Blue Cross of California

Received okay by insurance at dental office and a month later, Blue Shield changed their mind, they were charging me $721. I have been disabled since 2008. It can't even function right anymore and I used to be smart.

I had gone in for my annual pap, which is covered by my insurance. I have barebones insurance which I paid $340/month out of my own pocket since I am self-employed. While at the doctor's, after the procedure, she asked if there was anything else she could do. I showed her a small wart on my thumb. She said she could easily take care of that. Within 5 minutes, she had used liquid nitrogen to "burn" off the wart (which eventually didn't work).

Well, fast forward till I got my bill. My annual was covered minus my copay of $40. However, the 5-minute, in-office wart removal that didn't actually remove my wart cost $452! What? $452. Why is the insurance company billing that much? For something that didn't work, a service for which I thought was voluntary, and for which I could have gone to Walgreens and purchased the same thing for $25 over the counter?

I was shocked. Can this be possible? I switched insurance companies. I now have a lower monthly payment. However, I still don't understand who sets these prices. $452 for liquid nitrogen?

Since I became eligible for Medicare, I have been enrolled in Anthem Blue Cross Senior Classic F plan. When attempting to review information online, to prepare for the current open enrollment period, I discovered Anthem was showing a different lower current premium for Plan F, for my age 70 and area 6, than I have been paying. I am paying $240.70 a month (paid bi-weekly $481.40), and the current premium Sold for Effective Dates On or After June 1, 2010 is $158.36 a month. A difference of $82.34.

I called Anthem Blue Cross, somewhere around the end of October or the 1st of November, to ask why, and was told that there is a new Modernized Plan F, that the Senior Classic F, is no longer available, and since I didn't apply for a change in plans when the new Modernized Plan F became available, they continued to charge me the Senior Classic F higher premium. I asked what the difference was in the two plans, and was told there was no difference. I was told that if I switched from the Classic Plan F to the new Modernized Plan F, I would not be able to switch back, so I asked to receive information, so that I could compare the two plans, so I could make a decision.

I received a brochure that listed all their plans, and there was only a Plan F, and a Plan F High Deductible (which is another plan not related to either that I am referring to here). Nothing about my current Senior Classic Plan, so that I could make a comparison. I called 800 333-8338 again today, and talked to someone in member services, and after explaining what I wanted, she (Sissy or CeCe or something like that) switched me to Tiffany in another department, and after explaining again was switched to Sherry **, a Health Care Adviser, who understood exactly what my problem was but said I needed to talk to a Supervisor in member services.

She, very kindly, got Corine from member services on the line, who I have spoken to in the past. Corine insisted that the information for the new Modernized Plan F was sent to me during Anthem Blue Cross open enrollment period, which was effective March 1, 2011 (totally different from Medicare's open enrollment period), and her computer shows that I was sent the information January 1, 2011. Now, I save everything that is sent to me, and I do not have the information she claims was sent to me. I received, and have the information on my Prescription Part D coverage, but nothing for Classic or Modernized Plan F. Corine's response is that I should check with the post office, and my mail carrier. I might add that I have a very dear friend, who has the same Anthem Blue Cross coverage, at my recommendation, and she never received anything regarding changes to Plan F either.

It appears that there are actually two open enrollment periods we are talking about, since this new Modernized Plan F plan was effective June 1 2010. I, not only did not receive anything for their enrollment period January 1 to March 1 2011, I also did not receive anything prior to the June 1, 2010 effective date. I believe that I have been paying a higher premium, that Anthem Blue Cross changed the plan, and did not notify me and continued, unethically, to collect the higher premium.

I just called to confirm that my premium plus deductible totals over $300 per year, yet the maximum benefit total is $500 per year. More than half of my "insurance" is already covered by my premium. This is disturbing and should not be legal. If my auto insurance was as expensive as my dental insurance, I would have a $5000 premium every month.

We've been insured with Blue Shield of California for three years, through my husband's company. The monthly premium was very high that we basically paid every doctor's visit, lab work, vaccination, etc. out of pocket. Even mammograms, which is supposed to be preventive care, I paid out of pocket of about $200 when others paid $30 the most. This year, I complained with the insurance and did not let go until they finally admitted that they made an error and would readjust the claim. At the end, they covered all the cost. But the two years prior, most likely they were wrong too, but who has the time and nerves to fight about every single claim?

