Alameda Alliance for Health — Local services in Alameda

Today I want to thank Lily, a customer service staff, for not only helping me solve all the problems, but also answering my doubts and very wisely resolving my misunderstandings about other staff members in the past period of time.

The most important thing is that she answered my doubts. She said that she carefully read the record of the complaint, and the staff member at that time did note that I had no intention of complaining. I was relieved and resolved my misunderstanding of that staff member after hearing this.

Then I asked Lily why the company sent a letter of complaint to my family doctor. Lily's explanation was perfect. She said that the purpose of all staff and the company is to satisfy customers, so I think there is no complaint, but the company still has to do things to the best of its ability so that the customer service can be 100% satisfied with the family doctor. Wow! My God, it's so touching! Not only all the misunderstandings were eliminated, all the problems were solved, but it also made me realize that it was my own inappropriate speech that caused the trouble. I summarized the reasons, which are mainly caused by the cultural differences between China and the United States. Chinese people pay more attention to the inconsistency between inside and outside when speaking. They agree in their hearts, but they are not so rigorous when speaking. American culture is to take what you say literally. All words are sometimes subject to legal liability. I am really sorry that I have not fully mastered American culture and have caused trouble to the staff, me and my family doctor! But Lily can solve all the troubles caused by cultural differences! Her ability is really unique. Lily is also very caring. I can feel her personality charm across the phone line. I think such an excellent talent should be known and understood by the senior management of Alliance, so as a customer, I solemnly express my feelings about her ability here!

Finally, I would like to thank all the staff of Alliance. Thank you for your love and warm service. Every time I deal with you, it is a pleasure! With such an excellent team of employees, I believe there must be a special elite management team. Salute to...

If you have medi-cal through them and are experiencing health issues. Pray for relief! You have a better chance to receive “Divine Intervention” than medical help through this company! Five star reviews are generated by the employees or has relationships to employees that work here.

“The Grievances are never followed through!” Detestable customer service assistance/ Prolific communication, service issues.

An agent said they couldn’t call my cellphone to reach back to me that it came up as not in service. To find out why my case worker never contacted me about filed grievances . This Call issue “would only happen” if they were using an internet dialing service “work from home” workers -like a call facility network.

“Practitioner information never is accurate or updated.” CA Laws states - “Insurance companies have 15-30 days to help you find medical assistance if you cannot.” Why is the state of California allowing this company to function like this?

Please if you have experience issues through them & Medi-Cal (Contact!) CMS , DHCS, the Medical board of California, or legal representation as I will be doing!

The providers through this company are so booked out and full , and urgent care facilities are limited. Most listings do not take Alliance. Also Providers listed in network have either left practice or aren’t working any longer. Facilities that Alliance say are “IN” network are not.

Most doctors working with this company will (prescribe) medications through blood work without performing an actual “physical” or X-ray screening on your body so those with Reproductive, Nerve or gastrointestinal issues beware.

The providers do not have updated training about current found Reproductive/ Nerve health issues either. State medi-cal seems to be paying Doctors that will schedule an in-take meeting more often than performing “physicals” to bill medi-cal.

I’ve been detailing most of my experiences as I suggest anyone with issues with this...

I have had a fractured/sprained ankle for about 5 months, and have been unable to walk for 4 of those months. Throughout the process of recovery, every single appointment I have needed (Xray, CT, MRI, podiatrist, PT) has been a complete battle with the Alliance.

Their authorization department barely works, and it takes about a month from referral to authorization. That's if you call them about 5 times a week. I'm not sure what happens if you don't. Their directory is completely out of date, many doctors do not take the insurance or have additional requirements for doing so. Those that do often lack appointments for months on end. The representatives often give me completely contradictory information from one day to another.

Overall, the feeling I get from the employees is that they generally want to help, but lack the resources and training to do so effectively. They usually don't know much more than I do about how to work the system. Sometimes I will talk to someone who's willing to go above and beyond to help; sometimes I talk to someone doesn't even listen to what I tell them.

I have complete certain that my wellbeing and quality of life has suffered significantly as a result of me having...