Anthem Blue Cross Blue Shield
reviews and complaints

I have filed several claims with your company. Instead of paying for your clients services, you send back petty reasons why you won't pay. I have sent the same claims to be paid, and your company finds one reason or another not to pay these. Stating that I haven't filled out the form properly, but I have. This is ridiculous. I want payment in full for the services rendered. ASAP.

I received a $150.00 Visa Debit Card approximately 12 months ago. The card is valid through 01/2023. I received the card for having a Wellness Check and other procedures done. I tried to activate the card on the website on the card and it would not activate the card, so I called the number given on the card and that would not work. So I called the customer service number on the card and the person I talked to told me that the card was never authorized, but there was no reason given for deauthorizing the card and that I would have to call Anthem. The case number was CS6002438, the call was placed in November 2021. I called Anthem support and the person told me that I needed to go to the website www.MCROpgm@anthem.com and I would be able to resolve the issue at this site. I put the website address in but there is no such website. I've called back to the support number, left a message, no return call, no help. I would like to resolve the issue, it's $150.00. My wife had $250.00 in multiple cards which we used no problem, I had another $100.00 card which I used no problem.

Anthem requires you to use Ingenio specialty pharmacy for any specialty meds. I have multiple sclerosis and need my medicine ASAP. Ingenio has delayed my medicine for 9 days already and every time I call there is a new reason why my meds can not be shipped. Anthem has been no help at all. They did file a grievance, but the result was me NOT receiving my meds. I was told I could pay out of pocket for them at my old pharmacy which is $5, 000. I have been filling my prescription at walmart for the past 2 years and never had an issue. Anthem lies and tells you a supervisor is going to call you first thing in the morning and they never call. If you have major health concerns and are on life changing meds, do not use anthem or ingenio. They rather see you in the hospital than to help. If someone reaches out to me I have a 1000 word letter that explains in more depth.

I have had a BCBS plan of 6years before this with no issues but recently had to go to the HMO due to hardship. I went to the marketplace, as requested, got a plan that was similar under BCBS because I had been satisfied previously. However, It has been been nothing but problems, an absolute nightmare. They gave me two separate plans. One for my child and one for a minor child which I have never had ANY visibility for EVER. Just pay this and no you cannot look at anything, nor can you choose a doctor, no we cannot merge her account with yours, no she is a minor so she cannot create an account, and I have to call and wait over 45 minutes to even get a bill handled every single month. This only to have the person on the phone add, " Why don't you use the app?" To which I quip, " Because you said yourself I cannot create the account remember?" Oh yeah... as if they forgot the problem! The very first bill I paid at the market place got "confused" and charged strictly to only one of the accounts. The other account "lapsed". Big surprise! Ok so I call and customer service say they can separate but both accounts will "lapse" and coverage won't begin for another month. Not acceptable, this is not my error. I stop him in his tracks finally and say hold it. I will pay the other, but one account is paid ahead now.. correct? Yes. Okay, so I pay to avoid any more confusion. He says he fixed it. Nope. Exactly 28 days later I am having the same problem. I need to call to pay the bill, they show no bills paid even though I have the bank records which they suddenly find after I relay the information and I wait long hours. To make matters worse 45 days later I get cards with the wrong Primary care Doctors on them. Really? So now how do I fix my daughters when I called to TELL you her doctors. On mine I can go into the app but it doesn't fix my card because you saw fit to add a doctor I don't see? Killing me.

This plans list of doctors that take the insurance is totally wrong. I have looked for Dermatologists on this list and cannot find one that actually takes this plan.
I have tried to get on a live chat with them to find a doctor that actually takes the plan and guess what. The chat was terminated. When I went back in to renew the chat the website that the chat system was shut down.
This is the transcript:
Jo Yohn: 9:36 AM ET
I just went to my appointment at Susan B. Oh, M.D. 1515 RIVER PL STE 300 BRASELTON, GA [protected]. When I got there they said they did not take my insurance. This doctor is listed on your anthem web site. None of these doctors accept my insurance. Why are they on the list? I need a dermotologist that accepts my Bronze Pathway XHMO 5600. Can you help me?
Agent: 9:38 AM ET
I apologize for the inconvenience this provider search cause you. No worries I am here to assist you.
Jo Yohn: 9:52 AM ET
Can you tell me of a dermatologist that takes my insurance?
Jo Yohn: 9:26 AM ET
I would like to chat about Other/General Service

I have tried 6 other doctors on the list and none of them take the insurance.
3 from Braselton, GA. and 3 from Buford, GA.
Their list is a misleading and fraudulent list.

