Anthem Reviews

I’m going to change this insurance as soon as possible, customer service and the service is bad, that should be better.

Zero stars. Had to pay out-of-pocket $4000 for a preventative colonoscopy. They frequently told providers of various services that my deductibles had been met and then would deny coverage resulting in thousands of dollars MORE that I had to pay out-of-pocket. Customer service is especially reprehensible. While explaining my case to a customer service representative, I thought that she must’ve put me on hold, but it turned out: She was actually just not listening!!! At all!!! I asked twice if there was anybody there with no answer and then she was like “Oh I’m here. I’m here.”

My physician requested approval for shots for my arthritic knees, they were approved and I received the shots in April 2025. Anthem paid for the service. December I received two more shots after Anthem approval. I found out that they reclaimed the April payment and only paid one of the shots in December. They are now looking to reclaim this payment, Anthem claims that it is not covered in my plan. Why would they authorize a procedure then not pay for it. I'm presently working with the hospital system but they said that Anthem is standing their ground. Why would they approve a procedure that is not covered? In the past approval meant that they would pay. I have never had issues such as this with any other insurance company. The cost of these four shots is about equal to about half the price of a car.

Worst company ever. Stole my money stating I never paid even after I provided payment confirmation. I have been trying to get my money back since March and now they are completely denying everything and so I don’t have medical insurance. All they keep telling me, "Someone will reach out to you to investigate" and nobody ever does. Don’t use them.

1 hour and 20 minutes without any resolution. Set up autopay confirmed it was set up, two payments made and then glitchy autopay was dropped. Anthem sent threatening letter to drop coverage, no explanation, the customer service people don't have a clue to answer any questions, asked to speak to supervisor and they couldn't provide that either. Horrible, horrible, horrible experience with this insurance company. Do not use them!

Just got them and I regret it already. Spent 7 hours in total today trying to find a PCP. Finally got an agent on the phone after 6 hours. The agent was not helpful at all.

You get 2 cleanings a year BUT only on the condition you have not already used the periodontist exam they claim as a benefit. Conversely you get 2 periodontal exam a year BUT only on the condition you have not already had the 2 cleanings a year. They don't tell you this up front. Instead, they sell to you about the 2 cleanings AND periodontist benefits to convince you to buy a policy. Anthem dental is a scam.

The customer service is awful and inaccurate, takes years to resolve claims sometimes.

As a provider, I can tell you that Anthem Blue Cross of Missouri SUCKS. They don't pay anything, they don't explain anything. They constantly hang up on you on the phone or on chat. They deny coverage for no reason even when it's pre-approved. They do this on purpose in order to frustrate people into giving up on collecting payments, and it works. It takes around 10 hours of work to collect on $7.00. I hope they go bankrupt soon and collapse so that they can no longer victimize people for profit.

Horrible! I've been trying to remove my adult son and spouse off my policy. Each time I've called, they say ok it's done then right before it's time for payment I'm told now you need proof of other coverage for them. How am I to know if they got or want insurance. My son is no longer in the home. My employer continue to deduct money from my account to pay for their payment. Mine is covered. I was told they couldn't help me. Why are you strong holding me to pay

Terrible Service. Hours on the phone. Have paid for service and have gotten nothing (no referrals, no assistance on a new doctor. I might as well not have insurance. But I'm paying for a hotel 1200.00 a month. I'm gonna start looking not that I'm fed up for a new insurance company I can afford.

Have yet to have a prescription for a serious illness or a required procedure approved without jumping through hoops. Fictitious "reviews" by unqualified and informed internal employees in hopes that no means they won't have to support a premium payer's needs.

I paid my policy premium from January 2026 the May 2026 and received a letter stating that my policy was cancelled for non-payment on January 1st 2026. When I call to speak to someone I've been given 17 different stories and I get refused when asked to speak to a supervisor.

I started a new job in June of 2025 which carries this insurance. With carrying this insurance, I now have to use a Bioplus Specialty Pharmacy for my medication. In the first months of working at the new job with new insurance, this insurance, I was not receiving my medication. I called Anthem and they said they needed a few things from my doctor. According to my doctor, they sent everything prior to my conversation and wasn't sure why Anthem/Bioplus hadn't sent the prescription out. What I find out after almost 5-months, the file for approval was sitting on someone's desk because when I called almost 5-months down the line from when my doctor sent the required information, my approval was given by Anthem and the process started for sending out my medication. I was provided a poor excuse on the phone about missing it, low staff, and some other reasons that don't help.

My current Primary Care Physician, belongs to "Promise Care" network and will "NOT" write a referral for me for someone that is "NOT" associated with his "Promise Care". Network. I wanted to set up an appointment with a skin specialist, (Skin and Cancer Institute) but since they are "NOT" affiliated with "Promise Care" he would not give me a referral. Sooo this is the kind of BS that the medical industry is forcing on U.S. citizens. I, as an American Citizen, should have every right to pick and choose who I want for my medical care. But it seems that this right has been taken aways from the U.S. Citizens by corrupt physicians, and medical groups. WHY?

