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Blue Choice PPO / Poor customer service

1 P. O. Box 9907Columbus, GA, United States Review updated:
Contact information:
Phone: 1-800-441-2273

On May 1, 2009 I went to a Rhuematologist for pain. I have RA. He prescribed Celebrex and Darvocet. When I dropped off the RX, they told me that BCBS had put a hold on it - needed more info from the doctor. My doctor sent the info once on the 4th and once on the 5th. I called BCBS on Friday May 8th. They told me that it takes 3-5 business days. I was told it was not an emergency, and that I would know if they approved it by Tuesday. Well, here it is Thursday the 14th. I had to call the pharmacy and my Doctor. The doctor checked (for the 3rd time) and was told I was turned down for the medication.
I am a caregiver to a 4 year old - to me having medication helps me get through my day. Not an emergency for BCBS but pretty important to me. I had to wait almost 2 weeks for an answer and even then they did not notify my doctor or me. Poor Service

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Comments

  • Fa
      17th of Jun, 2009
    0 Votes

    You have the right to appeal any decision made by the insurance company. They may not tell you that, but they are legally supposed to tell you.

    If you cannot get them to explain to you how to file an appeal, you can contact your state's insurance commissioner or insurance regulatory agency. This is their job... Insurance companies do this to people all the time. Don't let them get you.

    They profit because most people don't bother to appeal their wishy-washy, fraudulent decisions that are based solely on their profits... and not at ALL on positive patient outcomes

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