r/KaiserPermanente • • Aug 07 '26

General Difficulty in obtaining an appointment with Kaiser? Access requirements by State and where to get assistance and file complaints

18 Upvotes

Here is a list of standards by State for timely access to care (network adequacy) and where complaints can be filed if you need an appointment are unable to get assistance from Kaiser.

Note that some states don't have strict guidelines in terms of days and may have other network adequacy requirements. Contact the agency listed if you need clarification on what standards apply to your situation.

For cases with appointment delays, it is generally best to call the agency first before filing a complaint online. If you have already filed a grievance with Kaiser because of being unable to access timely care, let the agency know that information as well.

If your Kaiser Permanente coverage is provided by your employer, also let your Human Resources or Employee Benefits Department know of your difficulties in trying to access care. These difficulties are important for them to know when they are considering what plans they want to offer their workforce.

California

The Department of Managed Health Care (DMHC) has the Timely Access to Care Standards. The standards cover primary care, specialty care, mental health and ancillary services like physical therapy and imaging.

If you have filed a grievance with Kaiser and are still not getting an appointment in a timely manner, call the DMHC at [1-888-466-2219](tel:+18884662219). Explain you cannot wait the 30 days for the Kaiser grievance process to run out to get an appointment (which should have originally been provided within the State standards in the first place). (Pic is from the DMHC and lists the timeframes in California.)

California Department of Managed Health Care (DMHC) Timely Access Standards

Colorado

  • Emergency Care – Medical, Behavioral, Substance Use -- 24 hours a day, 7 days a week
  • Primary Care – Routine, non-urgent symptoms -- within 7 calendar days
  • Behavioral Health, Mental Health and Substance Use Disorder Care, initial and follow-up appointments – Routine, nonurgent, non-emergency: within 7 calendar days
  • Prenatal Care -- Within 7 calendar days
  • Preventive visit/well visits -- Within 30 calendar days
  • Specialty Care - non urgent -- Within 60 calendar days

To file a complaint contact the Colorado Department of Insurance at 1-800-930-3745 or at Colorado Department of Insurance

District of Columbia

  • First appointment with a new or replacement Primary Care physician within 7 business days
  • First appointment with a new or replacement provider for Behavioral Health treatment, including Substance Use Treatment within 7 business days
  • First appointment with a new or replacement provider for Prenatal Care treatment within 15 business days
  • First appointment with a new or replacement provider for Specialty Care treatment within 15 business days

To file a complaint, contact the DC Department of Insurance, Securities and Banking at 1(202) 727-8000 or at DC Department of Insurance, Securities and Banking

Hawaii

Because of the various islands in Hawaii and travel / geography, the State of Hawaii has “Network Adequacy” requirements rather than time-definite limits like in California or other states.  Contact the Hawaii Department of Commerce and Consumer Affairs at 1-844-808-DCCA (3222) to discuss your specific situation and filing a complaint.  

Maryland

  • Urgent care for medical services:  72 hours
  • Routine primary care:      15 calendar days
  • Preventive care/well visit:             30 calendar days
  • Non-urgent specialty care:            30 calendar days
  • Non-urgent mental health care: 10 calendar days

Contact the Maryland Insurance Administration at 1-800-492-6116 or Maryland Insurance Administration to file a complaint. 

Nevada

Due to geographic issues, Nevada has “Network Adequacy” requirements rather than time-definite limits like in California or other states.  Contact the Nevada Division of Insurance for more information at 1(702)486-4009 or at Nevada Department of Insurance.

Oregon

  • Primary care: not more than 15 business days.
  • Behavioral health care: not more than 10 business days.
  • Specialty care: not more than 30 business days.

Contact the Oregon Division of Financial Regulation with questions at 1-888-877-4894 or at Oregon Division of Financial Regulation.

Washington State

  • Primary care appointment (for other than preventive care) within 10 business days of requesting one
  • For specialty care, within 15 business days for nonurgent services.

