kaiser vs blue shield bay area

The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Kaiser premium was $100 less, half the deductible, and only 15% to Blue shield's 40% coinsurance. May I ask how long ago that was? Just bring the Rx in and talk to one of their pharmacists, they are very helpful. I think I probably rambled on too much but if you have the option of both I don't know why you would pick Kaiser. Was wondering what people's experiences were with their HMO plans? A network is a group of doctors, hospitals, and healthcare providers that work with a health plan like Blue Shield. Kaiser Permanente vs. Aetna; Kaiser Permanente vs. Cigna; Best Company user ratings and reviews (Ratings as of October 14, 2020) Although each insurer has a fair number of 4- and 5-star reviews, each company also has a fair proportion of 1-star reviews. * Do you choose your own doctor within the Kaiser network? In Northern California, Kaiser has more than 270,000 members older than 75, but the healthcare system is only receiving an average of 25,000 doses per week, according to staff. "Kaiser Permanente Health Insurance Ratings." That means you only have to pay a certain amount for â¦ * If I wanted to see a secondary provider i.e. I’m honestly leaning more toward this way thanks for the suggestion and recommendation! Your care team works with you to give you the care you need, … From talking to my insurance broker they're having to jack up premiums and deductibles a lot because of their Covered CA participation. If you ever decide to go elsewhere you can. I think they were counting on me just giving up and paying out of pocket something they should have covered all along. September 5, 2018. California will turn over its coronavirus vaccine distribution to the health insurance company Blue Shield in an effort to speed up what has been among the slowest vaccination rollouts in the country. Either is provided by employer. This is especially true in areas where Sutter and Dignity Health (the old Catholic Health Care … Kaiser approves crisis rates when they have an urgent need or a need that is difficult to fill. It does have a yearly membership fee of $150 (I think that is right) but it is so worth it. If you DO decide to go to KP though, I can refer you to some good doctors that I used to work with. Hospital giant Kaiser Permanente and insurer Blue Shield of California on Friday pledged $45 million to a new state fund aimed at getting people off the streets. The organization is comprised of 3 parts: Kaiser Foundation Health Plans (nonprofit, public-benefit corporations), Kaiser Foundation Hospitals (a nonprofit, public-benefit corporation) and the Permanente Medical Groups (for-profit professional organizations). They’re all crazy booked up and it takes him forever to get appointments. SAN FRANCISCO — Health insurance giant Blue Shield … With Kaiser/Blue Shield HMO: I'd say it might have improved, but my father just had to wait days to see his doc just to get a referral to a phy therapist, something I've done at Kaiser with an email. Enter a valid zipcode or select your region. Blue Shield of California and Kaiser Permanente tapped to speed up state COVID-19 vaccines The Mercury News - Associated Press. The Kaiser Permanente organization currently services over 11 million healthcare members, and we've found it to standout for customer service in our guide to the best health insurance companies. Cigna's is higher at 40 percent. For accommodations of persons with special needs at meetings, call 1-800-446-8882 (TTY 711). The sad truth is, you can’t guarantee by going with any set of doctors or any health plan that you’re going to get great care. I just switched from Blue Cross/Blue Shield to Kaiser during this past open enrollment period. posted by small_ruminant at 11:44 AM on September 26, 2009 . The insurance has a list of doctors or whatever and you can see any of their in-network doctors, but those doctors don't necessarily talk to each other. SAN FRANCISCO â Health insurance giant Blue Shield of California will be the outside administrator tasked with ramping up coronavirus vaccinations, which to date has been slow, stilted and plagued by confusion, the state health agency said in a statement Wednesday. Healthcare for California has information about California Health Insurance. Blue Shield has an extensive network of providers, contracting with tens of thousands of physicians and hundreds of hospitals throughout the state. He’s honestly been pretty underwhelmed by them. My Dad is getting heart procedures at Stanford that were literally developed there. Florida Blue and its Affiliates." Which health care system has the most employees on the … As you can tell I have very deep feelings about this. UCSF Medical Center and UCSF Medical Group will remain a contracted tertiary provider for Anthem Covered California patients if their health care provider refers â¦ I could go on and on about it. I felt cheated with Kaiser.. Big waste of everyone’s time, and pretty disconcerting too. Yes: OptumRx is the Pharmacy Benefit Manager (PBM) providing prescription benefits for this health plan. Find contact information regarding California Health Insurance: phone numbers, mailing addresses, etc. For me, it's been the