r/KaiserPermanente

I apologize if this post is against the rules, but I really need to vent right now. I have been on Ozempic for almost a year now due to Type 2 diabetes. I have NEVER had to pay for this medication before. Not a dime. 0 DOLLARS. My doctor recently decided to increase my dosage to the maximum amount. I went to pick it up and I’m hit with a $1,950 bill. No problem, this has happened many times before. I’ll just talk to the pharmacy and have it corrected. They tell me that my insurance is no longer covering it. WTF? I call my insurance and they tell me “oh I see you have a preexisting condition, but your BMI is too low and you have a $10,000 deductible so you have to pay the full cost.” What the HELL?!?! Mind you, my deductible has never been a problem before, I’ve just always gotten the medicine for free. Has anyone else ever been screwed over like this? Now I have to find an alternative medication that is covered or quit this medication cold turkey. The entire time I was talking to insurance, they were like “oh, you can’t pay out of pocket?” like OBVIOUSLY IF I HAD THE MONEY, I WOULD JUST PAY FOR IT BUT WHO HAS AN EXTRA $2K EVERY THREE MONTHS FOR THIS SHIT?! I swear insurance is a freaking scam.

Hi Everyone,

I've had Kaiser Health Insurance for nearly 20 years. I recently left my current employer (today), for a new company that only offers Blue Cross Insurance. I would like to keep my Kaiser health plan. Can I continue coverage and pay out of pocket for a health plan?

I live in California also.

“Kaiser Permanente has proposed building a major new hospital in San Francisco that, if approved, would replace its current medical center and be the health care giant’s first new hospital in the city in more than 70 years. 

“If the project gains city and state approval, it would convert the existing Kaiser San Francisco Medical Center at 2425 Geary Blvd. in the Anza Vista neighborhood to medical office buildings and build a new hospital across the street, at Geary and Divisadero Street, by 2033.

“The new facility would mark a major expansion in real estate and capacity, with 300 private patient beds in roughly 623,000 square feet, a newly expanded emergency department and a new parking garage at 350 St. Joseph’s Ave. The current facility, which opened in 1954, has 239 semi-private beds in about 367,000 square feet.”

“Kaiser’s two other locations in San Francisco — in Mission Bay and the French Campus in the Inner Richmond, which house outpatient specialty and primary care — would be unaffected by the proposed new hospital. The current hospital on Geary would remain open, with full services, during construction of the new one.”

Has this happened to anybody else? I have been a Kaiser member for a few years now and never had a problem with this before but in the past month alone I've had two providers just never call me for a phone appointment. I don't receive any kind of notice online about the appointment being cancelled and it will just disappear from my appointments tab on the app. It doesn't show up in past appointments either. I am 8 months pregnant and getting really frustrated with this, these appointments are important. What am I supposed to do? Is there anybody I can complain to?

So my daughter is taking medicine for her heart daily. Every 45 days we need a refill. I just asked her pediatrician if we can refill every 40 days instead because every time we can reorder it, it's on a weekend and we can't place the order until Monday and we always run very low which causes some stress around it. She said she would ask the pharmacy.

I just got a call from a third party pharmacy "valor compounding" for 3 months refills but isn't covered by my insurance. I said that I was confused because I just asked to decrease the amount of days in order to be able to place a refill order sooner not this option.

Is it normal? I'm quite confused to be honest.

Worked for this company for 15 years. Been thru it's glory when Bernard Tyson was at the helm. Every year since, I have observed how slowly the company services degraded, externally to its members and internally to is employees. Rather than creating a culture of excellence and work smarter, KP, thru its mediocre CEO and Management, had decided to cut most internal non patient facing jobs to India and Porto Rica, the replacement is just a number game for them. Firing X in the USA while replacing fewer than X outside of USA and pay them 20% of the US salary. All that is fine if the skillsets are close. In most case, NOT! If they think they could get away with it, they would replace Physicians and Nurses too. In the meanwhile I le, the CEO is making 17+ millions a year and it's top manegent are making multi millions yearly. This is a NON PROFIT company. For God sake. If Bernard would see this, he must be rolling in his grave. SO VERVY SAD!​

I’m extremely disappointed with the level of care I’ve received from Kaiser Physical Therapy following my Achilles rupture and rerupture. Being scheduled for just one appointment per month during such a critical recovery period is simply not adequate. Rehabilitation after this type of injury requires consistent monitoring, progression, and guidance—none of which I experienced.

Even more frustrating, my therapy program was never meaningfully updated. I was essentially left doing the same exercises without any clear progression or reassessment of my recovery. It felt like there was no personalized plan or attention to my specific needs.