Contact the Washington Office of the Insurance Commissioner at 1-800-562-6900 or at Washington Office of the Insurance Commissioner

Virginia

Virginia requires routine appointments for nonemergency or nonurgent care to be available within two weeks of the request.  This does not include preventive care (routine physical examinations, etc.) which need to be scheduled within 60 days of the date of the request. 

To file a complaint, contact the Virginia State Corporation Commission at 1-877-310-6560 or at Virginia State Corporation Commission


r/KaiserPermanente • • Sep 28 '23

General Agencies to Escalate Complaints about Kaiser: Where to go if you are not getting resolution or are dissatisfied with Kaiser's Response

12 Upvotes

If you have filed a grievance with Kaiser and it has gone unresolved or you are not satisfied with the resolution, here is a list of agencies you can document a complaint with (based on your state of residence).

If your complaint is regarding a specific physician or other healthcare provider (nurse/nurse practitioner, physician assistant), file the complaint with the appropriate state licensing board for that provider.

If your complaint is regarding a hospital (cleanliness, patient safety concerns, etc.), file a complaint with the Joint Commission

[https://www.jointcommission.org/resources/patient-safety-topics/report-a-patient-safety-concern-or-complaint/]

If your are a Medicare beneficiary, please refer to this link about the different types of complaints and where to submit complaints.

https://www.medicare.gov/claims-appeals/file-a-complaint-grievance/filing-a-complaint-about-your-quality-of-care

If the complaint is about hospice care, here is a link from the Hospice Foundation of America on how to file complaints.

https://hospicefoundation.org/Hospice-Care/Filing-a-hospice-care-complaint

California

Department of Managed Health Care (Grievances unresolved or inadequate responses; inability to contact your Kaiser Grievance Case Manager; difficulty obtaining an appointment; delays in care; filing an Independent Medical Review when Kaiser will not approve a specific type of treatment)

In most cases, you must file a grievance with Kaiser and go through that process before contacting DMHC. However, if the issue is urgent because there is an immediate threat to your health, you can call DMHC directly. For urgent issues, call DMHC rather than filing online.

[https://www.dmhc.ca.gov/fileacomplaint.aspx]

1-888-466-2219

If you need assistance in filing a grievance with Kaiser or in filing complaints with the DMHC, you can contact the Health Consumer Alliance. This is a DMHC consumer assistance program contractor helps people get the health care they need1-888-804-35361-877-735-2929 (TTY)www.healthconsumer.org/

If you want to file a complaint about a California licensed healthcare facility, you can contact the California Department of Public Health.

https://www.cdph.ca.gov/programs/chcq/lcp/calhealthfind/Pages/Home.aspx

Oregon

Oregon Division of Financial Regulation

[https://dfr.oregon.gov/help/complaints-licenses/Pages/file-complaint.aspx]

1-888-877-4894

Washington State

Office of the Insurance Commissioner

[https://www.insurance.wa.gov/file-complaint-or-check-your-complaint-status]

1-800-562-6900

Colorado

Department of Regulatory Agencies, Division of Insurance

[https://doi.colorado.gov/for-consumers/file-a-complaint]

1-303-894-7490 / 1-800-930-3745

Georgia

Office of Commissioner of Insurance and Safety Fire

[https://oci.georgia.gov/file-consumer-insurance-complaint]

1(800) 656-2298

Hawaii

Department of Commerce and Consumer Affairs

[https://cca.hawaii.gov/ins/consumers/filing_a_complaint/]

(808) 586-2790

Maryland

If it is a healthcare quality complaint, Maryland Office of Healthcare Quality

[https://app.smartsheet.com/b/publish?EQBCT=07c94438f6714af1bbfe8ff1037b8b74]

1-410-402-8015

If it is a billing, claims, medical records or coverage issue contact Maryland Attorney General, Health Education and Advocacy Unit

[https://www.marylandattorneygeneral.gov/Pages/CPD/HEAU/default.aspx]

1-410-528-1840

District of Columbia

D.C. Department of Insurance, Securities and Banking (DISB)

[https://disb.dc.gov/service/file-complaint-or-report-fraud]

