Complaints

This profile includes complaints for Anthem Blue Cross and Blue Shield's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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• 

  Anthem Blue Cross and Blue Shield

  One Liberty Plaza New York, NY 10006-1404

• 

  Anthem Blue Cross and Blue Shield

  11 West 42nd Street New York, NY 10036

• 

  Anthem Blue Cross and Blue Shield

  P.O. Box 5059 Middletown, NY 10940

• 

  Anthem Blue Cross and Blue Shield

  P. O. Box 11800, Mail Drop R5D Albany, NY 12211-0800

• 

  Empire BCBS FSA

  PO Box 660165 Dallas, TX 75266

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:02/05/2025

  Type:Sales and Advertising 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.

  To Whom It May Concern,I ******* ****** want to file a formal complaint with the BBB against Anthem Blue Cross Blue Shield as a result of a new **************** Plan that they are selling that drastically limits ************ Provider options that are available for our child and an unknown amount of other families.I signed up for a Marketplace plan that looked like a better option for our family, however when going through the process in December 2024 our pediatricians office wasnt aware of this new plan that was being sold and that they were no longer an approved practice under this new Silver Value plan.The ********** stated they reached out to Anthem to get approved as a practice or provider and they were told they were not accepting ******* how are practices selected to be approved under this Silver Value plan? Why was there not an opportunity for the practice to apply to be part of the approved practices in advance of this new plan being rolled out?When looking at the list Anthem provided of approved ************ Providers, the closest option for our daughter is a *********** practice. Not even a **************** many other families are in a similar position?Now, due to the Marketplace open enrollment window closing, we are being told that were not able to make a change our daughters coverage back to the plan she just had not 5 days ago.The whole situation has a shady feel to it to me. The practice of forcing families to pick from plans that all of the information is not available for even practices to properly inform patients before plan decisions are made, and then after the fact its basically you get what you get and thats it.I hope to hear back from someone in your office at your earliest opportunity.Sincerely,******* ******

  Business Response

  Date: 02/05/2025

  Good afternoon, 

  So that we may locate the member in our system, please provide her 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:02/04/2025

  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 have health insurance through my employer. I did not at any point buy coverage through the *** marketplace. But blue cross double billed me, through my employer and the marketplace in January and February 2024. They refuse to acknowledge this problem

  Business Response

  Date: 02/05/2025

  Good morning, 

  We were unable to locate the member in our system.  Please provide the identification number for each policy, including the three-character prefix.  This information may be found on the member's health plan identification cards.

  Thank you, 

  ******** *.

• Initial Complaint

  Date:02/03/2025

  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 am the power of attorney for my mother, ******* *. *******. She is currently in an ********************** on private pay basis. I was made aware that several insurance companies including Anthem Blue Cross and Blue Shield had solicited her business by telephone. My mother signed up for several of these insurances multiple times which made me believe sales persons making the calls were making sales quota by any means. Enrollment in Anthem did three things. They send a monthly bill which she has no means of paying, they cancel traditional ********* and they dont cover all of her healthcare needs. She signed up for Anthem Blue Cross and Blue Shield on November 26, 2024. I took off from work on December 12 and 13, 2024 and went to the assisted living center where my mother lives and met with her as well as the Social Worker. We called Anthem Blue Cross and Blue Shield cancelling/disenrolling membership. We were on a recorded line requesting a letter verifying cancellation. We re-enrolled my mother in traditional ********* I shut off services to my mothers cell phone and took it on Dec 13. My mothers mail comes to my residence so she has no access. I eliminated ways for my mother to be taken advantage of by sales persons and solicitors. On December 17, 2024 my mother was re-enrolled in Anthem Blue Cross and Blue Shield without any consent of any kind therefore cancelling her ******** *he needs. The letter came early Jan 2025 stated she was re-enrolled by ******** and will begin coverage on Jan. 1, 2025 with no break in coverage. I took another day off January 30, 2025 and called Anthem with my mother and social worker. I began the call at 12:28pm and was transferred to 3 different people until 2:05pm. All refusing to cancel the unwanted insurance and no **** provided explanation on how she was re-enrolled until "loyalty department" who told me "Go Health" ************** had done it and they were not to blame. This is unlawful. They had no consent to initiate coverage.

  Business Response

  Date: 02/05/2025

  Good evening, 

  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:01/28/2025

  Type:Order 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 plan was changed on 1/1/25 to a ******** advantage plan from a medigap plan. Since then it has been absolutely horrible attempting to get care. All providers are supposedly "out of network" even though they are listed as "in network" and no home health agencies will start services without a written letter of agreement to the ******** rates. Anthem is not willing to do this for me so I am a double amputee stuck without home health care that I desperately need. I cannot get a home health agency to accept me under this plan. It is absolutely horrendous the service I have experienced. They blame the home health and the home health blames them while I am stuck without coverage. I wish my policy was never changed and my ******** remained the same under the government. ******** advantage plans are no good. All my Vanderbilt doctors were also dropped.

