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 3 Reviews 40 - 240
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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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    CoveragePrice

    Reviewed Nov. 5, 2025

    You have to have insurance but ANTHEM BC/BS is a horrible company. Deductibles & premiums go up every year while coverage gets less & less. Paying your full deductible before any co-pays kick in is also ridiculous.

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    Customer Service

    Reviewed Nov. 3, 2025

    Worst Service ever! They will keep you on hod for hours and won't even get back if the call was cut in the middle. Reached them to change the name for about 8 to 10 times but every time they took the information but no change. All they ask is is this the first time reaching out regarding this issue.

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    CoverageTechPrice

    Reviewed Oct. 31, 2025

    Anthem is the worst Healthcare insurance company I have ever used. I pay these people every month out of my check on a very expensive PPO just to get my claim denied for what I would consider regular medication. So here's how it works, your doctor prescribes you a medicine they they think will fix your ailments. Then Anthems Dr who has never met you says no you need "Prior Authorization" so you go back to your personal doctor that knows you and your issues. The "Prior Authorization" is then sent and the claim is then again denied by once again some doctor in a office you have never met to keep the cost down. Anthem has a history of denying more claims (almost double) of any other Healthcare insurance provider. You can Google it if you don't believe me.

    Gail Boudreaux, the CEO of Elevance Health (formerly Anthem), earned a total compensation of approximately $20.5 million in 2024. This included a base salary of $1.6 million, with the majority of her compensation coming from stock and option awards and other incentives. Base salary: $1,600,000Stock awards: $12,600,032Option awards: $4,199,989Non-equity incentive plan: $1,142,400Other compensation: $929,555. Total compensation: $20,471,976.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 26, 2025

    Anthem has been the worst insurance company I’ve ever dealt with. It takes an unreasonable amount of time for dentists to be added to their network. On two separate occasions, the Anthem website listed my dentist as in-network, and customer service confirmed it over the phone, only for me to later be told the dentist hadn’t actually been approved yet. When I appealed, Anthem’s response essentially stated that they cannot stand by the accuracy of their own website or the information provided by their representatives. Their coverage is terrible and they will deny anything they can. I will never recommend them to anyone.

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    Verified purchase

    Reviewed Oct. 23, 2025

    I have been with Anthem for years. I have started to observe systematic denial of services that were highly effective for me, such as the roller table at my chiropractor and dry needling at my physical therapist.

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    Reviewed Oct. 13, 2025

    I’ve been with Anthem for nearly 4 years and not bad until now, starting Jan.1 I lose my $50.00 healthy food card, many of my meds copays are going way up, higher copays for Dr. visits and many other services. So starting Jan.1 they're taking food out of my mouth, many meds I take will be too high on copay, I won’t be able to afford anymore. Anthem Blue Cross is horrible and putting people's lives in danger.

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    PricePunctuality & SpeedStaffBilling

    Reviewed Oct. 11, 2025

    My husband and I have had Anthem for the last year. They have not only refused to pay doctor's offices that we were told by their CS agent was in network; they continued to charge my checking account after the policy was cancelled by the State and Federal Marketplace! Also, the amount went from $40.00/month to $1534.14. After the charge was disputed with the bank it was reversed and then they tried to take the money out again a few days later! This put my account into the red with payments in line bouncing!

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    Customer ServiceCoverageStaff

    Reviewed Oct. 8, 2025

    This company is a joke!!! I've been trying to talk with them because my husband's doctor has filed multiple duplicate claims and I've begged for a manager to call me!! I can't get through to anyone! Like I have been emailing with an employee that doesn't understand plain english!! This is insane! They have also lost claim money of mine & they have no idea where this money went!! I do not recommend this insurance!!! Worst I've ever had so run now!! So take this warning & your money and go elsewhere!!!

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    CoveragePrice

    Reviewed Oct. 7, 2025

    I just received notice that my Medicare Prescription coverage (Anthem Mediblue RX Stndard (PDP) will no longer be available after Dec 31, 2025. It is a tiered plan that I have been on since retirement for 2 years. Cost of 101.00 per month. I am on very few inexpensive meds. (BP, Statin and Coreg). I will have put in 2400.00 when the cost of my meds is way under that. How can these tiered plans get away with this?? Take your money and run??? I do plan to search for other options to file a complaint about this!

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    Customer ServiceStaff

    Reviewed Oct. 2, 2025

    I was on the phone on hold for 45 minutes. I was just calling to see how much funds available on their debit card they issued to me. Customer agent asked for same question over and over. I asked, "Is there another way to locate my information." She just hanged up.

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    Customer ServiceCoverageMaintenanceStaff

    Reviewed Sept. 25, 2025

    This is the worst insurance company on the planet. They are absolutely ridiculous. I had a non-work-related, personal accident that destroyed my right knee (torn meniscus, torn MCL and LCL, fractured patella, stress fractured, and bone bruised head of tibia/fibula), and they DENIED the knee surgery! It has been almost 1/2 a year, and I still cannot walk or work. They will deny, deny, deny, and don't care that you cannot work or walk or live. They think the idiot on the customer service line knows more than my doctors and run you around ten thousand different phone numbers of which most of the time they just send me on to someone else, and you never get anywhere; their tactics are to do this over and over and wear you down.

    They also will deny any peers to peers or say they will do them then give the run around to your doctors office when they try to. They have zero communication and customer service skills. The butt doesn't know what the hand is doing at this company, and they are absolutely hideous! Run, do not walk away from these morons. They will ruin your life and enjoy doing it at the same time. Bunch of jerks!

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    Customer ServiceTechPunctuality & SpeedOnline & AppRefunds & PayoutsStaffBilling

    Reviewed Sept. 22, 2025

    I have gone around on hold, talk to a machine, get bounced from one person to another to another to another. It has been over 3 hours. Cannot log into the web site, tech support no one picks up after hours on hold. Customer service is useless, everyone asks the same questions same member number yadda yadda then on to somebody else. Most do not speak understandable English and have zero listening skills. I had both the bank and credit card put a block on Carelon after multiple problems, every dental claim has been denied we got ZERO even tho we put almost $5K out of pocket. Hearing aides they say they will pay $1000 only if we use their provider who wants $8K, but nothing if I buy them at the big box store (licensed provider) for about $3K.

    They would not pay for the walker for my husband that I got at the local pharmacy for $69, he needed it after a fall could not wait months for an approval, then we are told they will only pay for a walker from their supplier (2 hours away) who wants $300. But I guess that is part of the plan if the old people cannot get the care they need there will be a lot less old people to deal with. Do not believe anything they tell you, everyone you might reach has a different answer, and no one will back up their answers in writing. Disgrace is a polite word.

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    Customer Service

    Reviewed Sept. 15, 2025

    Was trying to find a dentist in my area that would take Anthem, they only gave me a list of 3 dentists in my area that would take Anthem and 1 was not a dentist but a personal number. They transferred me to the rude lady that does out of network, she talked over me, interrupted me then she just hung up on me. I was and am still furious about that. Anthem hires nasty people that can't do their jobs.

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    CoverageRefunds & Payouts

    Reviewed Sept. 11, 2025

    They are the worst insurance company ever, they deny claims for services that are absolutely critical because they don’t want to pay, we had to pay for our own MRIs because they wouldn’t pay for it, they wouldn’t cover my daughter’s physical therapy, even though the doctor ordered it. Appealing it is just a waste of time because they will just deny the appeal. Why do we pay for insurance when nothing is covered? They are literally the worst insurance company on planet earth

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    CoverageStaff

    Reviewed Sept. 10, 2025

    Anthem believes they know more about my wife's healthcare than her actual doctor, so they're denying her medication she needs. Based on her labs being 3 points short of their threshold for the meds. I guess my wife's best bet is to make herself sicker, so that they'll finally cover her meds. Or they'll still deny, since they only care about profit and not anyone but themselves.

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    Customer ServiceCoverageSales & MarketingPricePunctuality & SpeedOnline & AppStaffBilling

    Reviewed Sept. 5, 2025

    Low cost plan in the Anthem Insurance world just means "pay your premiums for us to do nothing." Ended up with a healthcare bill for an ER visit and they denied coverage. They waited to deny coverage as the months went by so you almost think they would actually accept part of the payment. I think this company has a special place in the garbage of medical insurance. They really avoid ownership of insurance and claims as well as attempt to not cover people. I hope that when the time comes the people in the hospital and healthcare workers like myself will use our knowledge to help them and not deny their claims with actual health emergencies. The company is not worth what you pay.

    The app coverage details are hilariously vague for the reason to negotiate with companies on what "coinsurance" they will pay or most likely deny. Most likely the premiums go to the call center that avoids phone calls, and your deductible is a way to get someone to read your file because they do not want you to meet a deductible and have even a portion of the bill. Also billing codes and medical fees require knowledge which I have not seen them understand just numbers and incorrect math. Anthem is lazy, over automated, lazy, and low quality when it comes to consumer healthcare.

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    Customer ServiceCoverageSales & MarketingPriceRefunds & PayoutsMaintenanceBilling

    Reviewed Sept. 4, 2025

    On the morning of Sept 3 I received an email message from my bank that an automated withdrawal of $352.34 was made that morning by Anthem and that my account was overdrawn. I had signed up with Anthem health insurance for my daughter in January 2025 and approved monthly payments of $30.34 per month, which had been occurring every month since then. Somehow, without my knowledge, Anthem decided to change my plan beginning in September 2025 and increased my monthly premium to $352.34 without my approval or knowledge that they did this.

    I called Anthem and have received several different reasons why this happened, so I don’t know what to believe except that Anthem committed wire fraud by withdrawing 11X the premium without my permission or knowledge. I called Anthem on Sept 3, 2025 several times and have requested that the full amount be returned to my account, only to get told about the amount being prorated back to Sept 1 and that it may take 30-45 days to resolve. How could I be responsible for proration back to Sept 1 when the money was taken out on Sept 3, when I called them.

    I did a follow up call on Sept 4 and spoke with Joshua (Supervisor at Anthem) and Jacob at the Marketplace to express the need to replace the stolen funds to my checking account. I am retired and this money was for food and medicine that I desperately needed through the end of the month. I feel I was scammed by Anthem and I am a victim of wire fraud. All I'm asking for is to be fully refunded and made whole. For every day going forward Anthem should be made to pay a penalty for allowing this injustice to continue!

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    CoverageStaff

    Reviewed Sept. 2, 2025

    I have to lose weight to be able to do IVF. We have tried for 6 years, had multiple losses and I almost died to a ruptured fallopian tube. I was told by my family doctor and my fertility doctor that ** would be a great med for me to help me lost that weight first. I lost 12 pounds my first two months! Then I got Anthem insurance through my employer and now I am being denied my medication because I've never had a stroke or heart attack even though I have afib, hypertension, high blood pressure, and SVT!! My mom had a severe stroke at age 45 and my dad died at 33 from a blood clot!! So this med would greatly benefit me and help me not to end up like my parents! I am at a loss. My doctor is furious that they're denying me and he is continuing to help me appeal this. They seem to not care about my health or well being! So disappointed in them..

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    Customer ServiceCoveragePriceStaff

    Reviewed Aug. 28, 2025

    Anthem is the worst insurance that I have ever had. They deny medications that I have been on for a long time that no other company has even given me a prior authorization for. Worst of all...NO CUSTOMER SERVICE! You get sent to a third party called EmpiRx Health for any questions about your covered medications and you speak to someone you can't understand and they "yup" you to death but do nothing. I live in Rhode island and I WORK in Rhode Island but the Rhode Island Blue Cross will not even speak to me and tell me that I have to physically go to a different state where I can walk in and talk to someone!! Do I live in Russia? Nope, this is what America has turned into. I pay $2300 a month in regular everyday prescriptions which is a cost I did not have with my prior insurance which was blue Cross without the ball and chain anthem to drag it down. If your company offers anthem then they don't care about your health.

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    Customer ServicePunctuality & SpeedRefunds & Payouts

    Reviewed Aug. 26, 2025

    STAY AWAY FROM THEIR SPENDING ACCOUNT: I opened a spending account this year. $499 fraudulent transaction was made in March. They did not bother to send me an email or text for two weeks. When they did, I told them to cancel the transaction immediately because it wasn’t me. I had my card so it wasn’t used physically. They did not cancel the transaction. I kept sending them messages to cancel it and refund my money. But No progress at all.

    54 days later, they sent me a message on their platform with a dispute form attached but again no email no text no call. I logged in Anthem's website and saw that they sent me this form a week ago. I submitted the form. And their answer is “form should be submitted within 60 days after the transaction was done”. Almost 6 months later, they marked the transaction as ineligible and told me that I owe them $499 and my account is blocked until I pay them $499. So I cannot even use the money left in the account now. STAY AWAY.

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    Customer ServiceCoverageTechSales & MarketingPricePunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed Aug. 22, 2025

    Worst insurance company I have ever used. App & Customer Service can NOT verify what providers are in or out of network, nor can they give a cost estimate. Pretty much useless. Was told I have to find & contact providers myself to verify coverage. I could never get an accurate answer on my out of pocket costs before reaching my deductible. Was told to just go to my appointments & I would be billed afterwards, without any idea or estimate of costs. Resulting in thousands of dollars in medical bills. AS far as claims, they mostly show a discount for having insurance, however insurance pays zero. Today I was hung up on by a supervisor for trying to clarify how to find a specialist in network. The only advice I was given was to call each individual provider in my area & ask them if they accept my insurance.

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    Customer ServiceCoverageTechCommunication

    Reviewed Aug. 20, 2025

    Poor customer service for providers (even an IN-NETWORK BCBS provider such as myself). Unclear menu options with poor communication within departments just to verify TWO basic questions (is prior auth needed and what is the payor ID for claims). Phone numbers on the insurance card (plan is 18 months old) are non-working and just disconnect. A huge company like this can do way better and must.

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    Customer ServiceOnline & AppStaff

    Reviewed Aug. 14, 2025

    Poor customer service. Rude and unhelpful. I first tried to speak with someone through the live agent on their website and got ghosted. I then called them and was transferred to 4 different departments and eventually was told they couldn't help me. The last person I spoke to had the most condescending tone. I would advise them to teach their agents to be more polite and actually be helpful to customers. This was a very frustrating experience.

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    PricePunctuality & Speed

    Reviewed Aug. 13, 2025

    Anthem Health were quick to solicit me, relocating long distance and not having a clue! I'm getting nothing for whatever is being charged to the Government (Medicare) myself and whoever every month! They aren't even in Network for any Walk in Centers anywhere near me!

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    Customer ServiceCoverageTechPricePunctuality & Speed

    Reviewed Aug. 12, 2025

    I would never voluntarily take out Anthem BCBS insurance. They are quick to charge premiums, but deny claim after claim for various reasons that leaves you calling and calling and calling to try and get claims reprocessed. I do the right things...i.e. make sure I go to only in-network providers and get anything requiring pre-approval approved, yet they still deny claims. I think the mode of operations for these people is that they deny claims in hopes that they wear a person down and we will just pay the claims ourselves!

    I am changing jobs, so will be sure to include in my interview questions who they have for insurance and if it's Anthem, I won't proceed further as this is WAY TOO STRESSFUL dealing with them. I never had ANY of these issues when I had Aetna. Beware, if you are unlucky to have Anthem, you will be in for a fight to get all claims processed correctly per so called 'agreements'!! Horrible, horrible company and there should be laws against these companies constantly denying VALID claims!

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    Customer ServiceCoverageTechPriceTransparencyCommunication

    Reviewed July 31, 2025

    The policy states that hearing aid services are capped at $5,000 per 36 months. However, my claim was only allowed for $4,000 toward the purchase of hearing aids. When I contacted customer service to clarify the discrepancy, they were impatient, rude, and unable to explain why the coverage was reduced or how to better estimate future costs. The lack of transparency and poor communication make it impossible to trust the policy as presented. I would not recommend this provider based on my experience.

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    PriceRefunds & PayoutsStaffBilling

    Reviewed July 31, 2025

    Do Not Do It. Don't pay for this with your hard earned money. Everything is a fight. Everything is "Approved!" for your care but it'll be a surprise as to who is footing the bill (spoiler: you foot the bill. You pay!!). It's probably cheaper to just roll into a doctor's office or emergency room and just tell them you're uninsured, that way everyone knows no one besides yourself could be possibly be financially responsible.

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    Customer ServicePunctuality & SpeedStaffHonesty & Transparency

    Reviewed July 30, 2025

    I am an extremely unsatisfied customer of Anthem BCBS. I had United Healthcare through my employer for 7 years and never had an issue. I have an autoimmune condition the requires regular specialist visit and a biologic medication. Referrals and pre authorizations are not new to me, but the level of aggravation I have experience since getting this anthem plan 14 months ago is truly unbelievable. They deny claims for no reason other than to make you jump through hoops. It takes forever to get a person on the phone and when you do you have to go through all of the questions that you already provided answers for in the automated system. Once you do actually get to explain your issues the customer service agents will talk you in circles or straight up lie until I hang up from frustration.

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    Customer ServiceBilling

    Reviewed July 28, 2025

    What horrible "customer service"!! First you have to get past a useless bot chat. Then spend 20 minutes just getting the human (bot-like) to get to the correct account, arguing I'M on the wrong account. 15 minutes more NOT getting the answer to a simple question- Why is my current bill for a 2 month period instead of one, as usual? Seems like a simple question. Asked for a supervisor FOUR TIMES to no avail. Anthem sucks!

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    CoveragePricePunctuality & SpeedRefunds & PayoutsStaffBillingRates

    Reviewed July 25, 2025

    Personal opinion and experience. Anthem does not care about your health. They only care about your money. I’m not sick enough for insurance to help with a simple CCTA scan. If I was older or super sick, they might help. I have high cholesterol and thought at the age of 40 it would be good to get this scan and stay on top of it and see how much plaque might be in my arteries. To help reduce my chances of stroke or heart attack. Anthem does not agree, though. They don’t want to keep me healthy; they obviously want me to have a heart attack or stroke someday. Before they are willing to help.

    My boss pays them about 16000$ a month for a small company of 13 or 14 guys. 192,000$ roughly a year to insure us. He fully insures us. Now why would Anthem boast and brag about how much they do and how many lives they save, when they will only help people if they hit their deductible or they're extremely sick. Why would they not want to keep someone healthy?? Anyone?? Oh is it they don’t make any money keeping people healthy?? Huh?? Healthy insurance doesn’t keep you healthy. So my boss pays them 16000$ a month and they won’t even help with a 2000$ scan.

    I know I’d still pay something even if they did help, I know how insurance works. I’d be happy to pay my share. They don’t cover it all. To not cover anything when someone wants to keep themselves healthy before it’s too late and I have a heart attack or stroke someday. Doesn’t make sense! Anyone feel free to contact me and I can show you proof. So let’s find some facts about the ceo and her pay rate to the average employee pay rate at the company. In 2024, Gail Boudreaux, as President and CEO of Elevance Health Anthems' parent company, earned a total compensation of $20,471,976. This included a base salary of $1,600,000, stock awards of $12,600,032, option awards of $4,199,989, non-equity incentive plan compensation of $1,142,400, and other compensation totaling $929,555, according to a report by Fierce Healthcare. Her total compensation was slightly lower than in 2023, where she earned $21.9 million.

    So to put that in perspective, I’m a plumber make a decent living, but it would take me 200 years to make what the ceo makes. Oh wow, that makes me absolutely sick. Oh I’m sick now Anthem, will you help me now?? Still not sick enough huh?? Okay well Google says average salary for an employee at Anthem is $56,229. The ceo makes roughly 372% more. That’s makes me feel more sick, cough, cough high cholesterol. Help me, Anthem!!! So the average employee would take about 400 years of work to make the CEO's yearly salary. Like I said I’m blue-collar plumber who probably saved just as many lives as Anthem. I don’t turn people away because they're too healthy. As long as they can pay their bill I serve them.

    Think about it a huge hospital or apartment building that gets fresh water or medical gas or has a toilet or a bad pan washer, the list goes on and on. One cold year here in Colorado, a plumber saves a life daily as natural gas goes to a furnace and heats a house and keeps people from freezing to death. I’m helping keep the general public safe. I’m not asking for a handout, I know I have to pay for my portion, it’s not Medicare or Medicaid but for Anthem not to cover anything. Hope this helps someone when they're picking insurance for their company. I’d go with someone else that cares about keeping people healthy. Feel free to contact me with questions.

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    Customer ServiceStaff

    Reviewed July 24, 2025

    I had gone for Hiking in Nepal and needed a medical, Air Ambulance reimbursement. It took many phone calls but in the end I happy with the resolution. I want to thank all the representatives, I talked to, Reba, Alex, Willard, Scott, Renwald, and especially Toni who helped me took my feedback in writing my Appeal. All of thank you again. Onkar

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    Customer ServiceTechStaff

    Reviewed July 3, 2025

    Good afternoon, I would like to know why my information being shared. Today I received two calls from two different health agency asking to come to my home to do an assessment for BCBS and it was mandatory. I never heard of any of these agency before and now I'm scared to let them in my home. BCBS needs to do better to protect the elderly from them money grabbing agency who knows nothing or care nothing about the elderly patients. If BCBS wants to know or care about the patient well being they need to contact the patient health care provider. I will contact BCBS on the next business day, I never authorize them to share any of my information with anyone.

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    CoverageTechPriceRates

    Reviewed July 3, 2025

    Horrible. After 6 months, now there's a copay? Nothing but the normal copay all year, now in July it goes from $20 to $1036? And these "providers" wonder why things like New York happen. Meds covered all year but now I'm told the manufacturer raised the price.

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    Customer ServiceCoverageTechPriceOnline & AppRefunds & PayoutsStaffBillingRates

    Reviewed June 26, 2025

    They used to be a legit insurance company years ago. Not the case now. We bought our coverage through covered CA this year. You have to purchase separate dental and vision care for the adults as they aren't included in the regular coverage. The list for dental care providers is not current, is "filled" to get more subscribers, and is full of providers who do not take their insurance and haven't for a long time. It's almost impossible to find a dental provider who does. I'm ending up paying out of pocket for non-network dentist. This is especially true for Covered CA pediatric dental care. I asked why no providers take Anthem through covered CA and they said that Anthem will approve an amount for a treatment but then deny that amount and approve a smaller amount, making it hard for patients to pay and for the practice to get paid.

    They don't pay a lot for any type of care and you end up paying a whole lot out of pocket, especially for procedures and surgeries. They want to deny all emergency medical care for ER or urgent care. They are trying to bill my Urgent Care visit as ER. EOB's hard to understand. They mark the care they won't pay for as "approved" on their website and my eob, but show that my "out of pocket" is the full amount of the visit. My health care provider re-sent the claim. Let's see how that goes.

    Copays for specialists are expensive. $80 plus. My deductible is $2000 more than the rest of my family's probably because I have chronic conditions I'm being treated for. They made me change pharmacies. The cost for some prescriptions is pretty high. Customer service was ok for me. I haven't had to contact them but only once to ask about the dental providers for which they gave me the same list as online. This company is a ripoff and only interested in profit. I can't believe they are still allowed to operate.

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    CoverageRefunds & PayoutsStaffRates

    Reviewed June 25, 2025

    Rating for Anthem is zero. Out of pocket expenses were less when I was uninsured. Fortunately, I have no conditions which are considered chronic such as cancer or conditions requiring ongoing care such as Parkinson’s because the coverage is useless.

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    CoverageSales & Marketing

    Reviewed June 25, 2025

    Refuses to give me credit for my wellness exam that I had while at a previous employer under BCBS even though I provided an EOB and Documentation from my Doctor. This is a scam insurance company that is not really BCBS. They can't access BCBS records and won't honor healthcare from an organization they are supposedly a part of. What a nightmare. Unfortunately, I'm stuck with this trainwreck company through my employer.

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    Verified purchase
    Customer ServiceContract & TermsTechPricePunctuality & SpeedMaintenanceStaffRates

    Reviewed June 24, 2025

    Big, lumbering bureaucracy, where the left hand doesn't talk to the right. All claims are automatically denied the first time, requiring manual intervention, calls, follow-up and headaches. I have communicated with them at least 5 times on a claim for a replacement CPAP (DME). Each time, they tell me provider codes and supplier codes are missing, but the alleged missing codes are clearly shown on the receipts-- A simple PDF search would very quickly find them. The Anthem rep says they will fix the claim to represent the codes, then the claim is denied AGAIN for the same missing codes, costing me, my provider and Anthem service reps countless amounts of time and effort-- this company represents all that is wrong with our broken health care system. If you follow the reviews, all of the 5-star ratings are before 2019 and 1-star after. A very clear shift in customer satisfaction.

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    Punctuality & Speed

    Reviewed June 12, 2025

    Takes forever for claims to process. Pharmacy claims haven't appeared for the year. Horrible experience. If your company switches to Coupe health, which is part of Anthem Blue, run don't walk. Crowd Health would probably be a better choice.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed June 3, 2025

    This insurance charges a lot and is of no help, I have visited the urgent care/hospital twice. I have been confirmed as a high-risk pregnancy and it has been almost 3 weeks, and I have still not been able to receive prenatal care because apparently, I need a referral from my pcp who has cancelled my appointment twice, now I have been switched to another pcp who has no appointments so I continue to call customer service just to keep being given the runaround. Requested to speak to a supervisor and I have to wait 48-72 hours for a callback. This insurance is a joke.

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    Customer ServiceCoverageRefunds & PayoutsStaff

    Reviewed May 30, 2025

    I joined Anthem back in March as a customer. Since then, they have denied every single claim. Why pay for an insurance company that doesn't help you whatsoever? When I called customer service, they gave me a different answer what I should do every time. I was being passed around from associate to associate and was even sent to two completely different insurance company, and this happened twice. You would be better off with no insurance than getting it through this company, who refuses helping their clients. If you have this insurance, might as well start looking for a different one right now.

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    CoveragePriceBillingTransparency

    Reviewed May 28, 2025

    More expensive than most other plans and they have denied every claim for covered individuals receiving covered services at in-network facilities with no actual explanation or plan to resolve. This has been going on since starting the plan over 6 months ago and now the medical bills that are not being paid have been sent to collections. So if you want to pay a lot of money to get nothing and accrue medical debt, this is the one you want.

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    Customer ServiceRefunds & PayoutsStaff

    Reviewed May 23, 2025

    This company has an automatic phone system that doesn’t work and their employees apparently don’t like to answer the phone and they certainly don’t like any complaints or requests. It’s impossible to get a hold of them. I ended up using the nurse line, she was on hold with me for an hour when she transferred me to finally get through to customer service. The minute she hung up They said this is click. They started to introduce themselves and they supposedly disconnected but no, I’m pretty sure they just don’t answer the phone. Horrible, horrible service to their benefit. They have paid my claims but frankly they were legitimate claims. I did review them and it looks like they Decline 35% of their claims. If they decline you I suggest you get an attorney because these guys are criminals in my opinion, they would only authorize 60 colostomy bags for 90 days expecting me to reuse them? How disgusting.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 22, 2025

    The reward program is a problem, I completed by November 2024 weight loss program which supposed to give me $60 as a reward, but I never received it still. Customer service not helpful at all, they all located outside USA and they do not know how it works. They promised me multiple times to call back but it never happens regarding rewards program, then later I was told that that customer service not able to call to USA number because they are abroad. I asked to connect me with customer service in USA, of course I was promised again that somebody will call me but as usual no one called me. I placed about 10 calls.

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    Customer ServiceContract & TermsCoverageTechPricePunctuality & SpeedRefunds & PayoutsStaffBillingRates

    Reviewed May 19, 2025

    Run away from Anthem! If I could give a zero or negative rating I would. My insurance card states Primary provider $40/0% and Specialist $80/0%. Urgent care $60/0% and Emergency 40%. When I see my primary it is processed correctly. However when I see a specialist or go to urgent care it is not. October 7 I went to see an ear, nose, throat specialist and paid the $80 copay. I wasn't getting better so November 18th I went back, $80 copay. November 23, I went to urgent care, $60 copay. (I verified with the facility that it was urgent care not ER.) When they processed these claims, they billed it as outpatient for the hospital because the offices were in the hospital building so they applied my copays towards deductible and told me I still owed $1107. For the record, every specialist office is located in the same building as the hospital.

    Anthem's commercial reimbursement policy states under Office Place of Service when an office setting is located within a hospital or facility or a professional building attached to and owned by the hospital and one or more of the following conditions apply: 1) office space is rented or there is an agreement between a provider that operates under a separate tax ID number and the hospital, 2) the location is in a separately identifiable part of the hospital or facility and used solely as the provider's office regardless of the state's licensing or certification of certain areas within the hospital or facility as a department of the hospital, and 3) when equipment is located within the rented space in the hospital for facility's "four walls" then the services are determined to be provided in an office setting regardless of who owns the equipment.

    Services provided in an office-based setting by a professional provider with the use of a hospital or facility's tax ID number are not considered to be a hospital or facility claim and will be reimbursed as an office place of service. I have been working on this for 6 months along with a few 3 way calls between Anthem, myself, and the lady from the facility billing office who tried to tell them also that it wasn't processed correctly. Anthem never allowed me to speak with a supervisor when I asked for one. I couldn't find an attorney that helps with insurance complaints because they deal in big cases like personal injury and it would probably cost more than what they say I owe.

    I started getting mammograms in my early 40's because my sister passed away from breast cancer at 29. I was due for my yearly mammogram and pap in January which according to Anthem should be covered as a preventative visit. I put these off until I could change insurance because it would mean seeing a specialist whose office is in the hospital building and I didn't trust them not to bill it towards my deductible as they did in the previous visits. I was told there are a lot of cases like this with Anthem. Maybe one day there will be a way to hold them accountable but for now I am stuck paying a bill I don't owe.

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    Customer ServiceCoveragePriceRefunds & PayoutsStaff

    Reviewed May 16, 2025

    Avoiding preventative care because not covered. I haven't been for a dental exam in 5 years, but I'm supposed to be covered for a preventative exam every year, so finally I went in good faith. I wasn't covered. The dentist took 4 bite wing x-rays which is standard, I checked. They only paid for 2. That would mean only 1 side of my mouth is "covered by insurance" ... how bizarre. I spent countless hours on the phone now, and I'm tired of fighting. Their customer service is non existent and just a runaround. No one has answers. No one is willing to listen or help. I will continue to avoid dental care now because of the hidden costs, because being covered, means not actually being covered. I don't know what the point of dental insurance is. And Anthem's service today was terrible. It's just garble and gibberish to confuse you. They won't pay ... At least know this ... then you won't be disappointed. They claim to cover preventative care, but you're not!

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    Customer ServiceCoverageTechPriceRefunds & PayoutsMaintenanceBillingRates

    Reviewed May 15, 2025

    So, I have chosen Anthem medical insurance for my entire life as they are suppose to be a premium service? What I find interesting is their total lack of resolution to simple things? They state that they cover preventative annual checkups with your in network provider, but won't pay for all of the associated costs. They rather classify your visit as a standard doctor's visit, due to Coding, and you pay a deductible!? 5 hours on the phone with 4 different personal and when requesting a supervisor, I am put on hold for 45 minutes where I just hung up. Why they would treat customers this way over a $40 dollar bill for blood work, is beyond me? Have a clue Anthem and prioritize your customers, or just change your claim of covering 100% of annual preventative maintenance!?

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    Customer ServiceStaff

    Reviewed May 13, 2025

    Impossible to work with from a facility standpoint. Delay patient care and negatively impact patients’ quality of life and prognosis. No less than 90 minutes spent on each call, and multiple representatives hang up on you. There is no kind of complaint resolution or customer service.

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    CoverageStaff

    Reviewed May 12, 2025

    Won't enroll next year. Terrible insurance company, won't pay their share for my medical procedure. Will leave you in pain for months denying MRI after Dr. request. Just keep paying your premiums and get denied for care requested by your Dr. Typical insurance crooks, just keep paying them.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed May 5, 2025

    I wish there were zero stars. After being a member of Anthem for over half of my life, I have changed health insurance companies and cannot recommend Anthem at all. My Bronze Pathway X plan was not accepted almost anywhere I wanted to go. My insurance got messed up when I tried removing my husband as he switched over to Medicare. I had a broker helping and there was some confusion in changing the plan. After many phone calls that lasted from 1 to 3 hours, I could not get my issue resolved. The customer service agents are all foreign and very nice, but trained to transfer you and will not escalate problems to anyone above them.

    Finally after being told multiple times that my issue was resolved, I filed a grievance and was told not to call back and to wait 6 weeks for resolution. I was told I had coverage during this time. Well, 6 weeks later I was told my plan was cancelled, I had been without insurance, and I needed to start over. My hours on the phone were useless, no help was available to work out a pretty straightforward issue, and I was given the run around for weeks. Worst of all, my son and I had no coverage when were were told we were covered. I have switched to another company and am absolutely finished with Anthem after the horrible way I was treated as a longtime customer.

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    TechPrice

    Reviewed April 30, 2025

    Maximum out-of-pocket drug cost was supposed to be $582, I’m already up to $677. I know it’s not much but they are giving me the run around. And also a vision exam was approved and then now denied. And also giving me the runaround. I would not recommend this company. They are nickeling diming everybody to death. They do not follow their contracts.

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    CoverageSales & MarketingPriceValue

    Reviewed April 29, 2025

    Anthem ** is the worst company to ever work for. This company is all about kissing ass or sucking up. Do not come work for this company or use their insurance. THIS IS A SCAM. DO NOT COME TO THIS SITE. ABSOLUTELY THE WORST COMPANY IN INDIANA. If you know what’s best, please move on.. not worth it.

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    CoverageStaff

    Reviewed April 29, 2025

    This is terrible insurance. Anthem used to be a well respected insurer but has become one of the worst in the industry. I have had so many problems with them in the last year and a half that I could never recommend them. They want to dictate what your care should be and blatantly go against your doctor's recommendations. The appeals process is a joke.

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    CoverageBilling

    Reviewed April 21, 2025

    They don't cover anything. They only cover 60-dollar therapy whoopee. They are bunch of vampires that only suck and never give. Their network coverage is narrow and irrelevant. Got bills? They won't cover.

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    Verified purchase
    Punctuality & SpeedStaffBilling

    Reviewed April 19, 2025

    Had a stent in my heart Oct 14th, 2024. 2 days later end up in a different hosp with chest pain and sob with exertion. All DRs., tests, etc. done while I was in hospital were paid at 100%. The actual hosp bill is being denied for 15,000+ dollars. I have been back and forth with Anthem and billing office trying to get this bill taken care of it seems daily. Anthem says "I" need to get a peer-to-peer. Billing office says they need a medical necessity letter. Beyond fed up.

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    CoveragePunctuality & SpeedStaffBilling

    Reviewed April 19, 2025

    Got a bill for a doctor I had never seen or made an appointment with. Reached out to Anthem regarding this and they refused to do anything about the insurance that was used not for me. So glad to know this insurance company doesn’t care about possible insurance fraud.

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    Customer ServiceCoverage

    Reviewed April 16, 2025

    The same device that I was able to get 2 years ago now have new added requirements that I was denied coverage for, jeopardizing my longevity. Profits over people's lives. BTW, I was surprised to have been talking to this customer service lady, but turned out to be a BOT! When she was acting unusual, finally we asked if she was a human, to which she did not answer. We asked her that we needed her supervisor, to which we consequently got a human to answer my call and deny me coverage!

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    Customer ServiceStaffTransparency

    Reviewed April 15, 2025

    First, It is literally impossible to obtain the phone number for customer care from the mobile Sydney app. You have to go elsewhere to find the phone number. Finally, when you call, you next need to wade through a wall of screening 'bots' that have trouble understanding language especially when it comes reciting your member number to them. Finally, when you reach an actual human, it is readily apparent they are in a call center on the far side of the Earth and there is a language comprehension issue. This is extremely frustrating when you are dealing with very technical issues and questions and they do not understand what you are calling about. T

    hey are also so narrowly trained that if you stray into an area that they are not specifically trained in you will have to start the whole process over again and wind up with another overly specifically trained person with a very difficult accent. It took me over twenty minutes to update my wife's email address to the correct one, and I was never able to add her profile on to our account, because she had to be present with me in order to authorize that. As I write this, she is probably beginning her own hour of hell, going through the 'bot' screeners and trying to speak to an actual person, to get her profile set up. Worst customer service experience ever!

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    CoverageRefunds & Payouts

    Reviewed April 9, 2025

    I’ve had Anthem Blue Cross Blue Shield for 67 years in the last two years we have people in foreign countries like India making our medical decisions. I pay 3000 a month for my wife and I and this is the worst Insurance. I recently needed some back injections and they denied it wanting me to do physical therapy first which is absolutely ridiculous. I personally paid for the back injections and I am going to submit the claim and if they do not pay, I will take them to small claims court They have become one of the worst insurance companies. Why are people in foreign countries making my medical decisions? Anthem needs to get their backside slapped by our Congress.

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    Coverage

    Reviewed April 7, 2025

    Anthem Blue Cross Blue Shield, insurance through my spouse's employer, is the worst medical insurance I have had in the past 50 years. I have not one, but two chronic conditions which require medication. This insurance company has denied coverage for medication in spite of my doctors efforts to appeal to their intelligence and has provided evidence that I have said condition. Without the medication my quality of life will diminish rapidly. The numbers on my test results have already climbed as my doctor tries to get coverage for my meds. Symptoms are resurfacing and quality of life has already been effected. This insurance company is based on greed as that can be the only reason to deny coverage for necessary medication. If at all feasible avoid this insurance company like the plague, since if you get the plague or any other ailment or disease your coverage will surely be denied.

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    Customer ServiceCoverageSales & MarketingPricePunctuality & SpeedStaffRates

    Reviewed April 2, 2025

    I’m paying $826.25 a month for insurance and $1,650 for each deductible. Up until this year 30% for preventative services. I have to get preauthorization for most things. I used good RX or other discount for medicine because half price for medication. High denial rate. This is what my job uses. Customer service pretty helpful but their Sydney app stinks. Can’t wait until Medicare, if Trump doesn’t rake away (2.5 years). Can’t be any worse than this plan.

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    CoverageRefunds & Payouts

    Reviewed March 27, 2025

    Terrible insurance. Just enrolled this year, wish I never did! I had Ambetter insurance for the last few years which was great! I’m in pretty good health but I struggle with type 2 diabetes. I was on ** for the last few years. My old insurance covered it. I only paid $25 out of pocket. Now my A1C count was below 5. Now that I’m with Anthem they refuse to pay for my meds. My last visit with my doctor my A1C is up to 9.5. My health has gotten worse. Now it has affected my eyes and other issues! If you want to live and stay healthy run from anthem

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    CoverageRefunds & Payouts

    Reviewed March 23, 2025

    If I could give them less than one star I would! I’ve been with Anthem for less than two months through my work and it sucks! Some idiot sits on his tower and decides what they will cover and won’t cover! If I could go back I would have stayed with my old coverage and paid out of pocket because Anthem sucks! Save yourself!

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    Customer ServiceTechStaff

    Reviewed March 18, 2025

    Anthem...In my opinion....Offers attractive benefits to draw customers joining their plan with no intent to ever provide the benefit. To be specific, Anthem offers an Essentials Extra Benefit should the customer have a qualifying health condition. To qualify for this benefit, Anthem provides a document that must be signed by a health provider. This document lists three qualifying health conditions and this is where Anthem can and does disqualify the consumer.

    The first two qualifying conditions can be easily met but the third qualifying condition essentially requires the consumer to be hospitalized full-time or under home hospice care. In that state of health, the consumer would absolutely have no need for the benefit. Anthem stands firm on their document and refuses to better clarify. In addition, in my attempts to discuss this issue in greater detail has been to no avail. Horrible customer service is coupled with promised return calls that never occur. I highly recommend selecting a different provider.

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    CoverageTechPricePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed March 13, 2025

    It is surprising that this company is still in operation. I was compelled to switch to this insurance provider by my employer, and it was not a choice I made voluntarily. My employer had been with this company years ago, and the experience was similarly unfavorable at that time. My wife has been on thyroid medication for 15 years and, during our previous coverage, tried various alternatives until we found the one that worked for her. However, after transitioning to Anthem, they determined that she no longer required her prescribed medication. Before approving the medication, Anthem insisted that she retry the other options, despite her previous experience showing that they were ineffective. As a result, we are now forced to pay out-of-pocket to continue her necessary treatment.

    My wife has a history of spine issues and has undergone several surgeries. Recently, she began experiencing a loss of sensation in her arm, prompting her doctor to recommend an MRI to investigate the cause. Due to her claustrophobia, she requires sedation for the MRI, as she is unable to tolerate the procedure otherwise, in addition to the pain caused by remaining in one position for an extended period.

    Anthem initially refused to approve the MRI, citing it as an inpatient procedure, despite it being an outpatient procedure. After numerous discussions, they agreed to approve it, only to reverse their decision. Subsequently, they indicated that approval would be contingent on her undergoing an x-ray, which she had already completed, as well as physical therapy, which could potentially exacerbate her existing injury. Given our experience, I would strongly advise against selecting this company for insurance, regardless of its cost. If you require medical services, you may find yourself either paying significantly more or failing to receive the necessary care in the first place.

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    CoverageStaff

    Reviewed March 3, 2025

    This is a horrible company. It is everything bad that is being said and more. After being on my medicine for years with vast improvement, some paper pusher has decided that I no longer need it. The decision is no longer up to my physician and me but now up to anthem. I thought it was illegal to represent yourself as a doctor but yet, the employees of Anthem do and obviously get away with it. My husband's company switched from another company to this trash. We never had issues with them. Evidently this company believes that insurance means you pay them while they deny all of your medical coverage. This is not an insurance company. It is an insurance company. I advise you to do what I am doing. I'm contacting all of my representatives, the district attorney, and my insurance commissioner. I want answers, not smoke. Anthem is a fraud and want justice for us all.

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    Customer ServicePriceStaff

    Reviewed Feb. 25, 2025

    HORRIBLE CUSTOMER SERVICE. I left United Healthcare to join Anthem...since I live in CT...thinking I would be able to speak with a CT representative. I paid $25 more per month...thinking I would get an AMERICAN representative to talk to. WRONG. You get the Philippines. Since I lived in the Philippines I have a more accurate understanding of the people and the culture.They are the loviest people. HORRIBLE AT CUSTOMER SERVICE... because they speak the QUEENS ENGLISH...... They read from a script and cannot answer any question directly. They never answer without a script. As soon as I can change my plan I am going to another healthcare company. Anthem originally had their customer service in CT. Now in oder to make more money... they have shipped us overseas. This is HORRIBLE. Horrible executives who make MONEY decisions and not consumer welfare decisions.

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    CoveragePunctuality & SpeedRefunds & PayoutsBilling

    Reviewed Feb. 17, 2025

    Horrible health insurance.. Billed 500.00 for appointment and they are only paying 120.00 of it and denied paying my 80,000 dollar hospital bill for emergency surgery.. Horrible.. Worst insurance I've ever had..

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    Reviewed Feb. 14, 2025

    Anthem will send a letter in October of 2024 and ask if you like your Medicare plan G supplemental plan and state that if I do then you're all set then in March increase quarterly plan by $60.00. Of course this is after the enrollment period when a person would think everything is fine and there are no changes to current plan. Sad this is how they treat seniors and the elderly with fixed incomes. Something must be done to manage this abuse.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 3, 2025

    Forced to switch to Anthem after employer change. Checked that my current PCP is covered with new plan. Anthem assigns me a different PCP. Looked him up and he is OUT OF THEIR NETWORK!. Why assign me someone out of network when my current doc is IN their network? Still waiting to see if my visit with my old PCP will be covered...but I am currently unable to login to my account by desktop or phone and I've been on hold for 20 minutes so far looking for help.

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    Customer ServiceCoverageSales & MarketingPricePunctuality & SpeedMaintenanceResolutionHonesty & Transparency

    Reviewed Jan. 28, 2025

    When you sign up for Anthem Blue Cross through open enrollment, you will get a confirmation email explaining the next steps. "You'll get your ID card in the mail soon. And you can view and use your ID card on your phone once you register. Just download Sydney, our mobile app, to get started." It is routine for them not to send the new cards. Having had to change my insurance three times in the last 2 years and all three times having them be Anthem Blue Cross benefits, the same pattern emerges. You pay the first month or two but cannot use their benefits because you do not have an account number until they send it to you in the mail. Each time I had to change my insurance, this has happened.

    After a month of waiting, paying over $1000 for the first month and another $1000 for the second month, I call them. They then keep me on the phone for no less than 6 hours, and then they have to call me back. About a week later, I'll get a call from a manager who promises to fix the issue. Eventually, you will get allocated an active subscription, but it will be through blood, sweat, and tears. This is engineered incompetence. I'll have spent $2K on this benefit before I can even go to the pharmacy to pick up my prescription. Honestly, there should be a class action lawsuit over this practice.

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    CoverageStaff

    Reviewed Jan. 26, 2025

    Not sure how the insurance fraud being perpetuated on the American people by insurance companies is legal, but here we are. Anthem gets rich (the CEO makes 20+ mil a year) by taking insurance premiums and denying care for those that need it most. I am a cancer patient and they decide which care I get to have. Not my doctor. Their "experienced healthcare professional" decides what's best for me. And when I try to find out who this ghost person is, they tell me they don't give out that info. I would really like to know how many people have died because Anthem Blue Cross Blue Shield have denied them care.

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    CoveragePunctuality & Speed

    Reviewed Jan. 21, 2025

    We moved to NH and have almost no choice but to go with Anthem. We both selected local PCPs from Anthem's website since they would not cover our old PCPs. Months later when we go to make appointments, we find that both doctors have been gone for a long time, so actually have no PCP, despite having selected one through Anthem.

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    CoverageRefunds & Payouts

    Reviewed Jan. 19, 2025

    My son had Anthem SNP Medicare. After almost two years of him seeing the same doctor for mental health they started denying his claims saying that the doctor is all of a sudden out of network. My son needs good mental health coverage because he is getting treatment for functional neurological disorder. We have had the last three claims denied and are going to be switching to a different insurance plan that actually PAYS for the claims.

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    Customer ServiceTech

    Reviewed Jan. 17, 2025

    From a provider view: upon calling the appeal status, recording does not allow access to the live person. It hangs up on the caller. Once I reached to the live person, and keep listening to the keyboard noise, and she/he did not pick up the line. Very very poor service when they need to provide status on a claim appeal!

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    CoveragePriceRates

    Reviewed Jan. 17, 2025

    Overall I like Anthem insurance and don’t have a problem getting approval for test and medicine. My problem is with the otc. When I first signed up you could order online from Walmart or Kroger. Now you have to physically go to the store. I totally hate this cause not only do I have to carry my groceries in I have to carry my mother's in as well. Sometimes I can’t get to the store and I lose out and no I will not order from their store. The prices on there are 2x sometimes 3x higher than the actual grocery store. And why can’t they let it roll over. I’m so frustrated with this and am thinking of searching other insurance companies.

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    Customer ServiceStaffResolution

    Reviewed Jan. 16, 2025

    Spent an hour trying to get auth for a patient and kept being sent back between Anthem and Carelon because neither one does it but says the other one does. Was able to evaluate to supervisor at Carelon who still said had to go back to Anthem. When tried to escalate to supervisor at Anthem, Mee first said there's no guarantee, then that the system won't let her, then she or he on hold and hung up on me. This is where your money is going. Not to paying doctors due taking care of you, but making doctors soon in circles going nowhere trying to get paid.

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    Customer ServiceStaff

    Reviewed Jan. 16, 2025

    Deserves NO Star! The overseas agents aren't trained & they won't allow you to talk to a supervisor. Stay AWAY from Anthem CA!! They are terrible! They will not transfer the call to an on-shore agent either!!

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    Customer ServiceTechStaff

    Reviewed Jan. 9, 2025

    Anthem is the worst company of all time. Elevance is just as horrible. Their customer service is abysmal, their provider customer service is nonexistent, and their administrative office staff is beyond incompetent.

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    Customer ServiceCoveragePriceMaintenanceStaffBilling

    Reviewed Dec. 26, 2024

    I had Anthem for 6 months before turning 65. Switched to Medicare. Called Anthem to cancel. They never said, nor implied, that me calling them didn't cancel that policy. They let the policy go on and I would get a notice and call them again. Letting them know I was now on Medicare and cancel that policy. Same thing when I called. They led me to believe the policy was canceled (I am thinking they are well experienced in that type of fraud), canceled. I called again. I called when I got notices telling me I had not paid the premium and it would be canceled. But guess what. They never canceled it even though they have a 31 day no payment policy.

    I never used the policy and I am sure it's why they never canceled it. If I had had any visit to the doc I bet they would not have paid a dime. So I started called. I wrote the CEO figuring she would have some compassion for an old guy who did not understand their mandate designed to rip people off. Especially after telling them I was soon to be divorced and potentially homeless. No quarter whatsoever. That billion dollar rip off insurance co and it's 30 $million a year CEO isn't going to stop trying to squeeze every cent out of me they can. Even though there is no way I can pay a accrued premium that I called them repeatedly to cancel and never paid them a dime after turning 65. I am still fighting this and I will never pay it And I hope the Senior Legal Aid in this state will see the ruse for what it is and get me some free bucks for the nightmare they're putting me through. Big picture is that now Insurance companies are buying up medical practices healthcare for those of us who are not on group plans, not working for an insurance co, a politician or rich are going to have a hard time getting the best care available for us.

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    CoveragePrice

    Reviewed Dec. 21, 2024

    My claims get denied over and over again. I've had claims denied saying "out of network" when it's not. I have them resubmit the claims and denied again for same reason. They want you to just give up and pay yourself. It was actually cheaper for my wife and I to have a baby without insurance.

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    Customer Service

    Reviewed Dec. 19, 2024

    All I needed was a form of when my service ended. They have the worst customer service. After getting transfer over and over again. Web portal doesn't let you print nothing out involving this issue. The person I ended up talking to gave me a number that doesn't even work.

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    Customer ServiceCoveragePricePunctuality & Speed

    Reviewed Dec. 12, 2024

    I just called Anthem Blue Cross Blue Shield to find out how much a procedure would cost, And if I had met my deductible as he married person this year. First I called the phone number and was on hold for about 10 minutes and then the phone call disconnected on their end. Then I call back and I chose to get a text message instead, only to find out after waiting for 5 minutes no one would ever answer me! This is the worst of the worst customer service I have ever received from any health insurance company. Shame on you!

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    Customer ServiceCoverageTechPricePunctuality & SpeedOnline & AppStaff

    Reviewed Dec. 11, 2024

    Anthem BC/BS tends to immediately deny claims for being out of network even though the provider is listed on their website under "Find Care." They have done this to me three times (I've had a total of five appointments). What you have to do is document, document, document. When you need to see a physician, make sure they participate under "Find Care" and make a screenshot of their listing. If there is a listing for the specific doctor, even better. Next, engage online in a chat with the Anthem representative. It's VERY tedious but worth it.

    Currently, the system automatically keeps a transcript but take a screenshot just in case. DO NOT TRUST THEM. Ask specifically about the physician with whom you are making an appointment. Spell the name, mention the address - document, document, document. If the representative confirms participation, call the provider and make the appointment. Confirm with the provider that they participate. If the doctor's office has a chat, chat online and make a screenshot.

    Trust that Anthem will most likely deny your claim. You will have to appeal. Use all of the documentation you have collected. If they deny it again, appeal again and report the denial to the Insurance Commissioner in your state. Their default is to deny because it's often successful. They do not care about your health, they care about making a profit. Would I recommend them? I don't think they are any better or worse than other carriers and they did approve my claims but I had to work for it.

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    CoverageRefunds & Payouts

    Reviewed Dec. 3, 2024

    Anthem is a high dollar pay in no pay out joke. The CEO in Colorado makes a ridiculous amount of money off the backs of regular working people. All health insurance needs to be replaced with a form of nonprofit medical system that everyone pays into that actually has benefits and doesn't end up fleecing everyone.

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    CoverageStaff

    Reviewed Nov. 15, 2024

    To say that Anthem is the worst insurance out there is an understatement. Anything that you have done (bloodwork, tests, etc) requires you to do all the work to get the claim taken care of. They always have an excuse as to why your claim wasn't paid. I wouldn't wish this insurance on my worst enemy. Please take my advice and go with someone else. I am so glad my company changed insurance companies from Anthem.

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    Reviewed Nov. 14, 2024

    These individuals just crossed a line with me. They are dictating where I can get my prescriptions filled. Instead of going to the Albertsons about a 5-minute walk away, I have to go to CVS which is a 15-minute drive away.

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    Customer ServiceCoveragePriceStaffBilling

    Reviewed Nov. 11, 2024

    I do not like leaving negative reviews. I really don't. But, if this saves someone else from the horror that is Anthem insurance, hopefully it will do some good. This is the WORST insurance company you will ever have. Horrible coverage. Horrible customer support. Horrible response time. I know what you're thinking, "They're all like that!". Nope. Not this bad. I say this as I've spent most of a 40 minute phone conversation on hold, only for their rep to pick up and tell me the reason I am not understanding how my claim processed is because, "They put the numbers in the wrong place!"... what. Then I got transferred to a manager. Now I am back on hold.

    During this process, I am also in contact with Anthem through Chat about a grievance I filed over a month ago. A grievance to a denied dispute I filed for the same claim, being billed for services that were never performed about 4 months ago. They will apply their "plan savings" to your claims before applying the amount to your deductible, so that they, in turn, save themselves money, while you end up paying more in the long run. They want you to use their mail-in pharmacy, having your prescriptions put through USPS rather than picking them up at the local pharmacy. They are just an all around crooked company, and it blows my mind how insurance companies can continue to get away with the way they operate. No pun intended.

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    Coverage

    Reviewed Nov. 2, 2024

    They approved a procedure then afterwards I received 2 EOB. 1 said it was covered. The second said "oh look we found something" then denied coverage. I was left holding the bag. This company is criminal.

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    Customer ServiceCoverageSales & MarketingPunctuality & SpeedStaff

    Reviewed Oct. 23, 2024

    I purchased our CA off-exchange Silver EPO plan from Anthem Blue Cross and the plan is known as "Pathway". We pay a fortune for this plan ($30K annually) for my wife and I and picked this one because our previous Sutter Health doctors as well as many of other preferred physicians were in the plan as well - we may our choice because of this.

    When we went to find a specialist for each of us this year, we learned that most of the doctors listed are not actually in the plan. For myself, I made an appt with an ear/nose specialist and waiting 3 months to be seen. When I arrived at the appt, I was notified that the office did not take my "Pathway" plan. After hours on the phone with Anthem, they were insistent that the doctor was indeed in the plan and I should go back! I spoke with the office manager at the practice and she said they hadn't taken this plan in nearly 8 years and Anthem was who terminated at that time due to too many practitioners! I called 8 other ENT practitioners on my Anthem web portal and not one of them took the insurance. I contacted Anthem and asked them to locate one for me and they sent me a list of 12 and all were ones I had already spoken with! My wife had the same issue when trying to be seen by a doctor who showed on the plan and wasn't either.

    I have found several others who are dealing with the same issue - doctors on the Anthem plan portal page who are not on the plan at all. They promoted a vast network to get subscribers that never existed! I spoke to a consumer advocate group and they have not heard of this complaint - I am shocked! If you have the same plan and are experiencing this issue, please give this post a thumbs up and post your issue. I am going to monitor this for a while and if there are others, will communicate how we can move forward to hold this company accountable for this "bait and switch" fraud.

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    Customer ServiceOnline & AppRefunds & PayoutsStaffBilling

    Reviewed Oct. 10, 2024

    Several monthly premium payments I made were "rejected" by Anthem because the AutoPay I set up wasn't recorded. Turns out they don't take credit union debit cards - although they do not state that clearly and concisely on their website. They did NOT send out a notice (by email or snail mail) that my payments weren't accepted. It was only when I realized that my bank statement wasn't noting the payments that I checked the website. There I see a bill for over $600 and a warning that if I don't pay up my health care will be cancelled. Chatting online with someone doesn't shed any light and rarely is helpful. I will be switching to another carrier as soon as I can. Buyer Beware!

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    Customer ServiceCoverageTechSales & MarketingPricePunctuality & SpeedOnline & AppStaffTimeliness

    Reviewed Sept. 28, 2024

    I looked over the supposed benefits very carefully before enrolling at my work. It has taken me hours on the phone just trying to get a physical. I want to get routine blood work. Firstly, this plan assigned me a PCP who is not in network and I have a in network plan. I tried to change it on the website, but it would not allow me to. So phone call number one. Nice person, she said she was not sure why I was assigned that PCP. It took time but she said she changed it. After that, I lost access to my account for some reason, so phone call number two. I was told the previous rep had not added the new PCP and she was not sure what was going on. Again, a nice person who finally came back and said I was assigned that PCP after all. I was given the option of other PCP's as I don't want to wait a long time to be seen. So, I am sent to a third person to talk to on the phone who had to make the appointment for me as I could not do it.

    I am told that I may or may not be given orders for blood work. I have never been to an annual physical where I don't get orders for bloodwork. She said she would write in the note that I wanted bloodwork. So the appointment is made and the next day I get an "estimate" of the cost to see that in network doctor and is was $270 with me getting a $68 "discount." It says right in the plan I can get a physical and bloodwork as preventative care without a deductible paid and even if I had to pay it is only $250, so am I being quoted $270. I am an RN and I work 12 hour night shifts. I stayed up for hours to get all this done for NOTHING. I called and cancelled the appointment because I am not paying $270 to see a doctor who I am told may not even give me routine bloodwork. Total waste of my time. I have travel nursed for years. I usually pay less than this plan and don't have all these issues just trying to get an annual physical and bloodwork.

    I hope one day soon we have Medicare for All. Insurance companies especially this one seem to want to make it super complicated to do a simple thing. It is clear they don't want people to use it. I can pay $100 at Walk-In Lab, etc...to get the bloodwork I need, and I can interpret it myself. This is by far the worst experience I have had with an insurance company and will be sharing my experience with other clinicians, friends and family. No one should experience what I have but it is truly a slap in the face as a nurse, who cares for patients each shift with the upmost care and respect can't even get decent insurance that doesn't make it convoluted and difficult to get care. Thankfully, I will only have to have this insurance for less than two months more.

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    CoverageSales & MarketingPricePunctuality & SpeedStaffRates

    Reviewed Sept. 27, 2024

    Worst and most frustrating insurance that I have ever had.
I went with this insurance because it had a $3,000 hearing aid coverage.
Turns out, the hearing aids available under the $3000 are a $700 hearing aid, even from the manufacturer, that Aetna priced at $2,600.
Total fraud and deception.
False advertising.
Every single step of this insurance has been a nightmare.
I had a persuader this plan that was covered 100% two months ago, now not covered at all.
It took 48 minutes and 8 seconds of my time being passed to three different representatives and having to repeat every detail to each representative.
I have major anxiety after each interaction because it usually takes hours of my life.
And I don't have anxiety!!
This is the most fraudulent insurance I have ever had.
Absolutely horrible.

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    Refunds & Payouts

    Reviewed Sept. 26, 2024

    I have chronic venous insufficiency which can be very painful. Sclerotherapy is a simple and highly effective remedy for the pain it causes. Last year, Anthem approved two antibiotics, both of which have a side effect of vasodilation. The result is, that my veins are a mess and cripplingly painful due to the side effects I suffered from these medications. But Anthem will not approve sclerotherapy to remedy this. I have to pay out of pocket. God willing, the schmuck that makes these decisions will suffer the same pain and suffering their decisions cause others.

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    Customer ServiceCoveragePricePunctuality & SpeedStaffBilling

    Reviewed Sept. 24, 2024

    After reaching my deductible which resulted in Anthem paying at 100 percent they have started denying every medical bill sent to them. It has been ongoing phone calls and arguing with them to get them to even provide a valid reason why they are not covering their part of the billing. Anthem just keeps repeating, that this bill was not covered by your plan, then weeks later sending another email stating that they made a mistake in reviewing and now paying it. I still have 12 pending outstanding bills and have been denied needed procedures until the billing issues are resolved.

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    CoverageStaff

    Reviewed Sept. 19, 2024

    This insurance is horrible. They could care less about your health and wellness. They need to be investigated. I will never use them again. Thanks for keeping me in pain. Lousy, lousy, lousy. Don't ever use them.

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    Customer ServiceCoveragePriceStaffRates

    Reviewed Sept. 2, 2024

    Have had Anthem for several years, they changed our plan a few years ago because they no longer offer deductibles and copays that "low". Every year since our rates have increased, and our copay for the ER for the "highest tier" plan they offer is $600. And this is before any other charges, like a biopsy which we were charged as an out patient surgery so we got stuck with another $500 copay. Then customer service acts like you're crazy for questioning why the rates are so high and have never answered me about my claim dispute. And good lord if you have a technical issue you bounce around their call centers for hours trying to get a person who knows anything. Terrible. Inefficient. Expensive. Making me consider forgoing insurance.

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    Reviewed Sept. 1, 2024

    The NYC labor council just switched all city worker (teachers, cops, firemen, sanitation) to Anthem. Many are being treated for cancer. Anthem is so awful that many drs and hospitals (including Memorial Sloane Kettering Cancer Hospital) refuse to take it. Buyer Beware.

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    Customer ServiceCoverageRefunds & PayoutsStaff

    Reviewed Aug. 14, 2024

    Incredible difficult to work with. They changed my medical group on me which in turn made me have to find new doctors. The customer service staff is sometimes helpful but I received conflicting information on how to set up "Continuity of Care". When I did find a doctor that appeared to take my insurance and was listed on Anthem's website in-network, I found out after they were under another medical group and had to pay out of pocket for my visit. It is unreal how much of my time and energy it has taken to see a PCP in network. I have changed my PCP 3 or 4 times since January to find one that is taking new patients, has good reviews and does actually take my insurance. I don't remember them being this difficult to work with before January of 2024.

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed July 30, 2024

    I have been waiting almost 2 months to get a yes or no on my short-term disability claim and they're really starting to piss me off. Called them this morning and talked to a different representative. They told me that my claim was approved on the 25th and I should receive payment within 2 days then my caseworker called me and said they needed more information from my employer. So I called my employer and my employer is fed up with them.

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    CoveragePunctuality & Speed

    Reviewed July 18, 2024

    The worst insurance company, all they do is denied, denied and denied my claims. l had to request a Fair Hearing and the person representing Anthem was arrogant and a **. Still waiting for my request decision whether it will be denied or approved, the judge was just as arrogant. I'm waiting to receive the letter with a decision in my favor or not, switching to a new insurance company.

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    Customer ServiceCoverageStaff

    Reviewed July 17, 2024

    Is there a negative star available?? I bought this insurance on Market Place. I pay a lot for coverage. I have to hold the hand of everything I do bc no one understands English or medical needs. Emails get a blanket response. Supervisors are difficult to reach. Thirty years ago Blue Cross & Blue Shield was garbage and businesses stopped offering their insurance bc they were difficult to work with on all levels. Nothing has changed in the last 30 years. Don't buy this!!!

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    CoverageBilling

    Reviewed July 9, 2024

    Anthem Healthkeepers is a joke. You pay every month and they barely want to cover anything. I would give them negative stars if I could. Went to see the doctor after having headaches then they told me they aren't on my network and there is barely anyone around me. Now I'm stuck with a 1000 dollar bill for going to see the doctor.

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    Contract & TermsCoverageTechPricePunctuality & SpeedTransparency

    Reviewed July 3, 2024

    I have Anthem BC BS through my employer and twice now I've been cancelled with no notice. I wasn't given any explanation the first time. This last time the reason they gave is "you moved out of your zip code". If you have this insurance, you can't move??? The truth is I spend winters in Florida and they cancelled me this spring when I came back home (to my original zip code). They never sent a notice at all. And they didn't cancel it when I went to FL. I only found out when my card was declined at a pharmacy. I feel like they are trying their best to remove me from their coverage since my husband has health issues. This is not right! They eventually reinstated my coverage with no lapse but no apology and no further explanation. It cost us some appointments for procedures worried they wouldn't reinstate the coverage. This is all a very sad state of affair.

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    Customer ServiceCoverageRefunds & PayoutsStaffRates

    Reviewed June 10, 2024

    The Anthem rating of 1 is more than deserved. They deserve 0 star but it is not offered. The merge with EMPIRE BC/BS has only worsen the service. Good luck if they don't hung up on you when you call. Please don't take it personally if they do that they do. Is only showing their level of unprofessional conduct. Don't blame the representative: not their fault. They are told so: try to make customer's life impossible. Look at the difference in salary: CEO Pay $20,931,081: Median Employee Pay $54,627. MD are leaving health Insurances because they pay peanuts but pay 21 million to the CEO. Does it make sense? Health care is a business as we all know. There is immorality in this concept because we are talking about human beings not cars. That the reputation of Anthem was low, was well known. Go somewhere else.

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    Customer ServiceCoveragePriceRefunds & PayoutsBilling

    Reviewed May 21, 2024

    They have some of the worst customer service personnel I have ever dealt with. The right hand doesn’t have a clue what the left hand is doing.

    They pay for what they wanna pay for! I ended up paying over 15,000 for a procedure. They felt it wasn’t preapproved. It was a very needed surgery! They pay for drugs that only meet the criteria of a certain dosage. Our doctor had to change the prescription dosage to meet their requirements for their payment. We usually use Good RX instead of insurance that is sad. It has nothing to do with your health. It’s all about the money. Another California company tearing down America. I have never had such horrible insurance. It is my husband‘s company insurance or believe me I would never use it.

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    Customer ServiceCoverageStaffFollow-Through

    Reviewed May 3, 2024

    This company creates a million unnecessary obstacles for patients to get the care that they need. They have been incredibly rude to me, have provided me with inaccurate information numerous times, have intentionally created medication approval hurdles, and made a promise to me last month approving a medication, and then I started it, and then they randomly decided not to uphold their promise despite it being clearly documented in their system. Their egregious actions are so deplorable and I pay an exorbitant amount of money every month for their PPO insurance.

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    Customer ServiceCoverageTechSales & MarketingPunctuality & SpeedOnline & AppStaffBilling

    Reviewed April 30, 2024

    An absolute scam. Was paying $1,300 a month for their platinum coverage. Had an old primary doctor listed in my account. Upon enrollment I called them to have that doctor removed and asked for a doctor I could see for an annual physical. They said to go on the app and find an in network provider. I did as I was told and went to my appointment where they also confirmed they are covered and in network based on my insurance card/plan. Well now the claims are denied and I owe thousands in medical bills because anthem will not approve my appeal and cover my ANNUAL PHYSICAL WHICH IS SAID TO BE COVERED UNDER THIS PLAN. Because they would not assist in getting me a new provider just left it to me to find one. Which I did. And they still come up as in network when you search the Anthem app. Absolute abuse of their clients. They want us sick and they want our money. They don’t care about us.

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    Customer ServiceCoverageStaff

    Reviewed April 30, 2024

    Horrible insurance. No one is helpful and you get a different answer on every call. Appealing is a joke as they don’t go the extra mile or really read the issue to help their member. Denied in-network lab as OON.

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    Customer ServiceCoverageTechStaffTransparency

    Reviewed April 29, 2024

    If I could give zero stars, I would. Incorrect provider information on the Anthem site. When you call and ask them what exactly is covered, they just repeat the same unhelpful information from the site. When you inquire about who to report the inaccuracies to, they give vague answers such as 'we aim to update'. Some providers have been out of business for years, and the remaining ones have poor reviews. Their solution is for me to find and call providers myself to see if they accept my insurance; then I have to wonder about the purpose of having any services or customer service representatives. They abruptly stop medication coverage without sufficient notice, which is problematic because patients should be allowed to gradually wean off medications, not stop them abruptly.

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    Customer ServiceCoveragePunctuality & SpeedBilling

    Reviewed April 26, 2024

    I had Anthem for 1 year and I am very unhappy with how they operate. I purchased Anthem through Healthcare.gov and decided I needed something that would cover more so, I got an account directly through Anthem. After trying to cancel my original account through healthcare.gov and finding out they couldn't do it. Six months after getting the account through Anthem it was closed and I was not notified. This year I closed the dental account I had gotten through Healthcare.gov but didn't know the account I wanted was closed.

    I also have vision through Anthem so I saw there was payments to Anthem but didn't check to see if my Dental was still valid. I later went to the dentist and found out I was not covered, I called Anthem for some answers and found they had closed my account that I got through them last year in October. I talked to what feels like every person at the call center to try and correct this issue, one person told me Healthcare.gov reached out and told them to close my account even though I had purchased this through Anthem, no one could give me a direct answer as to why my account was closed without anyone reaching out to me. I even had someone give me a number in case I was disconnect for a department I was sent to only for them to give me the same number to call for answers.

    That is not the worst of my issues as I got another account with them and found out to get the services I need will be a wait period of 12 months. After talking to someone to waive this wait period they asked for the dates of my previous insurance which was from January of 2021 to the end of December 2022 and the person said it has to be longer than 12 months, seriously do the math that is 24 months. So they transferred me to another person who asked the same question and said "Oh well we can't waive the wait period because you didn't have coverage for longer than 6 weeks". I told him my story and he said "Well, you should look into other insurance that doesn't have a wait period". At this point I am fed up, there is no other insurance that doesn't have a wait period for the services I need and now I am SOL. Thanks a lot Anthem. Do yourself a favor and do not go with Anthem.

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    Customer ServiceCoverageSales & MarketingStaff

    Reviewed April 20, 2024

    My job switched over to this insurance and they be been with my company for 19 years, sadly to say this might be the reason I leave that’s how awful the insurance is. The people are beyond rude. Every single time I’ve called to ask a question they are rude and will hang up on you. I never been with an insurance company that makes you pay the $3000 copay before helping you with anything not even medication. I feel like this company is a scam designed to take your money and run that is why the people get away with being so rude and hanging up on you.

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    CoverageRefunds & PayoutsStaff

    Reviewed April 17, 2024

    Do NOT choose this medical insurance. The people who work there are absolutely INCOMPETENT. I was given faulty information regarding my medical group only to find out my doctors are no longer associated with ABC beginning in 2024. Then, I was issued a new doctor who wasn’t even accepting new patients! I’ve done countless hours of research when $1300 comes out of my pocket monthly. This is absolutely unacceptable business practice. The company should be shut down. I implore you to go elsewhere!

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    Customer ServicePunctuality & SpeedResolution

    Reviewed April 16, 2024

    Do not use Anthem. They will give you repetitive reasons for not honoring a claim. I have provided answers for the same requests for diagnostic codes, confirmation that device was medically needed with prescription from doctors, CPT code, diagnostic codes. FEIN and tax ID #s for the DME and the doctors, and address where the device will be utilized. I spent over 10 hours 38 minutes which included over 15 calls. You will be disconnected, assured a call back.

    Was even told by a supervisor that $499 claim will be processed only to have it denied. Indeed I went through the subscriber submitted claim form with an Anthem supervisor and now has been escalated to peer review with medical doctor. They told doctor that I have to call member services again. I am on hold with member services and they have no records showing peer review. Waiting for supervisor again. This is criminal!!!!

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    Customer ServiceCoverageTechStaffRates

    Reviewed April 6, 2024

    They will deny and make you fight for coverage if you have any pre-existing condition each time you need it. They do not cover prescriptions at any pharmacy except their own (Caremark) and have hours that make it almost impossible to call and address any issues if you work during the day. When you do call to take care of a problem, it becomes a multi-call, multi-week quest to resolve anything—if it gets resolved at all. I have been without medication for months now. They are a perfect example of what is wrong with healthcare in the USA and should be criminally prosecuted. I would rate 0 stars if possible and wish my employer would switch providers.

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed March 28, 2024

    Anthem has some of the most incompetent customer service reps I've ever dealt with. I had a personal policy with them for several years. I own a small business, so I decided to apply for a group policy this past November. We were approved, so I called and spoke with someone to find out what I needed to do at that point to ensure that I would not be billed for both policies. She said "you don't need to do anything". I said "Are you sure?" and she confirmed that I didn't have to do anything, so I hung up and didn't think anything of it. A few weeks later, I saw that I was still being billed for my personal policy, and I was upset. I called and spoke with someone else who apologized that the other representative gave me incorrect information, and she said that she would cancel the personal policy for me.

    A couple weeks later I received a letter in the mail telling me about a cancellation. However, this letter actually informed me that our GROUP policy had been canceled BY ANTHEM. This person canceled the WRONG policy. I could not believe it. I called my insurance agent who also could not believe it. He asked me if I wanted to have the policy reinstated, and I told him no, and I told him that we would just find another insurance company. He said that Anthem should then at least give us a refund, so he requested this refund. They approved it and said that by the end of January I would get the refund check. I never got the check. I then spent hours, and hours and hours on the phone with Anthem over the next two months trying to track down this damn refund check.

    I spoke with at least a dozen people who had no clue how to do their job. They would tell me that they were transferring me to the correct department, then I would speak to the next person who says they can't help me and then they have to also transfer me. I then get sent back into an automated system, and often would get disconnected. I spoke with one person who assured me they were going to figure out what was going on and email me within 48 hours. Do you think I heard from her? No. She never emailed me. This is a group of people who have no idea what is going on. I would spend an hour on the phone with them until they start to understand it, then they tell me that they will look into it, and then I never hear from them again.

    I was told that they would mail me a check, and it never came. I then kept following up again and again and they told me that a check would be mailed out, and that they could not deposit the money directly into my account. I kept asking them to just deposit it to my bank account, but they refused. I finally spoke with one person who said "It looks like it was deposited on this date" and I looked at my statement history and it had been deposited a couple weeks earlier (still over a month after it was supposed to be sent to me). I was told over and over again that I should look out for a check.

    Even after the deposit was made, they were still telling me that they couldn't deposit the money and that I would need to get a check mailed to me. They were clueless. If you care about your time, don't use Anthem. If you want even decent customer service, don't use Anthem. Only use Anthem if you love being screwed over, and truly enjoy spending hours on the phone speaking with people who are awful at their jobs. If you love both of those things, then this is the company for you.

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    Customer ServicePriceRefunds & PayoutsMaintenanceStaff

    Reviewed March 26, 2024

    I purchased a new bowl for my pretty old, but still working DLC-8 food processor. It fit the base, but the lid with feed tube would not lock into place. I tried to return it, but the part that had cost 36.00 cost 55.00 to mail back. I called Cuisinart parts and was told they would not give me a mailing label to return the part. They just kept telling me to mail it back and they would credit my account for 36.00. No one I spoke to seemed to understand that if I did that I would be out 19.00. Finally someone explained that the older parts had harmful plastics and were being made out of a new plastic that would not fit with an older lid/feed tube top. I am afraid to order a new top to fit the new bowl since both parts might not work with my older perfectly working machine. I would then be out a LOT more money and no way to return the parts.

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    Customer ServiceCoverageTechStaff

    Reviewed Jan. 23, 2024

    We are health care providers; we received a call from customer service demanding that we explain to a patient that we were not in the network. The health insurance salesman was also included in the call. They were talking loudly, fighting, in the most disrespectful way imaginable, on several occasions I tried to redirect them to a more appropriate form of communication without being successful. Insurance companies should hire people with better communication skills for these positions.

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    Customer ServiceCoveragePriceRefunds & PayoutsStaffRates

    Reviewed Jan. 4, 2024

    I cannot tell you the amount of hassles I have had with this company. It wasn't always this way. But as the price has gone up for me--I now pay 1057.00 a month through the ACA and I am 56--the service has gotten worse and worse. Higher co-pays and endless denied claims for in-network doctors. The doctors call and call and they keep getting denied. I am on the phone for hours trying to get things straightened out, forget it. The agents never seem to be able to do anything. If you have any kind of mix up or issue no matter what it is, they will stonewall you. There is NO REASON I should be paying full cost or a higher co-pay for Anthem's mistakes. And medication coverage? A joke. They will keep denying coverage unless it's generic (of course) but even one generic drug I take has a ridiculously high co-pay. DO NOT get your healthcare through Anthem. The headaches are endless and the cost is way too high.

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    Reviewed Nov. 6, 2023

    I have been out of a medication for over two weeks. I have appealed it and they tell me it will take 30-60 days. It is for diabetes. They said lacking proof I’m diabetic. They approved one diabetic medication so how is it they have proof for that medication but not this one. It is even on their preferred formulary.

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    Customer ServiceCoverageStaff

    Reviewed Oct. 31, 2023

    This is a terrible insurance Anthem BcBs POS Gateway. I've paid thousands of dollars for services that are supposedly "covered." Customer service is not helpful, neither are their EOBs, We are getting off this insurance the moment open enrollment begins.

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    Customer ServiceCoverageTechSales & MarketingStaffBilling

    Reviewed Sept. 27, 2023

    If I could give zero stars I would. This company is a scam. They play the 'shell game' each time needing 'just something else' to approve a claim they ultimately deny. I submitted the doctor's form, he was on their list of out-of-network providers, along with their own claim form matching the codes on the doctor's form, with it signed by my doctor and the matching receipt of payment. Nope-denied-the latest hoop is 'you have to type all the forms.' Yep Scam. They continue to 'call' asking if I need help...they have no intention of approving the claims. This is why I don't use them. I rarely use any insurance. All a disgusting scam.

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    Customer ServiceCoverageBillingHonesty & Transparency

    Reviewed Sept. 27, 2023

    After retiring I kept my Anthem life insurance and personally pay the annual premium. The payment is due July 1st and Anthem sends me my bill in the middle of September (two and a half months after payment is due). The letter threatens to discontinue my policy if payment isn’t received immediately, although no date is given. In addition, the letter from Anthem doesn’t have a return envelope in which to send my payment. Also, the telephone number on their official letterhead has been disconnected. When I finally found a number for consumer service they claimed I wasn’t in the system, despite the fact that I have proof that my life insurance is current. This same thing has happened to numerous retirees. Many believe that this company is purposefully trying to mislead retirees so that Anthem can cancel their life insurance policy. Does Anthem need to change their top management?

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    Customer ServiceCoverageTechSales & MarketingPunctuality & SpeedStaff

    Reviewed June 2, 2023

    I have the Anthem Gold Priority Select HMO health plan in Los Angeles. It took a couple months just to get assigned a PCP who had available appointments. Most of the PCPs listed on their site couldn't see new patients until 4-5 MONTHS OUT even though they were listed as "accepting new patients." I had to change my PCP a couple of times just to get one who could actually see me in under 2 months.

    Once I accessed a PCP, I was referred to an endocrinology specialist to manage my thyroid disease. Turns out, the earliest possible appointment I can get is 5 months out, and all the other endocrinologists available within my network are also booked out 5-6 MONTHS OUT. What am I supposed to do? To me, this health plan is a pure scam. Most of the doctors listed in their database as "accepting new patients" actually aren't. The providers they have are not available to give care, leading to severely delayed care. 5 months wait to see a doctor is ridiculous, not to mention dangerous. It has left me feeling frustrated, desperate to see a doctor, and still, I am not able to see a doctor.

    It is one of my greatest regrets, choosing this insurance plan. If you have any options at all, do not go with Anthem, take it from my experience. You will not be properly cared for - you will be met with months of delays, wasted hours on the phone trying to advocate for yourself. I've had basic plans from Kaiser and UHC (HMO) and they were a world apart better. DO NOT GO WITH ANTHEM.

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    Customer ServiceCoverageRefunds & PayoutsMaintenanceStaff

    Reviewed May 24, 2023

    I signed up on the Healthcare Marketplace for Anthem and paid for the first premium in advance. Anthem cancelled my selected insurance in January and rolled me over to another plan. I made multiple calls trying to get them to fix the problem and every time they would tell me it was fixed but it was never fixed. I've spent hours on the phone with them. After multiple email messages, they finally fixed the problem but now tell me my account is past due (which it isn't and I showed dates that the monthly premiums posted). When I send more messages to get them to fix the problem, they didn't even look into it, but just send a generic message reply. I've never received worse customer service from a company and will be switching insurers next year. I've never dealt with more inept customer service agents.

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    Coverage

    Reviewed April 18, 2023

    HEADS UP!!! Just found out that Anthem Blue Cross Blue Shield DOES NOT COVER the states of CALIFORNIA, NEVADA or COLORADO. You will have to go to another insurance company if you live in those states.

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    CoverageTechPriceStaff

    Reviewed Feb. 17, 2023

    If you are considering Anthem Healthkeepers for yourself or an older relative, run away. They would rather let you suffer, put you at risk of harm and potential death than to authorize the spending necessary to provide you with the care you need. A person close to me who is just shy of her 85th birthday has been denied transfer to a skilled nursing facility for physical and occupational therapy rehabilitation in spite of the fact that she is unable to use one arm, cannot walk unaided, cannot bathe, dress herself, change her own incontinence products or otherwise perform the most rudimentary and basic self-care tasks.

    There is ample documentation from the hospital therapists that she is in need of care. She would be at such risk if she is returned home, to my house, that I have informed Anthem’s authorization department that I will not allow her to come back here because I am unwilling to accept the risk that she will become sicker or will suffer a terrible fall.

    This insurer will attempt to lure you in with the promise of an OTC spending plan and money for groceries. But Band-aids and groceries won’t do you much good when you are unsafe in your home and they deny you access to the skilled care you need to get stronger and to heal. This plan is there if small, cheap, difficult to order goods are what you are looking for. But if you need actual healthcare, they’re not going to be there for you. As difficult as they are to navigate, you are better off with Medicare and Medicaid than you would be with this insurance non-provider. Run while you can!

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    Reviewed Jan. 20, 2023

    Anthem 2023 OTC Catalog offers less than half the products their 2022 catalog had. Most If not all the products we can NOW choose from are low-quality generic knockoffs. America is being flooded with not only unvetted 3rd world people, but along with that PLAN, Anthem is now intentionally trying to force us into "Cuba" style expectations of our EARNED retirement benefits. The comparison between what was offered in 2022s colorful, array of proven and trusted USABLE products to their NEW 2023 pathetic black, white & grey GENERIC eyesore would be laughable if it wasn't so insulting to AMERICAN CITIZENS... I'm changing my Medicare plan ASAP.

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    Customer ServiceTech

    Reviewed Jan. 20, 2023

    Was prescribed treatment from my Nowcare physician that will end up taking ALMOST TWO weeks to get, for a bad recurring cold sore. My PcP and Nowcare physician have already approved this medicine but Anthem hasn't. I first visited Nowcare about this condition on MLK birthday, 16Jan2023. When I spoke with their pharmacist over the phone, they apologized for the delay and told me what I needed to do to expedite my medicine but by the time I get it in my possession it won't be until next week (23-27Jan) sometime.

    She even offered my to file a grievance BUT: Their grievance process takes 30 DAYS, she said. I have NEVER had issues like this with any other healthcare provider. I am a retired Navy Veteran and for the most part I try to tough things out. But when it is a recurring condition that I've sought treatment for before from Anthem it makes it difficult to trust them. Right now? I don't trust Anthem.

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    TechStaff

    Reviewed Jan. 16, 2023

    I have had great experience with Anthem up until 2023. They now treat retired social security people like second-class citizens. They have a program where they allow you to spend $75.00 every quarter for medical supplements, such as toothpaste, ** and pain relievers. It was set up with WalMart who delivered it to your door. Very good products. Now they have some company out of Florida that have no brand name products and what they offer is useless as the day is long. I wish that I had went with United Health Care.

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    CoveragePunctuality & Speed

    Reviewed Jan. 9, 2023

    I have had a couple of Medical PPO Insurance Companies over the Years. Our large Aerospace Company recently switched our Healthcare Coverage over to Anthem Blue Cross Blue Shield (was United Healthcare previously). All last Year I have had nothing but problems with Anthem Blue Cross Blue Shield. Takes forever to process claims, and they keep denying valid, complete Medical Claims in Error. This company/organization is completely incompetent. On top of this, I am paying $499. a month for this shabby service. My advice... Run as fast as you can from Anthem Blue Cross Blue Shield.

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    Contract & TermsCoveragePrice

    Reviewed Dec. 19, 2022

    Anthem BCBS HIP has cost me 5 days of work (again) due to prior authorization abuse for a medication I have been on for a decade. I'm sure they would rather I die then cost them $56 a month which is less than I contribute monthly just to have Rx coverage.

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    Online & AppStaff

    Reviewed Nov. 21, 2022

    I came down with strep throat and was prescribed 5 ** tablets. They only allow 3 per month without a prior authorization?!?! THIS IS AN ANTIBIOTIC!!! This is the first medicine I have been prescribed in 2022, and it's the end of November. I have given these people thousands of dollars in premiums and they won't even give me my medicine. How do you put a 3-pill cap on a course of antibiotics???? Now the pharmacy won't sell me the 2 other pills because of it being a "duplicate prescription" and the doctor won't write another script because they already wrote one. So here I am on day 4 with no day 4 or day 5 pills and no answers and no one will help me. I am IRATE!!!

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    Verified purchase
    Customer ServiceCoverageTechPriceOnline & AppRefunds & PayoutsStaff

    Reviewed Aug. 26, 2022

    My husband has been with Anthem MediBlue Plus (HMO) since 10/2017. I have been with them since 2/2021. This is a Medicare Advantage Plan that we both signed up for on the Medicare.gov website. The EOC, SOB, and benefit plan information on Medicare.gov all state Urgent Care is a $30.00 copay. On 5/2/22 my husband, and I, went to an in network urgent care provider, 17 miles from our home for his plugged ears. He was told it looked like he had a slight infection, possible fluid buildup in his ears. Was prescribed 2 medications to clear it up. Anthem sent us the EOB around 7/1/22. They paid nothing toward this urgent care visit. They are saying our share is $80.80, more than double what is stated in the EOC, SOB, and benefit info for this plan on Medicare.gov. This was a walk in urgent care clinic, not a hospital emergency room. The location was 17 miles from our home.

    After numerous contacts with Anthem, by phone, email, filing grievances, they have not fixed this. Anthem is ripping off Seniors on their Medicare Advantage Plan benefits, by charging more than double the copay for Urgent Care. Ever since this company appointed Gail K Boudreaux CEO in 2017 their member services has gotten worse with each year. Their member services reps don't know what they are doing. They don't have enough of them, you can hang on the phone for hours. Their website is antiquated, you can't conduct all your business on it, and are forced to call member services, hang on the phone forever, and get reps that don't know anything, and solve nothing.

    Anthem is ripping off Seniors! This used to be a good health insurance provider. Since 2017 Anthem has gotten so bad. If they do not fix this issue with their urgent care copay which all documents state is $30.00, not $80.00. We will no longer have Anthem as our Medicare Advantage Plan. Anthem is a Senior Citizen Ripoff insurance provider.

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    TechSales & MarketingStaff

    Reviewed July 26, 2022

    With open enrollment right around the corner, my recommendation is to stay away from Anthem. They sell you a contract and then look for little loopholes to deny your claims. I have been fighting with them over a 35.00 claim for months. I have sent at least 2 appeals and they keep changing their stand on every appeal. Thankfully, I am very versed in reading a contract. Their EOB contract has them dead to rights, but they continue to deny the claim. Medicare doesn't seem to care what they do. The State of Ohio has filed a complaint against them, but they continue to deny the claim. In my opinion, they are a scam artist organization that needs to be dealt with by the government.

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    Customer ServiceCoverageRefunds & PayoutsHonesty & Transparency

    Reviewed June 21, 2022

    I went to 3 different pharmacies that told me my insurance won't cover antigen covid tests. Most insured people in the US can received up to 8 antigen tests per month. I have been on the phone with Anthem for over an hour trying to figured it out, they keep giving me the runaround, have made me speak to 5 different people. So far, no one has answers. One person told me the pharmacy I went to should cover it, I ask her to call that pharmacy and she told me she can't get through. All lies.

    Now the fifth person is saying it's covered but there's a copay. I didn't say anything about a copay and neither did the pharmacies, the pharmacies were straight to the point that my insurance will not cover the tests and I need to pay out of pocket. The Biden-Harris administration issued an order in January 2022 that all insurance companies must cover covid testing. It's been half the day, I'm sicker than can be and I still can't get a test or any answers from anyone at Anthem. Worst coverage, worst service.

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    CoverageSales & MarketingStaff

    Reviewed June 16, 2022

    "SCAM" --- Anthem Health Insurance is a Bait and Switch SCAM... TV commercials are Hollywood designed to be attractive rather than helpful to those looking for a Quality Healthcare... If you Value your Health…Stay away, FAR WAY, from “Anthem” Health Insurance…BEWARE of the SCAMS..!!

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    Customer ServiceTechStaff

    Reviewed April 2, 2022

    I spent hours on the phone without getting anyone to address enrollment issues. I can understand why our dentist dropped this plan. It is horrible, and I cannot imagine what providers have to go through to get claims paid.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Dec. 26, 2021

    I have called in many times to get help with my claims. I have been given the run-around many times. I have insurance every 2 weeks and I shouldn't be denied or delayed treatments. I have been waiting for weeks for someone to call me back. That never happened. When you can you got to explain yourself over and over. Should there not be notes for every call. I live with knee pain daily. It is excruciating and all I want is some relief.

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    Coverage

    Reviewed Nov. 3, 2021

    I have intestinal surgery three weeks ago where over 1/3 of intestines were removed. My pain doctor increased medication temporarily for a limited time and this insurance company denied his prescription because of the increase.

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    TechStaffHonesty & Transparency

    Reviewed Nov. 1, 2021

    I have nothing but good things to say about Anthem, and the staff is truly there for their patients. There are some who may not be pleased with them, but I would like to ask you this question.? Have you really looked into where a hang-up up might have occurred, because I had similar issues that maybe you might have experienced, and I can say This much in all honesty truly try to research where a hang-up might be occurring, it could be The referral from your provider's medical group, it might be a lot of things that are simple miscommunication or honest error in the chain of things.

    When I myself experienced issues I got involved with looking into things and of course by my own account did I do this. And anthem really went to bat and helped me greatly. You couldn't ask for a nicer more helpful team of people and group of very intelligent people I might add. Thank you anthem and all who are on your team, I owe a sincere debt of gratitude to you. Sincerely yours Rob..

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    CoverageTechOnline & AppStaffTransparency

    Reviewed Oct. 25, 2021

    The list of providers on Anthem’s website is YEARS out of date. The list provided by Psychology Today was more accurate and had more options for providers that accept Anthem. The representative at Anthem said that they have to rely on providers to keep the list up to date, which is ridiculous. It is appalling that the insurance company cannot provide an accurate list of its own providers.

