From the category archives:

Kaiser Permanente Info

I came upon a blog regarding an ER clerk having trouble reaching a Kaiser doctor. She seemed very unhappy with the automated phone tree and the fact one needed to push a button for English or Spanish. My first thought was it wasn’t Kaiser that annoyed her, but the fact that we offer so many language options rather than just sticking with English.

 

When I call Kaiser the system starts with English and then in Spanish quickly states press 2 for Spanish (in Spanish).

 

She also complains about how difficult it was to reach a Kaiser members doctor. If the member had his Kaiser ID card with him there is a phone # on the back that would have connected her with the doctor or a  person who could help her  right  away.

 

This card should be carried with the member all the time or at least the phone #. However, if the member should not have it the clerk can call the phone tree # listen to the options it will tell you to leave a message for doctor press the # a human will come on the phone very quickly and help you with the issue.

I understand that the patient must give written permission  to satisfy HIPPA requirements.

I also understand that member’s services will talk to the clerk on how to handle these types of situations.

I have had two emergency visits outside of Kaiser and had no problems.

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I read in my local paper that the Kaiser Permanente earned top grade in HMO
survey.
Seeing how this is the open enrollment period, I find it good to know that my HMO
received the top grade rating.
I also read that there is a web site that lets one view the 2009 health care quality
report card as well as a phone #.
www.opa.ca.gov/reportcard or 888-466-2219. I found the site to be informative and easy to
follow.
I should add that the Kaiser rating was for health care in general not just for Medicare.
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I find that when I buy my OTC”s antacids, vitamins. pain relievers, etc at big box stores  the amount is so many it will expire before I can use them up. I don’t save any money if I have to throw out half a bottle of whatever I am using. Because, I am a Kaiser member, I can use there pharmacy for my OTC’s, I not only can buy in smaller amounts I get a very good price. The price is even better if I don’t buy brand name. I need to watch my budget carefully now days, anything I can do to save is a big help.

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I read an advertisement for a Medicare plan the other day.

 

There are alot of these ads right now because  this is an open enrollment period.

 

Between now and Dec. 31st 2008 you can stay with your plan or switch.

 

I really had to work at getting a clear picture of all this.

 

Part A helps cover inpatient care in hospitals, as well as skilled nursing facility,

hospice and home health care.

 

Part B helps cover doctor’s service and outpatient care and some preventive services.

 

An example of this would be colorectal cancer screenings, bone density test, Lab services and the like.

 

Part D offers prescription drug coverage to everyone with Medicare.

 

There are two ways to get Part D .

1. Medicare prescription  Drug  plans.

2. Medicare Advantage plans.

 

Sounds pretty simple, well its not, also the pharase “helps pay” is used often.That’s exactly what it does - it helps.

 

I found that being with an HMO, namely Kaiser, and joining their Senior Advantage

program worked the best for me.

 

I was already with Kaiser before I turned 65 so alot of the work was already taken care of. They send me a update once a year and it is easy to understand.

 

I’ll have another example of this mess in a future post.

 

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