  Business Response

  Date: 01/30/2025

  ******* *** **** ****** ******** ****** ***** ********** *** ********* ******** ******************* **** ***** ****************** **** *** ****** ******* ********* ******* *** **** ****** ******** *** **** **** ********
  Dear BBB:
  This is in response to your correspondence dated January 29, 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.
  ******** ********
  ********* ******* * ******** *********** ******* * **********

  Customer Answer

  Date: 02/03/2025

  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:

  No One has contacted me. I have been without home healthcare for 10 days now despite needing it immediately upon discharge from hospital. No provider takes this awful plan and Anthem is doing nothing to help me the patient get care. They tell me over and over again I have the benefits but no one wants to touch them because Anthem has a reputation of not paying. I am incredibly upset I was switched to this ******** disadvantage plan. I had medigap that worked fine with my traditional ********. Anthem has destroyed my access to healthcare.

  
  Again NO ONE from Anthem has reached out to resolve this.

  Sincerely,
  
  ********* *******
  
  
  
  
   
  

  Business Response

  Date: 02/18/2025

  ******** *** **** ****** ******** ****** *****  ********** *** ********* ******** ******************* **** ***** ****************** **** *** ******  ******* ********* ******* *** **** ****** *** **** **** ********
  
  Dear BBB:
  
  This is in response to your correspondence dated February 14, 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.
  
  ******** ******** ********* ******* *  ******** *********** ******* * **********
  
  

• Initial Complaint

  Date:01/23/2025

  Type:Service or Repair Issues
  Status:

  UnresolvedMore 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 did a routine physical annual exam on Sep 2024, I confirmed with doctor several times, I only need "preventive annual physical exam", she was kind, said based on her experience, all she ordered were just routine exam, and should be covered by any insurance, nothing special. But it turned out I got a $55.2 bill for this routine check. it is not a big amount, but I do not think I should pay this by all means. I called in, the representative checked and said, the doctor submitted the wrong code, but after many back and forth, the provider believe they submitted the correct code, they said "please note, the lab is coded with Z00.00, this indicates the lab billed is preventive in nature". If Anthem do not cover preventive care they should mark it in their terms!My concern is not just this, I am health, I barely use health insurance. my concern is I will do annual physical check EVERY YEAR, I am entitled to do so. How should I do the annual physical exam? I have a master degree, but I, and I believe most customer, wouldn't understand your "code", we cannot check one by one, I simply request is just "ANNUAL PHYSICAL EXAM", why it is so difficult to get that preventive care??? It should be covered by all insurance. why Anthem is so special to let customer pay for the fundamental care?? How I can do the exam this year??? Do I need to go through this every year???or it is because I am a foreigner, so I am not entitled to get the minimal preventive care. Is Anthem Racist???I need an explanation.

  Business Response

  Date: 01/23/2025

  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,

  *****

  Customer Answer

  Date: 01/25/2025

  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:

  this is the additional info they requested. My member ID: *********, I also filled an appeal, here is the case number: ****************. attached the photo from the mail I received. Thanks!

   

   

   

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

  
  Sincerely,
  
  **** *****
  
  
  
  
   
  

  Business Response

  Date: 02/06/2025

  I am trying to load the file and the upload blocker will not allow the file to be loaded. I am unable to disable it to load the file. 

   

  Please provide an alternate way to provide the response. 

  Customer Answer

  Date: 02/09/2025

  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:

  [Your Answer Here]

  I don't understand what you mean. What file do you want to upload and where do you want to upload to? I selected the desired settlement as "refund" and "contact by the business". No one ever contacted me so far. Let me know any other information you need from me. 

   

   

   

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

  
  Sincerely,
  
  **** *****
  
  
  
  
   
  

• Initial Complaint

  Date:01/22/2025

  Type:Sales and Advertising Issues
  Status:

  ResolvedMore 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 had a annual visit to Dr. ****** ******. The insurance is not co-operating with me for charges. I call them more than 15 times to resolve my problem. Me and my husband both has annual visit to doctor together. The insurance company didn't charge anything for my husband and they are refusing to denied my charges which should also be deductable.

  Business Response

  Date: 01/27/2025

  Good afternoon,

  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.  Please note that the majority of the medical bill attached on January 24, 2025, is not legible.

  Thank you, 

  ******** *.

  Customer Answer

  Date: 01/31/2025

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me and the matter has been resolved.
  
