U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > U.S. Forums > Colorado
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
 
 
Old 02-01-2011, 06:59 PM
 
5 posts, read 16,886 times
Reputation: 11

Advertisements

Hi,

I'm looking to switch from Anthem (I'm not a fan since in my experience they aren't great at paying for preventive care) and I've done some research for Colorado-specific health insurance companies. According to the NCQA.org ratings, Kaiser and Cigna rate well in Colorado.

If anyone has had any experience with either/both of these companies I would appreciate your feedback on:

-General care
-Maternity
-Emergencies when traveling out of state/country (so out of network)

Thanks so much in advance for any advice!
Quick reply to this message

 
Old 02-01-2011, 07:38 PM
 
Location: Mayacama Mtns in CA
14,523 posts, read 7,361,773 times
Reputation: 11302
I had Kaiser coverage for over 20 years and in my experience, it was really great healthcare. They are great at preventative care.


Please let me know if you want any more info and I'll send it to you on a Direct Message.
Quick reply to this message
 
Old 02-01-2011, 08:13 PM
 
20,301 posts, read 37,784,136 times
Reputation: 18081
Quote:
Originally Posted by Macrina View Post
I had Kaiser coverage for over 20 years and in my experience, it was really great healthcare. They are great at preventative care.


Please let me know if you want any more info and I'll send it to you on a Direct Message.
My neighbor has Kaiser....had a mini-stroke over a week ago...BP won't stabilize...lost peripheral vision in left eye .... and effing Kaiser has been stringing them along for over a week trying to decide if they will authorize an MRI.

I'd love to put Kaiser out of business for the lousy care we got back in the DC area. Hell, in one year alone, 50,000 Kaiser mid-atlantic members quit it and went elsewhere. They had a law passed in VA that denies people the right to sue HMO's, even in cases of GROSS negligence.
__________________
- Please follow our TOS.
- Any Questions about City-Data? See the FAQ list.
- Want some detailed instructions on using the site? See The Guide for plain english explanation.
- Realtors are welcome here but do see our Realtor Advice to avoid infractions.
- Thank you and enjoy City-Data.
Quick reply to this message
 
Old 02-01-2011, 08:51 PM
 
Location: Colorado Springs
18,863 posts, read 8,860,357 times
Reputation: 18286
Quote:
Originally Posted by Mike from back east View Post
My neighbor has Kaiser....had a mini-stroke over a week ago...BP won't stabilize...lost peripheral vision in left eye .... and effing Kaiser has been stringing them along for over a week trying to decide if they will authorize an MRI.

I'd love to put Kaiser out of business for the lousy care we got back in the DC area. Hell, in one year alone, 50,000 Kaiser mid-atlantic members quit it and went elsewhere. They had a law passed in VA that denies people the right to sue HMO's, even in cases of GROSS negligence.
Hmmmmm. I had KP in the D.C. area myself and got wonderful care from them. BUT, when it came to being outside the area, it got a little too complicated to recommend.
Quick reply to this message
 
Old 02-01-2011, 09:20 PM
 
5 posts, read 16,886 times
Reputation: 11
Thanks for the input so far.

Anybody with Cigna experience in Colorado?

How about maternity with either company?
Quick reply to this message
 
Old 02-01-2011, 09:20 PM
 
841 posts, read 1,248,802 times
Reputation: 603
I have had Cigna for a couple of years now. I've taken my children to the hospital in Texas, the urgent care in Texas as well. Come to think of it, I think we are allergic to Texas I have never had an issue ever with that.


I am pleased with Cigna. I have not had any issues with them- no overcharging, anything like that. They are proactive as well- the amount of calls I got after my son was born sick with pneumonia, talking about asthma care, preventative stuff... I was pretty pleased. My husband has a condition that Cigna sends info for etc as well. I don't know if I am being very helpful though. I go to the doctor (quite a bit, strep loves my family) a lot, I pay my co-pay, we have had some procedures (colonoscopy, adenoidectomy etc) done, and we pay what we need to pay, and everyone goes home happy.

My husband also takes part in the tel-drug Cigna has, and it saved us a lot of money using that service, and it is extremely reliable for us.

