Business Profile

Insurance Companies

Anthem, Inc.

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Complaints

This profile includes complaints for Anthem, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

Customer Complaints Summary

337 total complaints in the last 3 years.
114 complaints closed in the last 12 months.

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The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

Initial Complaint
Date:03/04/2025
Type:Customer Service Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
The BCBS Federal employee program customer service **** will lie to customers advise different sets of information every time you call provide information and then the company ****** the opposite of what the customer service representative states, and now the company will demand money back after paying out in a claim
Business Response
Date: 03/05/2025
Good afternoon,
We were unable to locate this member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
******** *.

Customer Answer
Date: 03/05/2025
Nothing has been done by the company to reach out to me to look in to the issue

claim# *****L800033XA

Business Response
Date: 03/06/2025
Good morning,
We were unable to locate this member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
******** *.
Customer Answer
Date: 03/07/2025
Better Business Bureau:

I have responded and no response or company reached out to me

again calling and requesting follow up
to date no follow up
Customer Answer
Date: 03/13/2025
claim# *****L800033XA, ongoing since last year
R60135517

multiple attempts to reach management no follow up

BCBS
FEP

no attempts to reach out me even after bbb
Customer Answer
Date: 03/13/2025
claim# *****L800033XA, ongoing since last year
R60135517

multiple attempts to reach management no follow up

BCBS
FEP

no attempts to reach out me even after bbb
Business Response
Date: 04/01/2025
We are unable to locate the member in our system. Please provide the member identification number complete with the three-letter prefix. This can be located on the member's identification card.

Thanks,
Paige
Initial Complaint
Date:03/04/2025
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I signed up with marketplace for Insurance. I purchased a plan with Anthem Blue Cross Blue Shield for ***** a month to start on December 15, 2024 made the first payment of $178.95 was told that it wont go into effect until February 15, 2025. I will receive my plan information and card in the mail within 10 business days. I received a discount card in the mail when I called to inquire about the actual insurance card in January, I was told I would get it in the mail soon. I then call back in February and was told that it would be mailed out and I would get it in 10 business days they apologize for me not receiving the first one that was supposedly mailed out. I had a conversation with them today the representative very rude hung up on me. I called back to cancel. I was told I could cancel, but I could not get a refund because it was over 30 days. I tried to explain to the representative that I have been calling regarding this issue since January to and it was not my fault that I never got the card. And that I had been trying to get the card well they canceled me, but they refuse to pay me for the three months that I paid for insurance that I never had access to So I am trying to get help into getting a refund for my money when they never supply me with what I paid for.
Business Response
Date: 02/24/2025
Please be advised that member authorization is needed prior to us addressing the members concerns. Refer to attached letter.

Thanks,
***** *.
Customer Answer
Date: 03/01/2025
Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:

They want authorization from me in order for a Better Business Bureau to proceed. I will download and send the authorization to both Better Business Bureau and anthem Blue Cross Blue Shield on Monday, March 3, 2025.

In order for the BBB to appropriately process your response, you MUST answer the question above.

Sincerely,

**** *******

Business Response
Date: 03/06/2025
Please refer to attached letter.
Thanks,
***** *.
Initial Complaint
Date:03/01/2025
Type:Customer Service Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My husband passed away over a decade ago. I have been trying to get him removed from the anthem mailing list specific to Medicare advantage. The call center is chaotic. I am transferred a million times and the call goes dead. I finally got the number directly to the customer service department and the agents want my husbands I member information (id number) but he was not a member. They tell me they wont help me. So I am forced to keep receiving mail for him. Anthem is the only health insurance company that will not let me remove him from the mailing list. It is unkind and wrong.i need them to end this poor customer service practice
Business Response
Date: 03/05/2025
March 5, 2025

Better Business Bureau
Attention: ******* *****,Accredited Business Dispute Resolution Specialist
*****************************************************************
**********************************
VIA: Better Business Bureau Portal

Complainant: ***** *******
Re: ***** *******

Re: Customer Service Issues
******************** File No.: 23007599

Dear BBB:

This is in response to your correspondence dated March 3, 2025, regarding the above referenced member.

Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA)and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization. Therefore, we will be addressing the concerns in question and responding directly to Ms. ********

I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me at *************

Thank you for your concern.

******* *********
Grievance/Appeals ************************************************ Appeals & Grievances
Customer Answer
Date: 03/05/2025
Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.

All I am asking is to have my deceased husbands contact information removed from the mailing list so that we stop receiver Medicare advantage promotional material sent to my home. Anthems letter misspells my name and brings up HIPPA, but no one is asking for any protected health information only to complete a request. So what is the problem?

Regards,

***** *******
Business Response
Date: 03/07/2025
March 7, 2025

Better Business Bureau (BBB)
Attention: ******* *****
*******************
12th Floor
******************
VIA: BBB Portal

Member: *************************
Re: Marketing Materials
BBB File No.: 23007599

Dear BBB:

This is in response to your correspondence dated March 6, 2025, regarding the above referenced member.

Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA)and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization. Therefore, we will be addressing the concerns in question and responding directly to ***** *******.

I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me at **********************************************************************.

Thank you for your concern.

******** ********
Grievance Analyst I
Medicare Complaints, Appeals & Grievances
Customer Answer
Date: 03/17/2025
Hi,

I reached out to anthem as they had requested and they never replied. So this complaint was not resolved.
Initial Complaint
Date:02/27/2025
Type:Product Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
They deducted ****** from my ss for insurance 3 weeks went by I hadn't received a card a policy nothing from them it was supposed to cover all dental I called them after 3 weeks they hadn't sent me anything the employee quoted me 0 dalls when I called back because I hadn't received anything he tells me they took money frm my ss an then he tells me there is a premium, an they hadn't even sent me anything I went back to the 0 premium plan I had before they were supposed to put the money back on my card its been another month an nothing I've called him don't no how many times an he keeps telling me my money should be back on my card nothing every time I call he tells me the same thing a month has gone by an nothing has ever been put back on my card ,thank you
Business Response
Date: 03/04/2025
March 4, 2025

Better Business Bureau (BBB)
Attention: ******* *****
*******************
12th Floor
******************
VIA: BBB Portal

Member: **** *******
Re: Premium Refund
BBB File No.: 22999243

Dear BBB:

This is in response to your correspondence dated March 3, 2025, regarding the above referenced member.

Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA)and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization. Therefore, we will be addressing the concerns in question and responding directly to **** *******.

I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me at **********************************************************************.

Thank you for your concern.

******** ********
Grievance Analyst I
Medicare Complaints, Appeals & Grievances
Initial Complaint
Date:02/27/2025
Type:Product Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
My Name is *** ***** and my son is Nin **** *****. We obtained **************** from Anthem Stating from February 1st and my situation got Changed since I got married to my Husband and received **************** from my ***************** When I try to cancel my Anthem Insurance, they cant guarantee that they will give me a refund for my overlapping insurance due to change in life events. It takes a few weeks to issue a marriage license. I waited until I received the marriage license to cancel ********************** Insurance since it is the proper procedure I kindly request that Anthem issue me refund of $600 for Manth of February
Business Response
Date: 02/28/2025
Good morning,
We were unable to locate the member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
******** *.
Initial Complaint
Date:02/24/2025
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I was contacted by ********************** on the behalf of Anthem Blue Cross to do a nurse home visit in my house. I was reluctant but was offered a $100 gift card. My wife and I are both in our 80's and do not let strangers into our home. However since our medications come from CVS I opted for a $100 CVS gift card. The "home nurse" came November 9, ************************************************* 2-4 weeks. After the 4th week I called ********************** and was told it would be 4-6 weeks. After 6 weeks I again called them and now was told it would take 60 days. So after 60 days I called and was told it would take 90 days. I filed a complaint with Anthem Blue cross which was ignored and told it was between me and Complex Care Solutions. I assume that Blue Cross is paying them to provide this "service". After 90 days I again called ********************** and was told it would take another month. I am outraged that my home privacy was violated and that ageism is being applied to me. I am also angered that the company (Anthem) has done nothing to have Complex Care Solution solve my issue. I am not sure if this is a scam and someone is simply keeping the promised $100 from me and thousands of others or this is just incompetence. And yes, my blood pressure and mental health has suffered from what I see as a violation of my home. I am owed a $100 gift card for CVS and now believe that I was a victim of a scam. I am willing to sue both Anthem and Complex Care Solution for the violation of my privacy and the assault on me due to my age. Please assist me in this
Business Response
Date: 02/27/2025
February 27, 2025

Better Business Bureau (BBB)
Attention: ******* *****
*******************
12th Floor
******************
VIA: BBB Portal

Member: ****** *****
Re: Complex Care Solutions
BBB File No.: 22980075

Dear BBB:

This is in response to your correspondence dated February 24, 2025, regarding the above referenced member.

Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA)and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization. Therefore,we will be addressing the concerns in question and responding directly to ****** *****.

I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me at **********************************************************************.

Thank you for your concern.