This is the worst insurance company we have ever had to work with. They pay nothing until a huge deductible is paid. They have REFUSED to cancel our policy even though it is interfering with my husband's medicare. It raised all his pharmacy costs, won't pay for his very much needed medical care that is thousands of dollars. They didn't bother to tell him that in trying to get me insurance with his work that it automatically added him and it automatically made them his main insurance but yet pay for nothing. The out of pocket cost this company is costing us is ridiculous. Never ever sign up for this insurance. It's one step under a scam.

We obtained Anthem Blue Cross Blue Shield insurance through our company. This is absolutely the WORSE Insurance company we have ever worked with. Poor response time, no one knows what is going on after Hours of phone conversations. One division says all is set, it’s actually not. Poor service, poor communication, poor quality internal communication. Spending HOURS on the phone to get stuff covered is unacceptable. I would NEVER RECOMMEND OR USE THIS COMPANY EVER AGAIN! Highly recommend using anyone else for health care coverage… These guys are incredibly incompetent, inadequate on the phone and unable to communicate within their own organization to get anything done. STAY CLEAR OF ANTHEM BLUE CROSS BLUE SHIELD.

Far and away the worst medical insurance company that I've had the displeasure of dealing with. Raise prices, delayed services and skimping on coverage. This company should be shut down.

I keep getting junk fliers from this company, trying to sell me their product. Calling them, to get off their mailing list is nearly an impossible task. In fact, when I finally got through to someone and I asked to have them contact their marketing department (on my behalf) or the vendor who mails these out, to get me removed, they hung up on me. Beyond frustrating. Yes, I know I could and do rip these up and pitch, but I would prefer to not be bothered.

Extremely disappointed with Anthem Blue Cross Blue Shield. I pay nearly $200 a week through my employer, yet essential medications and treatments are consistently denied or delayed. The prior authorization process feels intentionally difficult, and getting clear answers is nearly impossible. For the amount paid, the level of coverage and customer support is unacceptable. I expected reliability and support from a major insurer, but instead I’ve experienced frustration, stress, and lack of access to necessary care. I would not recommend this plan to anyone who actually needs consistent medical coverage.

Worst insurance ever!! I pay so much and they don't cover the medications I need. The worst part they hide behind a make shift prescription provider Archimedes. Who pretty much are there to say yes that's not covered sorry and Anthem doesn't have to deal with you.

I pay almost $2000 per month for 2 people. I have a cancer procedure scheduled tomorrow that my doctor notified Anthem about 10 days ago. Still waiting for authorization. A woman who speaks broken English is trying to tell me they only got the request yesterday and it will take 15 days. These people are truly corrupt and evil. I would avoid Anthem at all costs. In Indiana we have nobody to advocate for us. The Insurance commissioner is obviously on their side.

Don't get Anthem Blue Cross Blue Shield, or any Blue Cross Blue Shield insurance. They are the worst company in insurance. Don't cover most of the claims that have been submitted, stating that once you reach your deductible they will start paying their part even in network. Then they start deciding that they won't covered the needed medication, changing so many things around that you get sick from the things that they will cover. My money isn't good enough for you. Open enrollment can't happen fast enough.

Trying to reinstate your policy? Good luck. Took me multiple phone calls to even talk to an actual representative instead of the AI bull they've instated to be more "cost efficient" just to be charged the incorrect amount, have to wait for a REFUND through a CHECK IN THE MAIL, and be subjected to another 1 hour phone call to figure out why my policy is still inactive. Takes them an hour for the enrollment team to answer any questions for the representative on the line but takes less than 5 minutes to take my money. I work in customer service so believe me when I say I understand it is difficult to be a representative but continuously saying sorry isn't enough and is frankly patronizing. Invest in training your people to do their job effectively. DO BETTER ANTHEM.

Our plan is in my wife's name and have not received our March or April bills then you try calling and have to do this run around with this AI crap.

My doctor prescribed medication for me on the 7th. On the 14th, the pharmacy, Caremark, informs me that there is a problem with prior authorization. I have had surgery for this neck issue and have been receiving medication for over a year and a half. What does prior authorization have to do with any of this? Why does it take a week for me to be notified?

This is the worst insurance to have. I've used their find care online assistance. Only to find in network providers or specialist. Only to get told by Anthem after trusting the site that I visited a out of network provider or specialist. Then I'm stuck with major cost. Also a place called Verisola Inc showed up on my online statement. I've never been to this place. The bill was 2,000$ I contacted anthem fraud dept. No feedback on the situation. I received a 1095A that had high premium amounts. Which caused me to owe 2000$ to the IRS this year.

