to pay for medical expenses. Funds in your HSA roll over year to year.

Employers interested in adding vision and dental insurance to their employee health benefits can offer dental and vision insurance through Kaiser Permanente.

Premiums, coverage, copayments, coinsurance, annual out-of-pocket limit, and annual deductible, of course, depend on the individual plan. Before purchasing a health insurance plan, it's important to understand the full cost of the plan, which is not just the monthly premiums. In some cases, it may make sense to pay higher insurance premiums to have lower out-of-pocket expenses.

Charitable Health Insurance

Kaiser Permanente also provides charitable health coverage for low-income individuals who don’t qualify for public health insurance or have access to private health insurance. This offering makes it stand out from other health insurers.

Kaiser Permanente provides subsidies on premiums for these plans and additional financial assistance for out-of-pocket costs when care is received at Kaiser Permanente facilities for covered services.

These plans are available in California, Colorado, Georgia, the Mid-Atlantic (Maryland and Virginia), and Oregon. The name of the Kaiser Permanente’s charitable health coverage is different in each region

Unique Provider Network Approach

As you consider Kaiser Permanente medical insurance plans, keep in mind that it does not offer typical network structures, like Health Maintenance Organization (HMO) or Preferred Provider Organization (PPO) plans. Instead, Kaiser Permanete has its own facilities and providers for patient care. Care received elsewhere is not covered by the insurance provider. If you're interested in a plan with more typical network structures, consider other health insurance companies.

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Customer Review: Fay Falatea from Kaneohe, Hawaii

"Me and my family have been insured by Kaiser Permanente for 13 years. The Drs I had were great and customer service from the receptionist was always pleasing. Was sad when I had to change to another insurance."

You should also consider the coverage offered by a plan before finalizing enrollment. Most plans fully cover preventive care. See what the coverage looks like for other treatment, care, or services you may need.

Member Services and Resources

Kaiser Permanente members have access to some great benefits, like an online member portal, mobile app, and glossaries of terms. My Health Manager is the name for the online member portal through which you access your account. Through My Health Manager, you can

  • View the benefits of your health plan
  • Make a payment
  • Download a form you need
  • Set up (or change) a date for a doctor's appointment
  • Email your primary care physician or specialist about a minor question
  • View your medical record

Extra abilities like viewing your medical records make this member portal, even more, personalized and convenient. Plus, members can benefit from Kaiser Permanente's mobile app that allows you to do many of these same tasks.

For members, there's also a dedicated FAQ section that gives you answers to questions you may have about getting an ID card, looking up a Kaiser doctor, and paying a bill.

There is also a dedicated member phone number to contact as well. Kaiser Permanente eases not only logistics but also health care education. Members and nonmembers alike can use Kaiser Permanente's glossary of health care terms, which might come in handy when shopping for a plan, learning how to use your benefits, looking up a provider, and more. Resources like these make the company more transparent and customer-centric.

Additional Tools and Perks

Kaiser Permanente offers many of the same added advantages that other health care insurance companies offer: discounts on health-related products, education about health care as an industry, and a mobile app. These added perks demonstrate Kaiser Permanente's dedication to supporting its members' health and well-being. Each company that offers these additional features puts its own twist on these features, and Kaiser Permanente is no exception.

The mobile app for this company is called the Kaiser Permanente Mobile App, and it allows members to do many of the same tasks that the member portal does. These include contacting your doctor, making a payment, finding a health care providers and medical offices, and viewing your medical history.

Kaiser Permanente has a lot of different discounts as well. Some of these are for fitness club memberships and for massage therapy. In addition, Kaiser Permanente has a wealth of information in its health guide.

Kaiser Permanente also offers health classes and healthy lifestyle programs to help people live healthier lives. If you're trying to make a healthy change in your diet, if you're trying to quit smoking or lose weight, or if you're struggling to manage a chronic illness, these resources would be helpful for you.

Customer Service

Kaiser Permanente values high-quality care. The company website is very helpful, with lots of details about the types of plans Kaiser Permanente offers, member resources, and ways to make the most of the plan benefits.

Kaiser Permanente also makes it possible for customers to get help in either English or Spanish as well.

Flexibility is found in other areas, too. With a health plan here, you can switch doctors at any time and use the find a doctor tool to find a different Kaiser physician. Kaiser Permanente has millions of members. With so many customers to serve, the company has developed a wide selection of resources. The company is transparent about its health plans. It makes navigating the member portal easy and intuitive. Kaiser Permantente anticipates customer questions well.