******** ********
Grievance Analyst I
Medicare Complaints, Appeals & Grievances
Initial Complaint
Date:02/23/2025
Type:Service or Repair Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Blue Shield had repeatedly denied legitimate payment to legitimate doctors' services despite their Legal obligation to pay for patient doctor's visits. They have repeatedly ask for medical records despite I have submitted several times. They kept saying they never got it. It is uploaded right to their system, how can they miss it?Are they doing that now popularized Delay, Deny and Decline tactic? I am a busy doctor. I don't have time to play games. If they don't want to pay, just be honest so I can tell the patient to pay. Instead of just keep asking for the same thing over & over again & said they never got the information they need. when I have already uploaded again and again to their website that have ask me too. The 2 patients currently in questions are CD 5/5/1979 & JD 10/24/1991. There were multiple others patients in the past years that they never paid despite I have repeatedly uploaded all the requests documents. and called them. They made is so very difficulty that much doctors will just give up because it is not worth their time. Blue Shield is the only insurance company that had done this in all my 20 years being a doctor. I will be telling all my ***************** this experience & not to buy Blue Shields anymore.
Business Response
Date: 02/24/2025
Good afternoon,
Please refer the complaint to Blue Shield of California. Please note that Blue Shield of California is not affiliated with Anthem Blue Cross Blue Shield.
Thank you,
******** *.
Initial Complaint
Date:02/22/2025
Type:Billing Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I switched health providers, from Anthem to ****** effective 12/31/2000. From 1/1/2021 - 12/31/2024 I was double billed by Anthem without their ever notifying me in the 4 years they were deducting automatically from our checking account $238.51 monthly. In January for the first time in 4 years I was contacted by Anthem notifying me of a rate increase??? When I swithced over to Humana 1/1/2021 they told me that they automatically notified previous providers when health care was switched. I contacted they through a form on their website and a month later received a letter of denial. The claimed they had notified me yearly of their coverage. The did not! They falsely stated that they had notified me each year, but provided no substanciation for this claim.They owe me for the 4 years they automatically deducted money from my account without my consent or ever notifying me of these deductions. They owe me a full refund for the $10,971.46 they withdrew from my bank account, without my knowledge or permission. I have attached both the letter that was sent to Anthem on 1/9/2025 and the denial letter from Anthem dated 2/12/2025. Please help me recoup the funds this corporation due me.
Business Response
Date: 02/25/2025
February 25, 2025

Better Business Bureau
Serving Central Indiana
************************
Suite 103A
************, IN 46241
VIA Portal

Member Name: ***** *******

Re: Premiums
BBB File No.: 22976985

Dear BBB:

This is in response to your correspondence dated February 24, 2025, regarding the above referenced member.

Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA) and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization. Therefore, we will be addressing the concerns in question and responding directly to ***** *******.

I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me by email at **********************************************************.

Thank you for your concern.

***** *****
Grievance Analyst I
Medicare Complaints, Appeals & Grievances
Initial Complaint
Date:02/20/2025
Type:Customer Service Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
I need this company to book me an appointment for a psychiatrist and an orthopedic surgeon. I have tried calling them and chatting with customer support to resolve the issue at hand, and no one has been able to help me. Meanwhile, I am being charged for a service that this company cannot provide, which is fraud. I have called the whole list of providers that they have on their website and all primary care doctors either don't take Wellpoint, are not accepting new patients or many of the numbers on this list are simply disconnected!!! The same happens with the psychiatrist list that they provide. Either the doctors don't take this insurance, they are not accepting patients or the numbers are disconnected. I am running out of medication and I have tried to solve this issue to no avail. Also, the representatives give misleading information as well.
Business Response
Date: 02/21/2025
Good morning,
We were unable to locate the member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
******** *.
Customer Answer
Date: 02/25/2025
Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.

[Provide details of why you are not satisfied with this resolution.]

Regards,

******* *****
Initial Complaint
Date:02/18/2025
Type:Customer Service Issues
Status:
AnsweredMore info
Complaint statuses
Resolved:
The complainant verified the issue was resolved to their satisfaction.
Unresolved:
The business responded to the dispute but failed to make a good faith effort to resolve it.
Answered:
The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
Unanswered:
The business failed to respond to the dispute.
Unpursuable:
BBB is unable to locate the business.
Transaction Date 1: December 15, 2024Transaction Date 2: January 02, 2025Amount Paid: Paid through Nations Benefits.Type of service or merchandise: 8 Merchandise items.Reason for Dispute: Merchandise never received.Resolution Attempt: Have called several times and they refuse to provide a delivery date.Reference Number: *********** for January 02, 2025How service or merchandise was learned about. Through Anthem.Dispute details: I want my merchandise which there are under contract to deliver.
Business Response
Date: 02/20/2025
Good morning,
We were unable to locate this member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card.
Thank you,
******** *.
Customer Answer
Date: 02/25/2025
Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.

Anthem has still not sent me the merchandise that I have ordered.

Regards,

*********** *******
Business Response
Date: 02/26/2025
Good afternoon,
We were unable to locate this member in our system. Please provide the member's identification number, including the three-character prefix. This information may be found on the member's health plan identification card. In order to route the request to the appropriate area for assistance, we must first identify the member.
Thank you,
******** *.
Customer Answer
Date: 03/03/2025
Better Business Bureau:

I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Anthem has neither met their contractual responsibility of delivering my merchandise nor contacted me as they repeatedly promised.

Regards,

*********** *******

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Anthem, Inc. is NOT a BBB Accredited Business.