Anonymous
map-marker Sanford, Florida

Bad work environment, people

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Have to warn people about the sanford florida blue office, located in sanford, florida which is part of orlando. They hire agents to work for them and it's a really bad place to work, along with a lot of discrimination, lying, broken promises and unethical management. They're located across from the courthouse. Working there was not good and it was a mess really. They have no organization and really screw agents over. They lie about when you're going to get paid and who knows if you'll even get paid. They lie about everything. Don't make the mistake of dealing with these people they're not good or professional. I saw a lot of questionable things go on there and managers do a lot of bullying and so do co-workers. It's just not a place you'd want to try to work if you're an honest person. I've worked for other companies and it's not like this at all. Letting other people know about this.
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Reason of review:
Bad quality
Anonymous
map-marker Saint Petersburg, Florida

Cacellation Problems

Signed up for Obama care through Florida Blue. 2014 passed and I resigned for 2015. In March 2015 I was alerted to the fact I could and should apply for VA. I was accepted with VA mid March 2015 and made several attempts to contact Florida Blue customer service along with the Federal Marketplace and let them know I now was being covered by VA. After at least four phone calls to both Florida Blue and the Market place, they keep insisting I am a member and now are sending me bills ! A Cease and Desist was sent !
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Reason of review:
Problems with payment
1 comment
Guest

Problem is they are all 'robots' now . If there is an issue, it generates a letter, there is absolutely NO SUPERVISOR to speak with (blue cross of northeastern pa office), and they just DROP YOU WITH NO NOTICE but a letter yoiu receive 15 days later !!!!! This company is worst, can't wait to switch next year.

Anonymous
map-marker Jacksonville, Florida

Cancellation of policy without notification

I am a Florida university system retiree, and have had BCBS as my secondary insurance since retiring in 1998. Premiums have been automatically deducted from my pension each month since retiring. Suddenly, in January of 2014, the HR department of BCBS, People First, stopped deducting premiums and my insurance was cancelled. I was not notified, and only learned of the cancellation through my doctor's office as I was planning surgery for the end of January. It is now the third week of February, and the situation has not yet been rectified. I was told by People First that there was a "system error." I have made multiple phone calls, reimbursed non-deducted premium amounts twice (they miscalculated amounts and cancelled me for the second time without notification), bills from my doctor and surgeon for services denied by BCBS, and encountered HR employees who seem to be clueless. I will never again trust BCBS.
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Loss:
$734
Reason of review:
Poor customer service

Preferred solution: Let the company propose a solution

Emilyann Thw

Poor customer service ability

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Called on behalf of my mother, wanted to know why they charged her after we had already canceled her account. The lady on the line by the name of "Dell" said she was gonna transfer me over to billing. Instead of actually transferring me over to that department she hanged up on me! When I called back it was already closing time on their side (suspicious) so I couldn't get ahold of them again until tomorrow. What's really sad is that followed the phone menu to get to the billing department, but they I still had to be transferred regardless.
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Cons:
  • Being ripped off
  • Customer service
  • Being mislead
Reason of review:
Poor customer service
Makaiya Vpy
map-marker Spring Hill, Florida

Cancelled Insurance

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I am having a huge issue with BCBS. A BCBS rep came out to our office in 2/2104 to sign everyone up with insurance. Due to trying to put everyone through the marketplace she was having great difficulty with the web site. When she tried to sign me up she kept getting kicked out of the marketplace. She continued to try to sign me up for a policy with no luck. On March 24, 2014 I went to the BCBSFl site and signed up for insurance without going thru the marketplace as I knew I was not eligible for a credit. On March 24, 2014 I signed up for a policy the All Copay 1424 costing me $631.14 per month. I paid my binder payment on that night. I continued to pay my monthly payment of $631.14. With each bill I received it said I owed $1262.28. I called BCBS and they kept informing me it was probably an "oversight" and that my policy was active. I continued to use my insurance and on 8/8/14 I went to my PCP for hip pain. She prescribed medication for this pain and when my husband went to CVS to pick up my prescripitons he was told my insurance was "INACTIVE". When I learned this I called BCBSFL and was informed my insurance was cancelled due to nonpayment of premium. I informed them that I paid my premiums on time every month and had the cancelled checks to prove it. They told me to fax them the cancelled checks and someone would be in touch with me. On 8/9/14 I received a letter from BCBSFL stating my insurance was cancelled on May 31, 2014 for non payment of premium. I was confused because my policy was not effective until May 1, 2014 and I have paid all my premiums. I faxed all correspondence to BCBSFl several times, have spoken to many people and nobody can give me a straight answer. I have now filed a complaint with Congressman Nugent, the CFO of Fl and have sent copies of all documentation to the CEO of BCBSFL. Here it is 10/17/14 and I still have no answers and still have not received my June payment of $631.14. This is totally amazing and disgusting. My next step is to try to find a attorney who will not be afraid to fight against BCBSFl.
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Loss:
$2300
Cons:
  • Customer service sucks
Reason of review:
Poor customer service

