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Anthem Reviews

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About Anthem

Pros
  • Comprehensive coverage for treatments
  • High-quality care from providers
  • Efficient claims processing
Cons
  • Rising premiums and deductibles
  • Limited provider network options
  • Communication issues with support

Anthem Reviews

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    Page 2 Reviews 40 - 80
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    Staff

    Reviewed March 3, 2026

    My husband and I can no longer go to all our physicians at Mount Sinai due to Anthem's refusal to negotiate fairly with one of the best hospitals in New York. This is significantly disrupting coordination of care.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 28, 2026

    This company should be ashamed of itself .. It starts with management because any decent human wouldn't allow their customer service team to behave this way .. I was helping my brother who has multiple sclerosis. He needed a letter from the company. We were transferred over five times and even hung up on without even explaining the reason.

    Clearly these phone calls are not audited or monitored because this behavior would not continue.. People that are calling in are already having most likely health issues that needs to be resolved to the insurance and this is unacceptable. It's saddens me even have to write this review. My brother is 55 years of age. I have never seen a man cry as he did because he's so frustrated and cannot get the proper healthcare without the letter needed from this company. . How he was treated over the phone was atrocious behavior... All the customer reps need to be coached or either fired ..I would never do any business with this company.

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    Customer ServiceSales & MarketingPunctuality & SpeedStaff

    Reviewed Feb. 28, 2026

    Waiting on hold for 40 minutes and counting. First rep to answer the correct customer service number has placed me on hold for someone who can help me, as she, Lolita, only works with HMOs. What a scam.

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    Customer ServiceStaff

    Reviewed Feb. 12, 2026

    Anthem customer service is worthless.... Every time I call (and I am not a sick person)... I am on the phone for 45 minutes.. The reps do not know what they are doing nor do they understand English nor will they transfer you to a supervisor even after asking 10 times.

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    Customer ServicePricePunctuality & SpeedRefunds & PayoutsStaffBillingTimelinessHonesty & Transparency

    Reviewed Feb. 11, 2026

    At the start of the 2026, Jan. 2, Anthem charge $509.53 on my credit card on file for a premium on a plan that I did not enroll to. The following business day, Jan. 5, Anthem charge my credit card again for $425.78. This is the premium for the plan that I enrolled for 2026. In January 6, Anthem charge my credit card again for $425.78. I called their customer and complained about the excessive charging and the lady that I talked to said that I have to call the healthcare marketplace to give them an advice to cancel the plan that I did not enroll to.

    I called the marketplace and the customer service in the marketplace said that I am not enrolled in the plan that has a charge of $509.53. "The Anthem is lying that they need our advice for them to cancel the plan because we did not enroll you to that plan." But she said that she's going to email them that I am not enrolled to that plan and they have to give me back what they charge me. In this same day, I deactivated the card that I enrolled for automatic payment (the previous year) because I'm scared they might keep charging my credit card everyday.

    Two days later, I called Anthem again to follow up on the credit back of $509.53, and $425.78 double charge. The customer service told me that the $425.78 excess charge will be applied as prepayment for February premium while the $509.53 he will observe what will happen to it. He is going to give me a call when the plan is already cancelled. January 16, I called them up again because I did not hear from them about the refund; although I received a letter letting me know that Anthem cancelled the plan effective Jan.2.

    The guy that I spoke with said that he is going to request for a check refund because the plan is already cancelled and there is no reason why Anthem should not give me the premium payment back. So he gave me a reference number to referenced that the issue is well taken cared of and asked me to give him a review after the call. He said it might take 10 business days before I receive the check.

    After more than 2 weeks, I called again because the check did not come. This time, the customer service that I spoke with said that a portion of the $509.53 will be applied as premium prepayment for March and that I still have $83.75 excess which can also be applied for April. I am just so frustrated with them. I did not agree for this kind of payment plan. Why should I prepay my premium to this big, greedy corporation? I'm just so mad with Anthem.

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    CoverageTechPunctuality & Speed

    Reviewed Feb. 9, 2026

    Anthem drastically reduced grocery and over-the-counter allowances and removed Silver Sneakers. Now there is no gym benefits program at all. And then had the nerve to try to schedule an in home preventative medical exam visit with me. I DO NOT need in home medical visits. Which is a completely useless service for me, at this point in my life. I can to go to my doctor's office on my own. I WILL DEFINITELY find another insurance provider for the upcoming year.

