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Blue Cross Blue Shield Association [BCBSA]

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Customer Service

+1 888 630 2583 (Customer Service)
225 North Michigan Ave.
Chicago, Illinois
United States - 60601
Washington, D.C.
1310 G Street, NW, Washington, DC 20005

Complaints & Reviews

Resolved staffed to bill, but not staffed to provide us with the services paid for.

My company recently changed insurance providers to blue cross and blue shield of michigan. As requested by...

my leg is falling off..

My leg is falling off.. Wellmark blue cross is denying service *very time sensitive* *immediate...

insurance fraud

I suffered an injury on the job on 10/09/06. I was hospitalized on 10/12/06. The injury and complication...

Resolved unwanted advertising

We just received (each adult in the house got a separate one) a huge heavy envelope full of unwanted paper advertising which claimed that we had requested. I see this as an attempt to bludgeon us into accepting this unwanted service. We would like to protest the killing of trees for this specious purpose.

Thank you,

Jim and marie fenn

  • Ge
    Gerry Howard Jul 31, 2019
    This comment was posted by
    a verified customer
    Verified customer

    i spent 3 hours this morning trying to navigate through several live voices and a dozen or more recordings trying to get a pharmacy exception done for my much needed diabetes med. After being on hold for hours hung up on my the system 4 times, jumping through many hoops, the last rep told me it was impossible without a doctor who just left Alabama who called in my script having an open practice after retiring here last month and moving out of state.
    His license is still valid in Alabama. So, my question is, was I refused on the drug merits or the doctors location?
    Further, the last ID cards sent me have invalid contact numbers. ?!? The reps I talked to today were either not trained well or too lazy to help me. I have been a BCBS customer all my life, I do not feel that I have been treated with respect, or a willingness to help me live with the drugs prescribed. I honestly believe the system is "rigged": to make us give up.

    0 Votes

refusing to pay doctors under contract agreement

I was in a bad car wreck and the accident was not my fault. I was hit head on by the on comming car. They said the hit was compared to hitting a tree at 110 miles and hour. I have alot of injuries and my health insurance is refusing to pay alot of my bills. Wal-mat blue cross blue shield of alabama says it is not covered by my health insurance I have thru wal-mart. Yes I am a wal-mart employee. I have been fighting with them over this and they are still refusing to pay these bills. Remember I am a wal-mart employee and I they do not pay well at all. On top of all this I can not pay these bills my-co-pay is 20% but I am getting bills for over $1,000.00's of dollars because they refuse to pay my bills and when I go to the doctor I am forced to pay or they will not see me I have to put this on my credit cards and now I owe thousands of dollars because of this!! I need help and I need it fast!! They have also told me several lies on why they do not pay the bills and says it is not covered by the policy and there is nothing in the policy on this at all what am I to do.

  • No
    Nothanksenoughcrapalready Feb 09, 2012

    BCBS of AL is not in the business of healing. They are in the business of greed. If that adversely affects your life, that's fine with them, since they will find a reason not to cover just about anything.

    If your med is too expensive, they are fine with you doing without it, regardless of the consequences to your health. They also grant you the option of trying out new and exciting meds, enjoying the pleasures of possibly ineffective meds and/or severe side effects.. then.. if you ask nicely, you can jump through numerous hoops, send in all the right forms, then *maybe* some clown 100s of miles away that's never met you, never seen a single test result and never consulted with you will make the determination as to whether you are allowed to have potentially life saving meds. Best of all, we get to pay through the nose of this level of coverage/service.

    If BCBS of AL burned down tomorrow, the world would be a better place. They make ### look friendly and helpful.

    0 Votes

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bait and switch!

I got a quote over the phone for health insurance for $185 per month and was told that I had to pay for 2...

Resolved repeated denied claims!

I just recently had my braces removed. It was tough having them as an adult, but when I was a kid, even though I needed them, we couldn't afford them.

As an adult, working a good job, making decent money, I was able to afford them. My dental insurance was through premera blue cross.

The insurance plan for the company I worked for had an orthodontics benefit with a maximum of $1500 paid out. The way it worked for insurance was there was an initial fee of $250 from the orthodontist for when the braces were put on my teeth, followed by a $50 charge each month for an adjustment.

The $250 initial charge was covered by insurance no problem. The first $50 monthly charge was also covered, no problem. Then the second month, I received a statement saying the $50 charge had been denied due to me reaching the maximum benefit what world does 250 + 50 = 1500? I called them and they apologized, and corrected the error.

Two months later, the charge was again denied for the same reason. Once again I called them and they apologized and fixed it. The next month, again denied, same reason. This happened every couple of months over the course of two years. About every other month on average, they'd deny the claim saying i'd reached my maximum benefit and each time i'd have to call them to correct the issue. Each time the person I talked to would say the same thing "I don't know why it denied your claim. We'll fix it." but obviously they weren't fixing the root problem.

Now to me, this doesn't seem like a mistake. Once or twice would be a mistake. This seems more like a policy. Why would they do such a thing? I don't know. My guess would be that a certain percentage of people simply pay the bill rather than call the insurance company and argue with them about it. If that's the case, then this would clearly be a case of fraud.

Or maybe their system is just so screwy that they can't add simple numbers like 250 and 50. Admittedly this could have been much worse with them completely refusing to pay the claim even after I called. But still, I know most insurance companies are reluctant to pay out. After all, they're not a charitable organization; profit is their primary goal. The repeated denials just make me very suspicious of the way this company does business.