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The Bad

  • Negative Customer Reviews
  • Service Areas
  • Limited to Kaiser Permanente Hospitals and Medical Centers
  • No International Health Insurance

Negative Customer Reviews

Kaiser Permanente has also received a high percentage of negative reviews on BestCompany.com. A high proportion of negative reviews is not uncommon for health insurers. However, consider issues found in reviews as you decide whether or not to buy a health plan from Kaiser Permanente.

Reviewers who left 1-star reviews on BestCompany.com shared difficulties with claims payments and dissatisfaction with care received from Kaiser Permanente's providers.

Service Areas

One major limitation of Kaiser Permanente is the span of states that Kaiser Permanente can work with. This company limits itself to just several states out of 50, which means its health plans aren't even an option for you if you live outside of these states. If Kaiser Permanente's plans are not available in your area, you'll need to consider another insurance company.

Limited to Kaiser Permanente Hospitals and Medical Centers

Unlike most health plans that allow enrollees to choose the provider network structure (PPO or HMO), Kaiser Permanente plans only offer coverage for its hospitals and medical centers.

If you prefer to have more options when choosing a physician, you may want to consider another insurance provider that offers out-of-network coverage with some of its plans.

No International Health Insurance

Unlike some of Kaiser Permanente's competitors, the insurer does not offer international health plans. If you are looking for an international health plan for your company or yourself, you'll need to find another health insurance company.

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The Bottom Line

Kaiser Permanente is a great company for health insurance because of its industry experience and plan offerings. It offers many different types of health plans, including group plans for employers to offer employees, plans for individuals and families, and charitable health insurance for those who are not eligible for Medicaid but also can't afford to purchase their own health insurance plan. Kaiser Permanente also offers dental and vision coverage, and good member resources.

For specific information on plans, insurance premiums, and out-of-pocket expenses in your area, contact Kaiser Permanente directly or visit its website.

In fact, the main reason you may not want to use Kaiser Permanente's insurance might just be that you don't live in a region that this company services. For that reason, Kaiser Permanente is admittedly more limited than some competing insurance carriers. If Kaiser Permanente's medical facilities are not convenient to you, you may want to consider another insurer for purchasing health coverage.

If you want more flexibility when choosing care providers, you may also want to find an insurance company that offers out-of-network coverage.

Depending on the type of coverage you're looking for, Kaiser Permanente's plan details might not match up either. However, Kaiser Permanente members benefit from great member services. These include an online portal to manage your health plan, a mobile app, and discounts on health-related products. You'll experience these excellent benefits when you buy a plan from Kaiser Permanente.

For the right customers, this company offers transparency and a common goal to keep you healthy, both of which build trust.

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Star Rating

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2.6

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336 Reviews

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26%

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10%

3 grade

7%

2 grade

8%

1 grade

49%

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John Mill Federal Way, WA

I repeatedly find it impossible to access care at Kaiser Permanente. Their phone lines do not allow you to leave messages. They are only open during regular work day hours, and typically when I do get through to them they hang up on me, route me in the wrong direction, don't know how to book an appointment, or tell me they've booked an appointment but then aren't clear about where I should go physically on the day of the appointment, whether it's online or by phone, or what wing of the facility. Their online portal doesn't work on any of my browsers; it keeps saying log in has expired, and it's incredibly difficult to find the log in page in the first place. When I have made important appointments this year, including to take time off work for them, they have messed up their calendar system and not recorded my appointment, cancelling on me. Most recently this happened to get an MRI of my wrists that I landed on in a traumatic car-bicycle accident 7 years ago, which they also completely dropped the ball on at the time. (At the time, I had a PPO plan for Kaiser specifically). I have pretty bad adhd that makes it hard to get stuff done, so I spend my focal energy on trying to make a living instead of this stuff that doesn't work/ flakes out on me. But I have some serious medical issues I'm not getting addressed because of how complicated it is to get in contact with my medical providers. Something that has worked for me in the past has been having friends or family make calls for me. But they are also perplexed by the system. It's wild because I don't think I'm THAT dysfunctional. Kaiser's expectations of their user's ability to take on so much complex administrative burden seems extremely dysfunctional and inappropriate. I wish there were standards for medical access in the US. Kaiser would be shut down immediately if there were.

