Kaiser Foundation Health Plan Inc

Initial Business Response /* (1000, 5, 2015/05/12) */
The member filed directly with KP Health Plan the same complaint on 4/17/The case was reviewed and closed on 4/30/The member received a details resolution letter of the outcome of the case
Closed 4/30/

Initial Business Response /* (1000, 17, 2015/07/13) */
The patient filed a complaint directly the Health Plan on *** 4, The patient received a written response to the complaint from the Health Plan on June 3, The letter explains the decision
Initial Consumer Rebuttal /* (3000, 19,
2015/07/14) */
(The consumer indicated he/she DID NOT accept the response from the business.)
On April 9, 2015, we received first notice of unpaid bills via phone call from Kaiser's collection agencyWe immediately called Kaiser to try to resolve this issue, as we had never received a single billOn April 23, 2015, having received the bills, we called again to try to determine why Kaiser had the incorrect postal codeWe asked them to try to put the correct one into their computer system and they were unable, thus determining what we suspected upon seeing our billsthat our bills never arrived due to a computer error on their endnamely that they were UNABLE to enter the postal code, which includes both numbers and lettersThus, we filed a complaint on those grounds, dated April 23, We received a response from Kaiser dated June 3, 2015, in which Kaiser indicated their reasons for denying our request as:
1) We had spoken to the Kaiser billing department on previous occasions about our bills (as noted aboveApril 9, and April 23, XXXX) X) "we do not bill outside of the United States," and 3) inviting us to take them to small claims courtWe did not find that to be an amenable or satisfactory resolution to our complaint, and therefore, contacted the Revdex.com on June 10, Kaiser's only response was the previously unsatisfactory responseWe are very unhappy with the response we've received so far and, following the advice of the Revdex.com are offering a MIDDLE GROUND solution as follows: That we split the difference 1/of the total bills subtracted by 1/of the total we previously paid in travel insurance, which would have fully covered these bills, had Kaiser sent the bills in a timely mannerTotal bills: $1444/2= $Total amount we paid in travel insurance to cover our medical bills in California: $408/2= $$722-$204= $We offer to pay $
We are able to provide the Revdex.com and/or Kaiser our travel insurance certificates, which indicate 1)dates valid, 2) insured persons, and 3)amount we paid, upon request
Final Business Response /* (4000, 22, 2015/07/16) */
The patient filed this complaint directly with the Health Plan on 54/The issue was reviewed and responded directly to the patientThe resolution letter was mailed on 6/3/explaining the outcome of the review and the decisionThis case is closed as of 6/3/
Final Consumer Response /* (4200, 24, 2015/07/20) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Kaiser sent us an unsatisfactory letter to our complaint filed directly with them on June 3, On June 11th, 2015being extremely dissatisfied with Kaiser's unwillingness to resolve the complaint we filed directly with Kaiserwe opened a complaint with the Revdex.comThe only resolution Kaiser has offered to date is that which caused me to file this complaint with the Revdex.com in the first placeNamely, that despite Kaiser's computer errors in regards to our postal code and their unwillingness to actually send us our bills for years, despite the fact that we specifically bought travel insurance in each instance which would have coveredin fullany medical bills we incurred, Kaiser accepts no blame on their part and wants us to pay our bills in full, in addition to the more than $we paid in travel insurance to avoid this exact situationWe assert that Kaiser neglected their responsibility to fill in our postal code properly, to send us our bills in a timely fashion, and this resulted in our paid travel insurance being unwilling to pay the bills incurred at KaiserAs Kaiser's actions played a direct role in our travel insurance being unwilling to pay Kaiser, we assert that Kaiser should accept at least part burden and waive some of the feesWe proposed a Middle Ground solution, per the Revdex.com's advice, to which we have received no response from Kaiser at all, other than their initial response (we pay all in full, Kaiser accepts no blame, Kaiser invites us to take them to small claims court if we are dissatisfied with this "resolution")We continue to be extremely dissatisfied with Kaiser's unwillingness to reasonably resolve this complaint

Initial Business Response /* (1000, 7, 2015/07/16) */
The patient filed this complaint directly with the healh plan on 6/22/15. It was reviewed and responded to. A resoltion letter was mailed to the member on 6/27/15. This issue is closed.
Initial Consumer Rebuttal /* (3000, 9, 2015/07/24)...

