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Blue Cross And Blue Shield Association

Blue Cross And Blue Shield Association

www.bcbs.com
What is your customer experience with Blue Cross And Blue Shield Association?

Blue Cross And Blue Shield Association Overview

The aggregated data is based on reviews and questionnaires provided by PissedConsumer.com users.

  • Blue Cross And Blue Shield Association has 1.5 star rating based on 73 customer reviews. Consumers are mostly dissatisfied.

  • Rating Distribution
  • Pros: Easy to get, Coverage, Customer.
    Cons: Poor customer service, Ridiculous lack of customer service, That such a simple thing became so ridiculous.

  • Recent recommendations regarding this business are as follows: "avoid", "Don't trust BCBS website", "Open phone lines for longer periods of time. Offer overtime if you are short handed.".

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Media from reviews

Blue Cross And Blue Shield Association - RoboCalls BCBS
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Top Blue Cross And Blue Shield Association Reviews

Critical Review

"Don't pay claims"

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This insurance is so unbelievably bad that it rivals the crooked United Healthcare Plans. I recently left United and thought that Blue Shield Medicare would be...

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Jolyne Pcs

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker New York, New York

To add apartment number to address on file

I just finished calling to have my apt#1 to add to my mailing address thats on file now you just hung up on me

View full review
Geoffrey A Ewc

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Los Angeles, California

Don't pay claims

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This insurance is so unbelievably bad that it rivals the crooked United Healthcare Plans. I recently left United and thought that Blue Shield Medicare would be better.

That was a false hope. They are as bad or worse than any other plan available in the US. They routinely deny all Medicare Drug plan claims, and the Part B Medicare Plan is useless. I think that US citizens are very poorly served by all Medicare Plans.

They can be criminal or grossly incompetent or both. The root cause of this was the opening of this insurance to private insurance companies. They all appear to be crooked. Do yourself a favor and disenroll from Medicare Part D Plans.

Take the cheapest Medicare Part B plans and keep this. This is to avoid exposure to the fraudulent plans now dominating the scene.get them

View full review
Loss:
$90

Preferred solution: Let the company propose a solution

User's recommendation: avoid

Yukiko M

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

No Customer Service Rep answers Calls and their Website is misleading

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I was looking for an Acupuncturist due to my Sciatic Nerve Pain on my leg. I have an excellent insurance coverage plan under NYSHIP.

BCBS website took me to search the Specialist, and showed several Acupuncturists as 'In Network' which means our co-pay should be $18. I called BCBS Customer Service and stayed on line for more than 40 min... no one came to the phone. While I waited on the phone I emailed my question to ensure their website was accurate, and if I needed to see my Primary doctor first.

There was no response.

I was desperate to find some doctor, so I went to the Acupuncturist Yuehui Li, who wasn't professional and didn't speak English well. I had to pay $180 after the treatment, which appeared to be 'bogus'.

If I knew I wasn't covered for the service, I could have gone to my primary doctor first to seek another source who accepts my insurance. BCBS website is very misleading.

View full review
Loss:
$180
Pros:
  • Good wellness cash
Cons:
  • Customer svc never comes to the phone

Preferred solution: Full refund

User's recommendation: Don't trust BCBS website

Geo K Max

Professionalism

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worst insurance I've ever encountered. Be better without it since it's the same as not having insurance without the premium.

They screw you on every corner that they can.

They are no better than having any insurance at all without paying for it.... RUN AS FAST AS YOU CAN FROM THESE CROOKS

View full review
Loss:
$10000
Belinda A Jxk

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

On hold for more than 2 hours

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Called to speak about a claim. Was placed on hold, I was literally holding for over an hour, and then someone picked up then hung up.

Again I have been on hold for over an hour...going on two. Have two phones going just in case, but no....I have been on hold for close to two hours!

I know much is going on, but hire more people.

View full review
Pros:
  • No pros
Cons:
  • People pay too much for coverage and little is paid to providers

Preferred solution: Open phone lines for longer periods, hire more people if necessary

User's recommendation: Open phone lines for longer periods of time. Offer overtime if you are short handed.

IGOR K Vvi

USE OTHER INSURANCE PROVIDERS

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Blue Cross Blue Shield is a for profit organization. They only care about

the bottom line.

They ignore there members (while collecting their premiums) and refuse to work with Providers to avoid paying them for the

services provided to the insured patient.

The US insurance industry is a scam, they are stealing money and the government allows this. Vote for Universal Medicare for all- It'll eliminate the insurance companies.

