Kaiser is cutting visits by licensed home health professionals to as few as 10 for Senior Advantage enrollees, and reducing its home-care nursing staff by 34%. Medicare-eligible people who have not converted do not face these limited visits and continue to receive 100% coverage of approved services. These cuts come while Kaiser is limiting hospital stays and admissions.
If you travel frequently or spend long periods of time with your family away from home beware. Kaiser Senior Advantage, like other HMO plans, terminates coverage if you are away for 90 consecutive days.
If you need newer, experimental or specialized medication, beware. Kaiser recently cut 1,600 medications available to Kaiser patients in favor of cheaper generics. Kaiser also requires a higher co-payment on prescriptions than virtually all other Medicare HMOs.
Kaiser will cost you more in co-payments than many other Medicare HMO plans for Outpatient Mental Health Visits, Vision Care, and unlike other plans offers no hearing aid exams.
Kaiser is eroding patient care standards with:
Decreases and delays in phone advice
Tighter limits on referrals to specialists and diagnostic tests
Limits in preventive care such as mamograms and prostate cancer screening
Cuts in professional staff, including a 14% cut in RN positions the past three years
Replacements of RNs and other licensed staff by less qualified employees
If you choose Senior Advantage you may not have access to other facilities or services as Kaiser reduces care options. Medicare does not restrict your access to a variety of providers. Have all the facts at hand. Don't be pressured by Kaiser to choose Senior Advantage.