Anthem

First, this company denied an out-of-network procedure that I need to have done for a serious illness I have. I have out-of-network benefits too, but the surgery was denied. I appealed the decision and it was denied again because they feel the surgery isn't "medically necessary." What insurance company has the right to tell someone their health isn't "medically necessary?!"

If you have cancer this is not the insurance you want! I was denied a PET scan on Friday 9 am. I tried all day to get a denial letter so I can file an appeal. Theresa ** LPN dodged me. I had to get to other people to transfer me multiple times. She NEVER returned calls. She gave me a runaround about getting me the letter. I was promised by the end of the day Friday. I never received it. I truly believe this was done to prevent me from appealing the decision. My pet scan is scheduled for 7 am Tuesday. I want the name of the person who denied the coverage. I want the copy of the denial. I want to know how to file an appeal, it is not anywhere in your website that I can find and member services would not tell me how.

When my husband started his own small business, we were forced into the individual insurance market. We purchased a PPO through Anthem that was actually an ok plan - for three months. Then we got a letter saying the plan was discontinued and we could only purchase an HMO and things fell apart. They sold us an HMO plan that DID NOT PROVIDE COVERAGE FOR MY DAUGHTER who is out of state in college. Yes - we told them about her! They said no problem - she can see the Anthem doctors at school or she can sign up for our "away from home" program. Come to learn that we are considered "out of area" by all the doctors in my daughter's area (and therefore denied coverage) and the "away from home" program is not offered in the state where she lives. Oh and now the enrollment period is over so we can't switch. Thank you anthem!

It is my understanding that the current healthcare was put in place by Nixon. I was under the impression that all rules made by an impeached president are suppose to go out the door with him. Our healthcare system feels to be run by the "American Mafia". We pay $400 a month on a BCBS plan that has an outrageous deductible. Okay- we knew that when we were forced to sign up. But they do not cover routine visits, and have to be reminded of state mandated coverages (depending on the state you live in). The medical offices are no better because they offer a discount on self pay and charge more if you are covered. But that money is still coming out of our pocket so we might as well be self pay!

Coverage is set up already and you have to accept it or not get coverage. They only sell certain plans that are overpriced. They have this super huge deductible or this other plan that you have to use some sort of bank account type of usage. Insurance prices are always going up to ridiculous amounts. The average person has hard time affording policy. Even with insurance they only cover a portion of bill which is a very small amount leaving policy holder with a huge amount still to be paid. Ripoff but forced to get. Unfair!!

Anthem Blue Cross is the worst health insurance company. They have way old systems and their systems are never up to date. Been a member for more than 5 years now and I deeply regret for this now. My wife had a baby boy last year and her obstetrician was in-network during the delivery but it was showing OUT-OF-network while processing the claim. They have rejected the claim now and I got to pay huge bill due to this. This has happened only due to one reason, not keeping their systems up to date. I will never ever go with Anthem in my life time. So, Folks, if you want a fair health insurance, do not go with them. Otherwise you will end up paying huge bills like me. I wouldn't give even a single star if I can.

I just found out that I will need a CAT scan to rule out ovarian cancer. I also need a colonoscopy. Anthem will not cover a single penny of this, until I satisfy a $7000 deductible. Thank you BCBS, for making me choose between my life and keeping a roof over my children's heads, as well as having food on the table. I am a 42 year old, married woman, with 3 children. I work full time and pay RIDICULOUS money to your company for this horrible insurance, that's useless when it's truly needed. You're handing down a death sentence, making people choose between their health or making sure their families have a place to sleep and food to eat. I wouldn't wish this nightmare on anyone.

Federal BCBS is good. But, the dental benefits are horrible. They pay very little for important dental care. I must carry a second dental insurance because I pay so much out of pocket.

I never received my insurance card or any so called packet they said they would send. Impossible to get into contact with during enrollment period. Paid months for insurance I couldn't use. In fact their sign up process was so confusing I didn't think I even had insurance at all... until I checked my bank account. At least canceling was easy.

I am an attorney. I come from a professional athlete family. Many of my immediate family members are physicians. Being healthy is the number one goal in my family. I am the same weight as high school - 105 pounds. I am 59 years old. I do not smoke and never took drugs. I will have a Kahlua and cream if someone begs me at a host dinner. My family has been located in the United States since Jamestown. When I moved to Virginia I reached out to Anthem during open season. I had no idea nor did the rep state to me that I was speaking with a broker. I enrolled in an individual plan and promptly paid the monthly charges.

They have no way to contact them directly, if say you do not have a card. Their website lists ONLY technical support. No way at all to contact them directly. When you call tech, and they manage to transfer you to a human. They will not know what to do, throw you into a phone directory or a switchboard operator who will then hang up on you. Do not know what to say other than if it is not too late, find another company.

