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1.0 126 Reviews

Florida Blue Complaints Summary

0 Resolved
126 Unresolved
Our verdict: Engaging with Florida Blue at a 0% resolution rate requires careful navigation. Deep-dive into detailed customer experiences to uncover systemic issues. Critically assess their service descriptions against actual user feedback. When interacting, document every detail, as comprehensive records are vital in such scenarios. Exploring alternatives and understanding your consumer rights are crucial steps. If necessary, be prepared to seek external advice or intervention. In challenging service landscapes, informed decision-making and proactive steps are essential for protecting your interests.
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Florida Blue reviews & complaints 126

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Newest Florida Blue reviews & complaints

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10:11 pm EST
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Florida Blue - Health insurance claim payments

On October 4, 2023 I was let go from the company Lukos LLC I was working for. However I was still on payroll till the end of the month and paid for all my benefits till the end of October. Florida Blue stopped paying any of my drs visit which was still using till October 31, 2023. Anytime someone loses a job whether laid off etc. You have your benefit...

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9:44 pm EST
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Florida Blue Website and Customer Service

I made 4 phone calls and each time i was on hold for over 35 minutes with no answer. Due to other appointments and things going on, I couldn't wait any longer. This is supposed to be a reflection of the type of service I'm going to get ? I just signed up with Florida Blue and it's been nothing short of a nightmare !

The website is garbage. I can log on, but thats it.. Nothing.. just a big circle going around then a white screen with an error messages saying that they are a little "under the weather".. Can't do anything or view my coverages.. It's totally worthless..

God ! I hope that this isn't how my coverages are going to be. Hopefully, I didn't make a mistake and leave my other insurance for Florida Blue...

Florida Blue is leaving me BLUE !

Desired outcome: FIX THE DAM WEBSITE !!!

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1:37 pm EST

Florida Blue Health insurance

I called about my 2024 policy. I could not get through automated system. Won't take my information. 4 calls can't get it can't get it. Finally got a rep, repeated and repeated info, she hung up. Had to thorough phon maze again. Same bs can't get I can't get it. Got a rep took forever to find out what my new policy would cost. Very incompetent reps, put yo no hold a lot. No one knows any5hing. Most of the info is incorrect. Send you all over the place. Bad company poor trained reps, don't understand english. Repeat and repeat and repeat! Than hung up on. Took me over an hr, with the phone maze and incompetent reps.

Desired outcome: better way to contact the company, and get someone who can find my info

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11:30 am EST
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Florida Blue webside access

I had access to my son's account for a long time. He's underage. Suddenly, I can't access his information any more even if I'm his legal and financial representant. According to Florida Blue, I need to demonstrate our relationship no matter I registered him. I'm the policy holder, and the account financial responsible. According to the support department, I have to mail them documents and when they receive them it could take 3 or 4 weeks to approve it!

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11:30 am EDT

Florida Blue Customer service (the lack of)

I called oct 19 and 0th to get a new agent.
First the system is deplorable! Can't get your information.
When you finally get a rep. It s a non english speaking riued rep. They put you on hold very quick as they can. Never come back.
They find find your account, so they transfer you.
I'm a heart patient. Don't need this stress.
No one know what number to give you, or answer any question. Just out sourced untrained help.
They are dealing with people's health!
Very incompetent company, just rips patients off.
I can't a usa rep!
This company needs to be made responsible, for lack of customer service when dealing with people's health.

Desired outcome: A U S A rep, who know is knowledgeable!

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7:28 pm EDT
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Florida Blue Medication denial - lack of customer service.

If I could give customer service a MINUS 10 that wouldn't be low enough. Been trying for OVER TWO MONTHS to get a med I've been on for several years. Advised since the correct documentation wasn't submitted originally and it was denied it would have to go to FL BLUE APPEAL. Trying to get to that department - one could die before that would happen. CUSTOMER SERVICE not only INCOMPETENT, INEFFECTIVE, INSUFFICIENT & OUTSOURCED. It would have been CHEAPTER, less stressful and more efficient time efficient to pay the $1,200/month for Cobra. Med at $450/month PLUS the nearly $800/month for FL Blue = $1,250. Not a mathematician but my calculation reflects $50 LESS with COBRA insurance than FL BLUE. PLUS, DID I ALREADY SAY WHAT HORRIBLE, INEFFECTIVE CUSTOMER SERVICE FL BLUE HAS!

