Florida Blue cut my Primary Care Physician last September, while I was in the middle of scheduling major surgery. My PCP had been my doctor for more than 40 years. They then assigned me to some doctor in Palm Beach County, who knew nothing about me, and when I tried to schedule a visit, could only allow my first visit in February of 2025, which was unacceptable, and I told an agent in FB that. They then gave me a list of allowable PCP's in my county, I found one 1/2 mile from my house,
Clare Medica, and scheduled a visit with them. They gave me a basic physical. After the visit I called FB and told them I wanted ClareMedica for my PCP, and some agent (who, as I found out, was seriously uniformed) told me that ClareMedica was NOT in my plan, so I was forced to select another PCP, My Care Medical, and I selected them. I subsequently found out that ClareMedica WAS on my plan, and for some bizarre reason, when ClareMedica attempted to bill FB, they denied it, stating that I had selected the doctor in Palm Beach as my primary, which was a lie. ClareMedica has billed me numerous times, in spite of my complaining to my former agent in Florida Blue. I demanded that Florida Blue pay this invoice, since the mixup was totally their fault. This is unaccepted behavior, bordering on fraud, and I must demand they accept responsibility for their numerous bad decisions in my case (and others, as I have found out.)
Claimed loss: Per invoice from ClareMedica : $290.51
Desired outcome: Florida Blue pays the invoice from ClareMedica.
Confidential Information Hidden: This section contains confidential information visible to verified Florida Blue representatives only. If you are affiliated with Florida Blue, please claim your business to access these details.
After years of having the same doctor, they cut him off while treatment was still ongoing, forced you to a different primary care physician located hours away, misrepresented the network status, and are now refusing to pay the bill that resulted from their blunder. This isn’t simply malpractice — it's careless, also flirting with illegal scammers. They made the blunder, refused to accept your correction, then piled on the incompetence and expected you to pay. Persist further — the past isn’t theirs to alter just to avoid a payment.