Prospect Medical Group

Some staff at Prospect told me that, for some members, they simply cannot be found on Prospect website, that is just the way it is. So if we want to verify eligibility, we must call. Even worse, if we need to request authorization for patients’ visits or procedures, we must use the fax. As if that were not bad enough, sometimes when we fax over the authorization request, their staff say that they never get the fax. What a nightmare. Seriously, why would people even want to sign up with Prospect? I really do not want to bash a health plan. However, enough is enough.

This company is so incompetent, you to have to call so many times to finally get a hold of someone who knows what they’re doing.
It’s like Russian roulette

Taking care of your father’s medical needs is a difficult job. When you add incompetent uncaring «health care professionals» into the mix it is frustrating, infuriating and shocking to experience so many people in one place with so little empathy for patients in need. My father, having colon cancer, was thrown another curve with prostate problems. The only urologist in the area only works two days a week. He made my father wait 6 weeks to be seen. It caused a snowball effect of other conditions that I feel could have been prevented. When you add the –1 star rated oncologist, you will agree that this is the worst medical group I have ever assembled. Do not chose this group. You will regret it.

This is one of the worst medical groups I have ever had, I wouldn’t recommend this plan to anyone I have arthritis in both knees I also had a torn meniscus 8 out of 10. I had surgery on one knee it’s worse than it was before I had surgery I asked for a scooter chair and they decided to give me a light weight wheelchair, I have carpal tunnel in booth of my wrist, I asked them how do you expect me to push myself, they told me to get cortisone shots and try again I’ve been having carpal tunnel problem since 2007 it’s 2015, I don’t understand did they put something new in the shots. My primary Doctor put a request in, and my surgeon. I just don’t understand let the patient suffer because some person that don’t care is sitting behind a desk saying denied.

Prospect Medical Group is the worse level of medical care anyone could ever receive. I have dealt with waiting for months for approvals/​appointments, lack of care for all of my urgent medical needs, awful customer service, bad doctors, appalling referrals for procedure locations, and more. I would not send my worse enemy to Prospect Medical Group. This medical group should be closed.

My contact, Tonya, at Prospect Medical in charge of my mother’s care was extremely unprofessional and actually lied twice. I wish I could actually give a negative rating. I’m feel for anyone who has to deal with this company or Tonya.

This medical group was assigned to me by my health insurance company. I also had a primary care physician (PCP) assigned to me. One day, I saw the PCP about something that required me to see a specialist surgeon.
It took over a month for the medical group to approve me for the specialist. The specialist was a nice guy, but he was nearly 80 years old, which is objectively too old to be performing surgery. I went back to the PCP’s office and asked for a second opinion.
It took ANOTHER MONTH for the medical group to get back to me, and when they did, it was to the SAME specialist again. That is when I had enough. I felt that I was being stringed along to keep paying my health premiums (which the medical group would get their share of), while treatment was delayed for as long as possible so that the health insurance company and the medical group could maximize profits.
Instead of simply switching my medical group and possibly PCP, I became discouraged from seeing any doctors whatsoever. I ended up not even paying health insurance a few months later, and decided I would rather take the tax penalty instead.
This is not what health insurance and medical management should be like.

People who have good experiences with medical groups and the like rarely come to write reviews. I was just googling for info about prospect and saw the negative reviews, so I just want to post a positive one.
Everyone who has helped my husband and I have been very professional and they get things done quickly. For example, I recently had an issue with an authorization with Apria; the rep at Apria couldn’t give me any clear answers. When we contacted Prospect, the rep immediately called over to Apria to find out the problem on their end. The issue was resolved immediately.
There have been other times we’ve called for assistance and we always hang up feeling satisfied with the customer service. My experiences with them are far better than other companies who are difficult to deal with.

If it were possible to give these people a 0, I definitely would.
I have a patient who has insurance through Blue Cross and he was assigned into the Prospect Medical Group. I have literally spent over 4 hours total on the phone with reps from both Blue Cross and Prospect Medical and have gotten nowhere.
My patient’s insurance became active on January 1^st of this year, and for whatever reason, Prospect has not added him to their system. It is now January 28^th, and they have still not added him to their system despite the fact I have called them to follow up on the first request to add him. That means I cannot get any of his referrals done. I’ve already told them that at least one of those referrals is urgent, and honestly, they can give a rats ass.
When you call, you are put on hold for a ridiculous amount of time and when they actually do answer the phone, most of the little reps have bad attitudes and will talk down on you like you don’t know what you are doing.
These people have a lot of things to work on. If you get assigned to this medical group, or if you chose it yourself, beware! I do not recommend them at all!