1(202) 727-8000

Virginia

State Corporation Commission, Bureau of Insurance, Office of the Managed Care Ombudsman

[https://scc.virginia.gov/pages/Office-of-the-Managed-Care-Ombudsman]

1-877-310-6560, select option 1

(Current as of 09/28/2023)


r/KaiserPermanente • • 3h ago

General Kaiser plan with ACA financial assistance

3 Upvotes

Last year I applied for a Kaiser Health plan via ACA with financial assistance. How do I know if they will keep providing me the financial assistance for next year plan? (2027). Do I need to re-apply for a new Kaiser health plan through the ACA website again? Or perhaps it will renew automatically? I did not get any notifications from the ACA. Anybody advice?


r/KaiserPermanente • • 1d ago

California - Northern invasive tracking

Post image
15 Upvotes

i need a vaccine but “pixel tracking” is an absurdly invasive tracking technology that i don’t want to agree to, i wish it wasn’t forced JUST GIMME MY DAMN VACCINE and i see no way to disagree and still use the app or website


r/KaiserPermanente • • 15h ago

California - Northern Employment Info Mykp

1 Upvotes

Hi everyone!

Currently kaiser Permanente employee. I eas attempting to access my employment info on HR profile, howver my assignments page is loading forever! Is anyone having similar issues accessing emplyment information?


r/KaiserPermanente • • 22h ago

California - Southern San Diego Novavax Kaiser success!!

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4 Upvotes

For anyone who is looking for Novavax in San Diego Kaiser. We found it at the Clairemont Mesa clinic.

See attached post for details. It’s so frustrating that neither members nor staff can call to find out where to get it. We resorted to walking in and asking and we were successful at the first clinic. We also found out that none of the Target clinics offer Novavax.

Good luck if you’re trying to get Novavax - hope this helps someone.


r/KaiserPermanente • • 19h ago

California - Southern No more SDI form requests through the app?

0 Upvotes

Before the update, I was able to submit forms to continue my SDI. Now the only option I see is FMLA. The AI chat bot said I have to call them in now. Is they right?


r/KaiserPermanente • • 1d ago

California - Southern KP app down

2 Upvotes

Is anyone else’s app not logging them in? I’ve been trying to reschedule my appointment via the app for days now and it keeps saying the system is down.


r/KaiserPermanente • • 2d ago

California - Northern pre-employment drug testing for new hire physician

9 Upvotes

Hello everyone! I have interviews this week with both TPMG in Northern California and Kaiser Permanente Southern California. I’m currently transitioning from a small private practice in Colorado, where I’ve been living for the past three years.

I’ve used THC to help manage severe insomnia, which is legal here in Colorado, and I was wondering whether pre-employment drug screening for incoming physicians typically includes THC. I’m especially curious about how this may be affected by California’s AB 2188.

I’d appreciate any insight or firsthand experiences. Thanks so much in advance!


r/KaiserPermanente • • 2d ago

California - Northern Allergists or immunologists (NorCal)

1 Upvotes

Hi,
I’m looking for a new allergist or immunologist in NorCal. Mine is amazing, but is moving out of state. I need to find a need one asap. One that is knowledgeable and actually listens, please.
Any recs?


r/KaiserPermanente • • 2d ago

California - Southern Unethical Behavior From Reviewers for External Therapy providers

28 Upvotes

I'm an external therapy provider with a large group based out of Pasadena. I started with them in 2024 and had a single five-minute meeting with one of the Kaiser reviewers- Christine Butler, LMFT (License #112941). I then didn't hear from her for about 13 months until I met with her again in June 2025 at 9 a.m.

The meeting lasted about 10 minutes, and she did virtually all of the talking, mostly about TPI survey completion rates. She made demeaning comments, such as saying there were "10,000 other providers" and that if my survey completion rate didn't improve, I would be on their "naughty list."

Shortly afterward, I sent her a very professional email following up on some of the things she had requested and addressing the comments she had made during our meeting. I told her that I was willing to work with her and accept feedback, but that there was no need to be demeaning. She never responded.

