Anthem Reviews

I have Anthem through my employer, and have good and bad experiences with them. Claims aren't always processed properly, or get denied for wrong reasons, but once a phone call is made to them, they usually resolve it, even though it may take several weeks. I have looked into other insurance companies, and they seem to be one of the best for me at this time, regardless of the bad experiences I have had, so I will continue to use them.

Professional doctors and specialists are available to assist you with your medical needs. Anthem offers a prescription drug plan that is affordable. The plan also has exercise membership and eye exam coverage.

I have been having a bad experience because my insurance doesn’t cover a specialist I need. It was really annoying because I need to go to this specialist for my eye. I wish they could offer me more support with scheduling the appointment. It took too long to try and schedule the appointment the first time. It’s a big inconvenience for me.

It works.. There are still some negatives... Sure I would recommend, but people don't get options.... It all depends on where you work...

Anthem is easy to reach on the phone or online. The Anthem pharmacy is easy to set up delivery online but hard to set up automatic renewals online and have it work. I have been with Anthem for many years. Expensive, but very good service.

Always great to respond and handle the claims. They have a friendly portal and online system which helps a lot with the scheduling and finding providers. There is also a smart phone app that helps as well. Decent rates, depending on the group you're in.

Having good health care is a must. Being able to get an appointment quickly and quality care. There is an affordable plan for everyone. The online service providers can answer questions quickly. You have results!

I broke my leg in September and the bills have been coming like crazy. I feel at this point that the insurance companies should be a little laxed on the billing due to the coronavirus, as I am now jobless. The service itself is okay, I have had multiple instances where I had to call and have them adjust my claims, because they told me that something was approved, I still, however, received documentations stating that my required surgeries were out of network...which they weren't. This has happened several times which is the most frustrating of all. Overall I say they are pretty good but could use some help in the claims department to ensure accuracy. Receiving large bills is very unsettling especially when you know it is not accurate and have to spend time trying to correct the issues.

Since being on Medicare, I have had several companies as my health insurance. I have not had the quality with any of them like I have had with Anthem Blue Cross Blue Shield. The customer care is top-notch. Whenever anyone asks what I recommend it is always Anthem.

I will have to brag on Anthem for their “Fathering In Policy”. Somehow I didn’t receive or never seen a bill for approximately 2 months (I had an address Change and believe that was the culprit) so when I finally noticed my insurance had been cancelled. I called them promptly and the gentleman helping me was so helpful and got my insurance reinstated. It has been as though it never lapses. Such a blessing!

It gives me options to choose my physician. I have not ever had any issues with payment to the health facility. They also now have people you can speak with regarding your health issues who can direct you to care.

It seems easier to share reports on when insurance companies get things all fouled up, but how often do we take the time to let others know when they do their jobs well? Perhaps not often enough! Over the years there's been much to complain about when it comes to third party health insurers, and I've made my opinions known in that regard. Now it's time for me to formally recognize improvements in service that I've noticed since the onset of the pandemic.

I have Anthem Bronze Pathway private health insurance. $737.43/month. Insurance not widely accepted. Example: Health Images and Panorama Orthopedics. Paying a lot for nothing. I’m in healthcare. I am definitely changing my coverage in November.

Anthem Blue Cross Blue Shield #gailbeaudreaux #jeffblunt #pamelastahl #deptocifraud Very long rant about anthem/blue Cross blue shield of Georgia. It should be noted that I’ve reached out to both the CEO Gail Beaudreaux and Pam Stahl And they both have refused to respond to emails or phone calls. Talk about the ultimate slap in the face. And mind you I have done everything I was supposed to do and all they do is throw a roadblock after roadblock in order to beat you down. The new leadership has really deteriorated this team. And I didn’t think I would ever say that. leaders tend to have better logic and better compassion but not these; they can’t even bother to return A phone call

This company denies basic coverage to those insured by it. Don't waste your time with this insurance, they will do everything they can to take your money and deny you basic necessary health care coverage. This should be criminal.

Anthem is very very difficult to work with. They use every excuse they can to get out of paying. And they will go back and review records to see if they can find where they overpaid you. They NEVER come back voluntarily and say they owe you more. If I could give a negative 5 star rating I would. I would NEVER recommend them to anyone and would go to great pains to choose an alternate company if I was looking for insurance. The most painful health insurance company I have ever worked with!

Very unhappy with Anthem claims. I was held responsible for thousands of dollars of medical bills which Anthem should have covered. They provided the doctor on their website as "in network," then refused to cover her bills. My doctor has also indicated that Anthem does not cover standard treatment that most other insurance companies do. Stay far away from Anthem.

Wife was hospitalized after minor knee surgery with a serious life threatening infection. After stabilizing she was transferred to inpatient physical rehab. Rehab was approved by Anthem. After one day in rehab it was decided she needed second surgery. After surgery transferred back to hospital for two days surgical recovery. Was going back to rehab but Anthem withdrew rehab approval. Doctors were very upset. Said they had never seen a patient treated like this. No choice but to send her to nursing home/short term rehab. But again, denied. Had to bring her home. Wouldn't wish this lousy company on my worst enemy.

I am the advocate for a family member who was hospitalized for almost three months for severe depression with Catatonia. She lost the ability to speak, eat, and walk. She was unresponsive to standard treatments. She was moved back and forth between inpatient psych facility Langley Porter (the best on the west coast) and the affiliated UCSF hospital next door, where some of her needs could be better met (iv's, etc). Her bills were almost a million dollars, but with immediate write offs due to Anthem's negotiated contracts. She had two separate bills: One for the regular hospital and one for the mental hospital. The regular hospital bill was largely paid for, with a relatively small amount left to pay. The mental hospital bill, however, was only 72% paid for, with the other 28% requiring payment.

My wife and I have Anthem insurance. I recently (March) turned 65. Without alerting us, they split our accounts and then promptly charged my wife for 3 months. No explanation. Turns out, they decided the money that I'd paid (on their bills) would only be used for me (again, their decision, not ours - nor were we informed of this). So I had a credit and her, a huge deficit! When I complained, I kept hearing that this is the way it is done and that my previous employer should have told me they were switching us (my former employer said it's up to Anthem). THEN THE FUN BEGAN. In the next five weeks, we have seen SIX DIFFERENT BILLING AMOUNTS! Every day or two, there's a different amount listed in their 'secure' site. Talked to a supervisor and I thought we had it resolved. Then three days later, different amounts from what the supervisor (Ms. Patterson) said. Again, I contacted and, after a week, still no response.

I have been on the panel with Anthem as a mental health provider for 4 years and they refuse to increase my rate. Their customer service is horrendous. I have to call several times and usually request a supervisor because the reps do not appear to know what they are doing. They provide inaccurate information at times, regarding client's insurance plans.

Today I contacted Anthem about a dental procedure my husband had done and I had a very hard time getting someone on the phone and I talked to 5 different people to go over my benefits. I had my benefits package with me that anthem themselves sent me and what they sent me didn’t match my plan. So a procedure we thought was covered because of the benefits package we received was not covered and they said we had to wait 12 months for my husband to have been qualified for this procedure. Very unhappy with their customer service department on the dental insurance line who had no respect or manners and kept belittling me like I didn’t matter or my husband did matter.

I switched to Anthem Blue Cross and Shield this year because they offered a zero deductible plan from Silver Script (I'm a diabetic and transplant patient) - the change has been a DISASTER! All of my diabetic medications are not in their formulary (** and **), plus other medications required for my transplants (Liver and Kidney) are also excluded. I can't wait to dump them and would never consider them for anything. I look at them as a bunch of Thugs - Taking our Money and Offering NOTHING in return. In the meantime I'm having to ration my medications.

Not reliable insurance. If you have problems or have to stay home after surgery, please send the request for the short term or for a long term disability a month prior so you be able to get at least a paycheck on time. They take forever to review paperwork. Even know that you sign papers stating that if you get overpay to return the money, they still have 20 to 30 days to see if you have a pre existing conditions. Florida Blue is way better and work faster for your case. It's been more than 6 weeks and I haven't got any paycheck or even an explanation why it's taking so long. I have to call them and ask them questions about it. I send emails and no response. They can't put the case worker on the phone, it's the receptionist that answers all your questions. But for them to collect your money every week, they quick for that and if you stop paying, they will terminate it. What is the purpose to have insurance and PAYING FOR IT, if you can't rely on it.

My company switch from Humana to Anthem at the beginning of the year. I've had to take Testosterone injections since before I've been with this joke of an insurance company. For some reason they have to prior authorize my medication. Ok fine. I was originally told it would take up to 48 hours. For some reason after the 3rd call with them to try and speed this process up, they're now telling me it can take 5-7 days. It has been over 72 hours! My doctor's office has already placed an urgent request on this authorization crap. However they deny they did.

I have experience hassles and long wait times to communicate with customers service for Anthem Blue Cross of Ohio. When you call on the phone. The wait time is anywhere from 15 minutes or more. When you log into website as a member, the site is usually experiencing technical difficulties or it rejects my log in credential and is unable to reset my password and ID. I have complained to Customer service about these problems in the past and they tell me they understand my concerns. Last 3 months I was unable to pay my premium online due to problems with website. When I call on phone, I wait on hold which seems like forever. What is wrong with this reputable company????

My husband just changed jobs, so we were forced to change to Anthem BCBS. They are denying requests for medications that I have been taking for literally years. They say the medications are not medically necessary. Well, that's funny because my old Out-of-Network BCBS determined years ago that these medications were, in fact necessary... and finally, I wasn't suffering any longer. Now insurance changes and I'm suddenly OKAY?? How does that make any sense?

Anthem BCBS of GA lacks any professionalism toward practitioners interested in serving their patrons. No way to communicate at all! It’s fine though bc I will let them all pay out of pocket and deal with that pathetic welfare program.