Preferred solution: Full refund

Anonymous
map-marker Miami, Florida

And they still keep raising premiums

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Speaking with representative from Blue Cross Blue Shield: Me: so patient paid for her procedure and then did a chargeback, got her money back fraudulently and you are telling me she is still getting full credit towards her deductible? Dianne (supervisor): yes Me: this doesn't make sense, why would someone commit fraud, not pay, but get full credit for payment (especially after the proof of lack of payment)? Dianne: no matter if she pays or not she still gets full credit as if she had paid Me: can I speak to the fraud department? Dianne: we don't have a fraud department Me: no wonder you lose so much money...because you're enabling fraud. I really think you should stop raising the premiums for other patients for the loss caused by your own ignorance, and by the loss caused by the credit you give to those irresponsible people who don't comply with their payments. A lot of people struggle to make their payments and pay responsibly, and they are getting less benefits than those who steal, and you know it, and you don't do anything about it other than let it happen.
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Jassiah Tsr
map-marker Jacksonville, Florida

Cancelled and still being billed...

I began coverage in 02/2014 with BCBSFL. Used their website to locate a Dr. who told me, after several visits, that he did not take my insurance, leaving me with several thousand dollars of bills. I made payments for February, March & April and discovered in April, when I went to refill my insulin prescription that my insurance had been cancelled on March 31. I contacted BCBSFL to discover that yes, my policy had been cancelled for non payment in April. I explained that sent April's payment and they discovered that I had so, they stated that they would send me a refund for that payment. Several weeks went by and I received no payment, no calls from BCBSFL, still no letter stating that I had been cancelled. I contacted the marketplace and was advised that I had been terminated wrongly by BCBSFL so they did a review and I was told my insurance would be reinstated. I spoke again to BCBSFL, who was not contacting me mind you, and was advised that yes, my insurance was reinstated. So, back to the website to find a doctor. The address of the office was incorrect on the website and then, when I did locate it, across town from where it was listed, I was advised that my insurance card was inactive. I contacted BCBSFL and they verified that yes, my insurance was inactive due to bills I owed for the months that they had cancelled my insurance. WHAT??? I was cancelled and had no coverage at all, how can you possibly charge me for a service that you were not providing? Terrible, bad, horrible experience. I will never deal with them again and would strongly recommend others not do business with them either.
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Loss:
$2300
1 comment
Guest

I would be careful who is doing claims most are temps being thrown into it has no prior experience

Anonymous
map-marker Inverness, Florida

Pays only what they want.

It seems that the new law (Obamacare) does not apply to BC/BS, since they will only pay for the medicine if they feel like it. What good is it to be paying for an insurance policy that will denied you coverage when they want to. My wife need it a medicine,it was a little expensive,$33.00 and they simply refuse to pay for it, no explanation given. This is one real *** insurance co. how about obeying the law, and doing what is right for patients,after all they get from $400.00 to $600.00 dollars every month and then cant evn cover a small amount like that. Shame on you BC/BS. If you cant do whats right, then get out of the insurance business.
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Loss:
$33
Reason of review:
Poor customer service

Preferred solution: Full refund

Anonymous
map-marker Miami Beach, Florida

Insurance Review

The worst co around give u very little for amount u pay
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Nancy Harvey
map-marker Jacksonville, Florida