View full review
Loss:
$100000
Cons:
  • Being ripped off
Reason of review:
Bad quality

Preferred solution: MEDICARE FOR ALL -INSURANCE COMPANIES NEED TO BE ELIMINATED

1 comment
Guest

Pamela N Cox of the Blue Cross Building on 1330 Amerigroup Way, in VA Beach VA said that she does not like to hire people with kidney problems or any other health problems because they end up being away from their desk at times other than break or lunch. Mrs.

Cox has admitted recently that she feels paranoid at the work environment at Blue Cross. She said that the managers have created a hostile work environment.

Paul R Jfu
map-marker Ephrata, Pennsylvania

Denies medication

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My medication prescribed to me for years by a licensed Pa. physician now requires a PAR and a QLL.

BC/BS constantly denies paying for the medication because it's an opioid. My Dr. sent in medical records, called them, voiced her concern about me not getting the medication, every thing, and they just refuse to pay for it. This is just not the way it's supposed to work.

Now I go through pain every day with sciatica, spinal stenosis, degenerative disc disease, arthritis, and nerve pain. Don't know what to do.

View full review
Loss:
$1200
Cons:
  • That such a simple thing became so ridiculous
  • Policy and representative
  • Poor customer service
Reason of review:
Access/ activation issues

Preferred solution: I want my medications approved and payed for.

edwin P Arq

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Beyond stupid.

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Had a botched surgery from a Dr.Brewster. Paid $1000.00 co pay and he billed them close to $10.000.00.

Results are terrible with 2 other doctors telling me it must be redone. Of course not for free. I called BCBS to tell them he messed up. They said ,Oh well.

I asked why they would not take the money back and was given a dumb answer about why they won't take money back for a ruined surgery. Who in the world would think that is normal or fair? Why pay for something that is no good after paying and have no recourse. This Dr.

Brewster got paid to ruin my walk and ability to do sports along with many other joys of life. I am in great shape and now walk with a limp in pain. What a shame. The rep.

was very rude also. Too bad considering what my fee's are.

View full review
Loss:
$10000
Cons:
  • Policy and representative
Reason of review:
Poor customer service

Preferred solution: Full refund

1 comment
Machele Imf

Blue Cross isn't going to do anything based just on your say-so about the competence of a physician. If the guy really messed up the surgery, then you need to sue for malpractice.

Get a free consult from a lawyer to see if you have a case.

The fact that other doctors say the original surgeon messed up would help your case. At least you may get your copay back, plus the usual "pain and suffering", etc.

CONSTANCE M Ayf
map-marker Roseville, Minnesota

POLICIES KILLED MY HUSBAND.....WORST INSURANCE WE EVER HAD.

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THE BC/BS INSURANCE COMPANY RECOMMENDED BC/BS COMPLETE AS THE BEST INSURANCE TO REPLACE THE INSURANCE WE HAD LAST YEAR, 2018. PREMIUM $167.50. BECAUSE ONE OF US HAVE ALWAYS HAD BC/BS AND OUR EXPERIENCES HAVE BEEN POSITIVE IN THE PAST WE TOOK THEIR ADVISE.

UNKNOWN TO US WE LOST OUR SEPARATE MEDICARE COVERAGE WITH THIS, THEY CONTROL EVERYTHING.

THEY NOW HAVE AN INDEPENDENT COMPANY WHO MAKES ALL THE DECISIONS WHICH ARE MAINLY DENIALS AND REJECTIONS. HE WAS ADMITTED IN FEBRUARY 16TH, DIAGNOSIS SEMPTIS. REFUSED ADDITIONAL CARE IN THE HOSPITAL AND TRANSFERRED TO TRANSITIONAL CARE. REFUSED ADDITIONAL CARE AFTER ABOUT 7 DAYS AND ON MARCH 4TH ENTERED ASSISTED LIVING, PRIVATE PAY.

BECAUSE OF CHEST PAIN THE FACILITY ADMITTED HIM TO THE HOSPITAL.

WHICH BC/BS REFUSED TO PAY FOR SAYING AMONG OTHER THINGS THAT HIS CONDITION COULD HAVE BEEN TREATED ANOTHER WAY. I PROTESTED ALL OF THEIR DENIALS, BUT OF COURSE MY PROTESTS WERE REJECTED. HE DIED OF HEART FAILURE APRIL 1ST !!!

IF YOU CAN, CHANGE YOUR INSURANCE NOW. DO IT !!! I HAVE.

