Thursday, October 30, 2014

Monday, November 17, 2008 dreamer, Community Member, asks

Q: Kaiser Pain Management

Has anyone gone through the Kaiser Pain Management Program?  If so, what were they like and how were the results?  Effective?

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Answers (7)
Cort, Health Guide
11/17/08 10:21pm

I haven't but here's a article on Kaiser's different Online Chronic Illness Management programs including pain management.

 

http://findarticles.com/p/articles/mi_m4PRN/is_/ai_n30929014

 

It looks like their Pain Management Program won an award a couple of years ago. 

 

http://xnet.kp.org/permanentejournal/spring02/vohsintro.html

 

If you do it good luck with the program. 

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Dianna, Community Member
1/23/11 2:02am

They make it a mandatory 2-month program so you lose your business or job, so they can claim everything on MediCal and Medicare and not pay one cent.

 

I have yet to be seen, and they have not called back in 2 months!! Paid over $4600 cash in meds and doctors, Kaiser will not reimburse me, even when it was their fault we were not in their computer system to access anything. We brought our temporary IDs to the pharmacy, and we had to pay full price.

 

My husband just fractured his back, and they gave him a broken PCA pump, let him suffer all day with no meds. This is the worst insurance ever!!

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Want2bCLEAN, Community Member
6/16/09 12:48am

I'm a patient nowFrown... at Kaisers PMP ...It is very Effective. But I warn you... what you have ahead of you is dangerous. Look up the drugs they are going to give you... all of them will get you very dependant in a bad way. If your pain is that bad and your good with not taking anything but just what the doctor tells you then think about it... but research everything including opiate withdraw .Taking something everyday that if you stop you can have a reaction... If you take ANY over the counter cold mED...yOU CAN HAVE A SEVERE reaction... Lots to consider... I started in Dec 08 and I want OFF everything which will take time. I don't know what is ahead of me but I had to quit one drug that was short term ,cold turkey... and you don't even want to know what I went though for three weeks until you see the Doctor who prescibed you the drug. until then no doctor knew what to do. Even had Two ER visits... they gave me the wrong drugs. Very important to step back... maybe consider something else for a year... seriously...I'd rather be in pain than not here at all... If some where to have told me what they went thru... I WOULD AVOID.

  Hope the Best for you. Been in pain for over a decade... i'd go for another without these drugs.

Good path Dreamer....

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dreamer, Community Member
6/18/09 4:35pm

Hi and thank you for your reply.  I just read it TODAY. Can you believe that? I have my first "session" this evening.  I appreciate everything you informed me about.  I'm curious to know if you 'd already been on any types of meds before entering the KPM program.  I have been for about 2 1/2 - 3 years.  Kinda going in with blinders, but, my doctor wants me to attend. 

Write back when you can please and don't wait to read this like I did when you wrote to me.

Thanks,

karen (dreamer)

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dreamer, Community Member
6/18/09 4:36pm
Ohhhhhhh hello. You sent me your reply on the 16th. For some reason I thought you wrote back in November. Apologize. :-) Reply
Dianna, Community Member
3/ 1/11 3:55am

That is because they are only prescribing the cheap drugs instead of worring about people's lives. Kaiser pocketbook is more important than patients' health, and the physicians are paid 50/50 for NOT TREATING or SAVING MONEY instead of treatment indicated. OxyContin does not give you withdrawals like methadone (I have seen people with horrible withdrawals) and methadone is more dangerous and takes longer to wean down, but since Kaiser's pain program makes it so patients are processed through disability, and the federal government picks up treatment tab; THEREBY KAISER IS MAKING MONEY. Go to another health plan, where you get real treatment. Notice they probably filled your original prescriptions, and then switched after you were in Kaiser and could not get out. My cancer is spreading while I am buried in Kaiser paperwork just appealing stupid things, so they are costing lives here. My husband got into serious accident and broke his back because HE FEEL ASLEEP AT THE WHEEL BECAUSE WE HAVE BEEN DOING KAISER PAPERWORK FOR 20-HOUR DAYS FOR 4 MONTHS TRYING TO GET TREATMENT.