Denial of inpatient rehab

Mom in hospital one wk due to flair up of CHF, MD @hospital agrees inpatient rehab would get her able to help with transfers. Emory Midtown started process on 2.25.14, call to BCBS of GA SHBP, their phone /fax lines were down ALL day Tues. Nothing on Wed, calls placed to case management @ BCBS, no help. Thurs morning BCBS rep CALLS Mom, wakes her up & tells her BCBS has denied her admission to inpatient rehab and that her needs can be met by non-skilled persons at home. BS - she is weak from being in the hospital 8 days, needs muscle strengthing and to increase her endurance. Have talked to hospital MD, he was to call BCBS of GA SHBP & request an MD to MD review / appeal. Waiting for results. SHBP forced retirees to sell their Medicare ben3fits to PVT for profit companies several years ago, provider has changed each and every year and become more difficult to deal with.
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5 comments
Guest

NOW BC/BS says mom is in custodial care (ie a nursing home) and she is not! And the BC/BS physician lied on the peer to peer denial saying the attending physician agreed that she didn't need sub-acute care.

So now we go back for ANOTHER round of peer-to-peer. Meanwhile, Mom is in the hospital for ANOTHER weekend.

That's MUCH more expensive than sub-acute care. Where's the savings, Mr/Ms BC/BS????

Tanishka Bix
reply icon Replying to comment of Guest-789717

I don't know if this'll help any, but when I worked in a surgeon's office sometimes there would be situations where we would have to use certain codes (for insurance billing) that we normally wouldn't use so that the insurance would actually pay for the procedure. For example (and this is totally JUST a made up hypothetical scenario), say a Medicare patient who has a personal history of breast, bone, lung, and liver cancer gets referred to a neurologist because recently she's been feeling dizzy, tired, generally unwell, and having some unexplained vision and hearing problems.

Let's say the patient had a CT scan of her brain a year ago as part of a check up for one of her other cancers. Let's also say this patient's mom and grandma both had brain cancer at some point in their lives. Now the neurologist wants to do either another CT scan or an MRI of the patient's brain. Ok, given all that Medicare might refuse to pay for either a CT or an MRI because the patient just had a CT (and medicare only pays for 1 scan every 2 years) and all her symptoms aren't cause enough to warrant another scan (in Medicare's opinion, not the doctor's).

So the doctor might also add that the patient has headaches because the code for headache might be an acceptable enough reason in Medicare's eyes to allow another scan.

I tell you all that because maybe it's possible that someone at the hospital was trying to help get your mom where she needs to be and so they were coding things differently (like using custodial care instead of whatever other code they'd usually use for a rehab place).

Also, in peer to peer is it your mom's actual doctor talking to an insurance comp MD or is it just your mom's chart given to an unidentified insurance comp MD or possibly nurse?

Tanishka Bix

Hmmmmm, that's interesting. I thought obamacare was going to put an end to all the healthcare woes in this country.

Guess not.

I hope everything works out with your mom. Dealing with insurance companies can be daunting.

You should probably look over whatever they've mailed your mom or maybe what's online that gives a detailed explanation of what is and isn't covered in her plan. You don't want any more surprises.

Nancy Harvey

No and will not. Their med ins is tied to state pension plan. Besides guidelines for medical care & meds for seniors is worse under ACA.

Tanishka Bix

The president says that obamacare is the best deal out there. Have you tried that yet?

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Gregory Ali
map-marker Tampa, Florida

BCBSFL and CARECENTRIX the WORST

BCBSFL has been my provider for about 6 years and I have always liked the service...Enter Care Centrix

everything became a nightmare. I was recieving my Cpap suplies from a well known supplier and they would mail me a card when it was time to replinish and I would go on line and place my order....supplies arrived like clock work.

Until about 8 months ago..card would come ...no supplies...finally I was told after three months that this company no longer has a contract with BCBSFL...So I called BCBS and they said I had to go through Carecentrix...well it has been another 5 months and still no supplies...after 20 or 30 phone calls all lasting over 1 hr...still no supplies...It is like they read a script when you call. They all promise that they will personally see this through to the end....After my call today and about an hr on hold and the promise...I get a phone message from the man that was working on my case the last time I called ...sounding very put out and stating that he tried to help me last and he would try again....but that they did not have the Rx needed to fill my Cpap supplies....funny the woman I talked to today said they had everything they needed....This is the worst company I have ever dealt with and I can not wait until the open enrollment hits so I can leave BCBSFL...It is very sad that these company get to steal our money

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6 comments
Guest

Absolute predatory billing practices the worst I have ever experienced, I call them every month and every month they promise to do better and never do.They are the absolute pits, rock bottom, I despise their buisness ethics.