*/
(The consumer indicated he/she DID NOT accept the response from the business.)
The resolution letter Kaiser posed to me was unreasonable and unfair. The letter put fact upside down by stating that: "You stated that you were not aware you would be charged deductible charge for your April 3, 2015 office visit." The fact was that I never have this statement. But the fact was that before I decide to have this visit I specifically made a phone call to the membership service to inquire for the cost of this visit and I got confirmed that the total cost will be the $60 without any addition charge. No one in Kaiser told me that there'll be a $40 extra sending me by bill. If so I won't take this visit. It was Kaiser provided me the wrong information and misleading. Kaiser should take the responsibility for its mistake.

Initial Business Response /* (1000, 5, 2016/01/22) */
The health plan is in receipt of the complaint. We have up to 30 days to respond to the member from date of receipt. Case will be opened today.

Initial Business Response /* (1000, 5, 2015/09/18) */
The member filed directly with the Health Plan on 9/15/15 and the case has been opened for resolution. We will resolved up to 30 days from date of receipt.
Initial Consumer Rebuttal /* (3000, 7, 2015/09/21) */
(The consumer indicated he/she...

DID NOT accept the response from the business.)
My complaint was against Kaiser as a business, not as a current customer alone. Kaiser makes it nearly impossible to contact them as a business. The difference is that at the Revdex.com they must contend with public, not just a private discussion where their policies and personel rule. They are here once again refusing to deal in a public open forum instead of on their terms in private. This reply then is non-responsive and evasive. My complaint was that they invaded my private life under pretense of medical care. This reply doubles down on that practice and so is absolutely the inverse of what is wanted.
Final Business Response /* (4000, 9, 2015/09/23) */
The member's complaint was filed on 9/15. We made contact on 9/19. The case will be reviewed and closed up to 30 days from receipt of complaint. The close date of case is no later than 10/13/15. At this time the case is still open so no resolution can be published on Revdex.com for an open case. Still under investigation.

Initial Business Response /* (1000, 5, 2015/07/10) */
Kaiser Permanente worked directly with [redacted] to successfully resolve his concerns. Thank you, [redacted]

Initial Business Response /* (1000, 16, 2015/09/10) */
The member filed with the Health plan directly in Feb and March 2015. Also, the member filed with the Department of Managed Care, who agreed with the health plan on the denial. The member will have to go back to Department of Managed Care for...

next steps. The Revdex.com has no governence over California Health Plans. This case has been reviewed and closed by the Health plan and Department of Managed Care. There is no further action to be taken on the health plan. Close case.

Initial Business Response /* (1000, 5, 2016/01/06) */
The member filed directly with the heath plan on 1/3/16. The complaint was received and case opened. The response will be sent to the member up to 30 days from date of receipt.
Initial Consumer Rebuttal /* (2000, 7, 2016/01/20) */
(The...

consumer indicated he/she ACCEPTED the response from the business.)
Kaiser has provided some additional test results, and now the life insurance company is reopening and reevaluating our applications. However, we do not yet know whether the delay in providing the test results has adversely affected our premiums or otherwise put our applications at risk of rejection. We [redacted] reopen the complaint, or file a new one, once we have learned the final outcome from the life insurance company.

Kaiser Permanente Health Plan California responded in writing to the member on July 29, 2016.

Initial Business Response /* (1000, 16, 2015/08/25) */
Please mark complaint now answered.
The health plan allowed for a 1x goodwill adjustment for the $34.00. This is a one time courtesy as the member is accountable for their portion accourding to their plan benefits.
the adjustment will be...

tomorrow. it takes 24 hr to release from the Bad debt.
Initial Consumer Rebuttal /* (2000, 18, 2015/08/26) */
(The consumer indicated he/she ACCEPTED the response from the business.)

Initial Business Response /* (1000, 5, 2015/12/02) */
The Health Plan is in receipt of this issue. As of receive date today 12/2/15, the health plan has opened a complaint case and we have, under CA regulation, up to 30 days to respond. Therefore, before 12/31/15 a written response will be...

provided to the member.
Initial Consumer Rebuttal /* (3000, 7, 2015/12/04) */
(The consumer indicated he/she DID NOT accept the response from the business.)
It is non-responsive.
Final Business Response /* (4000, 9, 2015/12/07) */
As stated above, case is received and under investigation with due date of 12/31/15 or prior
Final Consumer Response /* (4200, 11, 2015/12/10) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Again, unacceptable response

Complaint: [redacted]I am rejecting this response because: I would like the billing issue completely resolved and the amount owed fixed before closing the complaint with Revdex.com.Sincerely,Lina [redacted]