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Want2bCLEAN, Community Member
7/ 6/09 8:44pm

Still going through some ups and downs... since June 18th... I have been on my own dealing with this withdraw while i'm still taking the other Med they prescribed. You can only get a Doctor, your Primary Pain Management DOC... when there is an appointment available. They concider withdraw I guess a nothing issue... or there is really there's nothing you can do about it. Either on stresses me out. Sleep, wake up every hour... leg shakes... feeling like your body is warm and sickly.... man>> DON'T start this unless you really are on your last leg. I feel this, within my mind... almost every breath when withdrawing.. Like now.... every thought.... was everyday... but it calmed down after almost 60 days... lil over 30 after quitting one drug cold turkey... and just yesterday it all came back... BOOM! right back on the ride of withdraws.... NO warning... nothing. DOc just lets me go through it without anything to help... because there is not ANYTHING that can. Hanging your words, living on your breath... feeling with your skin... will I Always be here? Please , Please... think about not starting something you cannot finish on your own.

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Want2bCLeAN, Community Member
7/21/09 1:03am

Me Again... found out that it was a panic disorder that was caused by the Bad reaction with Norco 10/325 and cold Meds OTC i had in May 09. 

PTSD creeped i and now my body is remembering the event, triggered by people, places in the home I had it in... and it was not the Morphine Sulfate causing it.... it was the PTSD... man, what a ride just to find out..  so i am doing a who lot better.. Just went to a tears for fears concert this weekend in OC... Felt like my old self. Since THe ONE doc I have at the Kaiser Pain Management program kicks ass. Knows what he's doing and has saved my life. I owe this man a lot.... We are now treating my disorder and will ween my off the MS contin whe the panic attacks subside so I'll be comfortable. The PCP suggested that he is the best. I still wish that you dont start these drugs, anything, but sometimes it's better to. In my case... I'm on my way to normal!

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dreamer, Community Member
8/ 4/09 6:38am

So glad you're doing better.  I 've been trying to figure out how and why you were left to go cold turkey off your pain meds.  I haven't yet come accross anything like that, in fact, have found them to be helpful in that respect.  Sorry for you.  That has to be a bummer.

Glad you enjoyed the concert. 

Take care.

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Black Tie by Night, Community Member
9/13/09 7:16pm

Karen:

 

I have just started the Pain Program at Kaiser - Martinez, with the 8 week classes in Walnut Creek.  If intereted would you please respond to chasebiz@att.net and we can carry on the email's in private.

 

Regards,

 

John

Concord, CA.

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Dianna, Community Member
1/18/11 3:00am

What do you mean an 8-week class? They make you go through some type of biofeedback or something? I work very long hours 6-7 days per week, and Kaiser Pain Program is a long distance. I do not drive.

 

 

Could you please give me some info? I have already gone through pain classes, etc.

 

Thanks,

 

Di

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Black Tie by Night, Community Member
1/18/11 11:32am

There was no bio-feedback for me.

 

Thes 'classes' are on-going, and meet once a week for a total of 8 weeks and are 2-3 hours long.

 

John from Concord/Walnut Creek

 

Moderator's Note: For your security and privacy, please do not post personal information such as email addresses and phone numbers.

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Dianna, Community Member
2/ 5/11 6:21pm

Not only have I been to all the pain classes, etc., but I work in pain management. This "program" is in the middle of a business week, and as I am a business owner, this is impossible. I even told our agent prior to signing that I was a chronic pain patient and had urgent medical needs, yet they refused to honor benefits or even get us in the system for over 28 days, costing us now over $7000 cash on top of the premiums.

 

The fact that because Kaiser did not honor our member benefits for 28 days despite all the proper paperwork, IDs, and paying premiums upfront caused a hardship, resulting in a serious car accident in which my husband fractured his spine, who incidently works for me, is my driver, and caregiver. Kaiser swooped him up from another facility just before he was to receive a kyphoplasty and despite 3rd party insurance covering it, admitted him in a Kaiser facility, hooked him up to a broken PCA, let him suffer needlessly in pain (which considering my husband is status post 5 heart attacks is serious enough), improperly infused IV that delivered entire bag at once with alarm going for several hours and no nursing came in, gave him no stool softeners, so he had a serious bowel impaction, did not feed him for 5 days and then left a food tray clear across the room where he could not reach it, and discharged him without treating the fracture when he was unable to even go to the bathroom by himself let alone climb a huge flight of stairs.