  Sincerely,
  
  ******** ***
  
  
   
  
  

• Initial Complaint

  Date:01/17/2025

  Type:Service or Repair Issues
  Status:

  ResolvedMore 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 enrolled in an Anthem Silver PPO plan online throught CoverME 11/13/2024 and paid for Jan 2025 1st months premium.Anthem automaticlly enrolled me into a MEB / *** plan 1/1/2025.I have contacted them through chat, email, phone several times form 1/1-1/15/2025 letting them know that I am NOT enrolled in the *** plan, I do not have an outstanding premium due and my account ID cards should not have the incorrect plan information.They continue to report that with in 3-5 days this will be resolved, they will call me back with an update and not to worry. I have not received any call back. Their team is very busy, it will get done. As of today 1/15/2025 it still has not been corrected. They have "put in an urgent request"I have spent over an hour on the phone each call, message exct. requesting the incorrect plan to be cancelled and the one I have already paid for to be on my account. This has yet to be fixed. I have had 2 members with doctors visits, with more up coming. I do not have correct ID cards to provide to the ********* as "they cannot issue new cards until IT department has corrected this" Will this "past due" amount on a plan I don't have effect my credit?

  Business Response

  Date: 01/21/2025

  Please be advised authorization is needed before we can address the members concerns. refer to attached letter.

  Thanks,

  *****

  Customer Answer

  Date: 01/27/2025

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me and the matter has been resolved.
  
  Sincerely,
  
  ***** *****
  
  
  
   
  
  

• Initial Complaint

  Date:01/13/2025

  Type:Product Issues
  Status:

  UnansweredMore 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 have been enrolled in ************ since 1975. Recently, I was enrolled in a ******** Part D prescription plan, which resulted in being removed from the **** prescription plan. I have spoken with approximately 25 different representatives and was instructed to fax a form to opt out of ******** Part D so I could return to the same insurance Ive had since 1975. However, I am now being told that I have been placed in a different ******* a widow of a retiree, I was assured that this insurance would remain the same each year. I am elderly and struggling to get clear answers or assistance. I urgently need someone in the ************* who can help me resolve this issue and ensure my insurance is restored to its original status.

• Initial Complaint

  Date:01/09/2025

  Type:Product Issues
  Status:

  UnresolvedMore 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.

  In collaboration with the member, and with a signed form assigning us to be the authorized representative, we helped the member request an independent medical review- in response, the payer processed the request in a completely unintelligible manner- please see the attached despite following instructions on the 2nd level appeal letter. Payer may get in touch by email, phone, or through this portal. at the moment they've ignored a legal request for independent external review.we have re- sent the Independent external review regarding out of network services by certified mail- ********************** please get in touch by call or email

  Business Response

  Date: 01/24/2025

  Member authorization giving the BBB permission to act on the members behalf is needed prior to us addressing the member's concerns. Refer to attached letter.

  Thanks,

  *****

  Customer Answer

  Date: 01/27/2025

  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:

  Here is the attached AOR form- we helped the patient with the request for External Medical review, That what everyone is asking for,  Patient should not have to administrate their own healthcare in the first place. 

   Please send the External Medical Review request to your vendor for processing.. 

   

   

   

  
  Sincerely,
  
  ********* ******
  
  
  
  
   
  

  Business Response

  Date: 01/30/2025

  The authorization needs to be giving the BBB permission to act on the members behalf not the provider.

  Thanks,

  ***** *. 

  Customer Answer

  Date: 02/04/2025

  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:

  *****,
  
  this has nothing to do with the member- this is in regards to the processing of our insurance claim.
  
  please review the most recent response and explain. 

   

   

   

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

  
  Sincerely,
  
  ********* ******
  
  
  
  
   
  

• Initial Complaint

  Date:01/07/2025

  Type:Sales and Advertising 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.

  On 1/3/2025, I called the ******************** center because I noticed a charge on my *********** Benefits plan for long-term disability insurance. I had opted out of this coverage when making my selection through my employer for their health plans in collaboration with **********************. My health plan rolled over for the New Year, however, the ************* had been added on (while having no coverage from August 8 2024 - December 31 2024). When I called, the benefits center agreed that I had not made any changed to my health care plan by phone or email and therefore the plan should have simply rolled over. I have not made any changes nor would opt in for *************. Having acknowledged the mistake, they stated that they could try to take the charge away and that they would raise an incident. This is clear proof that the charge had been added on in hopes that it would not be discovered and as an attempt to scam. The process to remove the charge is long and could not be done on the spot. I am worried that if such a charge appeared out of nowhere for me, the same is being done to other customers. My account being rolled over and yet having a new charge is proof of an attempt to defraud instead of a potential mistake in inputting different selections (had I made changes).

  Business Response

  Date: 01/08/2025

  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,

  *****