I was treated for a bite from an opossum at the Westmoreland Hospital, Greensburg, PA 15601 on 9/27/2019. The claim was submitted by the hospital to Athem BC/BS and a payment was made by them. I was required to have 3 follow up visit for the rabies shot treatments on 9/30/2019, 10/04/2019 and 10/17/2019. The "Total Patient Responsibility" at the end of December 2019 was $2, 266.63. I paid off this debt in full on 9/21/2020.
I'm now being rebilled by Westmoreland Hospital for an additional $6, 929.46 on a statement dated 6/10/2021. I contacted the Westmoreland Hospital billing department today on 6/21/2021 and I was told that the insurance company has made a retraction of the payment made on the original claim. I have contacted Athem BC/BC and tried to get an explanation and have been unable to get a customer service representative to help find the reason. Let alone they aren't able to find the original claim even though I provided them with a claim number. The claim number that I'm providing them is listed on the "Athem BC/BS Explanation of Benefits Payment" date 10/18/2019 is Claim [protected]. I've asked them for the codes being denied or retracted and they are unable to give them to me.
After being on the phone with 5 different BC/BS representative I was asked to email to them the "Athem BC/BS Explanation of Benefits Payment" and my current address. I asked to speak to the last person's supervisor and after being on the phone with them for 2 1/2 hours I was disconnected.

The email address that I was given; [protected]@highmark.com,
My current address is 6145 Victory Dr., Ave Maria, FL 34142.
Cell phone # [protected]

I had implants done and then my plan they said they cover up to two implants on graphic and anesthesia now the local union 804 Teamsters Eyeworks for United parcel service for over 16 years now I have this work done I don't expect them to pay the full amount but to pay something they told me that they're not paying me anything when I have 100% dental coverage now I'm gonna have to tell all the members how they're lying and I'm thinking of filing a lawsuit against Union and Blue Shield Blue Cross

I received my new card after enrolling again this year with Anthem (card
photo attached). I have been a patient of Dr. Helen Riegle for a number of years. I saw her 12/29/20 and just received a bill from IU Health dated 3/11/2021, today in the mail 3/23/21. The amount owed is $112.00. I have been told by a representative that Anthem has assigned me a new doctor way up in Northern Indiana about 32 miles from me. (64 miles round trip). She said that my doctor was taken out of our plan last year in September.
I now have 2 problems.
1. I went to my doctor when she according to Anthem was in my plan but am now oweing $112.00 to IU Health (which by the way is where my husband goes for his doctor's visits.)
2. According to Anthem, I have been reassigned a doctor. And a few weeks ago sent a new ID card with a D. Miller as my PCP, whom I have no intentions of driving an 1 12 hrs round trip to see.
Something needs to be done about both of these issues.

I have been working with most insurance companies regarding patient benefits and what requires prior authorization. Far too often, a rep will bring me on, ask all needed verification questions, put me on hold for 20 min, then come back on the phone and verify the same questions to repeat the process until over an hour goes by... Not even satisfying my reason for calling in the first place. If I do receive any information, it's different from department to department, depends on who you are speaking too. No one is ever 100% sure what is going on with insurance plans or guidelines.

I feel they do this on purpose to make people give up on anything with them. It's not just anthem, it's almost all insurance companies. It's so sad. It's too bad there are too many incompetent people that represent this company. They deter you to make you give up, and that is why half the claims will not be paid from insurance companies.

The department has denied an out of network residential facility, Beachside Teen Treatment Center in Malibu. I have been denied several in network residential programs in the past month. Those programs have not accepted her into their programs, such as ;ROWI, Destinations for Teens, Evolve, and Newport Academy.My teenage daughter is in crisis since November 11, 2020 and has been in three hospitalizations, residential program, and PHP. Since her discharge from Canyon Ridge Hospital on January 29, 2021, my daughter has been without medication and treatment. I have not been able to get the help I need to provide the urgent care my daughter is in need of.

Sincerly,

Fatima Grayson
[protected]
[protected]@yahoo.com

Anthem has been wrongfully denying multiple patient claims for XDL plans stating prior auth through AIM is required, when no auth is required for California non-medicare plans. We have called customer service and they tell us to appeal. We have reached out to provider relations and no response to email. We just want them to fix the erroneous denial internally so our claims can be processed without having to call customer service each time.

Patient needed prior authorization for medication. Process is so poor and inefficient that different medication needed to be sent in for patient . The process is so long that I had to hang up and see other patients. It would be much more efficient to speak to a human being. The date is 2-9-2021. 1340 hours. Directed to multiple numbers and departments with no resolution.