Now this year, I waited to make sure that colon screen is preventive (I am already 52) and scheduled an appointment. I went with my daughter, who was a witness when the assistant in the doctor's office called the BC of California to make sure that everything about the colon screen was covered and also the exam prior to the screening. They said yes, all would be covered. But they said that everything else after this appointment will be for me to pay out of pocket. Needless to say, after this statement and after paying three years everything by ourselves even with this high cost insurance, we canceled and we are now with Humana, self-insured.

About six months after my colon screen appointment, I received a bill from the colon doctor of $150 for the exam! I wrote the insurance, they answered that the office has a wrong code on the claim. It is supposed to be a preventive code. So I called the doctor's office to check with them. They said they did file it with colon screening preventive and they did not have another code. They since have called the insurance and they said they are using the wrong code. So the doctor's office asked them which code they need to use. The insurance said they can't tell, so the doctor's office asked for the manager, who was not there and they never called back. They checked with other patients with the same insurance and they all had one or more complaints about this insurance. So now I wrote the insurance again and they answered the following which I will copy and paste. What if nothing happens after that? They assured me that everything was covered and now, because they aren't happy with a code that a doctor used and they will not tell them what the correct code is, I will be the loser in this and have to pay for this?

Blue Shield of CA is the biggest rip off there is in America. I have been insured with Blue Shield of CA through my employer for 13 of the past 15 years. I have insured myself and daughter.

I am currently unemployed, like many in the country, being recently laid off. I tried to purchase insurance through them just for my daughter. I chose the Active 35 that would fit her best because she is a club soccer player. This past year was rough, she got injured twice. So in 15 years of paying a Blue Shield state company as for two years we were in South Carolina and still used Blue Shield, she had seen a doctor 3 times for injuries that were declared sprains. I was honest on my application and signed the policy for $165 per month. Two weeks later, I received a notice about a tier rating and an increase in the monthly cost. The new price is $890 a month. Yes, you read it right, per month, just for my daughter. I filed an appeal and I was denied.

This is insulting, ridiculous and should be outright illegal! Shame on Blue Cross!

Hi, Levi of Hesperia. Desert Valley Hospital is a privately owned, for-profit hospital. Dr. Prem ** dropped his contract status with BCBS years ago. Like you, I have learned it the hard way. The same situation occurred to me in November 2010.If you dig deep enough, you will read and find that ** strategically operates this way in order to gain multi-millions of dollars. Another Dr. ** admitted me! They are probably related to each other.

Knowing full well of the situation, BCBS would hardly pay. However, I just received a letter stating that BCBS determined that my stay at Desert Valley was not medically necessary. My price tag is at over $15,000.00. I have just now begun the appeal process! What a racket. Why am I paying for health insurance?

We have an account just for health care payments which Anthem Blue Cross Senior Classic F and the Rx plan was a automatic monthly withdrawal. The problem is with only the Senior Classic F payment and not the Rx. Our bank was PFF and there was no problem for years until PFF was taken over by U.S. Bank around the first of 2010. The bank sent out to our health provider the new account number. We thought this was taken care of. In reconciling the U.S. Bank statement, I spotted no withdrawal of the Senior Classic F since April, 2010.

I called U.S. Bank and between the two of us the problem was found, Anthem disregarded the our new account number and was withdrawing the payment from another account. I have worked with Anthem trying to resolve this error and U.S. Bank has fax all the required paperwork with no results. Today, I received a bill for April-Dec. 2010 and Anthem stated they did not receive the proper paperwork for the bank or us. We re-faxed the required forms which were sent in August again today and I was told by Esmeralda that she would call me when she received it. That did not happen.

I am frustrated at the lack of ability on Anthem's customer service side to try to resolve this disturbing problem. We are the losers and so was the persons who had money removed from their account erroneously by Anthem. We have state continuously to have the back payments removed from our account and we could move on. This seems Anthem is unable to do.

Today I lost my temper with Anthem and become very upset. I am 72 year ago and this has been going on now for about a month and I do not want to jepodarize my health because of their continous ineptness. In addition, we are worried about losing our coverage. The money is available they just refuse to access it.