I have Anthem Health Insurance, they have been a good company to work with up until now. About a year ago, I purchased a breast pump from Amazon because Anthem told me that they would reimbursed me up to $225. After I called them 8 times before I opened the box, to verify that I could purchase the pump from amazon, they called today to inform me that it will not be covered. I have appealed their decision and tried my best to make it clear to them how many times their employees told me I was good to go. Very disappointed in a company that I had previously really enjoyed working with.

Nightmare when ordering specialty medicine. Anthem only approves short time period. Does not allow certain medications (allowed by previous insurance company) to be ordered through app. Most but certainly not all of their representatives are professional when “helping” you. I rate Anthem a two, because it did agree to cover necessary, expensive medications.

We had Anthem BCBS for several years and never really used the plan, nor ever came close to our deductible. Then one year we needed the plan due to surgery and discovered that now our "in network" provider claims were being processed as "out of network" (which has a much higher deductible). In fact, a few of the explanation of benefits listed the provider as "in-network", but the deductible as an "out of network" deductible on the same page of the EOB. That resulted in no claims ever being processed with a coinsurance, and lower claim dollars paid out by Anthem. Armed with full documentation, we filed an appeal and were turned down - with no valid reason for the denial. In fact the letter didn't even address the reason why we filed the appeal in the first place.

Recently "upgraded" to Anthem PPO. Trying to navigate their "Pharmacy Member Services" at 1-833-261-2463 is a disaster. The automated system doesn't understand basic, clearly spoken English. No matter how many times I provide my member number, the computer spits out something different, WASTING considerable time. They should invest some of their record profits into fixing their system! Trying to get my prescriptions set up is an unacceptable nuisance.

Customer service is very poorly trained and sometimes does not speak English sufficiently. Claim processing center does not go through processing process thoroughly and most of the claims is being denied in error. It takes for ever to straight up errors/issues. And it gets only worse and worse every day. It is also impossible to bring all this disaster to somebody's attention because nobody really cares. Representatives of other Blue Cross Blue Shield states also cannot get through their computer system and their opinion of working with Anthem Blue Cross Blue Shield is very poor as well.

I have had this insurance now for about 2 yrs. I had a PCP when I first enrolled with Anthem then all of a sudden I was told I would have to pay out of pocket for my visit because he doesn't accept the insurance. So I had fell ill due to not being able to get my meds. Had to stay in the hospital a few days then get a bill for the hospital stay like I stayed at a 5 star resort. Now I have specialist that I have to see and cant even see them due to them not accepting the insurance. So I have lost money in more than one way, lost my job, and still suffering from the same illness. This insurance company are crooks behind a shield and a phone line.

I filed a claim for reimbursement on 01/09/2020. No response which is unusual. I filed a 2nd request 01/15/2020. No response again. Usual reimbursement is within 3-4 business days. Not this time. I called on 01/22/2020 and again on 01/23/2020 and got transferred from one department to the next with several CSR's telling me "We cannot locate your file." I was on a recorded line so I told the last person I spoke with I would be disenrolling. Today, 01/24/2020 I have faxed notice of termination of ACH access to my checking account, filed a STOP with my banker and filed a complaint with the Dept. of Insurance. Note: I followed up with the fax and certified return receipt mail because the law does [not] recognize verbal notification--even when the company records the caller.

My online HSA account did not show any status of the money I transfer to investment for a whole week. When I called them, the representative tried to push me away by providing a bank number which is ridiculous. I have an account with Anthem and transferred my money to the investment on the Anthem website. Now they told me to call the bank to find out what happened???? I was talking with her for a long time but nothing she could do for me. Well, need to call them again.

Have the same plan since 2009. My son has been on acne medicine for 2 years, $45 co-pay per monthly prescription. Starting January 2020 Anthem split with Express Scripts and now claims the medication will only be covered after the $8800 deductible has been satisfied. At $550 per prescription that might be $5000 to $6000 more per year on top of the $890 monthly cost. I've kept this grandfathered plan to not have B.S. like this happen.

I chose Anthem thinking it had a decent # of doctors to choose from that are listed on their website. After calling these doctors they all tell me they don’t take this insurance. And I mean, it was several doctors that I had called, which were ObGYNs and Pediatricians. I was unsuccessful after many attempts. Finally, was told by one of the pediatricians to call another location, which so far we were able to go, but now I’m just crossing my fingers that the service is covered by the insurance.

Well, Merry Christmas! We have AT LAST fired Anthem Blue Cross and have taken another health care provider. Anthem is akin to a criminal enterprise. We had them since 2005, and have been systematically duped by them and by one of their agents, Kelly **, since then. We were paying this year $1,889.00 per month for a family of 4, so a proper PPO policy, without vision or dental. We have been trapped by Anthem into keeping the agent ** against our will, with Anthem just refusing to let us change to another more proactive agent. ** did not contact us ONCE in 14 years!! When we tried talking by phone with us, he just hung up. NOT recommended! The guy behaves like a criminal.

Horrible website with only minimal work no provided. Took 4 min on phone to hold over 20 then be disconnected. Took another 3 to hear I needed to check the website, then another 2 to hear they were closed, 2 hrs before advertised.

Anthem required presurgery testing no more than 3 weeks prior to surgery. This was done, but one test had to be repeated, slowing the paperwork submission. They are now refusing to expedite the approval of surgery which two physicians have agreed is medically necessary. If surgery is not approved, we will be in the exact same loop, beginning all over again with presurgery testing since the surgeon cannot do the surgery for three weeks at the earliest. Aside from major pain and anxiety continuing, there is no way to get out of this loop and actually get the medically necessary surgery done. Anthem does not care.

This Year I needed some medical procedures. Most currently, for a MRI on my shoulder from a fall. The doctor was quite sure that the muscle is ripped. The pre-authorization that the doctor requested was denied. I am in horrible pain, and the doctor told me to use it as little as possible. With the denial for a simple diagnostic procedure I am stuck. This is completely unacceptable as I now have to spend weeks fighting this determination. Earlier in the year I had a sinus issue and this time the pre-authorization for the sinus MRI was approved, After the MRI, it was determined that surgery was needed. Again another pre-authorization was submitted and it came back with with allowing for the surgery but disallowing for a technique that is needed to do the job correctly. Without being able to use that technique the doctor told me that there would be too high of a risk of a bad outcome and he was not willing to do it.

I just received a denial for a surgical procedure that is necessary. I feel like they automatically deny coverage just to see who doesn't have the energy to fight back. I have had constant problems with them. This is exactly why we need to outlaw for-profit health insurers. Denying benefits is a great way to increase their bottom line. Also, if you need to talk to a customer representative, be prepared to wait on hold for hours. It's a fine company if you are in perfect health and only need insurance for routine well-care visits.

I have been on Anthem Medicare Supplement F for 9 months. Been trying to make online acct. Tried for months, keeps kicking me out. Called the # as instructed. 45++ minutes today 11/27/19, kept telling the history, then each of 3 reps wanted to transfer me back to first rep. Did not know how to make acct. I Have card, PAY PREMIUMS, have used ins. and get charge summaries, SO WHY CAN'T THEY MAKE ME AN ONLINE ACCT??? PITIFUL EMPLOYEES. Martha **

Good luck if you have a problem because you will spend hours and days reaching a resolution. Had it not been for all the time I spent establishing my insurance with them and had I known what I would be in for, I would be with another provider. Customer service absolutely sucks all the time save for their concierge and escalation units who are the ONLY ones who know how to fix problems their subordinates make. Look around is my advice...

Very poor customer service and lack of transparency. Representatives are not versed thoroughly in company policies. I received conflicting information after speaking to three different representatives all in the same day. After conferencing in with the Healthcare Marketplace and Blue Cross twice and being promised a specific dollar amount premium considering our tax credit. Blue Cross continued to bill us for a much higher premium ($88 more). I continued to call them for several weeks to try to understand why this was the case. However, they continued to insist we had not paid our previous balances in full and therefore had incurred a balance of $272.

After paying $300+ per month for a private insurance plan for my son I am appalled by the lack of customer service. First, I purchased the insurance plan and had it retrodated to his dob to cover his $6,500 hospital bill for delivery. My portion was covered under my insurance. Unfortunately the hospital contacted me to tell me that Anthem will not cover the delivery. I asked Anthem to file an appeal, and I was again denied. Unfortunately the person who helped me set up the insurance lied about what services were covered. Now I owe $6,500 to the hospital, AND I was lucky enough to pay Anthem to do nothing except send me harassing phone calls from their outsourced offices. Corruption at its finest. Thank you Anthem for being the perfect example of corporate greed.

After having breast cancer surgery and radiation, I had a mountain of bills for my portion of the co-pay and I had several versions of some of them. I wanted to make sure that I was not being over billed and over paying my co-pays with my yearly out of pocket expenses. I called customer service and spoke to Sharina, she went through all 15 bills with me and we found 2 that had not made a claim but they had billed me directly. Since I met my yearly out of pocket costs I wasn't responsible. The doctors' offices would have to make a claim if they wanted to be paid. I am so thankful for Sharina for taking the time to help me through this mountain of bills and get a better understanding so I can let these doctors know I don't owe them any money.

I'm extremely displeased with my Anthem experience over the past several months. We've been notified several times since summer 2019 that Anthem and NGHS, our health care network that encompasses ALL of my entire family's Dr's, specialists, labs, imaging centers, urgent cares, outpatient facilities, and hospitals, were in negotiations to renew their contract for in network services and the deadline to reach an agreement was September 30th. We contacted Anthem several times pleading to speak with someone regarding the negotiations and only received canned responses from people who had no say in the negotiations. In the end Anthem and NGHS did not reach an agreement to renew their contract.

Anthem is no help when trying to get a procedure approved or an appeal sent in to review/status of appeals. I am a 28 year old female who recently got married and was going to start a family. My sister passed away in July 2018 from sudden cardiac arrest at only 31 years old. We did genetic testing and found out that I have the same genetic mutation as her and am also Type 2 diabetic. I have 2 cardiac doctors that both agreed that i needed to get an ICD implanted. My doctors both recommended that I do not do any cardio or start a family until this procedure was done. Both doctors sent in multiple preauthorizations that were denied and appeals for them, also denied. Both doctors when trying to call and get a status on the appeals/preauthorizations were told that they (Anthem) did not receive or could not find them.