1 year ago

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Kad

Billing department. Never contacted me. Tried to pay bill online but it's not my insurance. Hospitals were full so ambulance has to take me to Kaiser. Staff was really nice and professional and I was really considering switching to them but after they sent me to collections, that won't be happening. I was able to send some payments online but I wrote a note staying I was on disability and would have to make payments when I can. I actually couldn't afford any payment but they didn't care and sent me to collections when my credit score was going up. So angry. Good old America. If you're rich, you can live but if you're poor...forget about it. I'll stick to my Pacific Source insurance

2 years ago

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Danelle Hoard Denver, CO

They have a great system going but they have no actual 24 hour urgent care facilities which sucks because to go to a regular ER the copay is 550.00 they need to have actual 24 hour facilities that will accept you at an affordable rate. It also sucks when they miss diagnos you for 5 months then end up have to have surgery. It's also considered discrimination when you are told you have to isolate and get a covid test before surgery only because your. Not vaccinated. Sorry we assumed you were vaccinated. Ummm ok last I checked there have been vaccinated people getting covid too. I don't mine getting tested I do mind being told I wouldn't have to be tested if I was vaccinated.

3 years ago

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Monique Sacramento, CA

Kaiser use to be good, but they have seriously went downhill. I been having so many issues with the providers how they do not want to listen and check you for health issues. I have asthma and the doctor wanted to just prescribe me so many meds which i am allergic to half of them. All i needed was to make sure my airways were open and maybe predisone. My daughter went in there for chest pains after she had the vaccine they said its normal u might have anxiety. My husband had an open incision that was done in er he went for a follow up appt and all the doctor did was glance at it and said ur fine. He asked for more gauze and he gave him 2 and said that should be enough and let me tell u this incision is deep where it will take almost 3 to 4 weeks to heal. My youngest was also born with asthma and she had a flare up they only allowed her to to a video appt and only prescribed her 2 prednisone pills which she usually has to take it for 5 days when she has a flare up. I am sorry but this is not ok especially we have really good insurance through my employer.

3 years ago

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Erica TX

Initially I loved Kaiser.. I've been a member since I was a child, and they were even a client of mine for 3 years when I assisted in staffing their healthcare professionals. Overall I had no negative experience, until recently! I have been on the same medication for 15 years and have conveniently refilled my prescription online with no issues. Ever since I relocated back to GA in 2018, it has been so difficult to get my medication, as they're making me schedule appointments with doctors every time I need a refill, and it's very inconvenient to keep taking time off work to speak with someone about a medication I've been on for over a decade. My parents, too, are fed up and are transferring healthcare providers after being with them for so long. It's quite upsetting and now here I am having to get off my birth control since they refuse to refill it unless I meet with an OBGYN. That is absurd considering 5 weeks ago I met with a doctor and had a pap smear and physical done... WHY DO I NEED ANOTHER APPOINTMENT??? This has been an ongoing issue since 2018, so you could imagine my frustration which led me to leave this review.

3 years ago

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Sweet Nouveau Palmdale, CA

Kaiser Permanente failed me yet again after gmover 20 years with them I have now realized I mean nothing to them except a digital number. I suffered over 12 hours in the emergency room over an issue that was already known. My dogs were treated better than myself and the others in the emergency room where those were screaming in pain. I live in Southern California , They are understaffed and under trained and I almost died. I went to urgent care triage but they sent me to the local hospital since there is no Kaiser hospital out here and I was put in line in emergency room with very sick other people. All I needed was pain medication and urgent attention. I am leaving Kaiser, they have proven over and over again they are overwhelmed and have taken up a majority of the illegal immigrants that are coming into this country . I have major Gastro issues and my doctor never even touched me to feel my stomach. What kind of doctor does it touch you? Beware of what is going on people and move on

3 years ago

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waynecloud Hawthorne, CA

Kaiser is 95% Bureaucracy--too bad because the care side the pencil pushers leave-- is wonderful. But, It takes 40 minutes to reach any of their call centers--on average--since Spring 2021. It takes about 30 days to get any appt with your Primary Care--so they send you to ER for anything much, and then you have to pay your hospital co-pay PLUS your monthly fee, to actually be seen or receive care--and the ER Dr.'s are grumpy about it. But the bureaucrats love it because your monthly coverage goes up by about 30% without any changes being made at all to your plan. You'll get your flu or covid shots at CVS long b/4 Kaiser offers them to you Your pharmacy will have serious delays and "issues"...If you travel much by the time you receive your refills you'll be out of town. But don't worry. Kaiser will send them to your nearest out-of-network pharmacy for 10 times the rate your contracted for under your plan. But once you are seen--if you push your way to a doctor-- you will love your doctors--at every level. The nurses are mostly grumpy though b/c...low staffing, budget cuts everywhere, blaming CoVid for hiring low wage nurses to replace the regular nurses, etc. etc. and lots of people sicker patients b/c the patients generally can't get through the hurdles in the system now to get to care...leads to unhappy/over-worked nurses. So sad, but it must be the way of socialized care a la Kaiser and E. Warren, right?