View full review
Pros:
  • Easy to get
Cons:
  • Ridiculous lack of customer service
Reason of review:
Poor customer service

Preferred solution: Let the company propose a solution

1 comment
Machele Imf

From the information you gave us it is rather hard to discern exactly what happened regarding your problems with Blue Cross and I don't understand your comment about losing your Medicare coverage. You should talk to someone locally with more knowledge about health insurance coverage, etc. Good luck.

David S Nsh
map-marker Broomfield, Colorado

Denied reimbursement for a PET/CT scan at Mayo Clinic involving lymphoma

I was denied reimbursement for a CT/PET scan at the Mayo Clinic in March 2017 which was done by my Mayo Clinic doctor, Francis Buadi, concerning non-Hodgkins lymphoma and AL amyloidosis that I had been originally treated for in April 2013. The cost of the medical billing was about $6,800.

I had to contact Blue Cross Blue Shield (BCBS) of Texas at least 6 times over 6 months to get them to respond to me as to whether they would reimburse the Mayo clinic for this test. I was finally able to appeal my case in November 2017 and was denied because the test was not deemed to be "medically necessary" by BCBS.

In June 2018 my case was sent for peer review and also denied by Advanced Medical Reviews on December 4, 2018. My doctor at the Mayo clinic, Dr. Francis Buadi has continued to stand by his claim that a CT/PET scan is recommended for the evaluation and follow-up for patients who have non-Hodgkins lymphoma.

Going through months of chemotherapy treatment and a bone marrow transplant for both lymphoma and AL amyloidosis at the Mayo clinic was difficult. I was not able to see my kids on a daily basis, I was out of work for about 6 months, and my stress level was off the charts at times. Having to battle BCBS of Texas a few years later regarding a test recommended by the Mayo clinic makes me furious. I have the utmost respect for the Mayo clinic and my doctor is highly regarded in his field so I don't know how I am expected to know that a PET/CT scan is not "medically necessary".

It upsets me greatly that I have spent my life paying for medical insurance and then it is denied when I actually need it. I am also angry at having to pay the full amount of the PET/CT scan when I had the least knowledge that the test might not be deemed "medically necessary".

David Snyder

View full review
Loss:
$6783
Reason of review:
Problems with payment
Ken C Qka
map-marker San Francisco, California

Telemarketer cussing me out

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I had a call from 909-294-**** about an inquiry we made to Blue Cross for health insurance. The telemarketer told me *** YOU BRO and hung up when I asked to call him back at a more convenient time.

These people are very rude and should not be representing Blue Cross. They keep calling and I just keep hanging up. I finally had to block their calls. I don't know why this review has to be 100 words to post so I hope this puts it over 100 words.

Now it shows 70 words but it is over that. Is this site some kind of scam to *** people off?

88 words bull, ok try this and this and this. forget it I'M done.

View full review
Reason of review:
Poor customer service

Preferred solution: The telemarketer should be fired and never work with people again!

Ford R Ywb

Miserable

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I get calls every day. I get woken up after working all night.

I anseer calls in my classes thinking my dad couod be in the hospital again or someone needs my help. All just to hear a recording. When I press one to speak with someone they hang up as soon as I say stop calling me.

I hope a class action lawsuit happens. I am so tired of this.

View full review
Cindy L Asr

Healthcare was poor at St. francis and coverage by Blue Cros

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My husband David went to the emergency room and was held for over 9 hours in the emergency room. They gave him sn MRI and a shot of Morphine. The hospital did not examine him properly or admit him to find out what the problem was eith his pain and leg/back. The nurse took him to the parking lot where he fell in the parking lot on the asphalt. This is an outrageous act of illegal treatment of human beings. St. Frances should be sued for mishandling medical cases and underperforming responsibilities. The healthcare systems in America suck and need to be improved from top to bottom.

Physicians need to have relationships with their patients and show compassion and be held accountable for the services they provide.

The hospital billed us over 10000.00 for this service

That is *** and we will not pay it.

God will see to it that institutions come in line and they will reap what they sew.

Blue Cross Blue Shield used to be the best insurance provided.

Listen to the American people and

change your procedures to work with the patients.

Thy rod will strike down thy wicked.

Cindy Jo Lindsey

864 331 ****

I will never be ashamed of preaching the gospel.

View full review
Cons:
  • Attitudes and
Reason of review:
Bad quality

Preferred solution: Full refund

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Anonymous
map-marker Richardson, Texas

Robo call ***

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Let me tell you my story:

In 2009 I was in a bad auto accident. I had been covered by BCBS for decades. I was forced to repay BCBS for the money they paid for my hospital bill.