Ok to start I have never had to speak to Anthem's Appeals Dept., when a letter was sent with the wrong name and erroneous info in it I started to as they say reach out, to no less than 15 people, over 30 days later still no corrected letter and no info to carry on an appeal with PERS, which sent me a letter that I have 15 calendar days to send any info to affect my appeal, well I do not even have the Anthem info to address and get back up for. It feels like what a black hole I imagine in space would feel like. All I get from the customer service dept. is the company line, I finally said did you hear me you are not responding like you have heard me. To think this insurance is something I have paid for and this is the service.

Anthem BCBS is a Very TERRIBLE health insurance provider! Lousy benefits resulting in high(er) intrinsic costs and BS coverage, regardless of which state you live in. Chose ONLY because it was the Better choice amongst very Limited choices (NH is Terrible with health insurance coverage). For a nationwide health insurance provider, it provides one of the least benefits to subscribers and makes you jump through hoops to get even the most basic benefits allowed on your plan.

My bill is never EVER right. We literally have to call Anthem every other month. Literally!!! The SOP at Anthem is to have the customer service rep take down every bit of information she can and "send" it to the billing department. I ask, "Can I please speak directly with the billing department" and her scripted response is that she does not have a number for the billing department. I ask for an email and she comes back with, "I do not have any information on how to reach the billing department." The only thing that I am ever told is that billing will look into it and send out a new bill. So they are glad to take my money but won't let me talk to the people that keep screwing it up. You cannot name a single other business that would pull that kind of crap. When I ask to speak to a supervisor I get the same run around until I am told, "there is no one above me that can take calls from customers." I cannot believe this is even legal!

The company in which I am employed required me to have this insurance plan. I thought I would never need it, and enjoyed paying them for this. Haha. As it turned out I needed to file a claim because of a fractured arm. I spoke with them on the phone, and submitted the proper paperwork. They were, suspiciously, indicating to me that they didn't like dealing with my insurance company because they indicated they were slow in responding. They suggested that I reach out to my doctor's office in an attempt to speed up the process so I did. I was able to get a fax line, contact #, and the insurance liaison's name all which were directly related to my doctor's office. I gave all this information to them on the phone for which they assured me that this would be added to my file. They did in this conversation indicate to me again that they still thought my insurance would drag their feet, and indicated that I should check on them regularly.

I called to get a letter verifying coverage for my auto insurance required in Michigan. I called and then said they would email it to me which they didn't, so I had to call back the next day and then the department I needed wasn't available because they were doing training. I called back the next day to find out that department didn't handle what I wanted. I called back and talked to someone who transferred me and told me to talk to someone else which in turn attempted to have me call my employer who doesn't handle this issue.

I have my entire family covered under Anthem BCBS HDHP. I would just like to say this insurance is GARBAGE. I pay over $2,600 a year in premiums, just to have a HDHP of $4,500. I have to meet before they start paying anything. Even after the $4,500 is met, they only cover 80% for certain stuff. That's $7,100 I'd have to pay, out of pocket in a year, before Anthem starts to pay 80%. That is absurd considering that's 25% of my yearly take home income. But my current situation, my wife had our second born child recently. I called a customer service rep to see why, after the entire labor delivery, my deductible only had $600 applied to it.

In December 2016, I called and asked about upgrading our dental plan to include orthodontics. I was given plan information, pricing and details on doing so. I told the customer service person at Anthem that I would check with our orthodontist and call back to get the plan. When I called back in 2 weeks to get the plan I was told that I could not upgrade to the plan that had orthodontics because we had missed open enrollment. After speaking with a manager, they approved retroactively upgrading us to the Family Plan C if we paid the November and December premiums. We paid the November, December and January premiums for the Family Plan C.

I've been a business owner for 20+ years and understand the importance of customer service. I honestly don't believe I've dealt with worse service. First, they deny a prescription that should have been quickly approved. They require my doctor to submit additional paperwork which was done immediately. After hearing nothing for several days, I called. That's where the fun began. First, HORRIBLE automated system that seems designed to annoy you into hanging up. If you can last, you get a person that literally knows nothing. I wasted almost 3 hours trying to get a simple answer. I was transferred 10 times (literally) and ended up back where I started.

My company has an ongoing issue with Anthem retracting claims payments. After five months of weekly calls to Anthem along with email and phone complaints to higher ups, I was connected with a person who listened and help with our problematic claims. During that time, I was asked to provide the same information multiple times, and then representatives would advise they needed to review the information with supervisors. This turned into a five month fiasco because the reps weren't collecting information or calling back. The woman that finally assisted explained that this was a dropped ball by customer service, and the company was going to use this scenario as a training tool to improve claims service.

