I never quite understood this fear that you're going to lose some benefit of the insurance you have now. It's not like all the hospitals and doctors suddenly go away so if you have a preferred doctor or facility you'll most likely be able to keep going to them and you'll have more choices as every place will be "in-network". Contrary to your experience, I've had good results with Kaiser and one thing I like about it is not having to call around to various "in-network" providers to find out if they are taking new patients and if they can see me.