Site asks for new security code but when sends it and you enter it and are told never to have to enter again after awhile you suddenly get logged out and then it asks you for code again so you enter it again only to have it tell you it isn't valid and you have to start all over again. Had to do this 4xs, wasted 2 hrs and finally am giving up and looking for another health provider!

It provides all the coverage I will need and is a very good premium. I did not go with an Advantage plan because of the possible high out of pocket expense.

I love my supplement insurance. It pays most of my prescriptions. I don't pay a premium every month. I just love my insurance - can't live without it. I don't have to worry about any bills or where the money is coming from.

I am a physician and I find Anthem to be, by far, the worst insurance company/benefits manager that I work with. I am forced to do prior authorizations for life saving medications. When I complete the PA, I am given a second and then a third form to fill out. The result (and I believe the intent) is to delay or deny coverage, resulting in money savings by the company. Today I spent 39 total minutes on the phone with Anthem, simply trying to obtain coverage for a patient's medication. Because I had increased the dosage, Anthem considered the refill to be "early". They have repeatedly denied to cover this medication until an additional 10 days have passed. They are putting this patient's life at risk. I will be filing a complaint with Wisconsin's Office of the Commissioner of Insurance. They are an embarrassment to healthcare system.

This is a very bad Company with terrible service. My wife was diagnosed with Cancer and we have a team of doctors that Anthem refuses to work with. We have to change hospitals, providers and services constantly to try to get appropriate treatments. Additionally they are a professional time wasting process as each preapproval takes at least a week and then the process must start all over again to find a treatment, a hospital and doctor that they might cover or not!

Very good service. They took time with me to discuss plans even when I had not made a decision to go with them. Their plan was reasonable and even with a separate drug plan I paid less than the Advantage plan I had considered charged.

Anthem Blue Cross called me to verify they could improve my coverage. She was correct and receive more than expected. I am getting $120 for other over the counter items such as vitamins, hot water bottle, BP machine, & **.

Anthem Blue Cross Blue Shield is the absolute worst insurance company I have ever had to deal with. They require prior authorizations for everything and second guess your doctors at every turn. Their standard operating procedure is to make new customers jump through as many hoops as possible for the simplest things. I had to speak with their legal department over a prescription appeal. Really? The legal department? My prescription was for a blood sugar monitor as I am a Type 1 diabetic. Blood sugar monitor DENIED. This after they made my Dr. switch my insulins. They like to literally play games with peoples lives. They really need to remind themselves of who the customer is. I will be shopping for a new company as soon as possible.

No co-pay for PCP, and an over the counter medication card value of $75.00 quarterly has really kept me happy with this plan. Add to that there is no added cost in the plan to speak of. We have told others about this plan, and compared to their own - they are impressed with the coverage.

For what you pay, it's a ripoff! If you call with a problem, they're nice to you, but they give you false information to shut you up. I'm very disappointed with this company and do not recommend them.

Refused to tell me what they'd cover for medical assistance, they blamed the medical offices, and lied by saying that the offices had the contract on what Anthem would pay, not Anthem. When I asked for a manager, he told me on 9/10/2019 that he would not tell me their negotiated rates, continued to lie by blaming the medical offices, and told me it was my fault since I was the one seeking out medical help. It's my fault. Great thing to tell someone seeking a psychiatrist for depression.

Are you ** serious? I call, wait 10 minutes on hold, only to get transferred to someone else immediately. Then, I'm told I have to contact the hospital to have them re-submit a claim to your company. I guess your employees are too busy jerking everyone else around to take care of "insurance" related issues. While I'm attempting to get a straight answer whether or not the hospital I went to (3 months ago that I'm just getting a bill for now???) is In-Network or not (she would neither confirm or deny) I get disconnected because it's after 5:00?!

Have recently signed up with them since my other insurance would not cover most of my scripts. I called and told them what meds I was on and the dosages which I was assured were covered by the agent I was speaking to just to find out that I needed pre-authorization which I was told I would not need. Called them Re. issue and was assured that my concerns would be taken care of Re: my meds. And never heard from them afterwards. I just wish they would have been upfront so that I could have made an intelligent decision. I am now stuck.

So frustrated with your Anthem’s appeal process. Someone could die waiting for a appeal to be reviewed. I get no answer or updates from Anthem at all other than it can take up to 60 days to review. I need answers now! I have been suffering since December and no one at Anthem seems to care.

Being offered free otc things sounds great until you try to purchase anything. It's a real issue. Either they just dont have the plan set up well or some people are just idiots. It took me 3 months to be able to order or buy anything and they got the order very wrong. You may have to call several times to get someone to even place an order for you. It would be much easier if they just allowed you to order online. Buying from Walmart is a pain in the butt. They aren't real familiar with the program either. The otc products available seem to be things for healthy people not things that may help you get better.

If I could give this company negative stars, I would. I have been an ongoing battle with them, which has led to me not being covered for the last four months. The short story is...I have proof of submitted payment and email confirmation from the company. Unexpectedly, two months later I receive a letter in the mail of coverage termination. I never received any prior notice via email or mail. Btw, never received insurance cards when asked, and never received any information via email or mailing prior to notifying me of cancelled coverage. After countless phone calls that only resulted in false promises, lack of communication, and continuously starting over at each call, I finally spoke to a kind, helpful woman.

My son was born 2-months ago and we still have not received an ID card for him that shows proof of coverage. I have spent several hours on the phone with different people today in Member Services who have said they generated an ID card and are mailing it to us. My husband's employer has provided Anthem with the correct mailing address for our family and yet Anthem keeps insisting that the apartment number part of our address is not in their file. This caused a 2 MONTH DELAY in the rest of our family receiving our ID cards. I explained this to everyone at Anthem today and demanded we be provided a digital copy of my son's ID card because I had no faith we would receive the hard copy. No one could help.

Just a few issues regarding Anthem’s denial of coverage and inability to effectively communicate. Was prescribed an anti-inflammatory since I am unable to take pain medication. It was denied since it didn't coincide with their listing for the diagnostic code for a painful rotator cuff surgery. It was over a week to approve. Then held up because they needed the doctor to back date his letter to date prescription was written vs date of his report.

Anthem is by far the worst insurance carrier I have ever had the displeasure of working. They do not want you to be healthy and receive help, they just want your money. During last year I have sought chiropractic assistance and I have had a surgery done on my wrist. In the Anthem benefits section of my policy, I am granted 30 SEPARATE visits for chiropractor and physical and occupational therapy. That is 60 total visits. However, instead of being honest and transparent, Anthem double counted all 20 of my chiropractor visits. Which means that instead of having 30 physical and occupational therapy visits available once I started rehab from wrist surgery - I only had 10. Why would 20 chiropractor visits count as 40 total visits between two SEPARATE benefit categories.

If you have a massive heart attack and are told by your doctor you need to wear a Zoll life vest if you are in danger of have a sudden cardiac arrest after you leave the hospital - forget about Anthem paying any part of it!! They will deny the claim. The Zoll rep told me Anthem always denied and usually denied the appeal. Prepare to pay $2,950 A MONTH out of pocket! And usually the patient needs to wear it for 3 months. Thanks for the added stress Anthem!!

Obtained dental insurance through Anthem but was never told that myself and my family would be penalized for not having coverage through our prior insurance company for 12 consecutive months. I went without dental care for years years because I made sure my 5 children’s dental needs were met. I finally got insurance and they are denying my claims for major dental work due to the fact that I didn’t have insurance prior to for long enough. So I need to wait 12 months to have work done. I had a root canal done 2 days ago and have a major infection because I waited too long to have it taken care of. Then I find out nothing's covered!

They don't pay my bills. When I call they say they are waiting for updated information. When I ask what, their response is "Do you have other insurance." I tell them nothing has changed in the last 8 years. Then they say wait 10 days to check again.

I have been sick since February with GI issues. I missed a lot of work in March and had to file for FMLA. Anthem has denied multiple medications prescribed by my GI because 'they aren't on the FDA approved list.' Anthem has also started to not cover my Primary care physician's visits. I now owe >$200 to my PCP because Anthem states I've exceeded my maximum of 1 office visit per year (this was my first visit this year.) I have had them for 5 years. Something changed in 2019 and Anthem is TERRIBLE now. I am trying to see if I can get a different insurer during open enrollment in December, because Anthem has now proven to me that they care more about their $$$ than my healthcare.

Filed a claim and they received it on 3/09/19, processed and approved on 4/12, supposedly mailed check on 4/16. It's 4/26 and still have not received, their "customer care (what a laugh)". First expect it in 7-10 days, now they say 10 days exclusive of holiday and weekends and to expect it on 4/30/19. They want you to believe it takes 15 days in America to mail something and it be delivered. There are better more responsive health insurers out there, I advise stay away from this company. Run don't walk away.

Satisfied with the choice of MDs. But plan options are limited & expensive. High deductible plans are main options, & have seriously impacted our discretionary income. Plan cost (deductible & mo cost easily take 20% of income now).

Good so far. I haven’t been to doctors in network yet. Will have better opinion later. I have nothing more to say about this at this time. Thanks for sending me the list of providers to look through. Thanks again.

We like our plan. We don't like our hospital choices. Little disappointed with some of the charges for generic drugs. Our doctors are great. We're very happy with no premium. Takes a while to get statements from other medical places, even though they have a copay. Always afraid that they will not pay for something that we thought was included...

My no deductible hospital cost ended up costing me $16k for simple removal of the metal from my ankle surgery! Unbelievable! Go with straight MediCare. My doctor charged me $15.00. The Anesthesiologist accepted what they were paid, but not the good religious hospital. Very charitable to this person on a fixed income.

