ComplaintsforAnthem Blue Cross and Blue Shield
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Complaint Details
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Initial Complaint
06/25/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
My company started using Anthem and they have completely refused to pay for any of my medication They say a review only takes 30 days but mine took 9 months I jumped through all the hoops get the tests done and they refused my treatment so I am out thousands of dollars and cant get my medicationCustomer response
07/20/2024
Better Business Bureau:
At this time, I have not been contacted by Anthem Blue Cross and Blue Shield regarding complaint ID ********.
Sincerely,
*********************Initial Complaint
06/24/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I am unable to pay my carelon specialty pharmacy bill due to a glitch in their ****** app. The app does not allow me to add a credit card. When I call them and try to pay over the phone, they say that I must first enter a credit card info into the app. I send them checks, but they never cash them. I spoke with IT member at their company and they cant fix the app. They recently sent my bill to a debt collector. I am frustrated that they have sent the bill to a debt collector when I have tried many times to pay, but anthems systems dont work.Initial Complaint
06/04/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I have been trying to file a claim for almost 8 months now, and it is denied every time, and no one can say why. They keep changing the reason. This same claim has been paid in the past with no issue. The care provided is covered by my insurance. I feel they are just trying to prolong how long they have my money and can earn interest on it in the meantime. If they do that with all their customers for network claims, they could be making a lot of money off the interest in delayed reimbursements for member-submitted claims. They own me $945Initial Complaint
05/29/2024
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I submitted a claim through the online portal, and was repeatedly not given a reason why my claim could not be processed. The customer fil service reps would advise me to resubmit the claim with exact same information and wait ***** days to be reprocessed. After 202 days I was finally given a reason to why my claim could not be processed, but then I was told I only had 180 days to file a claim so it was now considered out of the timely processing period and therefore could not be processed.Initial Complaint
05/13/2024
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
Dear Anthem Blue Cross Blue Shield,I am writing to file a formal complaint regarding a recent incident with Anthem Blue Cross Blue Shield. My policy number is ************, and I am writing to address an issue concerning a significant overcharge for services that should have been covered under my plan. In March and April, I received medical services that were supposed to be covered by my insurance policy according to the terms and conditions outlined in the plan. However, upon receiving the bill, I was shocked to find that I was charged over $1000 for these services. This amount far exceeds what should have been my responsibility according to the coverage provided by Anthem Blue Cross Blue Shield. I have thoroughly reviewed my policy documents, and it is clear that the services in question should have been fully covered or subject to a significantly lower co-payment or deductible. The unexpected financial burden of this overcharge has caused me undue stress and financial strain. As a resolution to this matter, I am requesting a full refund of the amount overcharged, $1.025.30. I believe that this is a fair and reasonable solution to rectify the error and provide me with the financial relief I am entitled to as a policyholder. Additionally, I kindly request a detailed explanation of why these services were billed at such an excessive rate despite being covered under my policy. Transparency and clarity regarding billing practices are essential for maintaining trust between insurers and policyholders. I would appreciate a prompt response to this complaint and a swift resolution to ensure that my concerns are addressed satisfactorily. Please contact me at [Your Phone Number] or [Your Email Address] to discuss this matter further or to provide any updates on the progress of my refund request.Customer response
06/06/2024
Better Business Bureau:
At this time, I have not been contacted by Anthem Blue Cross and Blue Shield regarding complaint ID ********.
Sincerely,
****** **Initial Complaint
05/01/2024
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
This company is a complete scam. I was paying $1,300 a month for their platinum coverage. Upon enrollment I saw my old primary care doctor was listed. I no longer see this provider so I reached out to ask them for a new primary doctor and they told me I had to use their app to find one in network. I followed their directions and saw an IN NETWORK provider for a routine yearly physical with bloodwork. They are denying the claims and leaving me with thousands in medical bills because I did not go to my assigned provider. THE PROVIDER THEIR APP AND SEARCH FEATURES TOLD ME WAS IN NETWORK AND COVERED. They will not reverse the decision and cover the bloodwork or appointment and I cannot afford the bills I am now left with. This is a disgusting abuse by this company and they do not care about any of their members just their monthly premiums. This company should be ashamed and put out of business like the rest of the health insurance fraud companies us Americans are stuck using.Initial Complaint
01/23/2024
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
I was working at ****************************************************************, on 12/19/2023 our accounting department was laid off due to business outsourcing, HR department submitted paperwork on 12/30/2023, I new that I will need medical insurance asap, at my age of 62 it's important to be covered, I started calling COBRA before end of 2023 and of course on January 2, ****, first, I was told that COBRA did not receive paperwork from HR, then that letter/application is mailed to me, then that letter is not generated yet, (like this letter is generating from scratch), I called COBRA every single day and all the time I got some poor excuse for delay. When I receive this letter by email, I replied the same day, and check-payment was mailed right away and I was told that my COBRA is active, but when I call Doctor to make an appointment, receptionist told me that insurance is inactive, at COBRA I was told that I have to pay additional $53 which I did, but as of today, January 22, 2023, insurance is still inactive, at COBRA they told me that, for some reason, there are two accounts on my name, I paid $1,614 for nothing, maybe COBRA does this on purpose, it's end of the month already, I paid for my medications out of pocket, still without insurance. Maybe work performance by COBRA employees should be examined or something needs to be done to avoid such situations.Customer response
02/17/2024
Better Business Bureau:
At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********. When I tried to contact Empire Blue Cross & Blue Shield customer service, I received email from COBRA customer service Web address luminarehealth.com. Maybe my complain should be re-directed to Luminarehealth. Please advise if I need to do it or it could be done by you.
Sincerely,
*****************************Initial Complaint
12/08/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
I signed up for insurance as of 1 December. I need to refill my prescription meds and it is 7 December and they will not give me my id card or information even though I have paid for insurance they say its an IT issue I think its a way for them to save money by denying people for 10 days what they paid forInitial Complaint
11/28/2023
- Complaint Type:
- Billing Issues
- Status:
- Unanswered
Two separate medical insurance claims were submitted to our insurance company Empire Blue Cross Blue Shield by our pediatrician for a doctors visit for my son ******* (one claim) and my daughter **** (one claim) on 8 November 2021 (date of service for both). Our pediatrician is "out of network" and we pay upfront and are supposed to be reimbursed after by the insurance company at their "out of network" rates. In both claims, the payment/check was sent to the pediatrician's office who cannot accept them and returned the checks to the insurance company. The insurance company confirmed they received the checks and was to reprocess for payment to me. They once again, in both cases, reissued the checks to the pediatrician. The pediatrician once again returned the checks for cancellation. Empire BCBS confirmed receiving the checks again and said they would reissue to me. Despite repeated, constant follow *** over a two year period (25 April 2021, 31 May 2021, 15 July 2021, 14 Oct 2022, 14 Feb 2023, 16 March 2023, 29 June 2023) these claims have never been reimbursed to me.On 29 June 2023, representative (***********************) confirmed that prior advice that claims were being sent for readjustment had not been actioned. Checks issued in the amount of:- $423.77 for ******* *********************** - service date 8 Nov 2021 -$339.95 for ****************************** service date 8 Nov 2021 -$763.72 totalCustomer response
12/23/2023
Better Business Bureau:
At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID ********.
Sincerely,
*************************Initial Complaint
09/18/2023
- Complaint Type:
- Service or Repair Issues
- Status:
- Unanswered
Amerigroup predatory enrollment of elderly- from ******** (general) into private insurance delaying her immediate care and delaying her treatment,
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Customer Complaints Summary
92 total complaints in the last 3 years.
34 complaints closed in the last 12 months.