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Blue Cross And Blue Shield Of Florida

Blue Cross And Blue Shield Of Florida

www.floridablue.com
What is your customer experience with Blue Cross And Blue Shield Of Florida?

Blue Cross And Blue Shield Of Florida Overview

The aggregated data is based on reviews and questionnaires provided by PissedConsumer.com users.

  • Blue Cross And Blue Shield Of Florida has 1.3 star rating based on 68 customer reviews. Consumers are mostly dissatisfied.

  • Rating Distribution
  • Pros: Prices, Card design, Care centrix reps.
    Cons: Customer service, Phone waiting time, Being mislead.

  • Recent recommendations regarding this business are as follows: "Go with any other insurance provider", "Check your insurance", "Get different insurance", "Stay away", "steer clear if possible".

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Blue Cross And Blue Shield Of Florida - Former Employee
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Maria W Ocr

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Delray Beach, Florida

BCBS of Florida - Crooks - with goverment backing

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I have a PPO that is supposed to be good. Except it costs a fortune and they cover nothing.

Now they are billing direct. Why? So they can pocket the money and give the providers a portion. I recently needed a bone growth stimulator for my arm.

They told me it was $2,500.00 payable to them; that was the portion not covered, only a portion would go to my deductible. I called BS. I called the company direct and bought the machine for $500. Scan - same thing, but I had to pay their hostage prices, as if you pay cash price, they will no longer cover anything found in the scan (or test, etc.).

How do all of the insurance companies get away with this? Easy, because the Senators, etc.

allow it. Look at Senator Scott of Florida - insurance crook - got caught - left insurance and went to government.

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Pros:
  • Some decent doctors on ppo plan
Cons:
  • Plan only covers basics
Jessica W Evq

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Number is "not available at this time" during office hours!

I called the number on the back of my card, 1(80*)***-**** and 1(80*)***-**** for Blue Cross Blue Shield, and got a recording that stated, 'The wireless customer you have dialed is not available at this time.' I made this call at 9:30 a.m. Eastern Time on Tuesday, December 3rd, clearly during office hours.

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Pros:
  • Coverage is okay for the price
Cons:
  • Communication is horrible and coverage is difficult to determine

Preferred solution: Correct information for customers

Ulani Mzq

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Miami, Florida

Tired of the gaslighting

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This insurance provider continues to flag our account unjustly. It started last month when our Better You Rewards were applied to our May bill, which reduced it.

My FL Blue grants its members a 90-day grace period to pay their monthly premiums. If they do not pay their outstanding bill within 30 days, their system flags the account, which restricts their benefits. The problem is that My FL Blue is not waiting 30 days. They are restricting our account 5-7 days after the due date.

I have reported them to CMS and the FL Department of Financial Services.

Their customer service team is horrible and incompetent. Most issues have to be escalated just to be resolved.

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User's recommendation: Go with any other insurance provider

Annalisse Zfx

Covers nothing, it's a scam

Through the Archdioceses of Miami I was offered this insurance for me and my husband. Monthly payments are over $300 and I have to pay everything out of pocket until I meet a $14,000 deductible.

I cannot have a biopsy, let alone a surgery.

Oh, and I cannot cancel it until the end of the school year.

If you are offered Florida Blue HMO though the Archdioceses, stay away!!! you and your loved ones will regret it.

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Cons:
  • Unable to cancel until the term is done
  • High deductible of 14000
  • Over 350 of monthly payments

Preferred solution: Cancel any affiliation with this company as soon as humanly possible.

Harlyn Twk

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

The worst customer service

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Good luck if you have to call customer service. I have been transferred back and forth 5 times between departments and on the phone between holds and transfers for at least 1 hr.

No one wants to help or does not know what they are doing. If I had a choice in insurance it WOULD NOT be BCBS.

They have been incredibly rude including hanging up on me once. It is absolutely unacceptable for the cost of this insurance.

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Randy S Hrp

Don't want to be a member

Was enrolled without my permission, don't want to be a member never have I ask to be a member , and I want this to go away

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Preferred solution: Apology

User's recommendation: Check your insurance

Anonymous
map-marker Melbourne, Florida

Terrible about paying claims to providers

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Providers have extreme difficulty getting paid. You can never reach them on the telephone for support.

All calls are directed to Availity and they can't help you with not getting paid. If you refile a claim because it was not paid, automatic denial for duplicate claim. I was told to get a 2nd NPI when I changed locations and I refiled the affected claims. It was an automatic denial even though I was doing what they asked me to do.

Since I changed locations they have not paid me for the entire month of October. Very frustrating.

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User's recommendation: Get different insurance

Constance Z Qdw

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Jacksonville, Florida

Unfair claims appeal process

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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 administered by a third party (AKA, the provider) as required.

Case in point, Florida Blue healthcare insurance when associated with affordable care act mandates the use of quest diagnostics to perform laboratory work in Florida. Certain procedures are covered under unique circumstances but considered investigational under other circumstances. Florida Blue routinely denies the claim and it is up to the patient to coordinate between the physician who ordered the service (yet has no direct financial stake) and the provider (laboratory) who actually gets more money when the service is denied to provide the unique language and background needed for claim coverage. The third party (Quest Diagnostics) has no incentive to get it right and Florida Blue has no incentive to get it right and the physician has no direct financial benefit to get it right and Florida Blue provides no direct access between the patient and the Florida Blue appeal process.