Desired outcome: The medication I've been on and proved to be more effective than others be approved.

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12:47 pm EDT
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Florida Blue - Primary care provider

A few months ago I have received a letter from Florida Blue Medicare dated 06/24/23 informing me about my new primary care doctor, which was assigned for me and which change I never requested (and by the way, this new doctor is 300 miles away from my home). This letter was followed by new membership card with new provider. I could not believe my eye...

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12:12 pm EDT
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Florida Blue - Claims appeal process

Florida Blue provides an appeal process that borders on unethical disallowing any direct contact between the patient and the Florida Blue Appeal reviewers requiring the provider of the services to directly contact the insurance company for details. In theory, this process may actually be effective some of the time, except when laboratory services are...

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1:10 pm EDT
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Florida Blue - Health insurance agents

Approximately two weeks ago, I called Florida Blue for an explanation of a billing statement. The gentleman agent reviewed the statement and said there was a billing mix-up, and I would see approx. $500 removed from the bill within a few days. After a week, I received a past due bill from Florida Blue but no changes. I called again and spoke to a different...

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3:26 pm EDT
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Florida Blue I need my son added on my 2022 plan.

I had a child on 12/27/22 and called the second week of January to add my child on my insurance so the birth would be covered AND I wanted to switch plans because I needed to add my husband as well. The customer service rep confirmed that she added my son and started the new plan for 2023. Fast forward to February and my husband was in a severe accident and admitted to the hospital. We found out we had no insurance due to the lady who supposably helped us did not submit anything. I found out as well she screwed my sons insurance up as well. I have submitted appeals and had someone from escalations department after I called the commissioner reach out and said Isaiah was added (April). I then had all the hospitals and peds office resubmit all the claims then come to find out in June he STILL was not on the insurance. I have called Florida blue over 50 times I’ve spent countless hours and time trying to get this fixed and it is still not resolved after 8 months. So I reached back out to the same woman and took several emails and another call to the commissioner for her to respond. She replied 3 days ago and said Isaiah was now added and should show up in the system. I called Florida blue again today and confirmed he was NOT added. I reached out again and she is now stating that since he was “allowed to be put on the plan after 30 days the system is not accepting it and may be my responsibility for the bills” NO! I’m not responsible. Florida blue is which I told her. I am not the one that didn’t do their job. I’m beyond frustrated.

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3:25 pm EDT

Florida Blue My insurance plan was cancel "due to be 60 years old"

My name is Marlin Mena

My insurance ID VMYH17827112

My address is:

166 SE JENESE WAY

Lake City, FL 32025

Mobile Phone:

[protected]

(Voice & Text messages OK)

Email Address: [protected]@gmail.com

I have a diagnosis of Cancer and Florida Blue cancelled my insurance and it is not accepting my payments. I have been able and willing to pay but they cancelled. When I called in February 1 they did not accept my payment. Later in April they cancelled my insurance however, the pharmacy is giving me my medications. But the hospital (my chemo treatment) and my counseling providers are not receiving payment. Since April I have been experiencing problems, still is not being resolved.

I need my insurance, and Florida Blue is cancelling me (maybe because they do not want to pay for my cancer treatment?). The information is not correct, and Florida Blue is violating my rights to have insurance.

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5:02 pm EDT
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Florida Blue Transportation

Hello. I have a wonderful caseworker named Andreina who unfortunately has to rely on a nurse named Candy to provide me with transportation to my Dr visits. I sent a message on April 27 for my May 2 appt.

