ComplaintsforKaiser Permanente
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Complaint Details
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Initial Complaint
05/24/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Answered
My daughter was having an ear ache, so i took her to the Kaiser at ******* park. When i got there, I went to the pediatrics urgent care and they sent me to triage on the first floor. I told them my daughter most likely has an ear infection and probably needs antibiotics. They told me that i should go to *** I told them, this is not an emergency and don't want to take my child to ** because there are people with far worse issues that need priority at the *** I was then told that urgent care was full and that i would have to go to the ** to get help. I went to the *********** at 12pm. With no other choice, I was refused service from the triage at ****** care and went to the *** There was no one in the ** and i was helped in under 30 minutes. However, after a week I received the bill and it was about $1000. If i would have been accepted into the urgent care the fee would have been far less. I have been hearing over and over about this from Kaiser. They will tell people that urgent care is full and send them to the ** to receive more money. This is an inappropriate action. If Kaiser Refused to help me at the *********** because they are "full" and sends me to **, I should be paying the *********** rates. They just wanted to move the service to the ** because it was empty. I was not able to verify the urgent care was even full because triage did not let me upstairs in the waiting room. This is a scam from Kaiser to collect more money for the individual and from the insurance.Business response
05/26/2023
Thank you for your email. I've forwarded this information to our Member Relations department. A team member will review and address this concern through the health plan grievance process and follow up with the member directly . Thank you for reaching out.Customer response
05/30/2023
Complaint: 20099502
I am rejecting this response because I will wait to hear back from them. If I do not hear back from them with a proper solution this case shall not be closed
Sincerely,
*******************Business response
06/02/2023
Thank you for your email. This issue is under review through the health plan grievance process. A response will be provided to the member directly upon completion of the review. Thank you for reaching out.Initial Complaint
09/22/2022
- Complaint Type:
- Customer Service Issues
- Status:
- Answered
I began noticing loss of vision in my left glaucoma-eye in early August 2022 and called Kaiser Irwindale Medical Office at ****************************************** to schedule eye exam with any ophthalmologist that has any opening on their schedule to see me, as I am an active Member insured by Kaiser Permanente. I was informed their policy is to keep me on wait-list with 1 specific ophthalmologist instead of giving me the availability of any other ophthalmologists to address my medical concern. After 4 weeks of being on their wait-list to address this vision issue, I called a second time to *************** and was reassured I was on the wait list again. My vision continues to decline as I await eye-care by any glaucoma-specialist, as I have had 2 surgeries related to this left-eye. Being insured through Kaiser, I am unable to call any other ophthalmologist department outside of Kaiser that will accept my Kaiser insurance benefit. I have no choice but to sit on their wait-list for a glaucoma-specialist.Business response
10/27/2022
Business Response /* (1000, 8, 2022/10/07) */ Thank you for your email. I've forwarded this information to our Member Relations department. A representative will review and follow up with the patient directly to address this concern. Thank you for reaching out.
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Customer Complaints Summary
2 total complaints in the last 3 years.
0 complaints closed in the last 12 months.