August 22, 2007, I went to Desert Regional Medical Center, located at 1150 N. Palm Canyon Dr. Palm Springs, Ca 92262, to have a tumor removed from my stomach. Everything was pre-approved by my medical insurance (Anthem Blue Cross) prior to the operation. The sergeant was five hours late. I had to go back to my home for several hours. The Doctor, Hospital or Insurance company did not give me a choice, they did not say because the doctor is late there is going to be different anesthetist or would you like to reschedule.

One year, after the surgery I received a bill from a doctor's office. I phoned the number on the bill and told the lady everything was pre-approved. She told me the doctor does not take my medical insurance. I said, "He has to send the bill to my medical insurance company. " I did not hear from anyone until one year later. I received the second bill, I phone the office and my medical insurance company. Then again, I didn't hear from anyone. Now three years later, I received the third bill, this time from a collection agent (CMRE Financial Services, Inc.) 3075 E. Imperial Hwy, Brea, Ca, 92821.

I phoned my insurance company, they gave me a phone number to call (Robin. 1 760 699-6388). I phoned the lady there and per her request my husband faxed her a copy of the bill, the second week in July 14, 2010. After she received the fax, I phoned her about this bill needing to be taken care of. She agreed and said, "They were going to try to take care of this bill. " Now August 12, 2010, I phoned her again and she told me the bill is just too old and she doesn't know if they will be able to take care of the bill. This bill needs to be taken off from collections. The insurance company needs to take care of this bill.

Anthem delays sending member ID cards. I've been insured and paying for the past two months and even after two phone calls to request an ID card, they haven't been able to provide one. I payed $615 per month and they can't seem to send a ten-cent ID card. It's very difficult to obtain health care using insurance if you don't have an insurance ID card.

On July 5, 2008 I experienced acute pain in my lower left abdomen and went to the ER. I looked online to ensure that the ER was a Preferred Provider under my PPO plan. My wife and I decided on Desert Valley Medical Center/Hospital since it was listed as a Preferred Provider for emergency room services. After spending the night at the ER, I was admitted as the pain did not subside and the doctors could not properly diagnose the cause of my pain. After I was admitted, I was told that I had a kidney stone that was obstructing my left ureter and surgery was required to treat this condition. Additionally, I was told that the doctors were worried about my heart beat, which was very low. The cardiologist recommended further tests for my heart.

During my time in the ER and throughout my hospitalization, I was heavily sedated on a drug that has been described as morphines big brother, called dilotid, while tests were done under the instructions of doctors who I saw for very short amounts of time. In fact, it took the urologist 2 full days before he was able to come and consult with me to let me know what was wrong.

Following my discharge, I started receiving bills and EOB which stated that the costs associated with treatment from various doctors and tests were not covered. This was a shock to me, as I had done my due diligence and had chosen to go to a hospital that was a Preferred Provider. After being admitted, I had no control over which doctors treated me, but I was comforted by the knowledge that I had chosen a Preferred Provider hospital and would be served by Preferred Provider healthcare professionals. Conventional wisdom would dictate that any treatment prescribed by a specialist for an admitted patient would be medically necessary, because it was clearly not my intent to be in the hospital in the first place.

Was I also to question each test and treatment, which was deemed necessary by the medical specialist, as to whether the insurance company was going to cover the costs of the tests before accepting the treatment? Am I to understand that under my current insurance policy, my covered medical services while I am hospitalized in a Preferred Provider hospital are determined by a claims processor and not a medical professional?

The hospital that helped me and I have been battling with BCBS since my ordeal, and it has finally reached the point where I am being forced to pay over $4000 for the services, as BCBS has denied any additional payments. Between the numerous dispute letters my Wife has filed and the gracious assistance of the hospital billing department, I have been able to get the amount down to $4000, but thats still an enormous amount of money to pay, in addition to the exorbitant monthly premium I am forced to accept as payment for medical insurance. This has got to stop. Does anyone have any suggestions?

After just 6 months on new policy, premiums have been increased by 23.5%. Calls to the phone number given above end with a message that the call cannot be completed. Have had an HSA with Blue Shield for about 10 years and have this constant struggle to keep it affordable by increasing the deductible. The recently passed Health Care Bill is a joke. My income hasn't increase at all over the past 3 years and can't afford these double digit increases that the insurers use to pay themselves fat salaries.