 

If that is Kaiser's idea of treatment, I really hate to see what there program is like. I cannot even get the courtesy refills stated in our benefits when entering on several nonnarcotic medications. The pain program is to make work impossible and have you forced onto MediCal or Medicare so Kaiser will not have to pick up the tab.

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Dianna, Community Member
3/ 1/11 4:24am

Web cam it, as I run a business. We entered Kaiser in December so we could establish care in an HMO while clients were on vacation BUT IT TOOK 28 DAYS TO GET US IN THE SYSTEM WITH NO BENEFITS AVAILABLE DESPITE ID AND PAPERWORK. ER physician refused to refer as member benefits state, etc. Now my driver/spouse/partner has a broken back (fell asleep driving because he was too tired form Kaiser paperwork also.

 

So while my cancer is spreading, I am busy filling out Kaiser paperwork and submitting the same claims to different departments instead of getting treatment. Been through therapy and coping strategy skills, etc. Mother is psychologist--just Kaiser's way of processing through disability so federal government will pick up the tab instead of Kaiser; hence you make a profit and therapist get a 50:50 payment for not treating. If you are lucky, the patients will have died by the time they actually are scheduled for treatment.

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Dianna, Community Member
1/18/11 2:55am

I cannot even get Kaiser to fill my Lidoderm patches, which are a local anesthetic and not narcotic. I can just imagine what their pain program is like. We paid 2 premiums, yet were not in the system for over 28 days and paid out over $4600 cash in prescriptions, as they could not find us in their system, other claims, etc. I submitted my claims to where everybody from Kaiser told me, and then 1 week later I get a phone call, stating I need to resubmit my claims to another department and have to do it that very instance or I will not get reimbursed, a process I am sure will take them 3-4 months. It has been a full-time job just dealing with the paperwork, and I run a company. Kaiser requests the same paperwork over and over I already submitted, and everybody calls me instead of talking within their company (Kaiser). Their member services booklet states one thing, and the physicians do the other. My PCP, who treated me for several years in private practice now will only prescribe me the medications he knows I am allergic to, as they are Kaiser formulatory, cheap, and did not read the print where he can do prior authorizations. The first ER bill from Kaiser did find us in the system, and now they say were are not members and charging us full price (how did I get an MR# then?).

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Dianna, Community Member
1/23/11 1:59am

They have not even called me back!!

 

I had to have a physician from another insurance company to fill my meds, as my Kaiser PCP will not, which according to Kaiser Pain Program they are supposed to. We paid 2 premiums up front, and then they do not even have us in the computer system for 28 days!!! I had to pay over $4600 in cash for prescriptions, etc. they were supposed to cover. Filed a claim and was denied. We have now had insurance since December 1, 2010, and I have yet to see pain management. It is now 2 months later!!! I am status post 26 surgeries with multiple injuries, mostly spinal, headache, and shoulder.

 

Flash forward to today, 01/22/11. Husband in a serious car accident, brought to Holy Cross, where they diagnosed an L2 compression fracture and were going to do a kyphoplasty. Kaiser picks him up before that, runs all new studies, and then LEAVES HIM IN BED SUFFERING IN PAIN WITH A BROKEN PAC AND NO ORAL PAIN MEDS!! Yeap, welcome to our Kaiser nightmare. They refuse to perform the kyphoplasty and order a brace. They are going to have my husband suffer in pain for 6 months and lie in bed!

 

As I do not drive, there is no way possible to get up to Kaiser in Anaheim now. Oh, by the way, Kaiser insurance does not cover the hospital room, paying $500 a day for nothing.

 

Run, do not walk out of Kaiser if you can.

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backpainworse, Community Member
5/10/14 12:46pm

Kaiser Pain Management is by far the most manipulative and misleading group of people within their system. I would stay far away from them. You can't believe a word they are saying. They will make promises and then break them because they can. Their pain classes are idiocy and cost 200.00 for 8 worthless time consuming classes.

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By dreamer, Community Member— Last Modified: 05/10/14, First Published: 11/17/08