Guest

Daughter has been on Rx formula since 8/2013. Formula shipped via Corum, Billed via CareCentrix and Insurance is Cigna.

1/2014 Corum informed that formula needed re-approved for year. Supervisor at cigna called Corum with me on phone and approved the formula and authorized release. Fast forward 5/2014. All formula claims since 8/2013 to date have been reversed or denied (cigna and corum offer different versions).

Cigna stating that their supervisors do not have authority to approve anything. Cigna also stating received a denial notice from Carecentrix....lie never heard of them till bills started coming from Corum. As a consumer I should know Cigna internal policies on what a supervisor can or cant approve??!! Really?

Corum/Carecentrix is charging me 100% mark up on formula based on what I could have paid for it direct from manufacture as consumer. Now my $5K formula bill is $10K! Neither will take responsibility. Both elevated to Executive offices.

I come to find I am 1 of many that are having this issue.

Including a coworker. Feel scammed into paying an exorbitant markup and not being notified of denials.

I'm at point of finding an attorney....

Doesn't matter Insurance Carrier...Company is a Scam.

Guest

Care Centrix also boost the price they actually paid your provider by @40% then pass that 40% on to you, if you have not met your deductible, then on to your insurance carrier. This means all claims ran through them drives insurance up by the ame 40%. Bad business practice or out and out fraud?

Guest

:grin Carecentrix told me they would be glad to switch me back to my old supplier....that was three weeks ago and I have not heard another word....and nothing has changed...It's funny you say that they told you you were renting your machine ...my previous provider tried that....NOT....I just hops BCBS of FL wakes up and dumps Carecentrix...the only people that get anything in a class action is the lawyers :upset Good luck and good health to you!

Guest

:( :zzz jgvkfsblohbslblshflhbdfbhdjkbsjhbvksydbfyh

Guest

Totally the same experience as you! I have received my supplies, finally after three months of trying and on hold each time for over an hour.

(That's running the home phone and the cell phone and the cell phone always wins despite the fact that I dial the home phone first)But now that I have my supplies- which I was told that there would be no cost as I have two insurances, I am receiving bills once a month telling me I am renting my machine! NOT what I was told before.

I am now trying to get it sorted with Blue Cross Blue Shield but am being told that I shouldn't be having any problems... perhaps we should band together for a class action?

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bethfleck
map-marker Naples, Florida

Blue Cross/ Blue Shield of Florida

Updated by user Aug 11, 2012

I was asked by this site to make an up-date from my last comment about my experience with BC/BS. I was contacted right away by Katie at the BC/BS media team.

She listened to my complaint and got me in touch with someone that could address my problem. Once again I had my records released. Friday Aug. 3rd had been 3 weeks since that happened and still no response so I contacted Karen Brown at BC/BS and she said she sent my information to the appeals team and I should have an answer within 4 or 5 weeks, so yesterday was 4 weeks.

I would think having your Dr.

personally address each issue and saying that she could see no reason why I should be denied medical insurance with BC/BS would be enough but I suspect they are just trying to find a few other reasons to deny me since it is taking soooo long for a response. If I can\'t get coverage as a health 51 year old female (opps today is my Birthday, 52) I feel sorry for people who are sick and trying to get coverage from this company...it\'s *** near impossible!

Original review Jul 11, 2012
I have been trying for months now to get new health insurance with BC/BS. I am 51 years old and female. I was having chest pains a few months ago which after 2 stress tests came back negative I was diagnosed with a pulled muscle in my neck which was a result of my profession. I am on an anti depression medication and some vitamins and that's it. BC/BS gave all 5 reasons for denying me so I had my Dr. address each one and her exact statement was that I possess no medical impairments that would preclude me from having medical insurance through BC/BS and yet my agent refuses to adressess any of this with the underwriters and instead he hides behind them and will not go to bat for me. I threatened to go to a local BC/BS office and submit a complaint as well as a new application but he said I would instantly be denied based on the previous denial...I am so frustrated. Having the expense of the stress tests is what got me moving on some better insurance coverage and they have made this process a nightmare!
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Loss:
$3
4 comments
bethfleck

Don't feel bad I submitted all my records to BC/BS on July 17 for the 2nd time...I contacted them on or around August 7th and they said it could take 4-5 weeks well here it is August 29th and still no answer on my insurance. This company just doesn't seem to care about poor customer service...makes me wonder then about the coverage as a whole????