My wife was in need of Allergy Shots which were going to be very expensive. We were told to check with our Insurance Company to see if the services were covered. We called and got confirmation that the services were 100% covered. My wife decided to get the shots. About a month and half after the 1st shot we recieved a statement from the Health Care Provider that the Insurance Company was not going to cover all services. I took it upon myself with my wife's permission to call Anthem Blue Cross/Blue Sheild. I got somebody from India. After they were no help, I called back and got someone from BCBS California. The lady was very nice and said that she saw the issue and would re-submit the charges and for me not to worry. Another month goes by and another bill.

I called back and talked to a supervisor which said, "Yes, you will be charged a co-pay. The plan covers the services but not 100%". I told her that it was not explained that way on two different occasions. She said, "Yes, I see that and am sorry about that. We meant to give you a call back". I said that I don't feel that I should be charged and told her the BCBS should pay this bill. Had this been the case we may never had gone forward with the shots. She said no, that we would have to pay. I asked to speak with her supervisor and of course nobody was available. The next day I called back and got a Lenore on the phone. She explained the same thing that they had made mistakes but they would not pay for this. I told her that I wanted to speak with her supervisor. She refused and finally said that he was gone for the day, this was 2:30pm in the afternoon on California. She said Rod G. would call me back on Monday.

On Monday, I got a call back from Rod and he said there was nothing he could do and that he was very sorry for the mistakes they made. I told him I wanted his supervisor and that this was wrong and they should pay. He told me to give him two hours and that he would try to get something done for me. Two, Three, Four, Five hours go by and I have to call long distance to get this guy on the phone only to get his voice mail. I also tried to get through on the standard 800 line only to get Lenore on the phone saying that Rod was done talking to me. She said there was nothing they could do. She then transferred me back to Rod's voicemail. I called back again and asked for Lenore and was put through to her voicemail. I can't get a single person to help me! They admit they made mistakes and were 100% wrong but want no ownership of this.

I have sent e-mails to the members of the Board of Directors for Wellpoint including CEO Angela B. in hopes of getting some help. The Customer Service I experienced here is nothing short of insulting. Is this what Anthem Blue Cross/Blue Sheild has come to? I have not paid this bill because I don't believe that I am responsible for it. Had I been told about the charges correctly I could have made plans for the money or maybe not even went ahead with the shots.

My wife passed away from cancer on 10-19-07. She was treated there for the final days of her life. I had to pay BC Health Services over $20,000, then later, I filled out the Claim Form for Anthem Blue Cross of Ca., which I sent in around Nov. 2007. I called numerous times to find out the status of the claim, with no results, always talking with different people. On approximately Jan. 11, 2008, I was notified by mail that the claim was denied stating additional information. I asked what was this about, but they did not tell me that I had to pursue the additional info.

When I called back, I asked to speak to a supervisor for which I was not granted most of the time after numerous calls. Again, after I sent in by fax some more info, I received my first phone call around the first part of March, 2008. I finally received compensation around March 18, 2008. I asked why it took so long and the person stated that she did not know. Interest and compensation, due to inept and fragrant withholding of payment.

My wife and I are members of Blue-Cross BlueShield of California. In December 2009, while on vacation in Brazil, Lora was hit by a bicycle rider. As a result, we incurred several medical bills for emergency surgery etc. which came to over $19,000 Brazilian Reals which comes to over $12,000. These bills were originally mailed to Anthem on February 8th 2010 and I have yet to receive a reply. I called Anthem several times and spoke to Quava who indicated that they were having difficulties with my claim because they needed more information about the surgery.

This is nonsense because I sent them all of the information about the claim, including hospital records, physician records, etc. At Quava's request, I faxed the entire package of information again to Anthem on March 22. She received the package and advised me that she would keep me abreast of the situation. I haven't heard from her since. I believe that this is a case of a Blue-Cross rip-off and I wont stop until I get action. Thanks.

My daughter has had inserts since the age of five because of her flat/bad feet. The reason I am writing this letter is to get my insurance to pay for new inserts for Krista because she had grown out of them. In 2001 or 2002, our insurance paid for the orthotic inserts for her shoes. Around 2008, there was a change in insurance policy at Blue Cross and Krista was denied for new inserts. Because Blue Cross denied her claim, we had to pay to go get the inserts for Krista. Krista often says the inserts help with the pain in her feet.

In October of 2009, we went to see another doctor because the old doctor that treated Krista closed his practice and his old files could not be located. We are asking Blue Cross to cover/authorization for Krista inserts because she complains of pain when walking. Krista is still growing and will continue to need support for her feet. Enclosed with this letter is a document from the treating podiatry Dr. Donald R. *** D.P.M. recommending new inserts. Any questions please contact us.