Over the next 11 months, I received a few automated invitations to schedule reviews with her. Each time, I scheduled right away, only to have the meetings canceled on her end without any explanation. I saved screenshots of the cancellations.

In May 2026, I had a Kaiser patient reach out to me wanting to schedule an intake. When I attempted to schedule the appointment, I discovered there was a block on my account. Our administrator reached out to Kaiser's group email at [SCAL-BH-Panel@kp.org](mailto:SCAL-BH-Panel@kp.org), and someone named Cristina Torres, LMFT (License #50498), responded by sending a bunch of made-up garbage to my practice.

I have all their emails for anyone that asks, including one in which she accused me of attending the meeting with Christine Butler a year earlier while intoxicated, discussing drug use, talking about trying to get clients to use drugs, being unable to be redirected, etc. Really outrageous garbage.

The administrator for my practice immediately challenged their claims, provided emails showing that I had politely followed up with Christine regarding what she had requested, provided screenshots of the canceled meetings, requested an eligibility letter, and asked for a meeting with Kaiser's leadership.

Kaiser didn't meet with my group for over two months and offered numerous excuses, such as waiting for advisement from their "KP team," dealing with "unforeseen circumstances," and being busy and suggesting that we try scheduling through their scheduler. I have all of these emails.

Some of the people responding from that SCAL email address include Artem Aghourian, Cristina Torres, Carolyn Adams, and Elizabeth Hamilton.

When my group finally met with Kaiser in July, the meeting was with Artem and Cristina. My group reported to me that Kaiser retracted everything they had previously claimed, as though none of it had ever happened. Artem reportedly told them that they should have interviewed me, but that it was a "long time ago" and was essentially "he said, she said." They apologized and said they were restoring my referrals immediately.

Soon afterward, Cristina Torres reached out to me wanting to schedule a "care review." I politely asked her about the made-up claims she had sent to my practice, what the resolution was, how they had conducted a review without ever asking me anything, and what their grievance procedure was.

She wouldn't answer any of my questions and instead had Artem email me. Artem tried to get me into a video call to answer my questions. I explained that I needed my questions answered in writing first because they had made allegations involving potentially criminal conduct, and I didn't feel safe proceeding without a documented resolution. My concern was that they could do the same thing again.

He eventually responded that Kaiser "investigations of reviews" were internal. Carolyn then tried to get me to schedule another "care review," and I again requested that my questions be answered first. Nothing was answered.

I felt I had no choice but to file complaints with any appropriate organization or agency that could review their conduct.

Kaiser recently sent out a new provider handbook that does not list any provider rights or grievance procedures. My concern is that, without clear protections or a grievance process, someone could make allegations against a provider at any time, leaving that provider with no apparent way to challenge the claims or obtain a written resolution.

Providers, please protect yourselves. Bring a witness to these meetings or record them where legally permitted.

Has anyone else had experiences like this with these individuals or other Kaiser "reviewers"? What do other providers think of the TPI surveys? To Kaiser they are the holy grail with which they base their entire treatment paradigm around. I don't think they're good clinical questions. More importantly I've never had a client think it was a useful tool. Therapy is collaborative so if I client doesn't fine an outcome measure or intervention useful then it usually isn't.


r/KaiserPermanente • • 3d ago

California - Northern Anesthesia for an abortion

13 Upvotes

Does anyone know if they offer anesthesia or iv sedation for a surgical abortion? I don't want to do the "just take 800mg of Ibuprofen and use a heating pad."


r/KaiserPermanente • • 2d ago

California - Northern Struggling with Kaiser Sleep Medicine (Cottle & Santa Teresa) — Anyone Else Experience This?

5 Upvotes

EDIT: I guess I should have mentioned that I won't be going to my dentist once Kaiser approves my oral appliance. I am going through a company (Spark Sleep Solutions) that my husband used here in the San Jose, CA area. They are known for oral appliances for sleep apnea, TMJ, etc. I only called my dentist to see what their approval process looks like, and that's when I was told that patients have to fight for oral appliances.

