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[quote=Anonymous]Another happy Kaiser member here.  Kaiser is really good at wellness, preventative care, pregnancy, and sick kids.  They are also good at severe illness so long as it's not an unusual illness.

I have been referred out to specialists, both in and outside Kaiser.  When my DD cut her face, we went to Kaiser urgent care and they brought in a plastic surgeon to sew it up.  When same DD had an unrelated urgent care visit that could have been appendicitis (it wasn't) they called Children's Hospital and had a bed ready for us by the time we arrived, no waiting.  In both cases we paid only the visit copay.

They are [i]not [/i]good at unusual stuff like PP's spider bite. They are trained to assume it's the most common issue and start with the most commonly effective treatment.  Dr. House does not work there.

They also are not good at mental health -- no insurer is, but they are particularly bad.

And they don't do a la carte care, which IMO is where most of the complaints come from.  Either they think your treatment is justified and it's completely covered -- or they think it's not justified and you can't get it.  You can't pay out of pocket for an MRI when you tweak your knee.  If your TSH is in the upper range of normal, it's normal and you aren't getting thyroid meds.  If your kid has a kinda flat head but not too flat, you can't get one of those helmets covered.  And so on.  A lot of people in this area are used to paying for what they want and it frustrates them that Kaiser doesn't work that way.[/quote]

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