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#dmhc — Public Fediverse posts

Live and recent posts from across the Fediverse tagged #dmhc, aggregated by home.social.

  1. @ProPublica
    #Kaiser northern California has denied a simple claim of mine for 6 months.
    #ClaimDenied
    My wife purchased meds outside of Kaiser, because the price was a few hundred dollars a month less.
    I submitted a reimbursement claim, but Kaiser screwed up, and put claim in my name rather than my wife's name.
    Not a major claim, but nice to get reimbursed.
    Since my wife hit deductible limit, this makes a difference in reimbursement.
    For 6 months, Kaiser has promised to fix the problem, forcing me to jump through hoops.
    Kaiser does not have a working grievance system, though required by state of California.
    Case manager almost never returns phone calls.
    I opened a few cases through
    California Department of Managed Care (#DMHC).
    Only slightly better than Kaiser.
    DMHC returns phone calls only after multiple attempts.
    DMHC closes cases without resolution.
    DMHC does not share attempts at fixing systemic problems.
    But after 6 months, I have another promise to fix the problem.