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    Reviewed Jan. 30, 2026

    My plan was sold to Anthem by IU Health and have had Anthem for about a month and they denied everything and not even following Medicare guidelines. Stay away from this company. You have lots of options out there.

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    Customer ServiceStaff

    Reviewed Jan. 29, 2026

    Worst customer service and the worst at having policy holders jumping through hoops to get authorizations. Also assign random doctors as PCP without informing patient who their doctor is. Save the frustration and do not use this company.

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    CoveragePriceRefunds & Payouts

    Reviewed Jan. 27, 2026

    Absolutely better off paying medical costs out of pocket, they are not insurance at all and this is the biggest miscommunication. This is a high deductible plan that is for a young and very healthy person... Blue Cross and Blue Shield Anthem will deny and reject medicines that someone has history with and more importantly, most places here in South Florida do not take this! Why? Because they pay very low back to doctors office!!! Pure absolute garbage, and these jokers should be lawfully banned from the American people!

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    PriceRates

    Reviewed Jan. 27, 2026

    Was very satisfied with Anthem Medicare Advantage right up until the start of this year. They took away OTC benefits and wanted to start charging me a monthly rate. UHC gave me a new plan with OTC benefits and no premium.

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    Sales & Marketing

    Reviewed Jan. 27, 2026

    I have been trying to cancel my membership for over a year because I have moved country and they refuse to do it, left me paying $57 a month with no way of cancelling. Definitely never use this company, scam artists

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    Customer Service

    Reviewed Jan. 24, 2026

    They fully verify you - only to transfer you. That next person could be an AI. It took 14 calls to finally get a supervisor who transferred me mid call - only to get another person who needed full verification.

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    Customer ServiceSales & MarketingMaintenanceStaff

    Reviewed Jan. 23, 2026

    Terrible service. Not sure if they're trying to implement AI agents, but their customer service does not work at all. Member services number doesn't work; just hangs up on you. When you try to register your card online to get access to your portal, it redirects you to call support because they can't find your information (even though I'm typing exactly what's on the card with the member information). Had to call Sales office and they redirected me to member services, and then the number hung up again, so 15 minutes wasted there. Once I go through to an actual person, they went silent from "Hello" and the call hung up. No one called back, so I had to go through the process again.

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    CoveragePriceRefunds & PayoutsStaff

    Reviewed Jan. 22, 2026

    Anthem health insurance is an absolute joke. I pay a the highest premium through my employer. The specialist copay is $145 which is DOUBLE private pay which is $75. They refuse to cover medication I’ve been on for over 2 yrs. Their solution is to out of pocket which is over $1000. I’m not sure what I am paying a premium for since they don’t cover medication and put me in the position to pay twice what I should have paid for a doctors visit. This should be illegal!!!!

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    Customer ServiceTechStaff

    Reviewed Jan. 22, 2026

    PATHETIC IS THE BEST WORD TO DESCRIBE THEIR INEPT CUSTOMER SERVICE!! My preauthorization was denied. I tried to call to get information as to what steps to take. They kept telling me I needed to contact my provider who is a Periodontist. She referred me for my jaw. I had also been seeing this PT provider for neck and back issues which all affect each other. Now they are telling me to contact my periodontist. I have fibromyalgia. I spoke to a rep, she was useless. Asked to speak to a supervisor, was disconnected. Nobody called me back despite taking my call back number.

    I called back and same thing happened. I called a 3rd time and the useless representative put me back into the queue instead of forwarding me to a supervisor like I requested. The 4th call I spoke to a young man who tried to help, he tried to get me to the department that handles these denials but they would not talk to me. So after another hour of runaround on top of the hour of runaround. I still don't have an answer to my questions which is why I wanted to speak to a supervisor or the claim department that is denying the authorization, so I could explain my situation and find out how to get this approved as I AM IN PAIN!!!

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    CoveragePricePunctuality & SpeedStaff

    Reviewed Jan. 16, 2026

    The cost of infertility treatment is overwhelming. My wife and I are currently undergoing infertility treatment, and our insurance benefits state that up to $10,000 is covered for infertility care. However, when my doctor prescribed the required medications, every single one was denied by the insurance company. The reason given was that my wife is able to produce eggs, so the medications are considered unnecessary. We were told that these medications would only be covered if my wife had cancer or another serious disease that prevented egg production. This is incredibly frustrating and discouraging. It feels like we are being told to wait until my wife develops a life-threatening illness before receiving appropriate infertility treatment. Infertility is a serious medical condition with significant physical, emotional, and financial consequences. Denying medically recommended treatment under these circumstances is unreasonable and deeply disappointing.

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    Customer ServiceCoverageTechPriceRefunds & PayoutsStaff

    Reviewed Jan. 15, 2026

    It is was possible to give Anthem of CT a negative star, that would be generous.

    1. Talking to a love competent person stateside is impossible. Everything is outsourced and nothing is logical.

    2. Every time I get blood work done that is ordered by my provider (who is in network and they pay for my dr's visits) the bloodwork is denied and the reason is because “dr is out of network”. They even went so far as to claim I got my bloodwork done in Chicago, not Connecticut. Every single time I had to file a complaint with the health care commission who admitted the practice of anthem made no sense and they were getting the same BS but then backed them up at the last minute and told me to get a new provider.

    3. The quality of service from anything related to the consumer is non existent unless you want to talk to a chatbot who almost never is helpful and defaults to saying you need to call and get stuck in a loop.

    4. Almost nothing is considered related to the deductible and often falls of pocket or co insurances.

    5. They are only concerned with making money and screwing the consumer.

    6. The market place is CT has no good options in general.

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    Customer ServiceCoverageTechPunctuality & SpeedStaff

    Reviewed Jan. 15, 2026

    I have a plan with Anthem for Chronic Health Care and my plan includes transportation to my doctor appointments and grocery with the vendor MTM for 2026.

    Now between MTM & ANTHEM are both saying that I don't have transportation for both. Anthem called me at 7:15am on Wednesday morning January 14th 2026 basically telling me that they need more information about my doctor appointments before they can setup transportation and they are also saying that I don't have coverage to go to the grocery store.

    This is just how poorly they are willing to take care of senior citizens and people that are disabled with no transportation, also they have representatives that are rude and they will disconnect calls to keep from helping you. Majority of their customer service reps are foreign and can't speak English nor do they understand English this is a total disgrace and something should be done about it by the attorney general office or the government!!! We deserve to be treated better than this, I had to miss a doctor appointment last week because they couldn't get this matter resolved. I actually had a plan with them last year 2025 and did not have any problems, if we all stick together and file complaints on them things will get better.

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Jan. 13, 2026

    Disgustingly inefficient. Have the flu and have been trying to access my virtual card since 8 am yesterday. They told me I have to wait 10 days for replacement. I literally have to go to the doctor asap & unable to return to work without first seeing the doctor. I can’t afford to take 10 days off of work (I have a 1 & 2 year old). Also cannot afford to pay out of pocket. Worst insurance company I’ve ever experienced. Customer service is inefficient and lazy (hanging up on me after being on hold for extended periods of time) & their online portal is also just as inefficient. I was offered no solutions after being on the phone with representatives for multiple hours yesterday and today. Just a bunch of pointless transfers. Hours of waiting on hold & issue has still not been resolved. Disgusting. Changing this plan as soon as possible.

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    CoverageTechPriceStaff

    Reviewed Jan. 9, 2026

    Would give 0 stars if it was an option. Do research on which pharmacy drugs are covered. It's awful. Clearly intended to rake in money and not provide insurance coverage that's needed. Avoid at all costs, Companies will continue to lose employees based on using Anthem as their provider.

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    Customer Service

    Reviewed Jan. 7, 2026

    If I could give zero stars, I would!!! I work at a dental office- when I tried to get a fax of benefits, I was told NO. Went online first, as they said to do- only to find out that you can't access the info online. Called them for the info, and they said that they do not fax any information, but they can tell me over the phone. What a complete waste of time- get into this century! That this information is unavailable electronically is a joke. Hopefully, they run the rest of their business a little better but I doubt it!

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    Customer ServiceCoverageTechPunctuality & SpeedStaff

    Reviewed Jan. 7, 2026

    Absolutely THE worst insurance provider, with incompetent people. I have this lousy insurance as my only option, through my employer. Anthem has had multiple discrepancies with regard to what providers are in-network. For instance, I used medical equipment and the medical supply company that the doctor uses IS listed as an IN-NETWORK provider on Anthem's site; I simply type the name of the supplier, in the search field, and all locations come up, with the "in-network" message. However, Anthem sent me an authorization letter, with the SAME supplier being listed as out-of-network on the letter. Because I was on hold for a long time, when I called them, I decided to use the chat service. Bad idea: these idiots could not help me AT all. I had to replicate my search process for the supplier, in order for them to understand why I was refuting what they indicated on the letter.

    The person then told me everything was fine, so I asked him why, then, would the letter not show that the supplier was in network. His response: "I'm sorry, Nicole, but this provider is out of network". I insisted on speaking to a supervisor, so he said that he escalated my inquiry. However, after waiting several minutes, I was disconnected from the chat. If you can avoid Anthem, do so. I have never in my life dealt with such ineptitude.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 6, 2026

    I've scanned the QR code to register for the portal. As a new register, I followed the prompts. It didn't work. I called member service, to no avail, I was placed on hold for a long period. I'm beginning to think that the portal won't work, even if I registered. I spoke with a live agent, and they mentioned that I'm registered as long as I received a member ID card.

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    Reviewed Dec. 30, 2025

    Heartless horrible company that would rather let you die than listen to your Dr.! Would highly, highly, highly, recommend to stay as clear as possible! There’s a special place in hell for these people.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Dec. 28, 2025

    Amazing how "open minded" these folks for Anthem BCBS MyCare Ohio are before you sign up. I called to confirm a few things before 1-01-26, my FORMER start date. I was told ON A RECORDED CALL (by me, as Ohio is 1 party only consent) the only way I could get help was to give my dead name (birth name) that Social Security has. My transgender sex could also not be changed, like WellCare of Ohio did. I told the reps that there are other ways to identify me... but was refused to be done. Even the rep who did the disenrollment for 1-01-26 coverage on 12-23-25 also misgendered me and was corrected a few times.

    The lady, on a recorded call, again... claimed she has Trans in her family. Odd how all haters use this exact phrase. I sent the recording to a case manager. Now, I am without health insurance, with good reason. I told Medicare after the call.... "I'm apparently cured of diabetes, seizure disorder, congenital heart issues, mental health issues, etc." I had to cancel all January 2026 appointments, in hopes that I find a single LGBTQAI2S+ Medicare and Medicaid insurer. I told my case worker that my mental health is at stake. After all, I can't get meds now. Hmmm, abuse or meds? Which is more important?

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsMaintenanceStaffRates

    Reviewed Dec. 24, 2025

    Anthem raised the rates my employer pays by 30% over 2 years for their "platinum" plan. I'm now having to appeal their decision not to cover a Birmingham hip replacement at the Cleveland Clinic, needed due to having a tractor roll over me, breaking my hip. Anthem's "specialists" had further reviewed the imaging from my doctors and decided it wasn't medically necessary, a month after the Cleveland Clinic sent everything through to Anthem, one week before my surgery was supposed to happen. They told me I could appeal it, which could take 60 days, and then after further questioning a few days later, mentioned that I could have used the 72 hour emergency appeal, that they never told me about originally.

    I feel they only told me about it 3 days later after further pushing the issue was because with Christmas coming, and my surgery scheduled for the day after Christmas, that the 72 hours they had to respond would push it beyond my already scheduled surgery date. Now if the 72 hour appeal does work, my hip replacement will now have to be scheduled into next year, and now I'll have to pay my deductible for the year again, when the surgery would have been fully covered when originally planned if they hadn't re-reviewed it since my deductible had already been met. The foreign people you speak to on the phone are nice, and courteous, but are really of no help, and won't allow you to speak to the people making these decisions, or the people that can solve them.

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    Customer ServiceRefunds & PayoutsStaff

    Reviewed Dec. 18, 2025

    It's very unfair, unprofessional for a parent with a child on the spectrum and the UM person by the name of Billie takes her time not to approve PA and they don't care about anyone despite someone paying out of pocket. This is sad and not professional. You call she does not answer and now she is on vacation.

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    CoveragePriceRefunds & PayoutsBilling

    Reviewed Dec. 17, 2025

    I can not believe how incompetent your company and associates are, enrolled in a plan thru covered California, paid my premium and you people still either can't find the application or the payment!!! Although I have payment confirmation... I AM NOT STOPPING HERE, I WILL SMEAR YOUR NAME EVERYWHERE!!!! You're holding my application and payment hostage!!!

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    Customer ServiceTechPunctuality & SpeedRefunds & PayoutsStaffTransparency

    Reviewed Dec. 9, 2025

    Anthem Blue Cross Blue Shield – Ongoing denial of care and failure to provide required documentation. I’m sharing my experience because what I’ve gone through with Anthem Blue Cross Blue Shield has been extremely stressful, medically risky, and, frankly, unacceptable for any patient trying to access necessary treatment.

    For several weeks, I have been trying to obtain my medication denial letters and the clinical criteria used to deny Dupixent, a medication my provider prescribed. These documents are required for me to file an appeal and continue treatment. Despite reaching out through every available channel—phone, email, secure message portal, chat, and even through my pharmacy benefit manager—Anthem has still not provided the basic information I am legally entitled to receive.

    What happened: Anthem repeatedly told me different stories: That the documents were mailed (none arrived). That they were faxed to my prescriber (they weren’t). That they “do not provide this documentation to members.” That they need three more business days to “locate” denial letters that should already exist. During this same time, my employer’s HR department received information about my denial—including clinical details—without my permission, raising a very serious HIPAA privacy concern. Anthem acknowledges my reports but has not explained how or why my health information was shared with my employer, and I have received no reassurance that it won’t happen again.

    Impact on my health and life: Because Anthem will not release my denial documentation, I cannot access my medication. I cannot buy it directly, and I cannot move forward with an appeal. This has left me without medically necessary treatment, with my symptoms worsening while I wait for paperwork that should be available instantly.

    What I expected:

    Clear communication
    Access to my own health documentation
    A transparent explanation of a potential privacy breach

    Support in getting the care I pay for

    What I actually experienced:

    Contradictory and inconsistent answers
    Delays that put my health at risk
    A possible HIPAA violation involving my employer

    No accountability or urgency from Anthem

    I’m sharing this so other consumers are aware of the challenges they might face when dealing with Anthem’s appeals and documentation process. I hope this pushes the company to take these issues seriously—for me and for others who rely on them for essential healthcare.

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    Customer ServiceCoveragePrice

    Reviewed Dec. 8, 2025

    This is the worst insurance I've ever had. customer service does not have any knowledge of anything and it's a waste of your time. Very expensive and it actually does not cover lack of coverage everywhere.

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    Refunds & Payouts

    Reviewed Dec. 5, 2025

    They threw my dad out of the nursing home in one week. He still needs more time there to get stronger. He is very dependent. Anthem is the worst. You pay for it and get nothing in return. Don’t sign up with Anthem.

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    CoverageTransparency

    Reviewed Dec. 5, 2025

    Horrible. They subscribe to the deny & delay tactics. For example you & your doctor have to physically send in a mailed letter via USPS for denial explanations. This is intentional so it elongates the process. Even if they deny you and you request an appeal with specific information, they ignore it and just give you a second denial for the same reason even without comment on the additional evidence. They are a classic example of why everybody HATES health insurance companies. Simply not reputable and they won't get another dime from me.

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    CoveragePriceRefunds & PayoutsHonesty & Transparency

    Reviewed Dec. 5, 2025

    I only wish zero was option! BCBS is by far the worst health insurance! First off, my local doctor isn't in network so I'll have to pay out of pocket. So generic meds on my plan says 10 dollars copay and name brand is 60 dollars and that is 1 big LIE! They have some made-up BS tier system that has low to high cost levels for generic meds so they pick and choose whatever levels to put generic meds in. So my first GENERIC prescription that I had filled was 60 dollars! When my plan clearly states generic is 10 bucks. So deceiving and downright criminal!