When I have to call Anthem their hold times are way... too long! When you finally get somebody to answer you, 9 times out of 10 you have to get transferred. Next year will look at other options! I'm stuck with them for the rest of this year!

In my area they don't cover any hospital other than those under Mercy Health Partners. None of six doctors I have seen under the Mercy system have been helpful or very attentive, more worried about getting as many patients through as possible. In fact when my mother thought she was having a heart attack, the doctors and nurses were great, but as soon as it turned out to be a gallstone they became dismissive and rude. However that's the hospitals, Anthem, bearing the fact that they don't cover emergency visits unless you are literally on death's doorstep has been alright. The on call nurses are well trained, listen to what's going on and give sound advice, they are the entire reason I don't completely tank the company.

I received a bill from a Doctor's accounting firm in another state regarding my wife's hospital stay approx. 3 months early. I contacted Anthem via telephone for an explanation. Anthems representative put me on hold while she contacted the billing party, then allowed me to join a 3 way meeting. This issue was resolved to all parties' satisfaction. I was very happy the way this was handled by Anthem.

ANTHEM HEALTH INSURANCE PLANS STINK. I currently pay $179.80 a week. Yes a week for my wife and I through my employer's plan. That is $9334.00 a year and then I pay the first $1000.00 in any services. My wife also must pay her 1st $1000.00 in services. On top of that they refuse to pay for a prescription on medicine I have been taking for years to help nerve pain in my legs and feet and insist I take a cheaper drug that does offer me the relief. I now have severe pain in my feet and it makes it hard for me to walk. So due to profits over helping being their being their motto I now have a handicap parking permit.

Anthem has the best network of doctors and hospitals, and they pay claims in a timely manner. The only problem is that the premiums are very expensive and the deductible is also very high to keep the premiums down. Overall if you can afford the best, go with Anthem.

Can only converse by e-mail. They will not talk to you in person unless they want some money. At 28,000 dollars a year cost plus a 5,000 dollar deductible and 3,000 deductible on prescription no dental.

Insurance companies can’t be controlled. They take advantage of you no matter what. I for one had a policy and because it was too good in coverage they kept raising the prices every year. My policy was once $208.00 per month, after a bout with cancer they kept raising it until it was $1687.00 a month yes a month. I asked why so high (answer; we don’t offer that policy anymore). I could not afford it anymore so I lowered my policy from great coverage to Bronx garbage coverage. Note: for a short time I was paying $450.00 a month with a $7000.00 deductible. That same policy today 7 years later is now $1078.00 a month with a $7000.00/$9000.00 deductible, with less coverage. NOTE: all on Obama’s watch. I can’t afford my insurance as it is now but they are all the same crooks with different names. Something needs to be done but good luck.

I like the Anthem Blue Cross. Had them for 15 yrs. I would say go with them. You pay more but they pay well. Love their customer service as well. Hubby has Care First Blue Choice not as good as mine. I pay more money but it worth it.

We've been with BC/BS for over 40 years and while occasionally complicated, depending on the contact, they have been reliable, prompt and patient. Even when shifting within the company from Excellus to Anthem the service didn't miss a beat.

Works for my family. Generally good. To overlay dependent on web & electronics sometimes. Often times representative can explain things or help with problems that a website cannot. Particular program that I am under (FEHB) has proven to be consistent and good.

Ripoff company. Increased coverage without warning. Impossible to get coverage in Colorado now. This company and its so called health options are a really really bad joke on the insured. They should make more options and have better deductions for everyone who is insured with their company.

It's expensive for a senior but no worse than other plans. I recently had a cataract op on both eyes. Total cost $31000 which Medicare & Anthem covered most of it but my friend in England had the same op (privately - not on the National Health) for about $3000 - i.e. 90% cheaper. How come it costs ten times more here.

They substantially reduce the OTC benefits, the dental and eyeglasses. I have Medicare and Medicaid dual due to a stroke but paid into Medicare for 30 years. I get CDPAS and they sent last year's renewal to the fiduciary and took a week to correct it so a week's pay was lost, then they were nasty about their error to me. They messed up on my wheelchair repair last year and it took 3 months to get it back. I had to rent my own until then. Nasty then too. Being replaced next month.

The website is never up to date, you waste time calling physicians who do not accept your insurance or taking new patients. It is also difficult to receive an estimate bill prior to treatment. You're stuck with treatment, visit and medical payments assuming your insurance will pay. In order to service clients Anthem should offer a pre-authorization statement to clients.

Had them for 2018 coverage. The medical coverage was decent but RX through Express Scripts was terrible. Had many disputes about coverage and pricing. Did end up receiving refunds on overcharges after much hassle and contacting CEO of Anthem and Express Scripts.

This carrier is a hands own company. Most of the customer service reps are well trained and will ensure that your questions or concerns are addressed. They will even engage in third party communication while on the call. They always secure your information in case there is a disconnect or the call is dropped.

They dropped Wellstar in Feb. without notifying me. NEVER would have signed up if I knew they were going to do that. Broke my wrist in 3 places. Spent a week on the phone with an ER splint trying to find a PCP who would: A- would take this “ notorious” insurance. B- Would take me as a new client. C- Would give me a referral to get my wrist set! Did I mention the PCP they assigned me on my card was: A: Not take this insurance? B- Not taking new clients? C- Refused to give me a referral because he was not the physician “on call” for the ER?

I went to my Osteo-Arthritis Dr. to get my routine knee injections, they are done every 6 to 12 months... to buy more time before I require knee replacement. (you should only do your knees once and at 50 it's kind of early) the ** drug works. It makes me feel like my knees are 15 again. I need to exercise to keep my A1C down due to Diabetes. When I went in for my routine injection, I was denied coverage because my argument for needing this routine service was not justified or I couldn't prove that it actually worked.

Anthem has been very easy to work with. The few times I have had to call regarding EOB issues, they were resolved on the first call and didn't have to spend an hour dealing with the problem. All of my doctors accept Anthem and they are very satisfied with them.

My husband has Stage 4 Cancer and needs a specific prescription each month. We received a grant of $6,500 per year to help pay that copayment which had been $50. When a generic drug came out no one notified us and all our grant money was lost in 4 months paying for the first 4 months of this drug (**) without our knowledge!! That's right, now our monthly copayment for ** will be $1,600 a month instead of $50, and we have no more grant money! What Blue Cross neglected to do in informing us of a generic brand yet continuing to pass on the $1,600 a month increase to a wonderful nonprofit trying to help us was UNCONSCIONABLE. There is no excuse for what they did. Just laziness and greed, pure and simple.

I also have prescription coverage and lately I have not been pleased, because the pharmacy Anthem uses has a lot of unhealthy rules, like not filling 1/2 of a prescription if they cannot reach PCP, I needed 2 prescriptions in which 1 was unclear to the pharmacy so they refused to send 1 bottle without the other one.

Recently I have had huge issues with this insurance. Prescriptions for my daughter that were previously covered are being denied payment when we go to pick them up at the pharmacy. Therapy appointments that were covered with only a $40 copay are now only 50% covered. I have called multiple times and my daughter’s physician has called multiple times and we keep getting different answers each time. One customer service rep kept telling me lie after lie. Each time I pointed out an inconsistency in what she told me, she just told another lie that made zero sense.

Horrible service provider. It's been 3 months that I've been trying to get an approval for a dental service and it's been back and forth. First they denied benefits claiming that I am not insured with them (I am insured through employer), 30 days later they denied resubmitted claim because implant process has been started with a different insurance company (prior employer). They have no shame and no professionalism when it comes to claims and customer services. I am seriously considering leaving Eli Lilly because both health and dental comes from Anthem. It is a shame that such a large pharma is involved with an incompetent company like Anthem.

Their website does not work properly. The log in box pops up and when you move your cursor it disappears until you find a direction that you can move your mouse where it does not disappear! The links to your coverage details are bad! The lists of covered doctors are wrong... They say doctors and hospitals are covered when they are not. You are signing up for something that is not what they say it is! I checked all of my physicians and after signing up 50% of my doctors were not covered! I have been unable to get pre approvals for my prescriptions for the first time in 10 years! 50% of the Hospitals in Indianapolis are not covered! The customer service reps are confused and do not know what is covered... Do not select this HMO.

They had Cancer. Anthem paid 100 percent of everything, all surgeries treatments, no problems, no questions asked, wonderful insurance. I think Cancer for you for 15 years, because of them, never question, never a problem. I thank them with whole my heart for their excellent care.

Generally, Anthem claims you will be able to submit and receive short term disability in 14 days. I am now on week 4 with no answers. Every time I call there is a different problem or a new problem pops up that was not a problem the week before. Not sure how other companies are, this is the first time I've done short-term disability and this is just horrific.

I received services from Mayo Clinic in Rochester, MN and was told that my healthcare benefits with Blue Care Network would cover my procedure by the Doctor himself at Mayo Clinic. Come to find out, they are now saying that it is out of Network even though they covered other appointments at Mayo Clinic. After the 1st level grievance, they still refused and it is obvious they didn't read the letter of urgency from the Doctor. Now, It is my responsibility to obtain a lawyer for this $12,000 bill that they are avoiding any responsibility of that bill. I once had another carrier which was much more reliable. I would not recommend Blue Care Network to anyone.

I have been exhausted in trying to get in touch with the Customer Service through this organization's telephone number. This organization's website is the worst I have ever experienced. It simply either does not work at all, or it does not work properly. I have tried to use their website to pay my bill, but the link either does not work at all, or does not work through completion of the transaction. I have requested that paper bills be sent to my address on file months ago, but to this day I have received nothing; however, I do receive notices for non-payment (go figure). Now I ask, who is the MORON running this organization? Who are the MORONS passing themselves for so called professionals? What a farce. I wish I had never signed on with them!!

Run, run far and run fast. This may technically be a Blue Cross company but the Blue Cross we all could live with is dead. They have a ridiculous $5000 deductible and they think they know what prescriptions you need and try to deny filling them. If I had a better choice they'd be gone!