I was released from a hospital and the doctors gave me a prescription, for two bleeding stomach ulcers, which Blue Cross refused to allow filled. How can a clerk override the findings of an MD?

The County of Fresno changed health plan providers on December 15th, 2009 from Blue Shield to Anthem Blue Cross. They (the County of Fresno or Anthem Blue Cross) have not provided the ID cards necessary to get medical coverage. The county did send out emails saying we could print temporary ID cards from the Anthem website. The website is defective and puts the user in an endless loop of logging in and starting over and does not offer the option to print an ID card! My wife needs to see a doctor and we cannot because we do not have an ID card for Blue Shield. I just want to confirm that we do indeed have the healthcare coverage and would like to know why we do not have ID cards even though we have been charged by payroll deduction since December 15th 2009.

Attached is the letter that I sent to the Bluecross Blueshield to appeal my medical claim. Please take all action against Bluecross as possible. I am writing this letter to appeal the claim (08210F830070CA) which the Chino Valley Medical Center billed to the Bluecross on July of 2008. The total of my claim is $4678.64 plus interest $599.78 equal to $5278.02.

On July 17, 2008, I was taken to the Chino Valley Medical Center from my work place (by Ontario Airport, CA) by an ambulance due to sudden faint. After a few hours in the emergency room of the Chino Valley Medical Center, I was admitted to the hospital there for 3 days. I received a bill from the Chino Valley Medical Center stating $4678.64 is my responsible of the total amount billed to the Bluecross ($14895.58). I immediately contact the billing office of the hospital for more information. They informed me that because Bluecross was not on the network of Chino Valley Medical Center therefore Bluecross only paid a portion of it and the rest would be my responsibility.

I then contact the Bluecross Blueshield for more information and explained my situation. The information I got from the Bluecross which stated that my visit with the Chino Valley Medical Center on July 17, 2008, was not an emergency situation. For that reason Bluecross only paid 70% of the bill.

I explained to the Bluecross' representative that I did not have a choice to pick which hospital to go to when I was taken by the ambulance to the hospital at that time. I also explained that when my wife arrived at the hospital, she asked the doctor Dr. Bush (ER's Doctor), if I can be transfer to a contracted hospital. His responded was he's not comfortable to transfer me because of my situation at that time which was unstable and I was on the Seizure watch. Later that day, Dr. Bush told my wife that after he consulted with other Doctors, he decided that to admit me to the hospital. I stayed there for 3 days. For that reason, I consider it was an emergency situation.

After heard my explanation, the BlueCross's representative asked me to contact the Chino Valley Medical Center to ask them to submit the bill again which I did on that same day. For a few months without hearing anything from the hospital, I thought that the matter already been taken care of.

Last Tuesday, I got a call from the collection agency wants me to pay the unpaid bill of $5278.02 for the service on July of 2008 at the Chino Valley Medical Center. I then call the Bluecross of California the next day and was suggest that I should write a letter to appeal this claim (08210F830070CA).

I feel that on July 17, 2008, with my condition at the time was an emergency situation, and the Bluecross should pay for it. This matter had been going on for months and it had damage my economic, physical and mentally because of the poor judgement of Bluecross Blueshield, health insurance company.

I called several days ago to find out why I had not received my monthly bill and that is when I found out I was no longer insured. I believe that is why they sent this notice to me today. I am without insurance and am very concerned that something could happen and not be able to afford to pay my medical bill.

I overpaid my insurance premium by paying $1233.26 for the month of July 09. Check dated May 29, 2009 and cashed by BS on 7/2/09. My insurance coverage ended on June 30, 2009.

Thank you for your question about medical benefits. Our records show a refund was set up on July 17, 2009 to send to you. You should hear from us shortly.

I have heard nothing. After two more contacts from me, I have still heard nothing. It is now Oct 13, 2009 (3.5 months after check cashed) and I have still not heard nor received anything. I now expect a refund of $1233.26 + $50 totaling $1283.26. The $50 represents the late or reinstatement charge Blue Shield would charge if I did the same thing to them. I will also ask for interest.