During our first call, I asked about the results of my second sleep study. Without much explanation, he denied me an oral appliance and told me I need a CPAP machine, should lose weight, and likely have a nasal issue. He also mentioned that I had no episodes during the night and was getting 8+ hours of sleep. Given that my diagnosis is mild sleep apnea, a CPAP machine does not feel like the right fit, especially since I have been having such positive results with the temporary mouthguard. I wake up feeling well-rested, have more energy throughout the day, and have also noticed improvements in my mental health.

After speaking with my primary care doctor, I called back to request an appointment with the Sleep Medicine Physician, only to be told I would need a referral from my primary care doctor. I have since obtained that referral, but the process has been exhausting.

My dentist also told me that Kaiser patients requesting an oral appliance for mild sleep apnea often have to fight for approval, which is disheartening. During my last call, the representative said he would need to check with his manager and would have someone call me back. That call never came.

Has anyone gone through a similar experience? Any tips or advice on how to navigate this would be greatly appreciated!


r/KaiserPermanente • • 2d ago

California - Northern Telehealth Platforms NorCal Medi-Cal?

2 Upvotes

As the title says, I'm looking for a mental health telehealth platform outside of a Kaiser facility. Also, as the title says, I have a Kaiser HMO plan through Medi-Cal (CA Medicaid) so i know that might make it a bit tricky. The waiting list for any mental health professional at any kaiser facility is absolutely horrendous! If anyone can help me find one, that would be amazing. I was using growtherapy for a while with my old Health Net Medi-Cal and doctor was able to prescribe me my ADHD meds. I Know this may sound dumb but, the only reason im looking for a telehealth provider is because my doctor at kaiser wont prescribe me my vyvanse because i smoke pot. My old psychiatrist never had a problem with my smoking so i dont understand why she wont prescribe them. (before yall call me a seeker, she told me to stop my vyvanse and i have been doing so!) Any help is greatly appreciated. Thank you!


r/KaiserPermanente • • 3d ago

California - Northern Premium Increase Next Year: 13%

50 Upvotes

How can Kaiser possibly justify increasing premiums 13% YoY?

$800 a month for bottom-of-the-barrel bronze?

Insane.

Out-of-pocket annual maximum: $12k. Up 19% YoY.

Pay way more, get way less.


r/KaiserPermanente • • 3d ago

California - Northern Psychiatry department, Roseville

3 Upvotes

Has anyone had jasmine outlaw and had a good experience with her? I’ve been calling everyday for cancelations appointments to move up my appointment from devemsbr because they are months out and have her and was seeing if anyone had a good time with her. I am postpartum and just trying to get a psychiatrist to hear and listen to what I’m struggling with and help me and the first one I got was horrible.


r/KaiserPermanente • • 3d ago

California - Northern Unable to make appt outside of my PCP (eg another facility)

1 Upvotes

I remember a few years back I was able to make an appointment easily to see a doctor for an illness or concern at different KP facility. For example I’d be able to see another primary care provider if I had an issue if I were visiting Sac or SJ (even when my pcp is in SF). I was able to search for availability of other doctors so easily. Now, as from what I’ve learned from searching, I’m unable to make an appt except with my PCP. So if it’s something more urgent, and I’m not in SF, I can’t make any appt with at another KP facility.

I tried calling the Appt line and they too could not see any availability. Their view was the same as mine apparently. I was then triaged to a RN and they apparently had access to more appts than me (or the appt line).

When did this change happen? I definitely miss the flexibility KP used to have in terms of being able to make an appt in my own with another pcp in a nearby, KP medical office/center.


r/KaiserPermanente • • 3d ago

California - Northern What do y'all think of the new premium payment portal?

