Kaiser Permanente

The problem with being a member of the Kaiser-Permanente Medical Clinic System is that it is a TRICK-TRAP! When you join their Medicare "benefits" Program you are LOCKED INTO using ONLY THEIR doctors and those THEY REFER you to.

OTHERWISE your medical costs WILL NOT be covered! They ALSO "play games" about their pharmaceutical forumulary coverage!

I had a VERY BAD experience with my FIRST (and ONLY doctor) visit there so that I am CANCELING my membership and SWITCHING BACK to the AETNA-Silverscript Plan where I can go to ANY DOCTORSAND DRUGGISTS I want to WHEN I want to!

I had been prescribed an allergy nasal spray medication I NEED as a staple of my chronic respiratory allergy treatment at another clinic prior to joining KP. My Silverscript Plan covered it but when I joined Kaiser they told me that THEIR Plan DID NOT. However, they stated that they would cover it the first time and after that I would have to get one of their doctors to issue a "Prior Authorization Request" for it.

So I went to the clinic and told the doctor this. She went to her office and came back with a document that she CLAIMED would ALLOW me to get the medication because she said she had looked in the KP Formulary and she SAID she SAW it was in it BUT (and THIS is the OTHER "stickler" about KP) I could ONLY get it at THEIR pharmacy; NONE other! I accepted that condition just being relieved it was available and went down to the "in-house" pharmacy. When I showed the pharmacist the document, which UNfortunately I had NOT looked at closely since I had TRUSTED what the doctor told me, he pointed out that the medication is classified as NOT COVERED by KP and that the KP Medicare Plan DID NOT ACCEPT "Prior Authorizations" for it EVEN IF one of their doctors requested it because it could be purchased there over-the-counter.

BUT for FORTY BUCKS; whereas with my Silverscript Plan I was paying ONLY A DOLLAR for it!! So she had BLATANTLY LIED to me!

It was too late in the day for me to go back and see her about it since the clinic was closing so the next week I went back attempting to speak with her and was told by the receptionist it is the NEW KP POLICY for doctors to NOT speak with clients in-person about their medication issues except either by an appointment visit or online. I then went to the Membership Agent about it and she REFUSED to get involved saying there was NOTHING she could do and the KP "case managers" DON'T meet PERSONALLY with clients BUT ONLY on the phone!

I did ultrasound twice, but each time it gave the wrong result. That's why I don't trust ultrasound anymore.

Only during the scraping process did the doctor see the real cause of my gynecological problem. After the scraping operation, I felt better for about 6 months, but everything resumed. I had Augestine tablets and took them again for 21 days, but after stopping taking the tablets everything resumed. I remember how it started for me.

On February 24, 2022, the war began in Ukraine and after 3 weeks I started bleeding. I am from Ukraine and my parents live in a risk zone in the frontline zone. Daily worries about my family do not give me health, but on the contrary, I lose blood. I'm not saying that I don't have a close relationship with my husband.

Im lying there bleeding and my thoughts are absolutely not optimistic. I ask gynecologists to help me recover not temporarily, but so that I forget what it means to bleed and have regular periods like all normal women.

Perhaps I will contact the director of Kaiser Permanent but I will do everything possible to solve my problem. Sorry but I am really tired.