It is impossible to connect with someone who can explain my coverage. The first person I spoke with had such a strong Filipino accent, that i had to ask him to repeat everything. I speak several languages, so this isn't xenophobia! Then, when i tried to get a Supervisor, he put me through to a mail order pharmacy, which had nothing to do with my call. I tried to file a complaint at Blue Cross's website, and it kept rejecting it!

I was laid off of work on July 24, 2009 and my health insurance ended July 31, 2009 at which time I opted for and cobra. I mailed two months worth of payments in on august 1, 2009 and was received by the third party administrator. they processed the activation back onto Bluecross Blueshield and it was sent to them on the 9th of August.

On the 14th of August we still did not show coverage consequently the third party administrator "Conexis' sent an urgent email to reinstate my wife and I. Called again on the 26th of August 2009 and we are still not showing coverage.

I have made calls with no results. I was passed onto the special services group and that can take up to 10 days for a response. All this time my wife is awaiting coverage for test to be scheduled for neck pain. My wife needs tests for neck pain and the doctors will not schedule until coverage is confirmed. We have no idea what the problem is and what damage is being done waiting for tests and coverage.

Raised my monthly rate by $492

My wife had an emergency visit to the hospital. We have coverage through her medical plan Blue Shield who initially paid the bill. We also have coverage on another plan through my retirement Kaiser. Blue Shield asked for a refund after they paid the bill because they are saying my wife is covered primarily through my coverage. I am the primary coverage through kaiser and she has primary coverage through Blue Shield. Now Blue Shield is saying our claim is denied because the time to make a claim has expired. We are getting billed from the hospital's biller for $729.00 because blue shield's refuse to handle this claim.

Our financial disposition is treated by this situation.

I received my Anthem Blue Cross Health Insurance billing statement (due 3/1/09). My insurance plan is a $5,000 deductable plan. My insurance premium went up 38% (from $267 per month to $368 per month). That represents a $1,200 a year increase.

I was told by Amber at 800 333-0912 that the Department of Managed Care approved the increase for all their policy holders. I called the Department of Managed Care at 800 400-0815. They told me they do not have any jurisdiction over the insurance companies. They only require the insurance companies to inform them 30 days prior to a rate increase.

Blue Cross raised health insurance premiums on March 1, 2008 by 40%. Now on March 1, 2009 I have been informed the premium is being raised again by 34%. I think something is wrong here. Are Blue Cross executives thieves without any conscience or just plain incompetent individuals that do not know how to manage a company for the benefit of its members? Who is pockecting the money, the doctors, Blue Cross executives or maybe just nobody knows what is going on?

I was denied coverage after having my parents group coverage and school coverage end. This is the same company that has been my health care provider since birth. I am overweight, but appearently I'm supposed to weigh 102 lbs and that was one reason I was denied. I was denied for taking oral contraceptives for an irregular period and for taking some medication for social anxiety. Appearently I'm a high risk for taking some medication, even though I'm almost never sick and almost never go to the doctor except to renew my prescriptions.

Logically, since when covered by them I came to have all these conditions it's both ridiculous, stupid and should be illegal that they won't cover me any longer.

We'll see, tomorrow's my last day of coverage.

Anthem Blue Cross lately has had a bad reputation and one of the reasons is stated below. I had an Anthem Blue Cross Dental 100 PPO in effect and went in to my dentists office, Premier Dental in Aliso Viejo, California in pain for a dental procedure on 2/4/2008. We,(my husband and I) have now paid the entire bill of $521.00 to keep our reputation and credit secure, after Anthem three times by phone said they would pay this claim, now delaying payment by asking for more and more information which we and the dentist consistently sent, including a X-rays a narrative from the dentist relating to the pain I was in. The problem was involving one tooth.

Anthem just sent me a three page letter showing reasons for delaying and not paying and possibly denying this claim. It make no sense to me. First, It seems as though this should be covered. Second, I went in with pain in an urgent or emergency manner. Resolution Sought: Pay us directly the total amount we paid to the dentist for this particular procedure in the amount of $521.00. As of October 18, 2008 this claim has not been paid

I had blue shiled for 3 months went in for my regular check up found a cycist had it remove. $18,000.00 surgey. Blue Shield will not cover it saying it was a pre exsisting condition. My doctor wrote a letter stating it was Not a pre-exsisting condition. They refuse to revise this bill

I am asking for the fair amount to be paid. I honestly signed up for coverage so I could be covered.