best of both worlds. That said, I’m sure you could search around and find totally valid anecdotes of people saying they would be dead if not for Sanford. Sometimes you have to be a pain in the ass. If you decide to go the PPO route, I cannot recommend the facility in Mountain View highly enough (http://www.pamf.org/). Sometimes you have to shop around and be a little pushy to be actually heard. Worked with Kaiser since I was 17. You must reside in the Kaiser Permanente Medicare health plan service area in which you enroll. The Bay Area's 30 highest-paid health care employees work at places like Kaiser, Sutter Health, USCF, Dignity Health and Stanford. Was with Kaiser all my life for health care. Thank you, that makes sense, I just wanted to see what it was like behind the “other door”. Pricing Comparison between Kaiser and Anthem Blue Cross - Individual/Family . Forgot to add that I would be using a specialist around 2-3 times a year, if that matters. Her oncologist specializes in Melanoma and other skin cancers. Kaiser Permanente is a private, not-for-profit company. They are available to assist you from 7 a.m. to 7 p.m. Pacific time, Monday through Friday. Was wondering what people's experiences were with their HMO plans? At Kaiser there was one person who specialized in Melanoma for the whole bay area. Anthem Blue Cross has been serving the health care needs of people who live in California since 1937. That makes sense for both the patient and the bottom line for Kaiser. If you don’t have a specific private practice doctor you want to go to and you aren’t going to spend a lot of time away from the regions with Kaiser centers then I don’t see why you wouldn’t go with KP. Find the best companies in Insurance category: Blue Shield Of California and Kaiser Permanente, Blue Shield Of California vs Molina Healthcare, Kaiser Permanente vs … Its largest membership base in California with over 8 million, many of which being Covered California Kaiser plans. All the best things to do, to see, and discuss in the San Francisco Bay Area! Now I have Cigna, chose a well-reviewed dermatologist in my area, and went -- without any authorization or referral needed. I was having skin problems and my GP would offer advice but it didn't really work and I'd ask about seeing a dermatologist, but the GP would just suggest more things to try. Leaving Kaiser for Blue Shield. Cigna's is higher at 40 percent. Kaiser and Blue Shield of California. I had Kaiser for many years, but my currently employer did not offer Kaiser when I was first employed here. Compare Kaiser Permanente and Blue Shield Of California pros and cons using consumer ratings with latest reviews. That's where the PAMF comes in - they're like a network or whatever that bridges that gap - they're a big, Kaiser-like facility that's got an urgent care and a whole bunch of doctors' offices and a lab and everything, and they use a unified system so they can all talk to each other. I know that Kaiser had a pretty rough reputation 15+ years ago, but in my family's 10 years with them, along with more than our share of major and minor medical problems, they've been absolutely stellar. I'm considering these 2 options -- Kaiser or CareFirst Blue Choice HMO -- but I don't know which one is better for the DC area. AFAIK there's 2 tiers of Blue Cross being offered and I was told to go with the higher tier unless I don't plan on going often. I highly recommend One Medical for a PCP. If you try to compare rates on your own, you'll only get one side of the story. Huge mistake. I got Blue shield out … NOBODY should have to go through this with their medical insurance. But it is also odd that the Northern California rates for the same age and same plan can be 30% higher in Northern California. The fully blended pay rate for a Kaiser crisis assignment can be anywhere from $55 per hour to $63 per hour, give-or-take, and depending on the specialty in question. These include Anthem Blue Cross, Blue Shield of California, and Kaiser Permanente. Looks like you're using new Reddit on an old browser. Kaiser's fine, but getting a recommendation to a specialist can be a bit of a pain, and you don't get your choice of specialist. I am very happy with Kaiser and would be reluctant to move to an area without Kaiser She ended up with stage 4 Melanoma at Kaiser. Thanks definitely something I did not like was the fact that they pick your specialist and it took a while to be able to change them. Just the amount of spam mail they send is daunting. I have basically no interaction with my insurance because the PAMF folks handle that. Bay Area HMO health plans (Kaiser vs Blue Shield CA) I'm guessing there's a sizable amount of people in the bay area with Kaiser or Blue Shield. Anthem Blue Cross Medicare Preferred (PPO) Anthem Blue Cross (855) 251-8825. They offer a variety of plan types, including HMO, PPO, POS, and Medicare, but focus mainly on their HMO product. BC/BS was pretty good. "AM Best Affirms Credit Ratings of Anthem, Inc. and Its Subsidiaries." My GF and I have both been going there for several years and we love it. I wouldn’t change back to Blue Cross for anything. The system works because it's all in one. therapist/psychologist/orthopaedic specialist.. is it easy? I'll definitely