I had been with Anthem for many years. Each year, I am sent the renewal notice, with less coverage, higher deductibles and increased cost. I opted to stay with the same coverage for 2017-18 and was sent my welcome letter. My account is set for auto pay for the monthly premiums. In March 2017, when filling a prescription, I was told my coverage was canceled. This is the 2nd time they have done this, the 1st being Sept 2016, and they reinstated my coverage after 6 weeks and apologized. I was told to send in any receipts, where they would reimburse me. It took me a long time to fill out the difficult forms necessary. I received 6 pages of paperback, no check, stating they applied these amounts to my 2016 deductible. The were to reimburse the portion I paid where I was covered.

I signed up for Anthem in Oct. 2016 for 87.26 a month (a bare minimum of coverage, but all I could afford). They billed me at that rate for the first month, then raised the premium to $250 a month with no warning, no explanation and no additional coverage offered. That was January. This is May. I can't even get them to cancel my policy without a huge hassle. Run, don't walk away from Anthem. And check out their Yelp reviews. One star. Worst possible rating for customer service.

I'm a dialysis patient. I go to dialysis 3 times a week. I have to be there on time and I have them set my ride. Since they switch ride companies I been going late or not even going to dialysis because they come 1-3 hours late and my spot would be over. I have to be there on time because I'm morning shift. If I'm late it makes others late so they can't make others late. I guess I'm slowly dying because of my plan's ride assistance not taking me to dialysis at all. I'm only 30 and I was working to get a new kidney transplant but I can't because My health is poor due to Blue Cross Anthem Logistic care rides. I just look for a lawsuit because this been going for a month with many calls to them telling them to switch my ride company. They just call around with no change at all.

I had a Rx for ** under UHC, Anthem BCBS just told me they will never, ever cover it nor any equivalent. I'm going back. Oh, and BTW -- their "dental insurance" only cover $24 for a routine cleaning. $24? Yeah, good luck with that. This insurance is bull crap!

Due to Emerson selling a portion of its business to Vertiv, my husband was forced to accept Anthem BCBS. We pay $170 every 2 weeks, as of 4/6/17 they still cover NOTHING. They only credit your deductible with "in-network" allowed amount, but leave US on the hook for the entire billed amount. How is that even LEGAL. We weren't even AWARE that our 100% out of pocket prescription costs, are a SEPARATE deductible all together and doesn't count toward the medical insurance EVEN THOUGH THAT'S HOW IT WAS PRESENTED ON PAPER. Thanks to the CURRENT ACA LAWS, we are unable to purchase secondary health insurance so our medical bills are crippling us.

My family has bought BCBS/Anthem for 15 of last 20 years. We have always used auto pay. In December we received a notice for auto renewal of our policy, and then in January we received our insurance cards. BCBS did not bill me Jan and February, and in March canceled me for non-payment. I received no notice of possible cancellation. I am outside the open enrollment period, and so I cannot purchase a policy with them until January of 2018, leaving my family without health insurance for a year. Every time I call to get assistance, I am on hold for hours, get transferred over and over, and am told they will need to be in touch, but never get back to me. Finally, I managed to appeal their cancellation and was told their decision stood.

I have had reason to contact Anthem Wisconsin's customer service department for various reasons. Each time I have had to wait in excess of 30 minutes to have my call answered. The hold times are crazy, so crazy, in fact, that my physician's office refuses to call them. My monthly premium is over $1,000 per month. The very least they can do is pick up the phone in a reasonable amount of time.

2 years ago when I signed up for an Anthem Blue Cross plan, I received my insurance card and signed up for auto-payment on their website. I received a confirmation email I was enrolled in auto-pay. A few months later, I received a letter in the mail that my coverage was terminated for non-payment. No email, no call, no notice until this. I called to say there must be a mistake because I was enrolled in auto-pay. They had no record of me enrolling. And they wouldn't let me re-enroll because we were not in the "open enrollment period".

I have no confidence or trust in Anthem at all. So much so I am not using my Anthem insurance for any services. I have no trust or confidence in Anthem because; 1) I did not get my coverage cards until mid-February 2017. I signed up for the coverage in December 2016 and paid my premiums twice before I got my coverage cards. I had to request that coverage cards be sent to me. 2) Web site did not work for weeks. In January I was trying to find a doctor. The Search for a Doctor feature either did not work or gave me different results when I enter the same information. When I called Anthem I was on hold for over 2 hours and was told not to log in to the website to do the search. Why have this feature if using Google will work better?!? 3) Saw error messages for all my information on the web site. When I tried to enter the information, I got error messages.

Bill paying section is not sending my bill payment to One Exchange Monthly. They are now a month behind in payment notice, telephone line is always busy. I talked to Anthem last week and they said they would try to have notice by 7th of this month. So far, nothing.