1 Upvotes

I like that that the new premium payment portal doesn't have a separate login to manage but I've been seeing a lot of bugs where things aren't loading properly. Haven't been able to load my monthly bill. What is your experience?


r/KaiserPermanente • • 5d ago

Medical Board Alerts Dr. Stacy Fang, Kaiser Permanente San Francisco Medical Center (Geary Blvd.), Department of Obstetrics and Gynecology

137 Upvotes

This is public information from the Medical Board of California for Dr. Stacy Fang, Department of OB/GYN, Kaiser Permanente San Francisco Medical Center (2238 Geary Blvd, San Francisco, CA.). Dr. Fang is also Faculty, Kaiser Permanente San Francisco Obstetrics-Gynecology Residency Program.

Gross negligence in the care of a woman with a high-risk pregnancy. Patient was brought to Kaiser San Francisco from Kaiser San Rafael for an urgent intervention due to possible fetal heart rate (FHR) decelerations. After being unable to clearly identify the FHR, Dr. Fang negligently recommended an induction of labor for an intrauterine fetal demise (death) rather than offering an emergency Cesarean delivery.

Dr. Fang ordered all procedures, including labor, to stop and Kaiser discontinued monitoring the unborn baby at 1 a.m. on July 29, 2023. Patient was informed she would need to be induced to deliver a stillborn baby. Consequently, the fetus did not receive monitoring for approximately 11 hours. At 12:05 p.m. on July 29, 2023, the patient delivered a living baby boy.

Full details are in the linked attachment from the Medical Board of California with specific information starting on page 15 under "Factual Background".

Disciplinary actions including three years of probation, required education courses and reimbursement of $9,188.60 to the Medical Board of California for investigation and enforcement activities.

Always check the medical board license profile for the most current information.  For a listing of State Medical Boards refer to this post.

Stacy Fang, MD Kaiser Profile (https://mydoctor.kaiserpermanente.org/ncal/doctor/stacyfang/overview) Accessed 10/15/26
Additional Kaiser Profile Information (accessed 10/15/2026)

r/KaiserPermanente • • 4d ago

California - Southern colonoscopy

1 Upvotes

I’ll be having a colonoscopy soon. What kind of things did you eat in the five days leading up to it? I know the day before is restricted to clear liquids—do you have any tips or advice?

The instructions say that while seeds and skins are not allowed, peeled vegetables and fruits are okay. Does this include things like lettuce or other raw vegetables?

↑ This is the only information provided is the dietary guideline for five days prior—and it’s completely unclear.


r/KaiserPermanente • • 4d ago

California - Northern External Lab Results

1 Upvotes

Anyone have experience with getting your Kaiser doctor to accept external blood draw lab results? I just got mine done with Superpower Health due to being homebound and am concerned now if my doctor will accept them. I did reach out to her but havent heard back. Any feedback much appreciated. Thank you.


r/KaiserPermanente • • 4d ago

California - Southern Upcoming job interview

2 Upvotes

I'm an EMT who applied to be an ER Assistant, and have an upcoming job interview.
Can I get some advice? Also for any other ER techs in Kaiser, do you remember what the interview questions were?


r/KaiserPermanente • • 4d ago

California - Northern How to Call In Sick from work ? NorCal

6 Upvotes

I’m new never called in sick, out of my probation and I been working non stop, I feel like I am sick and like text my manager or I can call of through myhrconnect or some kind phone line to call ?

And just wanna also know how do I make sure that I did called in sick so that it doesn’t show no call no show


r/KaiserPermanente • • 4d ago

California - Southern Kaiser Socal Seasonal RN

5 Upvotes

Hi just wanting to hear anyone’s experience of being a seasonal RN from fontana? I want to know what can I expect from there and if they are flexible with your schedule?


r/KaiserPermanente • • 4d ago

California - Southern Job Application Status

6 Upvotes

Recently did an interview a few weeks ago where I was told to wait a couple of weeks for a response. So far I haven’t received an email update but decided to check the portal where my application status was updated, It said it was no longer in consideration. Is this normal to not receive a response or email from the team. I know previously looking at other positions I’ve applied for the portal status comes a day before then a rejection email the next day but in this case I haven’t received anything. Should I stay optimistic or know something is coming soon. During the interview stage I know the portal didn’t change to say interviewing if that helps