I would strongly suggest to stay way as far as possible form buying insurance from this company. I have it as a secondary coverage, so I normally fill out paperwork myself (dentist does help me from time to time). I have not had one claim besides cleaning being approved even though I sent exact paperwork representative tells me to. All major work denied at first right away. Then with help of MGT after 3-4 months they pay for some. For example, my front tooth crown broke after over 10 years, and my dentist told me I have 2 options - implant or new crown with crown lengthening procedure (not enough tooth she said for new one without it). I pick 2nd less expensive option. I knew my primary, CIGNA, is not covering crown lengthening procedure, but I also knew BCBSGA does cover it (I called and asked).

I have been denied on my claim which is no small amount ($9400) after it was pre-approved and pre-authorized. The doctor, anesthesiologist and hospital are all in network as "participating providers" which BCBS readily admits. They are all on their own website as participating providers. The loophole that they are using to deny and not pay the claim is that they are a participating provider in network but it is an institutional claim. Which doesn't make sense to me and I am a licensed Health and Life insurance sales person and have been for 6 years.

Good policy for the price I pay. Easy to read statement of benefits. Easy access to a representative if I have a question about my policy. For people who require vitamin D in cold climates where you get very little sun they should allow and pay for more than 800 units per day as our doctors recommend more than that amount each day.

We purchased this insurance via the Marketplace based on the providers that “appeared” to be in their network. Once we enrolled, we discovered that none of the providers that they had listed in their network were actually in their network. This includes hospital facilities. We have yet to find any providers in our area that are in their network. It doesn’t appear that there really is a network. They also sent a notice to us that they are now requiring a referral for a specialist. It doesn’t really matter if they change that rule. That is actually illegal to do, because there aren’t any providers anyway. We are now stuck with this joke of insurance until next enrollment. Buying beware!

We had Anthem Medicare Coverage for several years. They were very accommodating in many ways. What turned us off was their constant phone calls of different types of physicals and exams we should be involved in. It got to a point, where we were hearing from them daily and would just ignore the calls.

I renewed my health insurance plan with Anthem for 2019. Never had problems over years of being a member in the past. However, this year is different. I had canceled my credit card that was on auto-pay file with them due to other fraud charges. I forgot to update the auto-pay card on file with my new credit card. I then receive mail saying my plan with them has been canceled due to the card not working.

I am very pleased with the company. I would recommend it to anyone. I have found the coverage meets my needs, processes are easy and efficient, and customer service is excellent. I have experienced no adverse situations.

The Rep: Barbara was horrible. Had a terribly rude attitude. You could hear the unhappiness with her job in her voice. She was annoyed by having to give me the eligibility over the phone. Also gave too much eligibility info. other than what I was asking. Made the conversation extremely confusing. Feels as though she was trying to make the call complicated to please herself. Then was upset when having to repeat herself and accomplished her goal of trying to confuse me over the phone. Please let her know she accomplished that much. Overall horrible experience!

I’ve had no problems when my Anthem Medicare Advantage plan itself. My problem is the difficulty in getting info from the customer service department. The people I talk to are almost always very nice and seem like they’re trying to help. Unfortunately, they apparently know less about my plan than I do. All they do is read to me the same things I’ve already read. And what I’ve asked is pretty basic. When I asked whether an authorization was required for a specific service, I was told yes, no, and maybe. So far I’ve made 6 calls to find out what the coverage is for glasses following cataract surgery and no one knows other than that there is some coverage.

the help to put the bill on my credit card and withdraw the claim. They flat out refused. I tried three times on the phone. So, I do not have control over my medical treatment.

This is the worst insurance in the world. They never ever take this insurance. They find reasons not to cover. Their customer service is the worst. God save you if you go with Anthem. I was hit a bill of $9000 when the provider is in network and they kept rubbishing my appeal. Beware of this scam company. I am filing a consumer reports rt with the state to ban them in the state.

I have been fighting with Anthem since August 2018! In 2012 I had to have my 6th rib removed due to a mass. The doctor had to place a Gore-Tex mesh and anchor it to the 5th and 7th rib. After the removal I had so much back pain and then after a while neck pain, HA and shoulder pain. I was also diagnosed with TOS this year. I have spent a lot of days with physical therapist, massage and acupuncture and pain meds. I have had 4 of my doctors. Ortho Doctor, cardiovascular surgeon, the Breast surgeon and primary care doctor all write letters to the doctor denying the surgery!

I am a Type 1 diabetic that has been using Omnipod pumps for well over a year. Omnipod sent my pump request for approval well over 2 weeks ago and Anthem keeps telling me they can take up to 15 days to review and approve. Tell me what's to review if I've been using it for a length of time. Omnipod has been great. If I had a choice I would not be using Anthem. I will be sending the insurance commissioner a certified letter about this.

With no notice, Anthem stopped processing claims for the chiropractor that I have been seeing for 17 years - with all claims for 17 years processed and paid by Anthem. They have said that they have not received the required documentation from the chiropractor, however I know they have sent detailed information for each visit for myself and my 2 children via certified mail to the claims department. I have been in communication with Anthem through their claims department for more than 4 months now and the only explanation they have given is "they have not received the required documentation". This is untrue.

I have an HSA that contains over $8,000 of my money, not employer contributions, my money. I left my employer and when I tried to use the funds, I was told I can't - it has to be transferred to a personal account. I have called 4 times and I still can't use the funds that I put away for medical expenses. I have had over $400 in out of pocket expenses that I've had to pay while I wait for Anthem to take the time to "process" my funds, so that I can use them. Absolutely unacceptable. I have been on hold for over 10 minutes on what is my fifth call following up on this. DO NOT USE THE ANTHEM HSA if you want to actually access the funds you have earmarked for medical expenses.

I have used Anthem Health Insurance for 18 years. Always make my payments. In 2016 I was forced into the marketplace due to high cost. For 2 yrs 2016 and 2017, no problems. In 2018 I paid January premium online. In February 2018 at a doctor visit I am told I have no Insurance. But wait, I have a card in my hand that says I do. Hmmm So I call Anthem, Pay double for January and February. Seems they lost my payment for January. I found out in 2017 they misapplied my payment. All went to dental. I spent countless hours on the phone to be told they can’t figure it out. I just owe. So I provided information showing 2017 paid in full. So I had insurance for 2018. Now in 2019 I had signed up before Dec 15, 2018 and was enrolled. Anthem did not bill me for January 2019. I called and they say they can’t accept my payment. They say I owe for 2018 still. Here we go again.

For two years in a row, timely responses to info requested by the audit of dependent coverage was NOT handled properly by the agency. This is a second year in a row that responded with ALL requested info and still got a notice that my dependent's claims were no longer being processed because I did not respond. I kept details on photocopies sent the first year and time/date of phone calls the second year. The only way to properly resolve the audits were to call the number on the back of the card and update dependent info that way. But that is NOT what the audit instructions say.

I just turned 40 and with that for women comes all sorts of lovely things that need to be done including a Mammogram. Anthem will pay for the Mammogram, but they are in a dispute with the Radiology of Indiana and WON'T cover the radiologist fee. When you don't have much money and you need a Mammogram done and you have to pay for something that should be covered it makes you really regret having Anthem as an insurance provider. Do they not realize that this is something that needs to be done!

They keep denying claims for services that are In Network, in my local area and listed as covered providers. When I contact them via their message service to review the claims, they say out of area (it's 10 miles from my home, and in the same state and a listed covered provider). These are simple blood tests for annual physical. Unfortunately the provider has "Massachusetts" in their name, guessing this is the issue. So many other issues that I have to repeatedly follow-up on with them. Most get resolved eventually, but just so frustrated. Today I went to reorder my 1 and only medication, and the new cost is $154 for a 90 day supply, was $30 a month ago...on and on it goes. Crappy health insurance, crappy government oversight.

As a new employee, I called the call center to sign up for a medical plan. Keep in mind all phone calls are recorded for training purposes and I clearly stated I wanted to be signed up for a Plan B as in BOY which included a $1,000 deductible. I was mistakenly placed on a Plan D (I can understand the mix-up, they sound alike) which has a $3,000 deductible. As I started going to my OB, Maternal doctor, labs and other such places required for a newly pregnant woman I quickly realized there was an error. I called Anthem BCBS attempting to get the correct plan switched over and it took more than 3 months. The new card they mailed me had the same member ID # and group # but they assured me when a doctors office ran it they would be able to tell on their end of the deductible changes.

I newly moved from NY to CT and I needed a new health insurance policy. I followed the guidance and submitted my enrollment application on the first day of enrollment period, 11/1. I filled out eh auto payment forms and got confirmation mails about successfully of first payment. Everything seems in place. On 1/4, I received a mail dated 12/27 saying that they were able to deduct fund from my bank. But somehow the bank requested to get the fund back. Since I am unable to fund my premium, they wanted me to contact them immediately. Upon receiving the mail, I contacted them immediately, and realized that they cancelled my plan on 1/2 and were unable to reactivate my policy.

Absolutely horrible insurance!!! We pay $1,475 per month for a family of 4 for the crappiest plan. Very high deductible so we consider it emergency coverage. Under the NOT affordable care act the middle class is forced to pay for everyone else’s insurance! I don’t mind paying a little extra if it isn’t exponential and if we had good coverage. When you call you get what sounds like someone they pulled off the street and gave headset to. These reps know NOTHING! Husband needs knee replacement, called and after about four incompetent people and several hang ups was told the clinic of our choice was in network. Great! Made non-refundable hotel rooms and scheduled the consult.

I am a domestic violence victim and I’m trying to get documents from them of my doctor and hospital visits (explanation of benefits) for my court case. They raised their voice at me multiple times, told me they couldn’t help me, and said “it’s not their problem.”

Had ongoing issues. Pay way too much monthly, plus coinsurance and copay costs! Oh not to mention everything my family needs seems to be out of network so majority still paid out of pocket. Called to search new plan options hoping to find a better fit. On hold and transferred to one person and another. After 45min of this, a lady picks up and I explain I want to figure out plan options that may work better for my family and have more providers in the network. Said she’s got people waiting to enroll and she’s gonna place me back on hold! And I explained I’ve also been waiting on hold a realllyyy long time and I’m rightfully next in line so why can’t she go over it with me now? She hung up! Ugh???

$13,875 Individual PPO Premium + $3,000.00 Deduct = 1/2 my yearly take home wages. In Southern California. One Half. And not including copays. And I need insurance. Sixteen. Thousand. Eight. Hundred. Seventy. Five. Dollars. One half my wages. One. Half. I don't live above my means because I can't. Anthem lets me keep $1400 a month to pay for rent, utilities, food, auto insurance, gasoline, wi-fi, taxes and copayments. In Southern California. I've worked since I was 15 years old and always paid my own way. I have two roommates and I don't go to movies, out for dinner or travel. I never thought it would come to this. Using all my earnings to simply exist. I wonder how Joe Swedish used his $18.6 million? And what Gail K. Boudreaux spends her $2.2 million on?

I have spent hours upon hours on phone calls trying to have my claims paid to providers! I have followed ALL of my due diligence prior to seeing any physician and each time I have never had a claim that has not been a problem. I’m receive different responses each and every time I’ve contacted them — to no avail in getting my medical bills paid as expected! I would never choose this coverage and is certainly not worth the $586 per month I’m paying for my PPO Gold? They need to be reported for total incompetence along with American Specialty!

I am a heart transplant patient that takes anti rejection medication to stay alive. Anthem Blue Cross has on multiple occasions has blocked me from getting the medications I need because it's not their preferred pharmacy. As I write this it's a Sunday and the specialty pharmacies are closed and the Walgreens by my house has the medications but Blue Cross will not allow them to get it to me because they do not want to. They are making me go and get admitted to the hospital and waste the room and nurses from people who actually need it just so I can get my medication. If people have a choice for their insurance, I HIGHLY RECOMMEND NOT USING ANTHEM BLUE CROSS!!!

We have been trying to get a case settle for almost a year because someone at Anthem cancelled our insurance a month early and we were paid in full from having a baby and I had surgery still in December. We have been emailing, calling and mailing for 9 months and they still can't get it fixed??? I have been hounded by collections. This is ridiculous! We paid in $25,000 last year for coverage! No one will call us back and get it figured out!

Good luck getting real answers to needs. I recently tried to find out about my plans mail-order pharmacy benefits after reading about them in a Fall 2018 newsletter sent to me. A call to the provided Clinical Pharmacy Call Center initially was blown off by the first phone rep. That's right. Just blown off by placing me on hold and back into the call center queue. The 2nd rep was great but ultimately provided inaccurate details about the benefits and didn't even communicate my concerns properly to her supervisors.

DO NOT BUY THIS INSURANCE!!! I had Anthem Blue Cross. I went to the ER for a bad case of hives. I paid the $150 copay. THEN I get a bill for over $1,700. Anthem said that is because I have a $2000 deductable for the year. I MUST pay all of the $2000 before insurance will pay even a part of it. ARE YOU KIDDING ME... On top of the $450 we paid every month for premiums, FOR NOTHING!!! I have to pay for insurance I can't even use!!! SEVENTEEN HUNDRED DOLLARS I have to pay for a ** pill and some **... I suggest you all check your policies to be sure before this happens to you too, and you are blindsided by this. They aren't there to help you, just rob you blind.

I have tried for 3 days to get to tech support regarding Anthem's pharmacy tab and the listed medications that are 'ready to refill'. Anthem changed their website earlier in 2018 and since then I have been led to order prescriptions that say 'Ready for refill' and I don't get them and run out. I am not notified that there is a delay. THIS IS DANGEROUS. There is a HUGE disconnect between Anthem and the home delivery service which is Express Scripts. I am finding other ways to order my medications not using Anthem. Anthem's customer service is poorly spoken in English, I can't understand a word these people are saying. Taking Anthem out of the loop... they simply don't care.

At least with the browsers that I use (MS Edge and Firefox), Anthem's website fails to provide the basic service that I need: the Explanations of Benefits. So when they denied my large claim, I could not find out why. It has been 2 weeks since I notified them in writing, about this bug. With something this important, why haven't they fixed it quickly?!

My coverage with Anthem ended on 9/1/18. Since as of this date I was now on Medicare, yet on 9/5/18 Anthem took out another premium payment of $918.00. I called them on 9/7/18 to ask for a refund and they asked me if I had cancelled my coverage (it should have been automatically cancelled). I did call them in July to make sure that August 1 would be my last payment, so in essence I did call to be sure it would be ending in as of 9/1. Anyway, two weeks later I still have not received my refund. I have been told that they are saying no to refunding my money. I guess my next step is going to an attorney. DO NOT USE BCBS... THEY ARE HORRIBLE TO DEAL WITH, AND THEY LIKE TO STEAL MONEY FROM YOU.

I have had Anthem Blue Cross for close to 17 years, paying my full premium every month as an independent sales person. Recently, I took a new job that provides insurance. So I called Anthem on August 1, 2018 to have them stop the automatic withdrawal from my checking account that was due to come out on the 5th. A representative called me back saying it was “too late” to stop the withdrawal but that Anthem would send me a check for the full refund amount. That never happened!

I actually think it'd be better to deal with the cost of medical bills out of pocket than pay for insurance with this company. Oh wait, that's what I'm doing anyway despite having paid them thousands of dollars over the past year in case, you know, I have a medical emergency and have to go to the doctor? TL;DR - Had a medical emergency while out of state. Filed a claim with under my PPO plan. Claim was denied due to it being "an out-of-network, non-emergency" despite my having documentation to prove that it should be covered under their Explanation of Benefits.

Called about a billing discrepancy where I paid the full amount on a bill with proof but they only marked it as partially paid. Waited on the phone for over 30 minutes trying to resolve the problem only to have the woman hang up on me because she couldn't figure out what was going on.

I cannot stress to people enough, DO NOT USE BCBS. I was in a very serious car accident and my back is fractured in two places. I was taking narcotics along with many other medications, and was accused by BCBS for being a drug addict and refused to pay for medicine. I thought the woman was kidding when she told me she could put me in touch with an addiction clinic! I now pretend to be self pay just so I can see doctors that are always conveniently out of network with my plan. Being uninsured is better than being insured with BCBS and that's a sad sad fact!

I have been sending my inquiry for a week now but, I still do not get any response to from them. Aren't they a big company already? Why not have enough customer service to help customers? Also, their website is too slow!

We are a small business who was on the Anthem Small Group Healthkeepers Bronze plan, which had a $6,550 deductible. The deductible had to be met by the employee before any coverages for office visits, prescription drugs, hospitalization or treatments were paid. In March, 2018, due to reduction in workforce and employee turnover, only 2 employees were enrolled in the plan. We decided in our fiscal year budget that due to economic reasons that we would stop offering health insurance. We issued a letter to each employee, along with Anthem Blue Cross and Blue Shield stating that effective April 1, 2018, coverage on the group plan would be terminated.

I have been having knee pain for over a year, I went to an orthopedic doctor who ordered MRIs and determined I needed surgery to repair torn meniscus and clean up some minor arthritis. I am on a high deductible health plan so I do not go to doctor unless absolutely necessary. After paying out of pocket for multiple doctors' visits and the MRI Anthem has denied my surgery which is what my doctor has recommended. I would drop this company in a heartbeat if I had a choice but the plan is part of my employer's benefit package. I will talk to our benefits manager and see if they are getting other complaints about Anthem and make the recommendation that we switch to another provider.

Called Anthem from their solicitation for a Medicare supplement plan. I asked not to be recorded and they told me it has to be recorded (Violation of Code of Va. 19.2-69). Then asked for information to be sent out...15 minutes of questions (don't forget they solicited me by mail) about address, etc. they want to continue on phone...asked again for information packet to be sent out...more talking but no packet. Two weeks later I have yet to receive any information by mail, interestingly enough I did get another mail solicitation. BE CAREFUL.

Called Anthem Health Keepers (AHK) customer service regarding issue with discrepancy notice of only 1 allowed visit to a referred chiropractor between notice from AHK insurance and American Specialty Health (ASH); who notified of 30 allowed visits. I was told to call my primary care physician office. I did and found the issue was not on their end as they had noted "unlimited visits" on the referral. Called AHK back. Rep could not answer why Anthem listed only 1 allowed visit despite different information on the referral sent from the doctor's office. The rep told me that I had to speak with a representative from the 3rd party ASH medical mgt dept. I called them and had to spend even more time on the phone getting an answer.

My hip replacement surgery was denied as not medically necessary and my surgery was canceled, last minute. I have severe arthritis. My doctor appealed, but was denied. I also appealed, and was also denied. I made sure I answered every excuse to the letter, for example, I tried non-surgical treatments for at least three months. They say I didn’t state “for at least three months”, but I did. I was also denied in 2017, but for a different reason. It is inhumane to put someone through the pain, inconvenience and expense of preparing for surgery, and then have it cancelled. I believe discrimination is occurring, but I’m not sure why. My family has had this same insurance policy since 1992, through my husband’s union, Metal Trades Local 638. I believe BCBS has violated their contract.

My mom was complaining about pain in her abdomen since 2015. Every time the pain was excruciating she went to the hospital. The doctors did what they could for her but they needed to see deeper into her abdomen. So they filed for an MRI with Anthem and she was denied. This went on and on until May of 2018. The doctors say MRI and Anthem continues to deny her. When she was finally approved for MRI the doctors found a massive tumor on her pancreas that started to attach to her surrounding organs. The doctor that performed the surgery said that she was lucky. Any longer and her life would have ended. It's been a month since her surgery. Now they are denying her rehabilitation. The doctors and nurses at Toledo Hospital found out what the insurance company did and was furious about the whole ordeal. Anthem is terrible coverage when it comes to the seriousness of someone's life.

I'm writing a negative review on the pages of each of the companies: CVS Caremark, Walgreens, and Anthem for their mishandling of prescription claims. My Anthem insurance plan switched to CVS Caremark for handling prescriptions in January 2018. I went to Walgreens, my usual pharmacy, to refill my prescriptions during my coverage period. On several occasions, the prescriptions I had filled went through without a hitch at Walgreens, with my normal co-pay. Several months later, I received a $500 bill from Anthem saying I owed them for those prescriptions. They stated that since I went to Walgreens and not CVS to get my prescriptions filled, I owed them the full price of the prescriptions. However, there was never a flag at the Walgreens counter telling me I could not fill my prescriptions there. They went through and allowed them to be filled, not ever informing me they were not covered by my insurance.

Anthem is the worst insurance I have ever had. Just got it a few months ago. They will not pay for prescription medicine I need because it’s not on their list? Even though we were told all medically necessary “preventative” RX’s will be covered with a small copay. Apparently, Depression, Anxiety and ADHD are not medically necessary, and medicine is not considered preventative. I am so upset I want to make a case about someone attempting to harm themselves due to being denied the proper medication for a mental illness that was completely under control with prescription medicine for 25 years.

Terrible. Every month have to fight and be declined for medication necessary for health. This is in a top tier plan. Never renewed Dental, Cancelled Dental, and they have continued to charge me, will not allow me into my online account and the member services advises that cancellation must be in writing but they provide no address. This is an obscene abuse of patient welfare and finances.

Every time I submit a claim at the message center, it logs me out continuously. When I mail it in, the claim goes into the black hole, you can't even call them up to reference the claim you submitted and ultimately and no one can help. There is no one to email regarding technical support. Call them is virtually impossible with hours and hours of waiting.

I have been working with my dental provider since March to get my complaint filed. Several times we have been told they have everything they need to review the claim, only to find out later that the claim cannot be processed until they get something else or something different. It has been resubmitted so many times it has gone to appeal. I was assured they had everything they needed. Guess what? Today I found out they don't. When I insisted that we had sent in everything that exists, the rep said maybe something just wasn't good enough. On top of that, they have my old mailing address on file. Both my HR department and I have attempted to change it. The rep told me it 'takes time' to get through to other departments, maybe a week--and he had no answer when I advised it has been about 3 weeks since our requests.

They will not pay for prescription medicine I need. They will not pay for dental treatment I need. I'm a childhood mass murder survivor, have a moderate to severe traumatic brain injury, other sequela, such as PTSD. ** in large amounts, 60 - 80 mgs per day, is capable of quelling the worst of my symptoms, which are terrible, indeed. Anthem tells my neurologist's nurse that my "plan" allows for only 30 mgs per day. This astonished and bewildered my pastor, who commented, "Plan?! How can anyone 'plan' for something like that?!"

I had a prostatectomy seven years ago. Subsequent PSA tests showed negligible levels for several years, but a few months ago rising PSA levels were noticed. My first doctor in Golden Gate Urology ordered a prostate cell specific PET scan to localize the metastasis, Anthem denied this diagnostic method. In the absence of diagnostic evidence, the doctor at Golden Gate Urology, told that 60% of recurrence happened in prostatic bed and recommended radiotherapy (RT) of prostate bed or systemic hormone therapy. After second opinion consultation in Stanford, we found out a clinical trial for a diagnostic technology (MPSA-PET). Through this diagnostic technology, the presence of a single focal metastasis outside of prostate bed was confirmed while the prostate bed itself was negative.

I had a baby in 2016 and added my son to my insurance within the 30-day period required. The hospital billed Anthem and they denied my month-old son insurance and when the hospital sent me a bill I contacted them and they said I would need to have Anthem process the claim. I called Anthem, they informed that the hospital would have to re-submit the claim. Another month later it still wasn't taken care of and so I called Anthem who proceeded to do a 3-way call with me and the hospital on the line. How it didn't get taken care of then, I have no idea. Fast forward two years later, I receive a court summons from a debt collector. I immediately call Anthem and the representative on the phone immediately saw the problem when he pulled my account before I even told him this story.

When I was searching for medicare part C insurance I chose Anthem because the ad brochure said they cover 1 chiropractic visit per month. This is not true. After pre-authorize by doctor, they deny payment consistently. When the doctor at the medical center pre-authorized a minor procedure, the medical procedure was performed on me and billed to Anthem. After submitting their claim 3 times Anthem continues to deny payment. Because I chose Anthem, I am factually uninsured. Even though I pay every month, nothing is covered. Anthem is an insurer in name only. Next October I can get out of this trap.

Ok over almost 30 years I've had Blue Cross Blue Shield insurance. Well I started a new job 12/4/2017 and said yes. They have Blue Cross so it shouldn't be that difficult. I even signed up for the exact same coverage from previous job that had Blue Cross Blue Shield. Ok I had to verify my marriage and my dependents which I thought was normal cause I've done it before. Well they didn't like my marriage certificate so we had to send end our 1040 tax information and guess what? There was a problem with that too. So while we were going back and forth trying to verify my wife (who also works at same place) and middle daughter were dropped from insurance. So we finally talked to my HR rep and they said send them info, they could fix our problem and they did help. We got a confirmation that they were verified and back on my insurance.

Insurance Dental Coverage - I just received a notification that Anthem Blue Cross Blue cancelled my coverage. The cancellation took effect on April 1, 2018 and the notice was not sent until April 9,2018 not even allowing me a change to correct the issue. They did not receive my payment due to the fact that I did not receive an invoice, I did not receive any warning notices, just a cancellation notice 9 days AFTER the fact. I am unable to enroll until the next enrollment period. This is unacceptable that I will have to wait that long and Anthem made absolutely no attempt to contact me until it was too late. This is unacceptable when there is such a consequence that they made no effort to notify my of the error. So now I will not have any insurance until Jan. 1, 2019.

My employer recently switched to Anthem. I was told to search the “find doctor“ as a guest to find out if my doctor was included. Doctor’s name was on the list. However when my insurance went into effect we were on a very specific limited plan of that did not include this doctor. My doctor happens to be a psychiatrist that knows my history. Now I’m in crisis, can’t get into a doctor and Anthem doesn’t cover an inpatient facility anywhere near me.

I have literally battled non-stop with this company for the last 5 months. Blood tests that are FEDERALLY required when you are pregnant (HIV test, other STD panels) they refuse to cover and don't consider it preventative care when in fact it is and is a part of prenatal care. I recently had a genetics test to prepare myself and fiancé in case we had to go through what my uncle did, my family is a deletions syndrome carrier as well as Down Syndrome, my fiancé is a Down Syndrome carrier as well. Because of the genetic mutations on both sides, my doctor wanted the Natera test done, I was told at most I'd end up paying 200 out of pocket. Ok no biggie.

They cancelled my enhanced premium for dental and vision by mistake and because it is not open enrollment I can't get it back. They won't admit their mistake. Awful customer service. Spent all day on the phone with Anthem. They kept switching me from person to person. Can't wait till open enrollment to switch plans.

My family has 5 family members on Anthem insurance. One child has had multiple claims denied because Anthem cannot click a button that will say the member does not have other insurance. Claims have been resubmitted after calling and supposedly having it fixed only to be denied for the same reasons.

I'm a senior, I've paid tens of thousands of dollars to Blue Cross and Blue Shield in the last 35 years. The last time I had coverage with them prior to 2016-1017 where I specifically CHOSE them based on past experience, they didn't seem that bad. THIS time however, wow, corporations are considered people now and this one, like most, is psychopathic. They are not in the health insurance business to help the consumer in any way, they are in it to make obscene profits off of your blood and sweat, and put tons of your money into their shareholder's and management's pockets.

We have been told we can only get our prescriptions from two sources: Walmart... that is always out of meds. Or the 90 day supplier through the mail. Advising all who want to get their scripts from whichever supplier they want. I'm willing to pay a little more for great service and not having to wait for supplier to be supplied by their supplier. Not yelling. Just want all to see this: IF THIS IS HAPPENING TO YOU CALL YOUR CONGRESSPERSONS OFFICE. Make a complaint and have them call Anthem. You should have the right to buy wherever you want. Last I checked I live in the great USA!!!

They paid to the doctor for an appt. that never occurred. I called multiple times over period of three month asking them to fix that error, that charge is still on my account. I even got bill from the doctor asking to pay him $8 for the appt. I never had. In the meantime I was working on lowering my cholesterol and paid for the test myself to see if method I was using worked. My cholesterol is within normal range now, however it took me two month of faxing and e-mailing after finally they informed me that my claim was denied.

I have used Anthem for a number of years and would recommend avoiding them at all costs. The customer support will lie about what is covered and not have any culpability. They did to me and were not held responsible. After submitting several documents many times (after Anthem lost them or claimed they didn't receive them), I went through first and second level appeals, only to be turned down for claims that they simply lost or did not disclose phone records for. Of course they always say... "We can't be responsible for what our reps say!" Catherine ** handled all of them. She did report all the calls I made. How disgusting to be the criminal lackey for a company that purposefully leaves off information on appeals and shows no consideration for the time and effort the insured has gone through to even get the information in their hands. My experience has been that this company serves itself and no one else and does so at a high cost to the consumer.

Unfortunately, customer service is offshore and communication with persons who do not understand English can be quite challenging. Had a surgery and was constantly called by regarding alternate solutions for the purchase of medications, after-care if necessary and request to confer with insurance specialist regarding conditions that gave rise to surgery. Constantly calling me before a surgery to take advantage of discounted options was alarming and bothersome. Notwithstanding that I declined all offers, my medical bills were paid.

I had Anthem for 16 years before retirement and they were excellent. I'm Medicare primary, with Anthem secondary through My retirement with State of California. Overall very happy.