Guest

I have a new individual bcbs/fl health care plan that was effective 8/4/12. It was originally set-up for monthly payments to be deducted from my checking account.

They took the first payment on 8/6/12. Today (8/29) I received a bill that is due on today's date!!!

What the ***? I called the toll free, put on hold for 20 minutes and then told I have to make this payment which covers me until Oct. 8 and THEN it will be taken again from my checking account!

What is wrong with this company????? If I call the Estero Florida office I cannot get anyone to call me back, no one there ever answers their e-mail. To whom, besides them, does one complain about such service? It is outrageous how they conduct their business and after thinking I was all set, I feel I need to start looking again for a better company.

I am now really scared to have an actual claim.

This is the most unresponsive, not customer oriented company I have ever dealt with... RUN, I repeat RUN from Florida Blue!!!!!

Florida B

Good afternoon –

My name is Katie and I work on the social media team here at Florida Blue, I am so sorry to hear about your experience with us. I would love to help, if you email your contact information to socialmedia@***.com I can put you in touch with a customer service rep and they will be able to help you out.

Thanks and please let me know if you have any questions!

Guest
reply icon Replying to comment of Florida B

Katie, Blue Cross is a joke! First off...get your customer service team back in the USA.

Your off shore idiots, have a lot to be desired. then have your first line cust. serv. people expand their duties so they can fix problems, thus, alleviating the need for a 2nd tier operation...thus, stop provider from being held up for hours trying to resolve issues.

Take a walk around Aetna Cust. Service and see how they operate, maybe it could save you money and resources, as this is Blue Cross's main objective in the first place. The other day it took me 50 minutes, 3 different cust. service levels, to chek on 1 patient claim status.

I can call Aetna and have 5 people done in 10 minustes. Blues Cross needs some serious help! I am in the Medical Fiels for 34 years, and between Blue Cross and United Healthcare...I personally thing they should shut the both of your down.

You are the biggest crooks in the business!

NO problem taking premium payments, just not paying the claim is the modus operendi..

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disgruntledwoman
map-marker Miami, Florida

Underwriting Process Makes No Sense

I recently became unemployed & lost my insurance, so decided to apply for one of the BLUE plans in Miami-Dade, which seems great because this initiative offers coverage to Miami-Dade residents at half the price of most insurance plans, and with extremely low deductible options. As a 26 y/o female, I was quoted at around $130/month with a $250 deductible. Because I don't like lying, I mentioned my history of borderline anemia in my applicatopn. Because I'm healthy in every other way, my doctors have guessed that my anemia is caused by heavier-than-normal menstrual periods--which is something many women experience. Not to mention that the anemia has resolved over the past few years due to my taking supplemental iron. Because of the fact that I told them my history of anemia was due to heavy periods, they offered me insurance with a ridiculously generalized rider basically excluding coverage for any type of gynecological care based on their diagnosis of 'Menorrhagia', which both my gynecologist and general doctor have confirmed I do not suffer from. Furthermore, in order to appeal the rider, I would first be forced to SIGN the rider (in turn acknowledging I have a condition which I DO NOT suffer from), then I would have to wait for a decision, which takes about 4 weeks. During this time, I would--of course--be already paying for the insurance. This is outrageous, and makes absolutely no sense. The whole reason for APPEALING something to begin with is that one does not accept the original basis for the decision--so why would I sign?! I've been fighting for this insurance for about 3 weeks now--and today I gave up after realizing the people at Blue Cross really don't want to help straighten things out at all. This morning, I applied for insurance with Humana and was approved and given an offer within an hour. Mind you the plan costs double and the deductible is 6 times the BLUE one, but I didn't really have any other choice--an offer of insurance insurance excluding all imaginable gynecological care is not an offer of insurance insurance at all. Shame on you BCBS for making this process impossible!
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harpenworld A
map-marker Jacksonville, Florida

Blue Cross and Blue Shield and Carecentrix

Broke my foot, went to Dr. can't get me a boot because of my insurance. Must call Carecentrix for a DME company. Call BCBS, you must call carecentrix, but all I want is to find a DME place to get my boot. Call carecentrix, it may take 24 to 48 hours to process your paperwork before we can tell you where you can go to get this boot. What if I go to a DME company to get this boot? You will be denied because it did not go through carecentrix. Called several companies and they don't have any good things to say about carecentrix and I will receive my boot in the morning.
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3 comments
Guest

I am keeping my eyes and ears on them and I told them that they were nothing but a money grubbing middleman! "MY NAME BE MUDD!"