Now in 2018 I have been bombarded with robo calls for BCBS. I would rather move to another country than use BCBS. There is never a person to tell them to stop calling and I am on the no call list.

If anyone has a suggestion i’d Love to hear it. These calls are causing me great angst!

View full review
Reason of review:
Poor customer service
1 comment
Guest

If you are receiving calls from BCBS and have not done business with them in the last 18 months and have asked them to stop calling and they continue to call, you can file complaints to the donotcall registry, provided you have been on there for 30 days.Go to www.donotcall.gov for further information.

Leah L Vsn
map-marker Portland, Oregon

Prescription Prior Approval Process Harming Patients

Many health insurance companies are requiring prior approvals for certain medications and the patient typically finds out this is the case when insurance rejects for prior approval. This can happen for new medications as well as ongoing medications as prior approvals, apparently, expire.

Two of my family members have been negatively impacted by this as we have bounced back and forth between the insurance and doctor's office trying to get prior approvals in place. The insurance companies claim it is so they can insure patients are getting the right medication for their condition. Considering it is written by a physician with that very knowledge and further screened by a pharmacist all their involvement does is delay when patients are able to get necessary medications. A recent example is my disabled daughter who takes a medication for low blood pressure turned in her written prescription for an ongoing medication and it rejected.

The pharmacist says it is for prior approval. Contact the doctor and the doctor says it is because she needs a follow up appointment. Takes a week to get into the doctor and meanwhile our daughter falls as a result of low blood pressure and feels generally sick and dizzy. Finally get into the doctor and have a fresh prescription and that one too rejects.

Call the insurance company and they say that the prior authorization expired the month before. I have no idea how we are supposed to keep track of that with everything else we have to attend to for someone who is chronically ill. So now back to the doctor and it will take a week or so for them to get their people to talk to the insurance people. Meanwhile our daughter is out of a medication that keeps her blood pressure from dipping dangerously low.

Medical insurance providers should not be second guessing doctors who are trying to care for their patients.

There is absolutely no value added, other than maybe saving the insurance companies money in the lags they create, in this extra level of "review". It is unnecessary and unconscionable as it is harming people that are already really sick.

View full review
Reason of review:
Damaging Policy

Preferred solution: Let the company propose a solution

1 comment
Guest

Insurance companies practicing medicine is outrageous - off with their heads !

edwin P Arq

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Insane rip off.

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I have a bad knee. I have had an injection last year of a product called Hyalgan.

It worked although with what is said to be the best most costly PPO I still had to pay a huge co pay. Oh well. I just found out they will no longer pay. Not covered I was told.

No options either. What a shame for all who benefit from these injections. What am I paying for then? My family health care has tripled and coverage is half.

I am also told I cannot dump this terrible coverage under new rules for a year. Shocked again. The rep. was of no help also.

What country am I in? Why are non medical people deciding what works for us?

When I signed up I told the broker only the best was what I wanted. If this is the best I feel really bad for those with other lesser plans.

View full review
Loss:
$20000
Cons:
  • Being ripped off
Reason of review:
horrible plan

Preferred solution: Full refund

1 comment
Machele Imf

If Blue Cross doesn't pay then your only option is to pick up the total cost of the script yourself. However, you might wish to do some research and look into the patient assistance program which helps you pay for this drug.

I found a website for just this very help with the drug. You might also check with your physician and see if the drug Synvisc could be substituted as it is similar to Hyalgan and then if BC allows that drug. Usually, when an insurance plan doesn't cover a drug it is because it is rather expensive but they will cover a similar one costing less.

But, do look into the patient assistance program if your physician won't prescribe another one. Good luck, but keep making your monthly BC payments---they need the money.

About

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Summary

The Blue Cross and Blue Shield Association is a national federation of 39 independent, community-based and locally operated Blue Cross and Blue Shield companies. The company has been on the market for more than 70 years. At the present time, the corporate office of the company is based in Chicago, IL. The company also operates several offices in Washington D.C. Healthcare coverage are provided in all 50 states, the District of Columbia and in Puerto Rico. More than 90 percent of hospitals and 80 percent of physicians contract with BCBS companies throughout the United States. Blue Cross and Blue Shield Association companies offer a variety of insurance products to all segments of the population, including large employer groups, small businesses and individuals.

Blue Cross And Blue Shield Association reviews and complaints

Blue Cross And Blue Shield Association is ranked 340 out of 2236 in Insurance category

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