Page 2 of 4 FirstFirst 1234 LastLast
Results 11 to 20 of 33

Thread: I hate kaiser!

  1. #11
    Senior Member
    Join Date
    Jul 2006
    Location
    Placerville, CA
    Posts
    8,259
    Quote Originally Posted by Nirvana
    Just curious, what region of the US is your Kaiser in?
    I'm in Northern Ca region and thru the Kaiser DME, I'm eligible for 5 self contained disposable mentor caths per day. Kaiser has a contract with Shield Health Care and I am authorized 150 cath's per month. Kaiser is paying 100%. My insurance is thru Cal Pers and this may make a difference.

    Also, I have a friend using the Va at Palo Alto, and he's receiving comparable quantities. He's also told me that he can reorder supplies on-line with no hassles.

    You need to be relentlessly persistant. Good luck.
    No question, Shield Health Care is a top-rate provider/vendor. I order by phone (althought on-line is available) and never have any problems.
    "The world will not perish for want of wonders but for want of wonder."
    J.B.S.Haldane

  2. #12
    Quote Originally Posted by Nirvana
    Just curious, what region of the US is your Kaiser in?
    I'm in Northern Ca region and thru the Kaiser DME, I'm eligible for 5 self contained disposable mentor caths per day. Kaiser has a contract with Shield Health Care and I am authorized 150 cath's per month. Kaiser is paying 100%. My insurance is thru Cal Pers and this may make a difference.
    I'm with Norcal Kaiser, as well. My GP is the one that did the prescribing: one intermittent catheter & 35 condom catheters per month, and two self-contained disposable per month. Shield works very well.

    The cost is more the particular health plan rather than how you got it. The really annoying thing is the 20% $2000 cap on DME... A real pain when buying a wheelchair...

    Raccoon

  3. #13
    Senior Member wheelchairTITAN's Avatar
    Join Date
    Jun 2006
    Location
    Oakville, ON ... Just North of the 43rd Parallel, SocialistLand
    Posts
    2,043
    Maybe there is hope to reform healthcare.

    The state government is taking some insurance companies to court in Massachusetts for failing to cover health benefits and services required by Massachusetts law.


    Attorney General Martha Coakley filed an amended complaint in Suffolk Superior Court against MEGA Life and Health Insurance, Mid-West National Life Insurance, and their parent company; HealthMarkets, Inc., raising serious new allegations about unfair and deceptive trade practices. Specifically, the Attorney General's complaint alleges that the insurance companies violated state law by misrepresenting the provisions of their policies, failing to cover health benefits and services required by Massachusetts law, disclosing personal health information about insured consumers to third parties, and illegally requiring self-employed individuals and small businesses to pay fees to join associations to gain access to small group insurance. The Attorney General's action seeks to stop the alleged unlawful practices, to require that MEGA and Mid-West pay refunds and restitution to harmed Massachusetts residents and substantial civil penalties and costs to the state.
    http://www.medicalnewstoday.com/articles/80553.php

    William

    ... rolling since 1989
    ...

    BE NICE!It's free

    P.S. ~ I have "handicapabilities"

    TWITTER: @MacBerry

  4. #14
    Sym

    I notice you didn't answer my question on how long have your husband had this insurance. I think you know why I asked it. If I remember correctly, your husband is from palestine and not an American citizen. He came here with a pre existing condition so why would Kaiser pay for his medical care do to his injury. If i'm wrong correct me

  5. #15
    Quote Originally Posted by TheRainman
    Sym

    I notice you didn't answer my question on how long have your husband had this insurance. I think you know why I asked it. If I remember correctly, your husband is from palestine and not an American citizen. He came here with a pre existing condition so why would Kaiser pay for his medical care do to his injury. If i'm wrong correct me
    What does one's citizenship status have to do with coverage?
    Daniel

  6. #16
    American insurance companies normally only want to insure American citizens. But the pre-existing condition clause would come into effect either way. I'm kind of surprised that he was able to get insurance in the states at all.

    Or, Symmetry, was it that you were able to get insurance, and were able to add him? I think though that that would still have the pre-existing condition clause.

  7. #17
    FYI: HMO's typically do not have a pre-existing condition clause.

  8. #18
    Quote Originally Posted by dan_nc
    What does one's citizenship status have to do with coverage?
    Dan

    Because she's complaining about something that he shouldn't be covered for. HMO might cover you with a pre existing condition but not on that condition. I could be wrong with some of them but I dought it. Mybe KLD could tell us.

    Second I don't want my tax money paying for foreigners medical bills. We got our own to take care of.

  9. #19
    Rainman, where do you see that your precious tax money is going anywhere in this post???

    The person has moved to the USA and PURCHASED insurance. Anyone can do this. You don't have to be a citizen to purchase health insurance in the USA, HMO or non-HMO. You pay a premium for health insurance, and that pays for your care (pooled with other policy holders). That is how insurance works. I am assuming that the poster has a job and has gotten insurance through her employer, then has added her husband to her policy. No tax dollars are involved. In fact, if she is an American citizen, I assume they are also in the process of getting him citizenship. Most group policies through employers have little or no limitations on pre-existing conditions.

    If you are really in the insurance business, you would know this.

    (KLD)

  10. #20
    Quote Originally Posted by SCI-Nurse
    Rainman, where do you see that your precious tax money is going anywhere in this post???

    The person has moved to the USA and PURCHASED insurance. Anyone can do this. You don't have to be a citizen to purchase health insurance in the USA, HMO or non-HMO. You pay a premium for health insurance, and that pays for your care (pooled with other policy holders). That is how insurance works. I am assuming that the poster has a job and has gotten insurance through her employer, then has added her husband to her policy. No tax dollars are involved. In fact, if she is an American citizen, I assume they are also in the process of getting him citizenship. Most group policies through employers have little or no limitations on pre-existing conditions.

    If you are really in the insurance business, you would know this.

    (KLD)
    KLD

    Thanks for clearing that up for me. I don't write health insurance. Not much money in writing it. I was thinking he might be hiding his existing condition from the insurer. And once he can't collect from them he'll go to medicaid. I just know theirs more to this story.

Similar Threads

  1. The vent thread
    By mimin in forum Life
    Replies: 122
    Last Post: 10-01-2011, 06:20 AM
  2. suicide question
    By adi chicago in forum Life
    Replies: 53
    Last Post: 11-07-2006, 02:34 AM
  3. Why do people hate?
    By mattblan in forum Life
    Replies: 2
    Last Post: 06-16-2005, 10:54 AM
  4. Replies: 0
    Last Post: 02-25-2002, 12:39 AM
  5. Redirect the Hate
    By Steven Edwards in forum Life
    Replies: 20
    Last Post: 09-15-2001, 03:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •