Anthem Reviews

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.

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.

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.

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.

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.

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.

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.

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.

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.

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!

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.

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

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.

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.

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!!!!

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.