Communication was also a major issue. Messages went unanswered, and there was no sense of support or follow-through from the therapist. When you’re recovering from a serious injury, timely feedback and accessibility matter, and that was completely lacking.

Overall, I felt like I was left to manage my recovery on my own, which defeats the purpose of physical therapy. I expected a much higher standard of care and support, especially from a provider like Kaiser.

Hi there. Has anyone else has had issues with Kaiser sending in a prescription to Lilly Direct? I am not sure how their system works but it looks like my doctor selected for the auto injector instead of kwikpen. that is fine, however, when I try to check out, it costs me over $3.5K. i believe they only offer the auto injector with insurance, not lilly direct. I have tried to get them to fix it with no success. How can I get them to fix this? is it an issue with kaiser's system? Anyone else have trouble?

Hi everyone! Hoping to get a recommendation for an OB-GYN in LA (I am in the Hollywood area) as I've had a horrible experience with my current one in trying to get my PCOS officially diagnosed. Would love if someone has specific experience with someone who has helped them with their PCOS but open to OBs in general that people have had good experiences with.

Thank you!

Hello Everyone,

I hope this is the right reddit page to do this. I'm looking for anyone's experiences with these particular ENT surgeries at this hospital. Thanks!

They rolled out a new website today and it is throwing an error page after I tried to read an automated message it sent me.

I guess they've never tried the practice of rolling changes onto an isolated server and testing it.

Be forewarned. It's going to be an exciting week on their web page.

We've been trying to sign into Mom's Kaiser SoCal account for days. Below is a pic of what we got today when we clicked Sign In. Beyond weird.

Anybody else getting this? Has anybody successfully signed into the Kaiser website (not the app) today? We've already cleared cookies. Sign-ins for all other sites work. It's only Kaiser that doesn't work.

https://preview.redd.it/q11xqwdeldwg1.png?width=1479&format=png&auto=webp&s=f2475ada3998e9dfafea34069479351b72cd885b

I'm a Kaiser member in Southern California through my family's plan and recently moved to Washington state. I added Washington as a region of care on the site, but the site either logs me out or shows a generic error when I select it. I called member services and they gave me a "visiting member ID", which I can't find much documentation for what that actually is compared to a MRN. The site unfortunately does not work still. Would I have to get a new plan altogether since I moved states in a permanent manner, or is there something I can do/tell member services to get it working?

What in the actual * did KP do with this new app update?! It is not functional at all! I’m trying to send a message but it’ll take me out of the app to a web browser that is slow to load like molasses in January.

I’m wondering what the process would be like for someone buying kaiser insurance not through an employer. I don’t have a job that provides Kaiser, they provide United. I want to start the process of getting jaw surgery and heard Kaiser was my best choice when it comes to cost and likelihood of coverage for the procedure. I would like some advice on this topic as I am not well educated on health insurance and don’t often hear about people purchasing their own.

I’ve seen this job pop up a few times in my area and surrounding areas, but I haven’t really seen any info or reviews from people who have, or have had this job. I have experience as a courier with a few jobs and I applied to four messenger driver positions at Kaiser, but was not chosen. It seems like a seasonal position, and pays $35 an hour which is pretty insane just to be a courier. If anyone out there has worked this job or is currently working this job, please let me know what it’s like day to day, and what your schedules are. I would not mind for it to be seasonal if it is.

Does anyone use AbleTo for therapy sessions and have an issue with billing? Kaiser assigned me to use AbleTo and my billing through last year was free. Starting this year they have declined all my therapy sessions. I still have a letter of authorization to see a therapist with AbleTo through April.

Our 5 month old got diagnosed by our pediatrician with a heart murmur yesterday. They also took an EKG. He is otherwise a healthy, happy baby. Obviously we are nervous but hoping it’s an innocent murmur. We were referred to pediatric cardiology in Roseville. Any one have experience with this happening to their child and the timeline of how long it took to be seen?

I just got prescribed a high dollar medicine. My copay is over $100 a month for it which is quite pricey for me. I qualify for the pharmaceutical discount card to make it a lower cost. It is on the actual drug company’s website, it is not a goodrx type discount. Does the KP pharmacy accept them? I am on an employer plan not Medicaid or Medicare.

I remember even a year ago I could get an appointment through kaisers app within the same week or next day. For the last month or so whenever I try to schedule an appointment in the app for anything at all, the only appointments available are 2+ weeks or over a month away. I don’t have a pcp so it’s not because I have to wait for availability from a specific doctor. Will I have better luck calling to schedule an appointment or is Kaiser in GA just that booked?