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    CoverageSales & MarketingRefunds & PayoutsStaffBilling

    Reviewed Dec. 3, 2025

    When I first signed up with Anthem, I was told that I would get a $180 allowance each month that does not roll over. I would also get an annual allowance at the end of the year in the amount of $500 onto my benefits prepaid card that I can use toward medical items, groceries, etc. That was a scam just to get me to sign up with them. I even received the booklet on my coverage and plans stating everything I'm saying and what my plans were. I'm not making this up. They are full of bs!... Also, what I don't like about Anthem, they share your health info without your consent... I was also told that these benefits card work like credit and debit cards but today, I spoke with a representative and he stated "they are actually like gift cards". I was trying to pay a bill online. This doesn't work for me... Anthem can't be trusted either... I'm switching.

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    PriceRefunds & PayoutsStaff

    Reviewed Nov. 26, 2025

    Terrible service. My primary referred me to an ENT, so I paid over $600 out of pocket for evaluation. Dr. recommended a deviated septum repair, turbinate reduction, and 2 nasal valves. I left office and didn't hear back for about a month. I contacted the ENT office and was told that I was denied the procedures. My wife's medications its a fight also. Her Nurtec, Linzess, Lyrica is denied. How can someone determine a patient doesn't need a medication or procedure? Are they medical professionals? Did they look at the patient? Look and labs or other tests? No, they just deny and you are stuck still paying premiums for no services.

    I happily can say that I went to the VA for evaluation and it was determined that I would benefit from the ENT recommendations. I can finally breathe much easier, hard to feel that I lived so long in the previous breathing conditions. Anthem Blue Cross does not really care about patients. They just hope you keep paying premiums while they do not provide support. Terrible, this is my experience with them.

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    PriceStaff

    Reviewed Nov. 20, 2025

    Just got denied ** for the 3rd time, was denied ** last year multiple times too. High cholesterol, BMI of 38, prediabetic in March and diabetic type 2 in October and still got denied weight loss medicine. My prescription was sent almost a month ago. I had to go back and forth with them and my doctor for the preauthorization process that kept being cancelled for no reason. Then finally had my answer today. Don't choose them if you believe paying their expensive premium will help you get some weight management medicine easily. Lol.

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    Customer ServiceBilling

    Reviewed Nov. 17, 2025

    I was told that because I smoked cigarettes during my life that my procedure would be denied. I had to let them know that if I were one of their parents, they would not be doing this. As you don't do that to a animal much less a person. I had to let them know that is called blackmail and extortion because they already received their payment for services.

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    Customer ServiceCoveragePriceStaff

    Reviewed Nov. 14, 2025

    Of all the customer service issues, I have had to deal with Anthem is by far the worst. They transfer you around in a revolving black hole, hoping you will hang up. On hold for mistake they made on application. No accountability, they just transfer you around for over an hour and then hang up on you. Pay the premiums but can't get any service when need help. Been in insurance business for 30 years and they are by far the worst!

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    Customer ServiceCoverageBilling

    Reviewed Nov. 12, 2025

    I do not know how Anthem can stay in business. At every turn when enrolling for new insurance, they did the wrong thing. Here is just a sample of what they did wrong:
    - Got my wife's name wrong on her card and the doctor will not take the insurance.
    - Applied my payment to an old insurance policy making my new insurance inactive.
    - Never get back to me when they say they will get back to me.

    - Change the policy number on-the-fly without informing us.

    After reading the other reviews, I am scared about the future denials. The problem is, as retired Americans not on medicare yet, we do not have a lot of choices.

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    Customer ServiceTechStaff

    Reviewed Nov. 6, 2025

    Anthem BCBS in its entirety should be ashamed of how they run their business. I'd give a 0 if possible. I have a procedure that is routine and was approved twice, although the first time I had to fight in Nov & Dec for approval. 2nd time went right through. 3rd time denied "as not medically necessary". After 6+ hours on the phone (1 with myself and the care provider on it) with different representatives to try to resolve the denial, including filing an appeal twice, they said they never received an appeal yet an appeal was required. The runaround, misinformation, avoidance of duty, etc. is simply frustrating. To hope the customer will go away from the issue if they throw up enough hurdles seems like their game.

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    Anthem Company Information

    Company Name:
    Anthem
    Website:
    www.anthem.com