I’m not even going to write a long detailed review for these guys. I’m just going to say that I have cancer, and if I die the finger of blame can be pointed right at Prospect Medical. The absolute worst and I will be switching as soon as I possibly can.

I am new to Prospect Medical via CalOptima. The only reason I chose them is that I had a previous relationship with a Pain Management facility that I had excellent experience with. As of January 1, 2015 I started with prospect and what was supposedly was my PCP! When I arrived fort he first time I gave my membership card and she looked me up to make sure I was in the right place. I was informed I was not in the right place and my doctor was across town in Orange. I called mad an appointment and went to office 3 days later. When I arrived at the new office I filled out a ton of paperwork only to be told I was in the wrong place! The receptionist here politely showed me that the previous girl had looked up the wrong Robert Ward! Back across town to the original place! Once in the office I explain to the PA the purpose of my visit, he informs me the doctor is only in the office one day a week on Wednesdays and he can’t prescribe the medications I need. He also informs me that although the Doctor is listed as a PCP he really isn’t and I should seek another doctor if I want to be seen anytime soon! I asked for a referral to my Pain Management Doctor and was told the referral would be put in the system the next day (7 January, 2015). I just got off the phone with the Prospect Medical only to find out the referral was not input until the 9^th of January, 4 days later! I have opened grievances with both Medi-​Cal and Prospect Medical Group. I highly doubt the one with Prospect will help anything but I am hoping the one with Medi-​Cal will at least make their life a living hell for awhile!

As I write, I am waiting for an authorization for an eyedrop that I need to take every day. First, Prospect forced me to move from Walgreen’s to CVS, purely so the company could save money. After that move, I still have to get my doctor to reauthorize the actual vs. generic eye drop EVERY TIME.
I am currently out of the eye drop, yet when I got to CVS, the pharmacy employee informed me that the company — once again — would not pay for anything other than the generic. My eye doc has documented evidence that this generic doesn’t work for me.
But … there’s more. I left work early to go to an appointment for an opthamologist, only to be told that the doc didn’t have a relationship with Prospect! I mean, incredible incompetence from this company. And I echo that it always tries to send me many, many miles from my home.
AVOID. Could not possibly be worse.

prospect medical group is in my opinion the worst medical group you can have. please if you read this and do one thing right do not sign up with this group. they will actually do a lot more harm than good to your medical care. prospect cares about one thing-​PROFIT OVER PATIENT CARE! the customer service people outright lie to you and assign you to the bottom of the well facilities (such as brotman hospital-​worst in California) to primary doctors who are supposed to be managing your health care but yet don’t have appointments for 6 freakin weeks. by the way if you want a Kleenex from your doctors office while in prospect medical group-​hold on you need to get a referral from prospect for that and of course that takes a week. this group is a bunch of micro managers right down to the cotton gauze you can have put on your wound by your doctor. from dr. stiegler right down to the patient liaison this group has no concerns for your health only that you stay with the right person they have negotiated the best rate with to treat you. stay away from these people their care will harm you not cure you.

the worst ever… i work in health care and was so ashamed of my employer giving us this lowest of the low bottom feeders insurance group… they will straight up lie to you have some of the worst drs and they themselves can be very rude and condescending … your better off on without ins…

I have been billing them for a patient of ours (the patient is not treating with them and has opted to go out of the network) and they won’t process the claims correctly. Very frustrating.
The customer service rep was nice and promised to reprocess the claims again.

Unspeakable the bad name they give to managed care. Deliberately denies claims to their physicians, worst customer care with no regard to the providers OR the patients. This medical group is the worst in California. If you are in the Prospect network, switch. Switch to any other group but them. You will be better off.

Miserable, they have both the worst «doctors» and customer service. I have been fighting with them for months, I have been to both their physical therapists and both are unbelievably incompetent. Now I am being sent back to the first therapist who has no room in their schedule for me… when I call Prospect I’m told I need to contact my dr to fill out more paperwork to get sent to a place that has room for me. If I sent someone somewhere that couldn’t take them I would be embarrassed and try to fix my screw up, not demand that more paperwork was filled out so I could do my job properly. Look no one likes HMOs, but there’s gotta be someplace better then this.