Candy did not call me until 1 hour before my appointment, despite my messages and Andreina messages. Candy claims to have attempted to call me once on the 28 but my phone shows no missed calls nor messages from her. One hour before the appt she tells me my only option is to set up a Lyft account with a verified payment method then she will send me a code. I am homeless and not yet receiving disability and unable to provide a verified payment method on such short notice. Why didn't she leave me a message on the 28? Why didn't she call me again on the 1st? If my health is so unimportant to my nurse then why am I assigned to her? With a fractured tailbone and paralyzed hand I took two trolleys and one train each way. Standing room only.

Zoe Sparrow
Member Number
VMAH40746855
BC 090 BS 590
Rx Bin 012833
PCN FLBC
Group Number 99999
Plan Number
1410C
Plan Number
1410C

Desired outcome: $50 reimbursement

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4:22 pm EST

Florida Blue Hospital bill

On 10-18-2022 I went to Broward hospital Account number [protected] the balance I have to pay back is to Hight I call Florida Bleu the argent say they can't help me reduce the bill but it's too high and I can't pay it. Please I am looking for someone who can help me reduce the bill please.

I spoke to Anderson Y, he stated that he can't help me.

Please I am looking for someone who can help me please. ________________________________________________

Desired outcome: I would like the Florida Bleu to help me pay the $2,632.52 pleaseDate of service 10/18/2022 account number [protected] and 10/21/2022 account number [protected]

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11:39 am EST
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Florida Blue Complaint For PPO Not Covered

Case Num (C202303101241127)

My name is Clarence Bynes Jr

i am filing a complaint on Florida Blue about my PPO Service i am trying to

get authorization for my prostate MRI.my insurance you said that we did not need no authorization to see our Doctors. every where we go we have to have authorization for all apointments. we were told when we purchased the insurance it would need no authourization for anything. the people on the phone are rude and talk down to your customers i will be contacting an attorney about these matters. my life is in danger because of your action. i need the MRI for my prostate .

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5:52 pm EST

Florida Blue Coverage dispute

The only lab that Florida Blue covers @ 100% is Quest.

My physician ordered lab work today (2/23/23) to be done on a specific day (2/27/23)

None of the Quest Labs in my area have appointments available on 2/27/23.

There is a Sarasota Memorial Hospital Lab facility across the street from my employer but since Florida Blue considers this an “Out patient” facility I will be responsible for a $150 co-pay.

It is NOT an urgent care, or walk in clinic. All they do is labs.

My screening mammogram and DEXA were covered with zero copay.

Why should I have to pay $150 copay for labs ordered by my physician just because Florida Blue restricts where I can go for those services to a lab that has no appointments available and will not see patients without appointments?

I need someone to explain this stupidity to me.

Desired outcome: I expect the “co-pay” for labs drawn at a Sarasota Memorial Facility ( Sarasota Memorial is in ‘network’) to be waived.

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11:47 am EST

Florida Blue Customer service.

First my plans were suppose to be on auto pay and for some reason they didn't do that and my plans canceled. Then they said theyve never had auto pay on my account but theyve been taking it out my checking acct for years. I was able to use my plans at drs and pharmacies. Didn't know until I needed them at the pharmacy this time that is was canceled. Second and the worst part is customer service. They keep transferring you to different reps, you have to keep repeating your info, and you cant understand a word they say to even take care of your problem. Blue cross and blue shield needs to quit out sourcing our companies in America and hire people from here so we can understand the dialogue. This is ridiculous. I've had blue cross and blue shield for 25 years and it's never been this bad.

Desired outcome: None I've been on the phone for 2 hrs.

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3:44 pm EST
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Florida Blue Claim hasn't been paid after the appeal approval and other one is still pending a year later

Claim hasn't been paid after the appeal approval from May and other one is still pending and filed wrong from Florida Blue a year later. I filed a complaint with the Florida Insurance Commissioners office and the person replying on behalf of Florida Blue doesn't know anything about the claims and he avoids calls and emails. After telling me that he would help. I even supplied documentation obtained from Florida Blue and the customer rep can't seem to understand the problem let alone fix it. They need to hire someone who does. Pay the claims already. And I hope that the Insurance Commissioners Office fines them for their total incompetence.

