Chủ Nhật, 5 tháng 11, 2023

Moved from Europe & so lost in US healthcare

TLDR: Loved Kaiser, switched to Carefirst, losing my goddamn mind. Is there anything that I can do to get a similar experience to Kaiser - large reliable centralized care provider?

If anyone has the patience, please help me understand why Carefirst BC/BS is supposedly the best and Kaiser Permanente is apparently the worst.

When I first moved here from a country with universal healthcare, I got a Kaiser plan off the health insurance marketplace. It was incredibly affordable (silver plan), the clinics were large and well equipped, the online portal and mobile app worked fine & the member services were 24/7. Contrary to the stereotype, while I'm sure my PCP was overworked, I actually felt very well taken care of and remembered. Like, all the complaints I had previously heard about US healthcare made no sense to me, it was Good Enough.

Got a new job. Carefirst BC/BS Gold HMO. Chose it because the benefits resembled my Kaiser plan - no deductible, reasonable copays. Employer covers 80% of premium anyways. Nice.

I go to choose a PCP. It's all these tiny family practices located above a liquor store or nail salon. I'm panicking. I want to be able to go in and get all my tests, visits and prescriptions in one place! Instead I gotta pay extra facility fees and go to a nearby hospital or urgent care for tests/x-rays. For the love of god, how is this preferable for the majority of the US population?

(I have some understanding of the American culture of going to a 'family doctor' that's been your doctor for 20 years, perhaps there is a stronger relationship and level of trust. It doesn't outweigh the level of inconvenience for me.)

I have no way to go back to Kaiser, Carefirst is my employer's only plan and I can't afford Kaiser on an individual plan. Are there any clinic networks that have at least some vibe of a professional facility? Perhaps you know some in MD/VA/DC?



https://ift.tt/6oDzir4 Submitted November 05, 2023 at 01:44AM by iamashofwhaivebec https://ift.tt/AsTQCgx

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