Is Kaiser the problem or Oregon Health Plan?

[mountainrunner]

Hi everyone,

I recently moved to Portland & was approved for OHP so I chose Kaiser as my provider. I had two previous health issues in my former state where I moved from (not Oregon) where Kaiser was treating & willing to properly treat the issues.

So far, Kaiser in Portland has denied my referral to see a dermatologist for a medical skin condition which I was being treated for in another state & has possibly committed fraud by refusing to treat my painful fibroids due to their claim on the severity.

The ultrasound from my former hometown showed multiple fibroids that they were open to properly treating & Kaiser in Portland did the same test & claims there is only one fibroid so they refuse to treat it besides a one day visit to physical therapy which is ridiculous!

Based on my experience thus far, the problem is either OHP or Kaiser, as one of them is focused purely on rejecting the medical needs of the patient to keep costs down.

Would I be better off choosing another provider such as CareOregon, or does it not matter as it's still OHP?

 

[leevena]

I do not even know where to begin. To begin with, this is a forum of insurance people, not medical. Even if medical people were to view this I doubt they would provide you with a definitive answer. Your comment that you know better than the Kaiser providers, your belief that they committed fraud, and your opinion that everyone but you are wrong, leads me to suggest you get another carrier.