My daughter was covered under her dad's policy through Cobra after she turned 22. (At 22 the policy kicks you out even though she was still a college student). In May 2008 she was approved by Blue Cross for major knee surgery - reconstruction of the medial patella femoral ligament with a cadaver ligament - following a college cheerleading accident. On June 22 she had the surgery. When the surgery center submitted the bills she was suddenly no longer covered. She was cleared by Blue Cross for both the surgery and the cadaver ligament. We have evidence of this from the transcript notes at the surgery center.

We have copies of the faxed COBRA paperwork. Blue Cross says they never received the paperwork, however, another claim was paid during the COBRA period under which they now say she wasn't covered. Premiums were not paid because her father was never billed since he was continuing to be billed under a family plan that she was no longer eligible for. He was told by Blue Cross that he would receive one bill that would reconcile the COBRA payments for her versus the family plan payments that were deducted from his paycheck. We have faxed the U.S. Department of Labor to no avail.

This is major knee surgery totalling more then $10,000. It requires physical therapy for 3-4 months, which I'm now paying out of pocket so my 22-year-old daughter will not be crippled. She cannot apply for private health insurance since she now has a pre-existing condition. I am seeking legal advice on what to do. The university will only pay secondary to what primary insurance pays.

I was looking for new medical insurance because I moved from California to Nevada. I found a policy that would work and I have to fill out the application online. One of the questions I did not understand correctly and because of that I have been denied the insurance which is discrimination base on the fact that I misread the question.

I had to continue looking for other coverage, however to deny someone coverage because they read a question wrong is grounds for discrimination.

Tonik Health, a subdivision of Blue Cross mailed out a notice on 6/20/2008 that a plan benefit would be dropped as of 3/1/2008. The implication of this is that if any member had gone to an emergency room, their cost for service would increase from $100 copay to $5000 deductible, yet would be unaware that their policy had changed because Tonik did not send out notice until over 3 months after the service change.

a portion of my monthly premium which in my case is $121/month.

Blue Cross mis-entered the procedure/diagnosis code for an annual exam. Blue Cross put down that I had a missed abortion and refused to pay. Called and told them they looked at the wrong column, that the diagonis code was for the far right column. The BC rep insisted that I was wrong and I told her that I never had been pregnant and never had an abortion.

It took over 30 mns of talking to for the BC rep to finally admit that they mis-read the claim and mis-entered the codes in their system. Furthermore, Blue Cross is denying payments for a provider that they listed as PPO, and for claims that they keep insisting they need diagnosis code.

When I filled out the claim forms (some of the visits, I paid out of my own pocket and want to be reimbursed), Blue Cross only ask for diagnosis but not diagnosis code.

The consequences are that I have to go back to the provider ask more question, ask them to resubmit the claims, and Blue Cross still finds something wrong because they don't ask the questions on their claims. Bottom line, I'm still not reimburse one year later; I waste more than 1/2 day talking to Blue Cross and health care provider, and this goes on and on and on. I switched from Kaiser to Blue Cross because the quality of the health care provider services outside Kaiser is much better. Dealing with the insurance carrier is another ulcer. Coming from France, services are so much better there.

Blue Cross of California is charging $2 dollars to every person who doesn't sign up for their Automatic Payment Plan. They are saying the costs of paper mail is taking a toll. I said that I'm paying automatically through my own online banking, but I'm still being charged the $2 dollars. When I pointed out that it's very sneaky to add the fees into my premium instead of itemizing it so I can see the charge, they responsed, "Yeah, it is..." Don't they make enough from my high premiums?

Blue Cross of California added a $2.00 Administration Fee to my bill. I can waive this fee by enrolling in their automatic premium payment program. I called and Customer Service (Tamika) said that I will be charged $2 any time I mail in a check or do a one time payment through the automated phone system. The only way to get this waived is to enroll online for a monthly recurring deduction from my checking or credit card. I have been going online, make a payment on the date I choose, and usually pay two months at a time; but now this is not a possibility. I now have a specific recurring date every month and do not have a specific date when the money will be in my account. Is it legal to charge such a fee for choosing conventional payment methods?

My wife spoke to CHRIS JOHNSON on june 25 2007 at 7:00am and advice her she needed to fax the HIPPAA form again since it was lost for a cost of 6.00 total again.

We her parents went ahead and paid the physician costs--the radiologist and the physician that did the breast biopsy--but want to force Blue Cross to pay for at least something.