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Sparkly

(24,352 posts)
14. This might be ONE way Kaiser is better as an HMO for Medicare Part C.
Sat Dec 7, 2024, 12:19 AM
Dec 7

I know it can be AWFUL for a lot of things, including routine care and specialists. The surgery I needed for a highly aggressive, fast-growing cancer was delayed and referred out for lack of Kaiser surgeons in my center. A hospital that specializes in my cancer is 5 minutes away from me, had early availability, and I begged for approval, but was denied. Who knows whether that might have staged my cancer at a less lethal level, and given me years to live.

However, if you're diagnosed and on a plan, the coordination is excellent. The chemo center is great, they can schedule me for my CT-scans, MRIs, echo-cardios, blood tests, consults, etc. at various centers. Unfortunately, I'm equidistant from 3 centers, none of which are very convenient; and the "urgent care" is absolutely useless, at least where I live.

It has its ups and its downs. I've thought of going off of the Medicare Advantage to a regular Medicare plan, but given my condition, the cost would be prohibitive now, and the coordination would likely be insane.

Best to you.

Recommendations

2 members have recommended this reply (displayed in chronological order):

How many times does it happen to the people that can least afford it? OAITW r.2.0 Dec 6 #1
Last week I posted a statement on how Medicare is much better than Advantage vapor2 Dec 6 #2
The list of complaints to any medical insurance company except Medicare is monumental. rich7862 Dec 6 #3
Denied Medical Claims rich7862 Dec 6 #4
so why was Mary Lou Retton's story reported fairly extensively? thebigidea Dec 6 #7
It's a man bites dog thing. Almost literally. Klarkashton Dec 6 #5
how many clicks do you think such stories get vs a story like this? thebigidea Dec 6 #6
Trying to find that shooters denied claim at UHC... Omnipresent Dec 6 #8
Or on Mars ... moonscape Dec 7 #23
I'd say a majority of Americans have had negative or extremely negative experiences with health insurance companies dalton99a Dec 6 #9
Yes LeftInTX Dec 6 #10
True. I've had negative experiences with just about every company that impacts my life, utilities, internet Silent Type Dec 6 #13
I post on some health care sites on Reddit. Numerous people post about their denial. Some are legitimate, others are Silent Type Dec 6 #11
This might be ONE way Kaiser is better as an HMO for Medicare Part C. Sparkly Dec 7 #14
I had Kaiser when I worked for one company. I liked it. They really pushed preventive care, colonoscopies, etc. Silent Type Dec 7 #15
We the people decide those who advocate for a national system, the Dems have shunned those who have run on that platform cliffside Dec 7 #17
When did we as a country become so pathetic? ck4829 Dec 7 #21
Have you called your reps and told them to get it done, even if it ain't perfect? Silent Type Dec 7 #22
"When and how?" ck4829 Dec 7 #24
All the reps have malaise Dec 7 #27
Good point. Sounds like we should vote them out in mid-terms if they won't cooperate. Silent Type Dec 7 #28
So it's your job to defend the crap advantage insurance? questionseverything Dec 7 #25
Believe it or not insurers do deny valid claims Meowmee Dec 7 #31
Here. Not dying. Running for their lives question everything Dec 6 #12
That's the problem, advantage sucks up their premiums questionseverything Dec 7 #26
From experience with UNH ... cliffside Dec 7 #16
Very few Meowmee Dec 7 #18
Exceedingly few Mike 03 Dec 7 #19
Leave the health insurance CEOs alloooone !!!/ sarc uponit7771 Dec 7 #20
Lots of them on old Twitter, and in real life;, relatively few in media lostnfound Dec 7 #29
I've noticed the media's tone-deafness in regard to the universal reaction and the reason's behind it tenderfoot Dec 7 #30
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