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1:03 pm EST
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Florida Blue A doctor working for Florida Blue - Dr. Vanessa Antoine

My name is Taryn Harris, DOB 08/22/1956, of 2741 SE Grand Dr. Port St. Lucie FL 34952, and I was a Florida Blue Medicare customer until September 1, 2022. I was a patient of Dr. Vanessa Antoine at Women's Health in Jensen Beach, FL. I began complaining about pain and burning upon urination, along with abdominal discomfort and at times an elevated temperature. Dr. Antoine began treating me with antibiotics from December, 2021, and she continued to prescribe antibiotics well into the year until August, 2022. Never once did she have me take any tests to get to the root of my frequent UTIs.

On September 9, 2022, I went to Treasure Coast Urgent Care with acute pain in my left kidney, and I couldn't walk, talk or breathe without extreme pain. That day I was diagnosed with kidney stones, and I've had the stones removed on November 14, 2022, and the Urologist placed a stent in my left Ureter, and it's scheduled to be removed on December 16, 2022. I've been through a lot of pain and unnecessary discomfort due to Dr. Antoine's neglect and disinterest in me as a post-menopausal woman. I understand that I don't generate the profit that child-bearing women do, but I receive proper care.

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badgirl
Jupiter, US
Oct 26, 2023 11:25 am EDT

awful customer service, reps don't understand english. the phone system is a amaze.

this company should be made accountable, for their poor service.

i am a heart patient with a defibrillator. I can not be stressed, like i a when trying to contact Floida Blue.

Poorly trained reps. They can't handle complaints. 6here answer is to put you on old and disconnect you.

i can't a rep in the U S A!

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7:16 pm EST
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Florida Blue Medicare advantage

i actually have had reasonable good service from the company but they have a hard to use web site, keeps recycling back to log in and in past messages sent via there message page often gets ignored. i am very versed in computers and websites and find proper info hard to find, often i shut off and call

i do think there eyeglass benefit my dr accepts the medical part but not the eyeglass but the last glasses i went to there recommended optician they had big window ad 2 pair for price. but no i could not get that deal, extra for metal frame not designer, extra for progressive, and several other extras

with the allowance it was higher than sams club plus and i got it in my city

why cant i just send receipt in for reimbursement

Desired outcome: hopefully get new IT and make eyeglasses just a reimbursement

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4:28 pm EDT
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Florida Blue Jonathon customer service phone call on monday oct 24

Monday morning I called in to find out why my payment was not posted to my account and I had no insurance. I had been told that I was within the grace period and the prior rep collected five months of insurance payments from me, yet i had no coverage those months. This jerk continued to tell me that had i paid my plan on time it would not have been an issue. It also would not have been an issue if the payment was not collected when it was not going to be applied. Four times I requested his supervisor, he denied and said he could help me and i could oay more moeny for covereage to be affective nov 1. i declined multiple times - since there are not five months left this year a refund was always due yet he declined it because i was not okay with the new application of my prior payment. I could have had that money in my account for the last two months, but have not, and I also now have to wait another three more weeks because he was vindicitve and a jerk. he refused to let me speak to anyone else, he abused his rights and he tied up my refund. I then had to go to a local office to discuss with someone else, who could have issued a refund faster if he was not such and egostical [censored]. i was not provided the service i paid for so there should be no delay in my refund at all. it should be given as fast as it was taken.

an error was made by not me, yet he deemed it necessary to punish me. i was behind, and I then paid in advance. Maybe he should learn to treat people with dignity and respect if he is going to work in this field that is disgusting for him to put my financial situation that he knows nothing of as the issue - when the issue was improper policy followed and relayed information. i will be speaking to an attorney due to the affects this call has had on me and the fact that he had access to my records and tried to intimidate me and force me to a conclusion i was not okay with.

payment confirmation is [protected]

and the two ref#s i was given are c202219147257, c20221384772

T202219258769 was given when i visited locaiton

Desired outcome: refunded my money plus interest from the date it was withdrawn and should not have been, not in three weeks, now.

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Florida Blue contacts

Phone numbers

+1 (800) 352-2583 +1 (877) 352-5830 More phone numbers

Website

www.floridablue.com

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