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    Customer ServiceStaff

    Reviewed Sept. 8, 2021

    I went to Anthem's website to change my primary care physician as I had moved. I selected a doctor and found that not only had he relocated to another state, the phone number listed didn't even belong to a doctor's office. The second doctor I added as my PCP, no longer worked at the office listed on Anthem's website. I did a live chat on Anthem's website for help on this issue. Someone named Kyle emailed me a list that had the same names as before. What a waste of time....

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    Contract & TermsCoverageSales & MarketingPricePunctuality & SpeedOnline & AppStaffBillingRatesTransparency

    Reviewed Sept. 7, 2021

    I have Anthem Bronze Pathway WI with a $6550 deductible so basically a discount med card. Was ok as usually had 50% discount on med bills, but after a surprise ER visit only 20% less than a $1,000 leaving me almost $4,000 to pay plus the ambulance and the ER Dr. They claim they only discount a flat fee for the ER instead of a percentage, but there is no price transparency and nothing on the website about this. I'm still under the deductible and I'm sure if I wasn't they wouldn't be discounting it 20%, probably 50%. I spoke to the customer rep and was told this was a common situation and advised to appeal and it might be improved so I did that. I also filed a complaint with the Wi Insurance Commissioner. I'm waiting to hear what resolution there will be if any.

    I was expecting a 50% discount like all my prior bills had been. It was a total unpleasant shock. I hope it will be fixed to a fair 50% discount as I'm worried about running out of money as a retired person on a fixed income. It's very frustrating and I would have received a greater discount on the hospital bill if I was insured! I don't know if this was legal. I was worried about a surprise medical bill from the ER Dr, but didn't expect it to be from the ER itself! The ER Dr bill was discounted 50% still over $700 plus an ambulance over $700 so the bill will be over $5,000 if this isn't fixed with the ER visit. I'm so sick and tired of having to worry about medical bills and when can we have national health insurance. Even expanded medicare would be a major improvement.

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    Refunds & PayoutsBilling

    Reviewed Aug. 26, 2021

    They use a third party administration American Specialty Health to bill for things like acupuncture and then they pay the acupuncturist $40 total for an hour treatment. No more acupuncturists accept it anymore.

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    CoverageStaff

    Reviewed Aug. 15, 2021

    I haven’t had any issues with insurance company in the 20 years I’ve had it. And any questions I had were resolved immediately. So far it’s a trustworthy source insurance company. So if someone is looking for health care for insurance, They might want to check out Anthem Blue Cross Blue Shield.

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    Coverage

    Reviewed Aug. 14, 2021

    I have been with Anthem for many years and they have supplied superb coverage. I have often thought a procedure would not be covered and been pleasantly surprised. I have recommended them to friends and family and those who have enrolled have been happy as well. I have heard horror stories from other friends about nasty surprises in their coverage.

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    Price

    Reviewed Aug. 13, 2021

    For the 1st time in my life, I don't worry about cost of prescriptions, hospitalization and the integration of Anthem Supplemental with Medicare. The offering of 3 month mail-in order prescriptions is a tremendous cost saving aspect. We can pick the doctor we want without having to get a referral.

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    CoverageStaff

    Reviewed Aug. 12, 2021

    I have been particularly pleased. NOT WITH MEDICARE. Med and Docs treated fairly by Anthem. I don't like the monthly premium, however, service/coverage is a major relief. Staff at ANTHEM HAS ALWAYS BEEN COURTEOUS,

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    Tech

    Reviewed Aug. 11, 2021

    Overall great option although their behavioral health benefits are lacking, and it takes a long time to obtain review and processing when submitting out of network claims. The have a large network of providers and access to all hospitals in our area.

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    Customer ServiceContract & TermsCoveragePricePunctuality & SpeedStaffBilling

    Reviewed July 15, 2021

    I have a dental policy with Anthem. I had a dependent for a few years and then I inactivated him. Anthem continued to charge me for the dependent for 5 more months. I called a few times, each time I called I had to wait on hold, then communicate endlessly with the automatic phone system, then transferred to different departments, and then hung up on. It was impossible to reach a person who actually said they were the right person and they will take care of the problem. Finally I gave up and cancelled my automatic payment and will be looking for a new insurance. This is the worst insurance company I have ever had to deal with.

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    CoverageRefunds & PayoutsStaffBilling

    Reviewed July 13, 2021

    I have had all kinds of insurances but this one so far does not pay anything. I end up paying 160 for a doctor visit. They paid nothing. This is terrible. My husband pretty much paid his ER visit himself as well. No coverage for anything and you will end up paying all his bills. DO NOT GET THIS COVERAGE!!!

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    Customer ServiceStaff

    Reviewed July 8, 2021

    Today I spoke to an Anthem Representative, Tionda, and she went above and beyond to inform me on everything I had questions about. She went even further to be so kind to explain thoroughly what I was lacking knowledge on. Wow! She was amazing and I just hope others can have such a great customer service experience as I did.

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    Contract & TermsTechPricePunctuality & SpeedRates

    Reviewed May 23, 2021

    I am new to this insurer and used to good service. I came to this provider under the mistaken belief I could get good service at a fair price. I have had undisclosed costs and many mistakes from the company which cost me time and money. Unfortunately I have to wait till the enrollment period to get a better provider and will switch the FIRST day I am able to do so.

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    Customer ServiceCoverageTechBilling

    Reviewed April 30, 2021

    So every time my doctor prescribes a medicine it has to get approval letter has to be done for my doctor. They suggest a call. When my doctor calls they're on hold for long periods of time. Nobody answers so nurse can't stay on hold forever so prescription doesn't get approved. It's easier to go to Good rx then deal with all their red tape that they do on purpose. Was in an accident and had to be life flighted. Had to appeal 3 or 4 times to finally get them to pay the bill that they were already contracted to pay all over 30 miles. Worst insurance company I've ever dealt with. I really miss Medical mutual.

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    CoverageRefunds & PayoutsBilling

    Reviewed April 6, 2021

    WORST INSURANCE EVER!!!! They took tons of money from my paycheck and over two months only cover $56 of my bills!!!! Seriously go to anyone else or the marketplace. The company makes doctors jump through hoops and tries their hardest not to pay for anything you truly need.

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    Customer ServiceSales & MarketingStaffRates

    Reviewed March 19, 2021

    I am a medical biller and Anthem is a scam. They deny your claims randomly just because they don't want to pay. They will hang up on you when you request to escalate the situation and half the time they will give you false information to relay to the policy holder. The morons working there don't know up from down and they don't have their policyholders best interest in mind. All they care about is getting away with not paying.

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    Coverage

    Reviewed March 12, 2021

    Coverage is very minimal compared to what is taken out of my paycheck every month. Would recommend anthem insurance to anyone. I don’t know when Blue Cross got into dental insurance but it’s horrible.

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    Price

    Reviewed March 6, 2021

    Chronic pain - fused neck. New issue, shooting pain down left arm, numb thumb and two fingers, under arm pit pain, Turn head left, pain shoots down arm Dr. order MRI. Anthem denies the MRI as not a necessary procedure. Really. Neck pressing on nerve is serious. Last year, lower back pain was critical. Dr order back injections. Anthem denies, saying a MRI is required. Dr orders MRI, Anthem denies MRI as not medically necessary. You cannot make this up. There is some middle external entity that filters request for Anthem. Something is not right. How many MRIs request are denied vs approved? FOIA. Worth investigating to see if something legally there....

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    Customer ServiceCoverageHonesty & Transparency

    Reviewed Jan. 22, 2021

    This company MISREPRESENTED what they cover. I SPECIFICALLY asked abut the included dental. They flat out LIED in saying it covered up to $2500.00 a year. I called back and asked if there was a way to get out of this plan. Again, they LIED when they said no. Today I can change plans. I do NOT recommend this insurance. There are copays on almost everything!

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    CoverageStaff

    Reviewed Jan. 13, 2021

    I got a letter from Empire stating that they will no longer cover for my medication. I pay them $360 a month. Is time to have Medicare for all and close them down for good. From now on I will get Medicare part D for $ 35.00 a month. They donate millions of $ to the Democrat so they can't pass Medicare for all. They don't give damn about the patients.

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    Customer ServicePricePunctuality & Speed

    Reviewed Jan. 13, 2021

    They are quick to respond and to satisfy my questions. The cost for medications is very competitive for the one drug that is not cost free. When I call I am not kept on hold for long periods as I have experienced in the past.

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    CoveragePricePunctuality & SpeedRefunds & PayoutsStaffRates

    Reviewed Jan. 12, 2021

    Very fantastic insurance policy.it has paid for everything my husband has had. He has been hospitalized several times in the past & has some more procedures coming up this year 2021. They have helped so much. The price of the policy is up there in price, but it is worth paying the cost of the insurance. He has Medicare and Medicaide also that covers the hospitalizations and procedures and doctors appointments.. It just a very good supplement for medicare.

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    Punctuality & SpeedStaffBilling

    Reviewed Jan. 11, 2021

    Great to work with and happy with my benefits. Quick with payments, they keep track of me and make sure I'm taking advantage of my care options such as wellness tests and appointments.. I would definitely recommend them to family and friends.

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    Customer ServiceCoveragePrice

    Reviewed Jan. 10, 2021

    BCBS is timely in their response to my questions. After researching all supplemental medical insurance companies, I found this one to cover my needs at a very reasonable cost. BCBS also covers by gym fee at LifeTime fitness through Silver and Fit program. I recommend BCBS.

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    Customer ServiceStaff

    Reviewed Jan. 9, 2021

    They were always polite and helpful with any question or problem. If my question couldn't be explained, they would find someone to explain it to me. Or they would call me back. Exceptional service! Highly recommend.

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    CoveragePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Jan. 8, 2021

    Excellent policy especially for anyone with high medical needs and a lot of medical appointments. With this insurance and the Medicare policy we do not have any copays. We also have not had to pay out of pocket for surgery or major medical procedures.

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    PriceRefunds & PayoutsBilling

    Reviewed Jan. 7, 2021

    I don't know if they are offering Anthem Plan F in your state, but I've had some medical bills over $100,000.00 and I never paid a penny out of pocket. It's so good that I have my premiums paid automatically every month to make sure it never lapses. I recently had a series of tests--about 10 of them--very exhaustive, and I never was billed a penny.

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    CoverageStaff

    Reviewed Dec. 7, 2020

    I am in good health and finally listened to Anthem's hype about getting well-checks/preventative care. I included a doctor's visit (paid) and a Pap smear with an OB-GYN (unpaid), all in-network. They have refused to pay the doctor for the pap, even though it had been 4 years since my last one. I have been fighting this ruling since last February. Because of this, and my age (as this was through my employer) I have dropped them as my health insurance company. After 16 years of paying this company a huge amount of money monthly for very few claims, I will make sure that I will not be using them again. Time for Universal Health Care and the demise of for-profit health insurance companies.

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    CoveragePriceRefunds & PayoutsStaffRatesHonesty & Transparency

    Reviewed Dec. 2, 2020

    I have had a Silver Pathways Enhanced plan for the past 4 years and it has never failed me. It's has been the exact coverage for what I need at a price I cannot argue with. I've seen some 1 & 2 star reviews on this & while not wanting to negate other people's experience I have had nothing but excellent, cost efficient care with Anthem. I would recommend them to EVERYONE! I honestly don't understand why anybody would be unhappy with them. I was in the hospital this past year & it was 100% covered after I met my deductible & out of pocket max. My RX's the same. The doctors in network are amazing. I'll never switch, even if I was to find a cheaper plan. Love them!!

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    Customer ServiceTechOnline & AppStaff

    Reviewed Nov. 21, 2020

    My company is self-insured and uses Anthem to process claims. They have helped me a lot in straightening things out when the providers messed up the service codes. I had a big issue with Cologuard that Anthem resolved and paid in full! Website is very manageable and helpful. Customer service is professional and courteous!

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    Customer ServiceTechPricePunctuality & Speed

    Reviewed Nov. 21, 2020

    They have wide acceptance, my providers say reasonably fast pay, I think they have good documentation, they support an efficient claims challenge process. The premiums are reasonable. Whenever I've had contact with customer service, it has been efficient albeit a long "on hold" time occasionally.

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    Customer ServiceStaffEase of Use

    Reviewed Nov. 20, 2020

    Pretty good benefits package, customer service personnel are helpful, easy to navigate website. You can easily find all information on your flexible spending and regular health care accounts via your phone or computer.

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    CoverageStaffBilling

    Reviewed Nov. 19, 2020

    Never had any problem or issues. Usually take care of booking issues right away. Never received a bill that wasn't covered. Very detail oriented company. Employees are always caring and respectful.

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    CoverageEase of Use

    Reviewed Nov. 18, 2020

    I like using Anthem from BCBS. It's very easy to use. It also is recognized everywhere and is pretty much accepted just about everywhere too since it's a company through BCBS. Thanks for making the insurance easy to use Anthem.

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    Customer ServiceStaffBilling

    Reviewed Nov. 17, 2020

    I have been doing my medical visits virtually and have had no problems. Visits have been mostly on time and no billing issues. All follow up visits and summaries have been easy to access. Changing my address and finding new local doctors that are accepting new patients has been the only challenge.

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    Anthem Company Information

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    Anthem
    Website:
    www.anthem.com