12/15 Which one of these do you like? (it's enrollment season again):
Blue Shield: ..
Kaiser:.
\_ I love Blue Shield: they paid for DNAA testing for something I
was diagnosed with 20 years ago (turned out I don't have it),
and their HMO plan has been generous with the specialists my wife
and I have needed. However, I'm insured through CalPERS, and they
jacked my premiums up $75 per person-- what I'm saying is, go
with Blue Shield only if your work covers most of the cost.
Kaiser:.
\_ If you're generally healthy, Kaiser is the way to go. No paperwork,
short waits for appointments, and no/minimal co-pay.
\_ No paperwork is nice, but short waits for appointment is not my
experience. They couldn't find me a schedule for a physical
within the next three months. I'm switching to PacifiCare
starting January. My coworkers have PacifiCare, and they never
had any trouble with getting an appointment. It doubles my
premium, but it's only $13 more per month for me.
\_ I second this. For my bouts with poison oak or infected wounds,
Kaiser has been the best medical plan I've ever had. Their
policy on seeing specialists is awful, though. You need a hole in
your eardrum to see their ENTs about ear trouble, for instance.
\_ This sounds like my experiance with Kaiser. If you're a
normal case, everything is great. If you fall outside
their definition of normal, everything goes to hell.
\_ If you're generally healthy it doesn't matter which plan you
choose.
\_ Not at all. First of all even healthy people need to
see a doctor occasionally, for whatever reason
(including simple things like the cold, flu, etc).
Perhaps even more importantly, if you're healthy and
want a simple annual physical exam or any other sort
of preventative doctor's appointment, Kaiser will
provide that with no hassle; go with Blue Cross or
most PPO's, and they won't cover routine visits.
It's quite shitty.
\_ why would you go to the doctor for a cold? they
can't cure it can they? or even a flu. i think
i'd only go to the doctor if i ripped out a tendon -danh
\_ I pretty much agree, and I avoid the doctor at all
costs myself, but I think in principle it's a good
idea to go when you get the flu because of all the
more serious things that look exactly like the flu.
Going to see a doctor for the "flu" will save your
life if you have the flesh-eating virus, for instance.
Of course staying the *fuck* away from a hospital
can also save your life.
\_ inject the heroin into a vein, not the meat,
and you won't spread the flesh eating
bacteria. - danh
\_ Wow, you people actually see a doctor when you get a
cold? WTF.
\_ You must be an undergrad, enjoy it while you can. :)
\_ huh?
\_ I am sorry, but almost every health plan on the
planet covers routine visits. Health plans prove
their mettle when you have something bad go wrong.
If nothing bad ever goes wrong then they are all
pretty much the same - even the worst of them.
\_ As pp below says, you're wrong. If your health plans
all have, then goody gumdrops. I have had two so far
that didn't. I don't know how those performed in
emergencies because I never had one.
\_ Don't be sorry, because you're wrong. My current
and previous health insurance providers (both
PPO's) have not covered routine annual visits.
They provide tons of coverage for cancer,
God forgit I get that, but not for my yearly
physical exam. I'd agree with you, but unfortunately
that hasn't been my experience.
\_ What providers were these? Certainly none on this
list. I had one of those 'catastrophic' providers
and the only things they covered were major
surgery/illness *and* routine visits. Health
insurance knows it is worthwhile to cover routine
visits as a preventative. So please name the
providers of these Mickey Mouse plans and the
employers who provided them. Routine medical
visits are not a 'perk' of Kaiser. They are
typical of all plans. Hence, the wording 'almost
every'. You must have had a really, really, bad plan
and shitty employer. Knowing who it is will help
others avoid it.
\_ Yeah in theory that's true, but it
isn't always like that in life. Come
on, health insurance is among the
worst systems in this country; knowing
that, it's very fitting that they don't
(or might not) cover routine visits.
Regardless, the experiences I've
alluded to were through BC and Aetna,
both through schools (neither were
Cal).
\_ BC and Aetna (I've had both) do
cover routine visits. Perhaps your
plan did not, since it was a student
plan.
Aetna:
wow. seriously NONE of you people have had a good || bad experience
with Aetna at all? Anyone even heard of Aetna? They're horrible
back east.
\_ I know people who work there. I'm not going to say anything
real specific, but that company is *really* fucked up.
Expect a major corporate scandal in the not-too-distant
future.
\_ Yes, I had Aetna and it was okay. I'd take it over Kaiser,
but not over Blue Cross.
\_ All I know about Aetna is the lousy coverage they
"provide" during emergency and serious illnesses,
which is close to none. |