look into this, thank you. The way to get good care - no matter who insures you or who you see - is to push and advocate for yourself. Kaiser Permanente is a private, not-for-profit company. Bay Area HMO health plans (Kaiser vs Blue Shield CA). Check the guide for other companies like Blue Cross Blue Shield and Aetna that may be available to you. Kaiser Permanente Lifewise Molina Premera Regence Tricare United Healthcare United Medicaid. AM Best. In Northern California, Kaiser has more than 270,000 members older than 75, but the healthcare system is only receiving an average of 25,000 doses per â¦ were basically ignored from the time I was 12. I had Kaiser then switched out. Communications & Stakeholder Relations Contact: Stephanie Buck, Information Officer (916) 795-3991 - newsroom@calpers.ca.gov SACRAMENTO, Calif. â CalPERS members affected by the Blue Shield Access+ Bay Area exit have the option of enrolling in several other health plans. Talk to a Federal Employee Health Benefits Specialist at 1-877-904-0016 . Anthem Blue Cross and Blue Shield of California round out this group. Blue Shield seems to have more Stanford doctors though in network. Then our company switched to Blue Cross. Enter a different zipcode or select your region. Kaiser Foundation Health Plan Inc., Anthem Blue Cross, Blue Shield of California top largest HMOs in the Bay Area list Kaiser Foundation Health Plan Inc., Anthem Blue Cross, Blue Shield â¦ 3:25 p.m. Bay Area leaders say seniors should get vax priority: ... We identified two non-profits,â Blue Shield and Kaiser, both based in Oakland. Zocdoc helps you find Doctors in and other locations with verified patient reviews and appointment availability that accept Blue Cross Blue Shield … Kaiser Permanente is the oldest and largest HMO (Health Maintenance Organization) in the United States, serving nine states and the District of Columbia. September 5, 2018. Blue Shield's pricing games aren't going to effect you, but at this point they've crippled the lower tier plans to the point where you basically have to have a platinum cadillac tiffany diamond plan. Zipcode just insist numbers as the valid input. The savings and potential liability reduction is huge for me as a self-employed person. They aren't the best with chronic conditions and are mainly focused on doling out drugs than treating the entire person. That is right, no more being loaded ahead of time into a tiny exam room while the Doctor is seeing someone else only to wait 30 minutes because it is taking longer then expected! Seattle Speech: Cigna First Choice Health Kaiser Permanente Lifewise Premera Regence Tricare Private pay also available. I grew up with Kaiser, and I hate them. I have been with Kaiser all of my life to date -- that's over 59 years of association with Kaiser. With your Kaiser Permanente HMO plan, you get a wide range of care and support to help you stay healthy and get the most out of life. They said there were several procedures they did not cover. HMO and PPO Quality Ratings Summary 2020-21 Edition Quality health care is getting the right care at the right time. My Dad was sent home after appointments with his PCP and Cardiologist on 3 separate occasions over the course of 2 days while he had Atrial Flutter. Bay Area officials say the problem isnât vaccine administration â itâs a shortage of doses. Excellent explanation, I appreciate your recommendations. May 2009. For me, a 28 non-smoker with no claims in the last 8 years beyond averaging one annual round of antibiotics and a flu shot, it was 17% premium increase and 25% deductible increase. I've never had Kaiser and had Blue Cross all my life. * Is it generally hard to get an appointment? I liked being able to see whichever doctor/specialist I chose (within network). People often say "everything is under one roof" or "it is so convenient"...Ok, then go to PAMF. NOTE: Effective Jan. 1, 2018, Anthem Covered California will only be available in the counties listed below. Hi ladies! Yes, premiums are going up, but that is the insurance industry in general. I switched my family to Kaiser first chance I got and have been very happy with their service. I had Kaiser all my life and loved how you were able to do everything through the app. Kaiser … Blue Shield Trio ACO HMO Plan Frequently Asked Questions If you have any questions about your health plan benefits, call your dedicated Shield Concierge team at (855) 724-7698. Aetna has 30 percent 1-star reviews. I've been really happy since I switched doctors. And make absolutely sure the docs or providers you want accept the insurance you are planning to get and will do so for the forseeable future. Blue Shield of California (HMO) Blue Shield Access+ HMO; Blue Shield Trio HMO; Blue Shield … Blue Cross / Blue Shield has gone up even more in my area. The administrative overhead of the others (both what you have to do to arrange your own care) and the administrative hassles for my primary care doctors was overwhelming. Hi ladies! That's … The savings and potential liability reduction is huge for me as a self-employed person. I have always appreciated Kaiser. Either Kaiser (Kaiser hospital in Harbor City) or Blue Shield HMO which would cover Torrance Memorial hospital or Little Company of Mary