mountainrunner Posted November 6, 2019 Report Share Posted November 6, 2019 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? Quote Link to comment Share on other sites More sharing options...
Twotoes Posted November 7, 2019 Report Share Posted November 7, 2019 I would have your medical service provider/Dr contact Kaiser and OHP and advise them that the treatement is medically necessary as prescribed and appeal the decision to denial of your claim. Quote 2015 Itasca Ellipse 42QD 2017 Jeep Wrangler Unlimited Rubicon Hard Rock Edition 2021 Harley Street Glide Special Fulltimer Link to comment Share on other sites More sharing options...
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