Hence, months go by and no one gets it right until Florida Blue passes the amount of time where they have to pay the claim and the patient is then required to pay the denied claim. Whether this is unethical is certainly up for discussion, but it is certainly unfair. For my particular case, a scan was performed 5 times over an 18 month period, denied each time and eventually covered through appeal after months and numerous calls, chats, and back and forth conversations between the physician, Florida Blue, and me. The sixth time, Florida Blue denied the claim, the appeal, external review and provided no capability for me to speak to someone who could explain what was needed.

Keep in mind, this was the same procedure they covered 5 times previously through their appeal process. The cost was only $165, but it is the principle of the matter that is important. Three of the five times, Quest Diagnostics sent the bill to collections before it was eventually covered.

The last time where Florida Blue never covered the exact procedure it was sent to collections and I paid the $165 because I was convinced the insurance company was never going to fairly handle the claim. Thankfully, I aged out of the ACA insurance and had other insurance options besides Florida Blue through Medicare and will never have to deal with their unfair / unethical claims process again.

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Loss:
$165
Cons:
  • Customer service

Preferred solution: admission of unfair practice

User's recommendation: steer clear if possible

MAXINE B Pnx

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Orlando, Florida

Not satisfied

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I am new with Florida Blue. I had United medicare and was very happy.

I changed to blue when United was negotiating with Orlando health

I have since gotten shingles and I am very uncomfortable. The service and care with Florida Blue has been disgusting. My GP prescribed a lidocaine patch.

I needed further authorization and was denied. I do not understand how d they could not give me this patch.

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User's recommendation: Stay away

Anonymous
map-marker Jasper, Alabama

Need my policy number

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No be in the company can find me and I can't get my membership id ior anyrhing. I need test run and very sick and can't get my information

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User's recommendation: Get your id cards when you rnroll

MM P

This review is written by an individual who has purchased the reviewed product/service and/or confirms being a paying customer of this company. Check our FAQ

Verified Buyer
|

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

They sent me a bill for future coverage after my husband died!'

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Contains 1 confidential file for company representatives

My husband died Nov 16, 2020. I notified FL Blue in Dec.

I just got a bill for almost $600 to cover December ins, Jan ins and Feb ins. I contacted them again. They want a copy of my husband's death certificate to prove he is dead before they close his account. Social security notified them but that's not good enough.

They will not close his acct without death cert.

I don't want that info in their records. It will show as past due forever.

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Cons:
  • Worst nightmare
  • Will not close my dead husbands acct and keep sending bills
  • Ssa notified them of death not good enough

Preferred solution: Close my husband's account.

User's recommendation: Try another insco.

suzie r Ojh

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Delayed payments for medical claims

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payment delays

billing claims correctly they claim missing information in a field that is not actually missing and is correct

since 2015 icd indicator for ICD10 claims is 0 and is in field 21 on 1500 claim form BcBs Fl pretends its missing and will not process claims they no longer allow you to call for claim status

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Preferred solution: claims to be processed correctly promptly

User's recommendation: its exausting for providers to deal with BCBS Fl claims they delay paying

Anonymous
map-marker Jupiter, Florida

Helpline more interested in getting info than helping

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called the hlpline for support. wanted my information, i said i am not comfortabtable with that. still tried to get it.

Didn;t listen, had to keep repeating

Florida Blue lack customer service.

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User's recommendation: try another company

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

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Mar 7, 2021

In this video interview, Charles R. Gallagher, an attorney, explains what sort of insurance fraud happens with consumers. Find out more about insurance fraud, the worst cases discovered, and how to protect yourself from insurance scam.

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Charles
Charles

Charles R. Gallagher, an attorney and managing partner with Gallagher & Associates. His practice focuses on insurance litigation, foreclosure defense and consumer law.

Anonymous
map-marker Charlotte, North Carolina

Constant Transfer, No assistance with denial and rejected clams

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I called Fl blue to discuss claims being rejected and denial for covid per there guidelines that state these codes can be billed and will be covered. No rep can pull up any of my rejected claims.

I proceed to try logging into availity and the rep wasn't able to locate the denial. I ask for a supervisor and now currently I've been on hold for 1:23:54 the rep comes back on the line and tells me there's a different dept I can transfer you to and they'll be able to assist with this furthermore. Before he transferred me I asked will this dept be able to locate what you can't? He proceeded to state yes.

2nd rep gets on the phone I ask her will you be able to locate a rejected claim, she said yes. I provide her the Sub ID and she proceed to tell me I will need to transfer your call I can not pull up this claim.

I than asked for another supervisor who I just got off the phone stated she can't assist me and I was routed to the wrong dept and she will need to transfer my call. I'm over Florida Blue and there unknowledgeable staff.

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Anonymous

Liars and energy vampires

Ready to kill myself rather than deal with this year 5

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Reason of review:
Poor customer service

Preferred solution: Deliver product or service ordered

Zac B Pjx

Con artist fraudsters hurting elderly people.

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This evil health insurance company dropped my poor elderly mother which she obtained though the (scam) Obama Care. They canceled her policy, didn't tell her, made it retroactive for 2 months after she had 2 tests run.

They sent her a payment back just to make it another month retroactive. This is fraud. I just found out about this and I'm helping my mother take legal action. Don't do business with these con artists.

Just Google all the complaints filed against them! There's news articles about them all over.

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Loss:
$2000
Cons:
  • Being mislead
  • Misleading policies
Reason of review:
Return, Exchange or Cancellation Policy

Preferred solution: Full refund

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