keep in mind, anyone from Member
Social Services or Ombudsman, who attempts to speak with you
seems real nice and they actually care, IS NOT ON YOUR SIDE!
work for Kaiser and their goal is to end your complaints. If
do make any promises, have them put it in writing, right on the spot.
A reminder about Kaiser
makes it sound like a great option for a dying
you aren't told is, Kaiser's only goal is to save money and signing for
Hospice means you sign away all rights to medical care. You
not allowed to have a doctors appointment or ER visit, even if the
problem is not related to the illness.
1) If this is refused or
another type of
medical issue, file a complaint with the Member Services located within
your Kaiser facility.
complaint must be in writing
deliver it to Member Services and request a stamp date
and a copy of your complaint with the stamp date. Include
in your complaint, of dates seen, with who, and treatment
with witness, if possible.
At this time, (before Kaiser gets
requesting medical records.
can also file a complaint against the
Nurse with the Medical Board or RN Board.
Kaiser must respond within 30
days or a state
law is violated. (send the violation information to DMHC)
always responds with a generic form
usually refusing your request. File an appeal with Member
Services, again requesting a stamp date and copy. Kaiser has
days to respond and it should be a more detailed generic form letter
refusing your request.
Your next move is to file a
Department of Managed Health Care (DMHC), a state agency. You
have an option to do it all over the phone but do everything in
writing. They usually side with Kaiser via a generic form
letter. File an appeal. Again, expect another
letter with more details, denying your request.
paper trail will help in winning an
going to the news and/or seeking help from your