Can't talk about maternity. Had maternity under Guardian HC, not Cigna.
Quick reply to this message
 
Old 02-01-2011, 10:29 PM
 
5 posts, read 16,886 times
Reputation: 11
Hollyt00 - you've definitely been helpful. It's good to know that Cigna has been good with overall care and not denying treatment for both office visits and larger procedures. Thanks!
Quick reply to this message
 
Old 02-02-2011, 09:14 AM
 
841 posts, read 1,248,802 times
Reputation: 603
Glad to help I hope if you choose Cigna you have good experiences with them as well.
Quick reply to this message
 
Old 02-02-2011, 06:41 PM
 
5 posts, read 16,886 times
Reputation: 11
Thanks, hollyt00!

Anybody else out there with advice...?
Quick reply to this message
 
Old 02-04-2011, 03:35 PM
 
Location: western Centennial, CO
654 posts, read 1,756,408 times
Reputation: 301
I have had both Cigna and now Kaiser within the past couple years. Here are my experiences with my Kaiser experience being more in-depth because a lot has happened since I joined them:

With Cigna I had an outpatient surgery. They did not approve it and the doctor had to rewrite it to emphasis it being a painful condition rather than an elective surgery. I ended up paying the Co-Pay + $200 extra (no explanation?). This was through a specialist so I had to see my PCP and get a referral.

When I added my wife I went to Kaiser because the cost savings was substantial. I was able to see several specialists with no problem for the same condition above. I got an MRI done no problem for this and there was no fighting. My wife went in one day for a migraine and she saw the PCP and optomitrist to try to figure out what was wrong. She was given a next day MRI to see if there was anything contributing to the migraine. We have never had any problem getting any tests done. Ata routine appointment our son had what appeared to be a sliver in his hand that had been there a long time. The pediatrician sent him down for an x-ray to make sure there wasn't anything there. When our baby daughter started bobbing her head a little bit we got a referral to neurology to make sure it wasn't seizures.

We went through maternity with them as well. We had twins so it was a little bit different (ie we got to see the doctors more and got to see the perinatologist quite often as well). They have a schedule as to when you will see the OB-GYN as long as everything is going well. We saw the OB-GYN according to that schedule and mixed the perinatalogist in with these visits. We had a scheduled c-section so we did get our OB-GYN. Most people will not get their OB-GYN at the delivery with Kaiser though as they work shifts at Saint Josephs and Good Samiritan and unless they are there at the right time you will not get them. Also some people might not like that Saint Joseph's is a teaching hospital and will have residents doing some of the work. We made two 'false-alarm' runs downtown during the pregnancy. The first was for strong ab pain early on so we went to the regular ER at Saint Joseph's and they monitored, took an ultrasound and everything was okay. The second was after a visit to the perinatalogist where they couldn't find the heartbeat on the 2nd baby so they sent us downtown. For later in the pregnancy you go to the delivery entrance (no copay!) and we were monitored for a while and nothing was wrong. Then the delivery. It sucks you have to go to one of two hospitals but it's not that bad.

We also had two out-of-network hospital visits. One was on vacation in a small town in the midwest. My wife got a horrible earache in the middle of the night. The hospital didn't know what Kaiser was so they just sent us a bill, I forwarded to Kaiser and it was paid no problem. The second was driving back from that same vacation. We had to go to a hospital just outside Denver and paid the co-pay and everything else was taken care of. There was never a hassle in either case.

My conclusion:
1)It depends on your doctor with Kaiser. We have never had any problems getting what we need at all.
2)Maybe it depends on how your insurance with Kaiser is handled - group, individual, etc. More risk to spread around in a group so they're more likely to give you the procedures?
Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


 
Please update this thread with any new information or opinions. This open thread is still read by thousands of people, so we encourage all additional points of view.

Quick Reply
Message:

Options
X
Data:
Loading data...
Based on 2000-2016 data
Loading data...

123
Hide US histogram

Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > U.S. Forums > Colorado
View detailed profiles of:
Follow City-Data.com founder on our Forum or

All times are GMT -6.

2005-2018, Advameg, Inc.

City-Data.com - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 - Top