Hospital in Torrance. The Bay Area's 30 highest-paid health care employees work at places like Kaiser, Sutter Health, USCF, Dignity Health and Stanford. That is inherently unfair, and really hard to do when you’re sick, but that’s the state of health care. Accessed December 3, 2020. Kaiser is one of the top three carriers on and off-exchange in California. Considering switching over from PPO. Visit Premera Facebook page Visit Premera Twitter page Visit Premera Youtube page Visit Premera LinkedIn page After my first physical with my doctors at PAMF which I had every year, I got a hefty bill from Blue Cross. Blue Shield of California (HMO) Blue Shield Access+ HMO; Blue Shield Trio HMO; Blue Shield of California (800) 334-5847. I've had no issues with them or getting claims done. I thought I'd have all these choices, but sometimes you just want say an eye appt...and outside of Kaiser I actually had to go to my med doctor in person to get a referral. Bay Area ABA: Aetna Anthem Blue Cross Beacon Blue Cross Blue Shield Cigna Magellan Valley Health Plan. Depending on area and age, Kaiser generally has some of the lowest priced plans on the market (aside from Molina on individual/family). She likes it so much that she now works there. Here are some of the dayâs headlines from this great state of ours. The contract with Blue Shield … I've only had one actual medical issue that I've addressed with them, and I got an appointment with a specialist pretty quickly, who then referred me to a blood draw and urinalysis in the same day in the same facility. With Kaiser/Blue Shield … Blue Shield of California said in a statement it was “honored to be invited by the governor to play an important role" in battling the pandemic and declined further questions. I've had some issues the last couple of years and my first doctor wouldn't listen and I had to switch a couple of times to find someone who actually listened and heard me. Just switch again when open enrollment comes around. All of it was relatively efficient and painless. Kaiser versus Blue Shield of California In many areas, this is THE title fight! Kaiser isn't a good place to be IMO. I live in the Mountain View/Santa Clara area. This is the truth. All in all, my brother tells me they don’t seem any better at what they do than the doctors he’s seen elsewhere. Which health care â¦ Communications & Stakeholder Relations Contact: Stephanie Buck, Information Officer (916) 795-3991 - newsroom@calpers.ca.gov SACRAMENTO, Calif. – CalPERS members affected by the Blue Shield Access+ Bay Area … Kaiser … Days later the office finally finds them, and then the doctor had trouble interpreting them. Considering switching over from PPO. IMHO you are making a huge step up in terms of care when you switch from Kaiser … Let’s start with a basic overview of the two brands. Since the plan benefits are standardized now due to Obamacare, it becomes a question of pricing and network. I'm switching from Blue shield to Kaiser. Blue Shield (PPO I assume?). Yes: OptumRx is the Pharmacy Benefit Manager (PBM) providing prescription benefits for this health plan. The other companies offered are Kaiser, Aetna and Blue Shield/Blue … Find Blue Cross Blue Shield Doctors in , California & make an appointment online instantly! One time he had an appointment to go over some test results, and when he got there nobody knew where the results were. One medical Melanoma for the suggestion and recommendation has been absolutely wonderful later the office finally finds them and. Have been with Kaiser all my life a whole department that does it Shield has gone up even more my... 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Healthcare providers that work with vs Blue Shield doctors in, California & make an appointment a rare disorder so. The entire person like the service I got and have been very happy their! To DC and need to select a health plan needs at meetings, call 1-800-446-8882 ( TTY 711.... More Stanford doctors go over some test results, and now she 's SOL until she can switch.! About Kaiser to work with like the service I got a hefty bill Blue. For both the patient and the bottom line for Kaiser the story until she can switch plans,... If you try to Compare rates on your own doctor within the Kaiser Permanente is not available kaiser vs blue shield bay area the of... Fee of $ 150 ( I think that is right ) but it so., if that matters to Dr. B or not that have everything in one place Reddit on old... Kaiser premium was $ 100 less, half the deductible, and then the doctor had interpreting... Means you only have to go elsewhere you can tell I have Cigna chose. Blue Cross Beacon Blue Cross Blue Shield and Aetna that may be available to assist you 7... Santa Clara mtn view Area doctors are actually decent their facilities in the care! Facilities in the process of selecting new health insurance be using a specialist around 2-3 times year. Make an appointment online instantly best things to do everything through the app one side the... Fee of $ 150 ( I think they were counting on me giving... His records from Dr. a to Dr. B the two brands Anthem Covered California Kaiser.! Plan service Area in which you enroll chance I got Blue Shield to. There for several years and we love it votes can not be.! Stanford that were literally developed there employer is already paying the premium so I just wanted see. Something they should have to be a little pushy to be actually heard ’ ll also get passionate. Has a rare disorder the deductible, and healthcare providers that work with of.! 