My Ventra card has been suspended before time in the negative of $7.25 due to possible double tapping due to the card not tapping the first time around
Also I need to no if I will receive a new card every month or will it be reloaded on the same card every month
This Ventra card I have now is a 30 day an doesn't expire till 08/38
My Ventra card # is
[protected]
& my cvv# is
484
I need this to be addressed an fixed so I will be able to get back an forth to my program an other meetings an appointment's please
You can contact me @
[protected]
Willie Harris

Customer service always points the finger to fssa (county office and vice versa). I have plenty of outstanding medicals because of this which falls on my credit and me with plenty of medical bills I have to pay back.. The medical insurance representive do not know there job! Why should I be responbility for services I didnt know the insurances wasnt gona pay. If the doctors charge something and insurances doesnt pay the patient should know right away not when they get a bill in the mail. The insurances only takes information straight from the fssa which fssa made a mistake and now I have to wait for changes to update. The contracts between doctors and health insurances is never up to date there goes more medical bills for me. Which I have accumalate medical bills that could of been prevented. Customer service always rush you off the phone, never has answers to my questions, never fix a problem, and everytime I call medical insurance I am always on the phone getting transfer all over every dept., or system is down and what do you know its been 2hrs on the phone with healthy indiana and nothing got solved! Customer service are not compassionate, or educated on there job duties. Please contact me directly for further inforamation or questions I have plenty of doctors bills. And conitnue to get stress out when I have to call medical insurance
Sarah
[protected]@yahoo.com [protected].

Called today Sept 27 for our patients. S/w Herlyn (I am not sure if this is her name and from Phils). I told her the automated or IVR was able to pull up the patient before I was transferred to her. She said there is no dental coverage found. Yur representatives have poor manners and dont have sympathy on callers. Not only this agent. Everytime I call Anthem its dreading and I dont like calling your customer service hotline. They cant even tell me why the automated was able to get the member's family plan. Pt. Reynoso, Ivan.

Its been 4-5 months calling to Anthem CA on [protected],

They took maximum time to provide claim status, and also don't bother about provider concern

No Enthusiasm on call always took 15-20 mins hold to each DOS

sometime get anger on call and start asking unwanted questioned, to irritate the caller

Executive don't bother to took a step and resolve the issue .

Sometime they disconnect our call if we asked to help with some other issue

Reason unknown first premium wasn't paid, Anthem CS refused to renew healthcare. I, my mother and Covered California rep were on the phone after many calls of statements Blue Cross Anthem could not renew though a letter was sent they would be happy to help me. Covered California said Anthem is the only one can renew. Anthem said this was untrue. My mother says where is the late bill, 2nd month bill or letter from Covered California of no coverage renewed with paperwork printed? A letter comes mid Feb dated Feb 9 2016 the policy cancelled to call to renew with premium. I called was told the policy cancelled on Feb 10 2016. I then am told by another rep the policy cancelled on Jan 1 2016 effective date. Last supervisors Andrew and Jessica were very mean. Finally Jessica said she would submit for renew, call me Feb 25 2016. She didn't. No note mentioned. I called Feb 26 2016 escalation team would send her a message. She would call that day, She didn't.

I'm constantly being ignored by the Insurance Commission regarding the complaints I had againt Anthem Blue Cross Insurance for taking my payments PAID IN FULL for each and every billing they provided to me in a timely manner. I didn't receive my original policy - which turned out to be worthless - and asked to update to a new policy - where I didn't receive the policy for that either - plus Anthem kept billing for the OLD (useless policy) and even CREDITED my payments toward the next payment when I attempted to pay for the newer (more expensive ) policy - I NEVER received a policy for until it was sent to me "AFTER THE FACT" via email by the Insurance Commission after Anthem already CANCELED by policy in Feb 2013 (for non payment) after they received each and every billing up to Jan 2013 which included Sept, Oct, Nov and Dec 2012 and the canceled check for each and every payment IN FULL included with each and every billing for the same amount .
I can't help they IGNORED my TWO written letters, and than back billed me for the more expensive coverage only after I submitted bills from Jan 2013 - my appointments were COVERED and left unpaid by Anthem - I also sent Anthem a certified letter canceling my insurance AND requesting a full refund within the 30 days of my receiving my policies (from the Insurance Commission) Anthem also ignored that request and didn't refund my money OR pay my test bills they advised me was covered!
I'm just IGNORED and can't afford to hire an attorney to get justice - since all attorneys I seem to see only deal in personal injury
Can you make a suggestion or send me to the right goverment agency to resolve this ?

Deceptive Trade Practices and Fraud: Anthem Blue Cross and Blue Shield, Los Angeles, CA

Earlier in the year I saw 2 doctors that pre-certified my insurnace overage. 2 months ago I recieved EOB's stating they would not pay based on the information they had re: other coverage. 1 month ago I received a survey re other coverage that I used to state there is none and mailed back at my expense. This week I received a EOB stating that they are denying payment for failure to provide requested information on other coverage, and that I would have to appeal for further consideration under ERISA have and still collect my premiums.