If I could give negative stars I would. I have CANCER!!! I've been denied 3 times for the medically necessary surgery to remove it. The peer Dr. Jirair B. ** a 70+ year old fertility specialist, has a history of denying hysterectomies, doesn't listen to his patients, makes women feel ashamed of their bodes, is worthless! How does this man get a say about my health?? How does he get the right to say that a procedure that would remove cancer from my body is not medically necessary?

I am extremely frustrated with my experience navigating prescription coverage through SISC Anthem Blue Cross, particularly as a patient with a serious autoimmune condition. I was diagnosed with psoriasis and psoriatic arthritis and prescribed Skyrizi over 7 weeks ago. Since then, my treatment has been significantly delayed due to repeated prior authorization issues—twice my authorization was cancelled without any communication to my provider explaining why. We later learned that the request needed to be submitted first through Integrity Pharmaceutical Advisors (IPA) before it could even be considered by Anthem.

This is the worst insurance I’ve ever seen. They cover nothing on medical cost and prescriptions. They deny any kind of request that you sent out. The cost is ridiculous on prescriptions on my insulin is $390 for a three month supply. I can buy it with no prescription at Walmart for $24 a month out-of-pocket with no insurance. They tier one medication which is generic is $20, tier two supposed to be $30. They stated that my Antoine was a tier 2, but it cost me $309 and nobody at their customer service can tell me why. Even the agents don’t know why and can’t get any kind of clarification.

This is a great company to work with if your ability to choose means nothing to you. If you are ready to be nothing other than a slab of meat in your own health journey this is great. If you value your life and your employer has this insurance company get another job.

Very overpriced. Overcharged the wife and I $164 each per month for drug coverage when our meds were only Tier one (less expensive generic meds). We contacted them and they said a refund was due but never paid. We found coverage from WellCare for $5 per month and we don’t pay anything now for meds. Anthem is a rip….

Wow, my company switched our health insurance to Anthem and now I pay for every allergy appointment. Where when we had United healthcare, they would cover our healthcare visits.

This has been, without question, the worst insurance company I’ve ever dealt with. I paid $300 a month, and nothing was covered, not even basic preventative services that they make it seem like you’ll receive when you’re researching their plans. Their marketing is misleading, their coverage is nonexistent, and their customer service is completely unhelpful. Every time I reached out, I was given the same generic information that’s already on their website, with no real answers and no solutions. It feels like just another example of a broken, corrupt system where you pay in and get absolutely nothing back. Save your time, your money, and your sanity. I wouldn’t recommend this insurance to anyone.

I have been an Anthem Blue Cross member under a Small Group PPO plan, and I am writing this review because I have exhausted every internal option available to me and I want other patients to know what they may be walking into. I have a serious, documented, and worsening cardiac condition stemming from a COVID-19 centric-cause. My cardiologist — who I had been seeing for over a year and who is one of a small handful of specialists in the world with expertise in COVID-related cardiac conditions — practices at a UCLA-affiliated facility in West Los Angeles. Because of the facility’s billing designation, every visit is coded as a hospital outpatient encounter rather than a standard specialist visit. The result: approximately $500 out of pocket per visit, every time, regardless of how routine the appointment.

Oh my god... I have never had a worse experience with an insurance company. They deny EVERYTHING. My entire claims page is filled with denials. Every little thing gets held up for months at a time as claims need to be submitted over and over for weird reasons with often 1+month processing times. The customer support is also terrible, if you use the "message center" they usually just copy and paste generic messages which don't relate at all to your question. And you can't reply. Of course you can try to call, but good luck getting someone competent. I know they don't read these reviews but I just need to vent...

Can we please make a "zero stars" option for this company. When trying to contact customer support, they just hang up on you. They will send you letters in the mail but won't actually speak to you regarding the inaccuracies of their letter. Obviously if the Georgia Insurance Commissioner is going after this company, you should stay avoid them at all costs.

They don't offer a 0!! If you want to be tied up with a bot all day use these worthless lazy people. For the price you pay for coverage you would think they would have live people to talk to; but no, their bots tie you up for hours and then hang up on you. You literally cannot find a number anywhere to talk to a live person... unless you want "chat" on the computer. No offer to a live person, ask for a representative with the bot and you are COMPLETLY ignored!!

Would never recommend to anyone. They cover very little, whether you have the high deductible plan or not. We have had multiple plans with them and have swam in medical debt ever since. I have never had so much medical debt in my life!

My 5 year old got very sick so I took him to his pediatrician because his fever lingered for several days. After being asked if I wanted a covid and flu test, I said yes, this has been going on nearly a week. Not to my surprise my son tested positive for the flu. Dr said nothing can be done, just got to let it run its course. Then I get the bill. The office visit is $295, the lab $60 and another lab for $100. My cost = $186.05.