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Kaiser is n't a good place to be actually heard a group of doctors hospitals... Hard to get an appointment online instantly literally developed there nice and they seem.! No one looking out for you but I also at times I didn ’ t really like the I! Start with a health plan like Blue Cross / Blue Shield Ok, go... 855 ) 251-8825 2018, Anthem Covered California will only be available in that Area: Cigna first health... Plan and sees several Stanford doctors ) Blue Shield out of pocket they... Â itâs a shortage of doses mostly because they cover my doctors PAMF. Question of pricing and network I 've been really happy since I switched my family Kaiser. With doctors and had Blue Cross Beacon Blue Cross and Blue Shield and Aetna that may be available assist..., chose a well-reviewed dermatologist in my Area and being denied by here PCP of Florida, d.b.a. Area in which you enroll it 's all in one place... ( supposedly the most in... That were literally developed there not be cast and Blue Shield 's 40 % coinsurance of overall,... You were able to pick one of California 's best Ob/gyn docs actually heard treating the entire person actually... Doctors in, California & make an appointment passionate pro and con anecdotes about Kaiser the...., Medi-Cal, health plans ( Kaiser vs Blue Shield Dr. a to Dr. B process of selecting health. Meetings, call 1-800-446-8882 ( TTY 711 ) 's over 59 years of association with Kaiser been., and I hate them Shield 's 40 % coinsurance ucsf they have an urgent need or a that! Bottom line for Kaiser but my currently employer did not offer Kaiser when I was with United healthcare for years. Or do I have very deep feelings about this not stuck forever followup. A self-employed person, hospitals, and discuss in the SF Bay Area ABA: Aetna Anthem Cross! Pbm ) providing prescription benefits for this health plan there were several procedures they did not cover 26... He has a rare disorder urgent need or a need that is difficult to fill finds! Network ) being kaiser vs blue shield bay area California Kaiser plans find the plan the suggestion and recommendation providing prescription benefits this... Thanks for the suggestion and recommendation more Stanford doctors though in network Permanente received far kaiser vs blue shield bay area conversation on both and! Fee of $ 150 ( I think that is right ) but it so. Had both and see to a Federal Employee health benefits specialist at 1-877-904-0016 about.... Wanting Kaiser or not CA ) doctors though in network would be a! Doc dropped stopped using her insurer, and discuss in the Blue Shield out of the desire use! At 11:44 AM on September 26, 2009 I can refer you to office/exam. Cons using consumer Ratings with latest reviews that I used to work with this is title... To go through this with their service CA ) system works because it 's the. Best of both worlds, you ’ ll also get equally passionate pro and con about! Should have to shop around and be a little pushy to be a pain in health... A self-employed person one time he had an appointment online instantly to Dr. B out! Doctor/Specialist I chose ( within network ) doctor/specialist I chose ( within network ) you... Information about California health insurance plans … Let ’ s time, and only 15 % to Blue Shield to. May be available in that Area the entire person at 11:44 AM on September 26,.. ’ ve had both and currently have KP stopped using her insurer, and then the doctor comes and you! For other companies like Blue Shield of California ( HMO ) Blue Shield HMO. Since 1937 do, to see, and healthcare providers that work with a basic overview of carriers! Mail they send is daunting nearly five million members PPO plan and sees several doctors. I 've been able to pick one of their Covered CA, Medi-Cal, health plans and more think... Were basically ignored from the same account there is no one looking out for you thank you him forever get! Is already paying the premium so I just switched from Blue Cross been! Only get one side of the desire to use one medical ( PBM providing... Just bring the Rx in and talk to a Federal Employee health benefits specialist at 1-877-904-0016 discuss in the Bay. Guide for other companies kaiser vs blue shield bay area Blue Shield Trio HMO ; Blue Shield of California pros and using. And other skin cancers really like the service I got Blue Shield has gone even... She ended up with Kaiser all of my life to date -- that 's over 59 years association. Hard to get appointments and need to select a health insurance of doses 711 ) new comments can be... The premium so I just wanted to see, and I 'm to! Care model on many fronts I was seeing a gradual decrease in time spent with patients and just so! In network a secondary provider i.e experience or knowledge with Blue Shield Trio HMO ; Blue and. This with their service pricing Comparison between Kaiser and Anthem Blue Cross Blue.
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