Guest

You should find out how much your DME place was paid by CareCentrix for your equipment. From my experience CareCentrix collects 40-69% more for your equipment than they pay to the provider of the equipment. CareCentrix keeps the difference. Find out and post the procedure code (ask CareCentrix or your provider), the amount CareCentrix collected (the allowable charge on your EOB), and the amount they paid the provider (you will have to get this from the provider -- CareCentrix won't tell you).

In my case,

Proc Code: 8496 (I think the extended version is (L18496)

CareCentrix Gets: $1117

Provider Gets: $662

CareCentrix earns $455 for delaying the service, processing the claim, and collecting and disbursing payments.

Guest

UPDATE: I called around and found a place that would help me get a boot. Told them about my problems.

My Dr. was extremely mad that I had so much problems. I went to my job and took this information to HR. They immediately went to work, HR was very unhappy.

From 3/19 to 3/27, did not hear from anyone. All of a sudden, I received 100s of phone calls from BCBS and Carecentrix on how they can help me. Paula from BCBS, some bigwig, told me this would be reviewed and I should have gotten the boot right away. Julia from BCBS called me to get my crutches and roll-about to me as fast as possible.

The DME place was laughing when they told me how BCBS and carecentrix were all up in arms trying to satisfy me. In the end, I finally received everything, but I will be on my toes.

I also told both companies that I looked them up on the internet to see what people say about their companies and I told them, they have very bad reviews. I will watch them.

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Charlette Cqx
map-marker Grand Rapids, Michigan

Liars and cheats!

I had cancer in 2007, and my doctors want me to have an MRI once a year for 5 years because that is when the risk of recurrance is greatest. BCBS of Florida paid the hospital for the test the first year, but not the radiology charges for reading the test. When I contacted them, I got months of run-arounds and conflicting answers. Finally, I got another denial in the mail - and then they went back and took back the money on the claim ALREADY PAID to the hospital. I only found out when I received a collection notice from the hospital. I had NO RECOURSE and could not appeal because the service was more than 6 months prior. THEY WENT BACK NEARLY A YEAR TO REVERSE THE DECISION, BUT IT WAS TOO LONG PAST THE SERVICE DATE FOR ME TO FILE AN APPEAL. They then proceeded to review EVERY claim ever made to them, and tried to deny all of them, saying they were over the time limit. My cost was over $2,000. Had to borrow against the house to pay all the bills.
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4 comments
Guest

They really are trash.

Guest

In NC the state employees have no right to contest any lack of payment for medical coverage not provided by Blue Cross Blue Shield.The I'm a type 1 diabetic and I have life or death needs. Unfortunately it appears as if profit margin is the only real concern that Blue Cross Blue Shield has.

The state contract says that they will pay for 150 test strips a month, but they are refusing to pay for my prescription of 120 a month. I take 4 shots a day and I need to know where my blood sugar is before my shot.

It appears as if the clowns just want me to guess and take the risk of dieing of insulin shock. I'm a state employee so I did not use my real name...!

Guest

Too late, I just paid it and dropped it. It was so stressful that they won and I gave up.

I work full time and it was affecting my job and everything else in my life. Not worth it to fight anymore.

Hopefully someone else will benefit from your advice!

Jennifer Hhj

Yes in most cases you can appeal. Check with the insurance commission in your state.

Most of the time there is a clause that covers situations like this saying "claims under investigation." As long as the insurance company is revisiting the claim it reopens your appeal window. I have just finished a 2 year struggle with BCBS Illinois on a similar case for my husband. (And I do mean STRUGGLE.)

Similar situation of retroactive denial of claims. I have a word.doc of contacts with names, extensions, dates, and synopsis of what transpired.

They have no system in place for complaints and every time you call in the last person you talked to is "unavailable" or in some cases "no longer with the company" so you have to start all over explaining everything. I finally started recording these conversations --check to see if your state is a one party or two party consent state on recording. Finally after 2 years, with pressure from Medicare, was I able to get BCBS-IL to admit responsibility. If I were not retired there would have been no way to stay on top of this.

So if your reversal is recent you CAN appeal and I would also suggest filing a claim with the insurance commission of your state. The main point is to let them know you are NOT going to go away!!

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