3 years ago

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Jacqueline Danielle Freeman Laurel, MD

I thought Kaiser was great in the beginning but over the years the service has gone way down hill. It’s very unfortunate. It’s almost impossible to get an appointment with your primary care physician and when you do the wait times are ridiculous. These doctors take their time filling out paperwork that’s important for us regular people to get jobs we need and so on. But they don’t care about that. I went to get blood taken from a 24 hour Kaiser which means I should be able to show up and get my blood drawn. Instead I had to wait 2 hours because they absolutely had know one there at 6:30 am but had no intentions on letting people know. It’s really bad service. I will be switching from Kaiser because it has gotten bad. It’s been so many bad experiences rather then good and I have been with them for years.

3 years ago

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Angela Colorado Springs, CO

Pharmacy: drug formulary complaint I am not sure who is in charge of my health, my doctor or my insurance? Kaiser recently required all members to use a Kaiser Pharmacy or Mail-Order Pharmacy instead of a local pharmacy. Gee thanks, that was helpful! Now that my prescription is in the mail-order pharmacy there is no one to talk to when my insurance (Kaiser) decided to no longer cover a medication. "It is no longer on our formulary". It has been a month and I still do not have this prescription, or any other that might take care of the condition. My doctor has prescribed a new prescription, has jumped through all of their "authorization hoops" and still nothing. DO NOT USE KAISER IF YOUR HEALTH DEPENDS ON YOUR MEDICATIONS! My medical condition does not just sit on "hold" while Kaiser tries to unscramble a formulary or approve my Dr's prescription. The system is broken. I can only thank God that my condition is not life or death- I have a feeling others are dying- PLEASE FIX THIS PART OF YOUR PROCESS/ SYSTEM!

5 years ago

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Mimi Fresno, CA

Kaiser Insurance is great as long as you’re a healthy adult but it is COMPLETE TRASH if you need specialized care that’s not offered in their network or have kids that need urgent pediatric care. If your kids get sick and need to go to a pediatric ER or hospital (WHICH IS HIGHLY LIKELY BECAUSE KIDS GET SICK) even if you first take your kid to Kaiser’s urgent care/ER and get transferred/referred to a pediatric hospital under the advisement of a KAISER doctor, YOU WILL HAVE TO PAY THE OUT OF NETWORK charges for that pediatric hospital. I was under the impression that our ER co-pay was $250 but instead I’m paying 3x as much because Kaiser does not have a pediatric ER department and does not cover out of network care despite their doctor sending us out of network. Thank goodness my baby did not need an overnight stay or further intensive care because even though we have KAISER insurance and pay $600 in monthly premiums, we would go bankrupt. Healthcare in the US is trash overall but while we’re still under this system, I will be switching health insurance for my family ASAP (at open enrollment or if we get find new jobs, whichever comes first.)

5 years ago

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Mijanur Rahman Walnut, CA

If you have options, stay away from Kaiser Permanente. They make it extremely difficult to access care. You can't schedule a same day sick visit. They limit the immediate in-person care to the Urgent Care, which is available in only select locations. You show up in these overcrowded Urgent Cares, you are either turned away because they are already full or you wait for hours before receiving any care. Don't bother showing up in their emergency room either. If you want your care only in phone or video visit, KP is for you.

2 years ago

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Mike Lichtner Inglewood, CA

1. Kaiser online Kaiser has me on 20 meds, Unless I run out completely on the online apps says it is too early to reorder. Thanks now I have to drive 25 miles to their pharmacy and argue with them. 2. If I try to email my doctor, he never answers. then an LVN (if you are lucky) and quotes from a page of a manual. #. been a member is mid 80' and they just keep getting worse.

3 years ago

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lzl Dallas, GA

Their doctors are mostly ok for your basic day-to-day healthcare issues, but you better hope you never, ever need to have surgery! It takes over 2 weeks to have a schedule even call to book you, and oftentimes another 2-3 months after that for your surgery date. It's ridiculous! And this is NOT a Covid issue, this is how it's always been. You'll easily spend 4-5 months in pain from initially seeing a doctor, to the surgery date.

4 years ago

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Barb /Bettina Ellensburg, WA

Kaiser has a very limited network of providers. The providers they do have thus far have demonstrated little compassion and limited understanding of chronic conditions. I've been denied care because the only care for me is "outside their network. I've ended up paying ALL my care plus paying my Kaiser premiums as well. Very costly choice being on a Kaiser plan.

