Kaiser Permanente - healthcare marketplace help?
Hi!
So I've enrolled into healthcare marketplace back in November, and I've hit a major health issue since then and my current healthcare provider is absolutely helpless and don't seem to care enough to help me ( I have Kaiser Permanente). Is there anyway I can switch insurances past the deadline (I know its so late now) but I'm quite fed up, and super frustrated. Any advice helps!
Thank you for reading\~
Kaiser Permanente - Doctor Ordered Incorrect Genetic Test Which Caused Me To Lose My Sperm Donor
I will try to make it brief but can answer any additional questions.
My wife and I started the process to have a baby. I was insured with Kaiser Permeante (KP) and went to my KP OB. I requested a specific genetic test to be completed (in writing). The DR ordered the wrong test, and instead of the largest panel I received the smallest panel. The records that were sent to me with the results have the name of the largest genetic test despite it actually being the smallest genetic test. I did not realize the error until a couple of months later when my wife and I had selected donors and had to go to a genetic counselor to ensure we did not have any of the same diseases. I was unable to move forward with me selected donors because I did not have the appropriate genetic test. At this time, I was no longer insured with KP and was now insured with BCBS. I went back to KP a requested they proved the correct test, they were unable to without drawing blood again. I proceeded with obtaining the correct genetic test under my new insurance. While waiting for the results both of my two donors were no longer available for purchase and I am now in the process of locating another donor. My wife and I are black, and we are only interested in a black donor. There is a national shortage of black donors and the two donors that we selected were high quality donors (attorney and a doctor).
KP has acknowledged their mistake (in writing) and reimbursed me for the cost of the incorrect test.
Can I sue the doctor for ordering the wrong test?
Kaiser - Kaiser keeps terminating my insurance
Using a throw away account...
I have Kaiser through work. Since I've been on my current plan for the past 3 months, Kaiser has terminated my insurance on the last day of the month. According to the payroll company (ADP), my benefits are valid and from what I can tell, dental and vision (not through Kaiser) are also valid. I don't understand why this keeps happening.
The only thing I can think of is that it's a Northern California plan and I live in SoCal. I lived in SoCal when I selected my plan and was told it shouldn't be an issue, but now I'm questioning that. Last time it happened HR confirmed that it shouldn't again, but here we are.
This is a tremendous hassle every time it happens since both my husband and myself need to have our SoCal and NorCal medical record numbers linked and then it takes several days before we can access anything on the website in our region.
Does anyone have insight into how or why this keeps happening? I'm at my wits end.
Kaiser Permanente - Kaiser Permanente Incorrect Nonpayment Notice : Anyone else been through this?
(Head's up this is a long one)
So, I recently got a letter in the mail saying I had a late payment for my healthcare premium although I've set up auto-pay and only recently got it reinstated in February. After calling customer support last Friday, they explained that after looking at it my old (terminated) account was still showing as active and was registering that I had been delinquent on those payments and that was the reason I had received the late payment notice. They told me I actually owed $0 and it was a system error. So, I went ahead and paid my rent early and put it out of my mind thinking it had been solved. WRONG! I then got a call yesterday saying that actually, "upon reviewing your account" I actually did in fact owe $999 by the end of the month or my account would be terminated. Is that not crazy? Are tIhey really that money hungry? I've filed a complaint with them but other than that, what else can I do? I'm considering just letting my account terminate, backpay for the one prescription I received and just starting new coverage next month but will that reflect poorly on me? I'm just not sure what else to do.
Kaiser Permanente - Moving States
I’m so frustrated, I moved from maryland to new jersey a few months ago and I want to apply for NJ Familycare. So i’m trying to cancel my medicaid in Maryland and my insurance provider is Kaiser Permanente, I called kaiser and they told me my plan was ending 3/31/25 HOWEVER that said 2024 plan. There was also a 2025 plan that said it was valid through 1/09/25 - 12/31/25. On my Maryland Health Connections I got a message saying it would be ending on 3/31/25 which is exactly what i want, but why does kaiser have another plan that says active?? Idk why all this is so confusing and i called multiple people for about an hour or so and no one seems to give me the same answer.
Kaiser Permanente - FMLA / CFRA question
I live and work in California for reference. I left my job to seek treatment for substance use disorder and Kaiser is claiming that they cannot excuse me since I did not participate in their outpatient program. I met with a doctor every week and he prescribed me medication to detox at home from fentanyl and methamphetamine. However they claim that this is not considered to be under a doctor's care and will not sign documentation for those dates. Over the course of 28 days I detoxed three times and relapsed three times before they sent me to a third party inpatient program. I am new to the Kaiser program as of this year and they recommended I go through their detox at home and outpatient program instead of directly to inpatient in spite of my long history of substance abuse and my multiple stays at detox facilities and residential facilities. Currently I am unprotected for these 28 days but I am wondering if this is legal?
Kaiser - My insurance agent didn't enroll me so I missed Covered Ca deadline
So I went to an insurance agent to enroll with kaiser through covered ca at the end of January because it wouldn't let me online and I was told I'd get my insurance card and stuff sent to me in a week or two well flash forward to today and I called kaiser to try and order an insurance card and they have no record of me at all. Called covered ca and same thing so I guess when I went to enroll through him it didn't work idk if he did something wrong or if it was a system error or something idk. This is my first time applying for insurance since I just got off my parents insurance and I'm not sure how to proceed. I'm not sure how to apply without covered ca and how much more it would be. Any suggestions I called the guy and left a message and haven't heard back yet.
Kaiser Permanente - Unusual COBRA situation
Age: 40+
State: California
Income: 0 (unemployed)
tl;dr: I had some election snafu made by the COBRA management company where they just re-enrolled me in PPO which was $900/mo. I opted to go for a cheaper Kaiser option for $300/mo. Somehow I see when they fixed it, my PPO still shows covered and I have nothing regarding being enrolled in Kaiser... what should i do?
Longer:
So in my COBRA payment portal it shows I'm paying for Kaiser (cheaper) option and I have been paying for this coverage since the start of 2025. I haven't had to use it and I am just now needing to refill a prescription.
Also, my old company switched up their insurance at the start of 2025, so even if I stayed on my PPO it would have changed providers.
Anyways now that I need to refill a prescription I started looking through the docs I received and realized I never got any sort of Kaiser welcome packet but did receive a PPO insurance card, so I figured I would register on their site to see if it would let me. Surprisingly it did and the PPO shows I am covered.
Now, normally I am one to do the right thing, but insurance is inherently evil... so part of me wants to go fill my RX using this PPO coverage and see what happens. Is this a bad idea? I definitely cant afford for them to go back and charge me an extra $600/mo.
What do you all think?
Kaiser - Are covered california certified enrollment counselors trustworthy?
My question in the title does not in anyway mean as an attack, simply my genuine curiosity based on my personal experience.
My parents recently migrated to California so we went to a certified enrollment counselor in NorCal. For some reason this counselor keeps pushing BenefitsCal and also to sign up for her clinic's health care plan. I am already a Kaiser member myself, so I wished to sign my parents up for Kaiser as well. But she kept pushing back, I assume because she benefited if we signed up for her orgs plan.
The whole thing made me very uncomfortable. Wondering if anyone has experiencedthe same?
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