It is awful, I paid like 300 for group ins and now I pay the same and the government pays about an additional 700 for a plan that is 7500 deductible and everything goes to deductible if it not a will visit, insurance companies cleaned up on this deal. They tripled their premiums so we pay the same and then the government pays 2x the old premium and now Anthem has dropped St Louis out of the coverage area.

They are our secondary Ins. and never had a problem of not making up the difference Medicare did not pay. We have a very good rate, and a PPO. So far the Doctors on our plan have been very good.

Anthem Blue Cross has become horrible. They are constantly raising their rates and never pay a claim. Their insurance is set up so that you end up paying and they pay nothing either by denying charges, deductible or out of network, even though a hospital is in their network. I was in and out of hospitals and doctors over a dozen times in 2017 and Anthem never paid a dime. I had to pay it all. I had to stop going to my asthma doc, my cardiologist visits. So, I changed to Cigna for 2018. Premiums are $5000 per year less than Anthem.

My worst problem is defeating weight reduction. I am not able to receive help needed for effective progress through Anthem...according to representatives.

This company is about one thing: money at any cost. I have had them question every prescription and visit. The latest is that I paid a doctor who doesn't deal with insurance (smart guy) $720 for 3 hour-long visits. Our contract stipulates that they are to pay 70% of this visit. They are sending me a check for $51. You read that correctly. Here's their fancy Trump math: They won't pay for the first visit, since it included a diagnosis and tests. That was the most expensive visit. It included an hour of therapy too, but because I had a diagnosis done too, they won't pay for it.

I have Anthem through my employer. The company has been very good about paying any billings, and they sent a payment made notice each billing. I recommend this company.

I would recommend Anthem with confidence to anyone researching coverage. In my experience, they have been a great service provider. Just be sure to research the medical groups, for that is where you will see differences of quality of care.

They paid for everything with no problems once the procedure and meds were approved, that took a little time, but overall Anthem was great. Never could have done it without them.

My policy costs $56 per month/$1300 deductible. Had I continued with old policy it would cost $562/$300 deductible. Since I don't use Drs that often, lower cost won out.

Since January 2018, prescription coverage has been beyond nonexistent - it has actually caused us more harm than good. When I go to pick up a prescription that I need that day, and I find out that WITH insurance, it costs over three times more than without insurance, that's a red alert to me that something isn't right with this company. Furthermore, I later found out that I could've gotten that prescription and saved 96% of what I paid if I had gone to Walmart! My child has been in the hospital for over a month, suffering from very serious medical conditions, and I had to fill my prescription at the hospital because I could not leave her.

Every procedure I have had done was covered with no co-pays on my part. Medicare is my primary and Anthem is my secondary. The doctors I have seen are top-notch.

I am a nurse that has to deal with this insurance company because they are my company’s provider and they are a nightmare on a professional level and now they have become a personal nightmare also. I am in need of back surgery and after one and half years of conservative treatment they say the surgery is not medically necessary. If you have choice stay away from Anthem BCBS.

When my medical group violated HIPAA and then tried to blame my insurance company, the customer service agent at Anthem was fantastic. She went out of her way to make numerous conference calls with me on the line in order to assist me and keep the medical group from placing blame on my physicians.

Anthem just raised my rates (again) by 17.5%. Every time I get anything in the mail from them, I cringe, because I know they are jacking up my rates. I never get anything explaining how I can improve my health or get more out of my plan. In my info packet, I was advised to “See if your doctor is still in your plan.” I went to their website to “Find a Doctor.” There is an option to use your Member ID, so I entered it, with no results. I tried several times to enter my Member ID without any luck. Then I called their Customer Service number. I explained that I was trying to confirm that my doctor was still in my plan but that no list of doctors would come up. She tried to help me, but the site still not work.

Anthem pays VA for my services but VA customer service is very bad. I have no say so in my service at VA. I receive my medical care at the local VA and I do not have to pay a co payment and I am disabled but the VA service is horrible.

We were explicitly told by a representative that our exorbitant coverage allowed for us to pay a $15.00 co pay for an outpatient procedure my husband was having done. We called well in advance of booking the surgery to make sure that we knew exactly what we would be expected to pay. It is now over 6 month later and not only are we being held responsible for well in excess of what was told, but when trying to appeal the bill, the documentation provided to us with the denial outlined incorrect information and changed the wording of what was provided in the appeal, essentially making it easier to deny our claim. Months of trying to communicate with Anthem and we are now looking at a collections process for the misinformation provided by this insurer. We pay almost two thousand a month not including our state government employee contribution and I fail to see exactly what it is that requires so much money when we cannot even get a simple inquiry answered.

My employer recently switched my insurance to an Anthem BC/BS plan. This plan pays for nothing. The website is completely unreliable. If you go on to find out if a doc or facility is in network, you are wasting your time. It doesn't matter that they have a green check or not, Anthem finds a way to deny the claim. For example, every doc in my GP office has a green check by their name, which means they are in network so I should just have a $10 copay. However, the clerical agency they use to process their claims is considered out of network, so I am not eligible for the $10 copay. I have to pay out of network costs which can be hundreds of dollars. So to clarify - it doesn't matter that the medical professionals who are treating you are in network. What matters is whether or not the paper pushers are in network.

I HAVE BEEN WAITING 5 WEEKS FOR APPLICATION TO GO THROUGH! These people are useless!!! I get transferred from department to department. No Supervisor??? No one can help! And since enrollment is over I cannot contact anyone else! Unbelievable!

Horrible customer service, I spend 4 hours trying to get my policy reinstated due to them claiming my payment was not received which I had confirmation and was in contact with my bank which they never tried to take payment out. Still charged me a fee and basically stated, "If you don't pay the fee we will not reinstate your insurance." They were very difficult to work with. These people take enough of my hard earned money.

This review is about the January 2018 auto-payment by Anthem that caused my account on file to be debited twice for the same premium. After hours on the phone they did finally reimburse the 2nd payment to my account but not until AFTER I had been charged for having to use my overdraft protection account and incurred an interest fee. They have decided they are not responsible for this error so I will end up paying. At this point I will probably cancel the Anthem Auto payment and just use my financial institution's online bill paying. If this happens to you - it will take at a minimum 48 hours to correct the double billing problem Make sure you have overdraft protection in place for the large premium amounts that could be deducted from your account in error and be prepared to be on the phone for hours to get any corrections.

Knee pain Nov 2016 - went to see In network specialists. Paid my deductible at time of service. Deductibles met by Nov 2016 when initial visit made. Needed surgery; was scheduled and done in January. EOB show Anthem paying for the Nov visit and later surgery and related expenses. Jan 2018, received a bill for $500 from the specialist showing that Anthem REVERSED payment on the surgery Dec 2017 and NO EOB mailed to me. Deductibles met by Nov 2016 when initial visit made.

I was told by several representatives that my out of network claim would be covered fully and paid back to me. Now, 1 year and 1 month later, I still have not seen my $200+ that is owed to me. After many messages on their terrible online message system, several phone calls, and many frustrating hours spent dealing with this, I am at wit's end. They have told me that my claim went toward my out of network deductible for the previous year, and nothing would be paid to me. Now I'm in the process of having my claim adjusted to hopefully review the previous calls where I was told I would be paid out. I messaged them today for an update and their response was simply "When inquiring about status for a claim in process, please send us the patient name, date of service, name of service provider and claim number if available. Thank you." This is by far the worst customer experience I have ever had.

I tried to pay my January bill on behalf of my nine year old son. Come to find out he has been uninsured for the last five days. I was informed only when trying to make a payment that my state is no longer covered. I received no prior warning that his coverage would be ending. I tried to contact a supervisor and was just transferred from one representative to another, never being able to speak to management. I was told that a manager would be contacting me, but as of yet I have heard from no one. In my opinion this is a horrible way to treat a loyal customer. I would not recommend you enrolling with this company as clearly people don't matter to them, only the bottom line does. Sincerely, disappointed...

My son’s (21 yo) catastrophic insurance went from $218 to $350 per month with Anthem. They spend millions on CNN running ridiculous commercials while charging my son to pay for their advertising never mind his health coverage. His deductible is $7000. OMG awful.

Saw a provider several times in August. They were in network but did not process claims. Not a problem - I will pay out of pocket then submit claims myself. First submission failure regarded the claim receipts. They did not provide adequate info. It appeared to me they were complete so providers office contacted Anthem. The receipts were handwritten. Got the computerized receipt and submitted claim. After 3-4 weeks Anthem processed the claim and sent reimbursement. After several inquiries Anthem indicated they had sent payment reimbursement to the provider. The receipts clearly show I paid cash and credit card for the appointments and there was zero due to provider. I think my dog would do a better job at processing the claim. So here I am in November without reimbursement for provider charges I paid out of pocket. Maybe by the time 2018 gets here I will see the refund!

Anthem decided to mark me as "uninsured" for no reason so I had to pay several prescriptions out of pocket while they fixed it. They fixed it, but now I have submitted the claims 5 times and each time they request a new piece of information they didn't request the first time, and some of them have requested the SAME information, yet keep denying the claim.

As long as you are completely healthy with no injuries, etc. you are fine with this insurance. If you need a specialist, you are screwed. I needed surgery to remove screws that were protruding from a metal plate in my wrist. I had the surgery almost 10 years ago, when I had private insurance. I went to my 'primary care' who after one week of extreme pain, referred to me to a doctor who refused to see me. I had to go back to my primary care who, after several days passed, referred me to another doctor who refused to see me. In desperation I went to the emergency room (I made sure hospital was covered by my insurance). They x-rayed me and sent me off to find a doctor - they also refused to help me.

This is the third or fourth time Anthem has refused to cover labs for medical items, including biopsies and treatments. Anthem suggested that I could avoid denied coverage if I went to one of their specific labs: What good is Anthem if they cannot cover the services provided by an IN-NETWORK doctor, and what good is a doctor being in-network if their labs are out of network? I'm frankly fed up with their refusal to cover me when my company is deducting immense amounts from my paycheck to cover them.