5 years ago

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Irwin Mazin Haymarket, VA

Do not join Kaiser if you are in pain. I am allergic to the non opiate medication uses. I have a condition, caused by Kaiser, that causes my blood pressure to spike when I am active. This has resulted in me fainting and 1) breaking my finger 2) cutting my head, 3) injuring my knee, 4) blacking out, 5)going into hypertensive crisis. Kaiser feels this is better for my health than prescribing me 4 mg of dilaudid, which they did for 6 1/2 years before they changed their policy to only prescribe opiates to cancer patients

5 years ago

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Mike Lichtner Inglewood, CA

Depends on location. The Catillac Urgent care location care is Terrible. I was told by one doctor his job was to give me a little something until I could seem my primary care physician. Trying get a appt. with primary physician takes a couple of months. Kaiser website. trying cancel an appt is not possible. you have to call appt line.(not open on weekend). Finally using option to primary physician , does not work. If I get a response, it is never from doctor. And their answer is go to urgent care.

5 years ago

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Ashish David Poway, CA

Kaiser Permanente doctors are good, but the overall administration and availability of doctors is a disappointment. Overall I think they have more patients and less doctors in the specialty departments. Most surgery's are done as out patient surgery and to get a surgery appointment look out at least 4 weeks in schedule. They have doctors jammed up in their schedule. If this was not the cheapest option available, we would have never opted for it.

5 years ago

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Kim Waimea, HI

Coverage is ok IF you can get an appointment. My husband and I moved to Hawaii after living in Honduras for four years. We began coverage on July 1. We attempted to book at the (only 2) eye care providers in network. Six month waiting list and Kaiser does NOT cover anything outside their eye clinics. That is not cool. They should cover a portion outside network if it is their fault they do not staff enough providers for the area. My husband is on his last set of contacts and we now have to pay 100% out of pocket as they certainly will not last until October.

5 years ago

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Katie Kearney Vienna, VA

My husband currently has Kaiser through his work and it was been an awful experience. He was having medical concerns and he was told her needed to see a specialist. When he saw the specialist, they put him on a medication and told him to try it for a little while and see if things get better. A few months go by and things actually got worse! My husband called to go back in and they told him he could only see that same specialist and that he was booked out for over a month! So my husband is having serious issues and you make him wait over a month? During this waiting period, my husband went off the medication to see what would happen and come to find the medication was causing all the additional problems. So fast forward to when he sees the specialist again, he tells the specialist that the medication was causing his problems. The specialists answer? "Well this medication works for most people so I am going to subscribe it to you again and I recommend you just try it again." WHAT SPECIALIST SAYS THAT?? I could not believe he did that. What kind of doctors is Kaiser hiring? Needless to say, we are taking my husband off Kaiser at the end of the year and he is coming over to my insurance where he can see a real specialist.

6 years ago

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Mike of Colorado Denver, CO

When Im with a medical person its fine. Had quality care. However their online system ;customer service has gone down hill. I notice wait times increasing. The IT folks who designed online system or voice system need use real people to beta test.

3 years ago

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Sergi South Pasadena, CA

Long waiting times. Repeated lines to make you think you move. Low ratio of doctors per patient. Most good doctors are oberbooked. Rates have increased for 2019 significantly. Right now, the difference with a better Anthem Blue plan is much less than used to be. I am In Pasadena, Los Angeles.

6 years ago

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April H Lehi, UT

This insurance company is probably the least favorite of all we have had over the years. We have had several insurance companies and this felt the most like socialistic medicine to me than the others. If I had a choice, this company would be toward the bottom of the list for me. Having said that, I think they have a nicely streamlined system that is ready to handle a LOT of people.

5 years ago

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Hannah Cummins Gilbert, AZ

Kaiser is a great provider if you live close to all of their facilities, if you live far away then it is very difficult to deal with. Being a college student and being covered by Kaiser was a huge headache and was very stressful. I also wish they were better at helping their patients with their symptoms rather than assuming a diagnosis and prescribing a bunch of medicine that may or may not work. Their billing and clams department is also AWFUL to deal with, it takes them over 2 months to file a claim from an outside doctor, ridiculous.

6 years ago

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Mina Trevis San Fernando, CA

Are not honest and attempt to save money by telling you that nothing can be done. When in fact there is care you can get, but they don't have physicians qualified for the procedure needed. Would not give a referral outside of Kaiser to restore my vision.

4 years ago

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Summer Stevenson ,

Basic care, not helpful if you need answers. When I needed real help for chronic back pain I got different insurance.

4 years ago

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Jose O Rivas

Very expensive, choosy is higher and they act like they do not care

6 years ago