3 ms·
I’ve been in a Kaiser plan most of my life and the “rigidity” doesn’t bother me, maybe I’m just used to it. I know exactly where I get care. Nearly everything
by massysett 3y ago
I’ve been in a Kaiser plan most of my life and the “rigidity” doesn’t bother me, maybe I’m just used to it. I know exactly where I get care. Nearly everything is under one roof: doctor, lab, pharmacy, x-ray, specialists, etc. I almost always know exactly what it will cost. In recent years, I can now book all appointments online and view my medical record online.
I guess I understand the appeal of being able to pick any random doctor that takes Blue Cross Blue Shield, but this doesn’t appeal to me. I don’t know squat about picking doctors and might as well throw darts at a board. Most PPO plans I look at have vague pricing: “you pay 15 percent of the plan allowance.” Well, what exactly is “the plan allowance”? Kaiser quotes me an exact copay, like $30.
And then I read horror stories about people being unable to get an appointment with a primary care doctor for months, if they can find one at all. Many just go to urgent care or ER for everything. Not a problem with Kaiser. I can look through their primary care doctors and pick one. If I don’t pick, they assign me one. I can get an appointment with my doctor in a few days or a few weeks sometimes. If I need an appointment right away, I can get one with another Kaiser doctor, perhaps at a clinic I never go to.
I tried a non-Kaiser HMO for a year or two and hated it, right down to the doctor who answered his cell phone during my appointment. I look at PPOs and the opaque pricing kills it for me. Kaiser has been great.
- haldujai 3y ago> I’ve been in a Kaiser plan most of my life and the “rigidity” doesn’t bother me, maybe I’m just used to it. I should have said it can be* very annoying, the rigidity isn't an issue for everyone and it really depends on your situation/healthcare needs and what your alternatives are. The rigidity is mostly annoying when you want to see a specialist without having to go through a PCP (although this may not be a bad thing from a health systems perspective) or need advanced care (like cancer) that may be better outside of Kaiser (although again noting that they're still very good from what I've seen) and you want to choose where you get treatment. Or if, like in my situation, you know exactly where you want to get your care and it's not part of Kaiser.