How ConsumerAffairs uses cookies

This website utilizes technologies such as cookies to enable essential site functionality, as well as for analytics, personalization, and targeted advertising. To learn more, view the following link:

Anthem Reviews

4,943,040reviews on ConsumerAffairs are verified
  • We require contact information to ensure our reviewers are real.
  • Our moderators read all reviews to verify quality and helpfulness.
  • We use intelligent software that helps us maintain the integrity of reviews.

About Anthem

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

Anthem Reviews

Filter by Rating

  • (47)
  • (22)
  • (17)
  • (35)
  • (656)

Popular Mentions

    How do I know I can trust these reviews about Anthem?
    • 4,943,040 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Recent
    • Recent
    • Oldest
    • Most helpful

    A link has directed you to this review. Its location on this page may change next time you visit.

    How do I know I can trust these reviews about Anthem?
    • 4,943,040 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Page 5 Reviews 380 - 530
    CoveragePrice

    Reviewed Jan. 12, 2019

    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.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 7, 2019

    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.

    This was a lie. I had paid my $1,000 deductible and am getting billed for $3,695.84 from offices and labs and Anthem BCBS says my plan never changed until 1/1/2019 and they will not be back paying for any of the medical expenses accrued for 2018. Well I've filed a complaint with the insurance commission of the state Anthem is based out of, and am considering hiring an attorney, but Anthem is still collecting money from me every pay period so really I am still getting screwed over and my kid is due in 3 more months. Hands are tied, and my credit score is about to get ripped a new one thanks to the medical bills stacking against me.

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & Speed

    Reviewed Jan. 7, 2019

    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.

    If they send out a mail dated 12/27, during the continuous year end holidays, there is no chance I can respond to them on time. Now I need to rush through the hassle to get another health insurance, and I lose one month of insurance (hopefully I will get injured by anything), and I will get fined when I report tax. I did nothing wrong in this case and I am suffering from all the consequences. I will definitely stay away from them.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Dec. 19, 2018

    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.

    Today received call from clinic that Anthem will not cover because of the county we live in. Called and spent an hour with reps who can’t answer any of the most basic questions such as “is this provider in our network?” Today I was told with our crap plan we do not have coverage past 100 miles of our home!!! How I missed this important fact I do not know. I cannot believe we are paying $1,475 for $10,000 deductible and coverage only within 100 mile radius, not to mention we live way up in a Northern California, 100 Miles is nothing. For two years we chose not to be robbed by insurance companies and paid the $3,000 penalty, we will be going back to that, at least the penalty has been done away with. This health care debacle is in need of some major help! If we all opt out there will be no funding and it will fail.

    Thanks for your vote!
    Staff

    Reviewed Dec. 18, 2018

    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.”

    Thanks for your vote!
    Customer Service

    Reviewed Dec. 14, 2018

    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???

    Thanks for your vote!

    Reviewed Dec. 9, 2018

    $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?

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Dec. 3, 2018

    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!

    Thanks for your vote!
    CoverageStaff

    Reviewed Dec. 3, 2018

    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!!!

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed Nov. 29, 2018

    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!

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Nov. 14, 2018

    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.

    The CEO of the parent company (Anthem) has an inadequate process in place since her office never even saw fit to respond directly to an email and pawned me off to Pharmacy Benefits when in fact the issues were deeper than that and deserved a more nuanced response. All told internally they don't communicate well so don't expect any member of their multitude of plans to receive outstanding communications and in the end it is all about communications.

    Thanks for your vote!
    CoverageStaff

    Reviewed Nov. 13, 2018

    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.

    Thanks for your vote!
    Customer ServiceOnline & App

    Reviewed Nov. 2, 2018

    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.

    Thanks for your vote!
    Punctuality & Speed

    Reviewed Oct. 25, 2018

    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?!

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & Speed

    Reviewed Sept. 21, 2018

    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.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Sept. 17, 2018

    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 have called more times than I’d like to remember trying to rectify the situation. Today, I received a check for $38.40 for 8/29 - 9/1/18! So Anthem still owes me close to $540. They are way to ready to accept your monthly premiums, but not so willing to give you a refund when they screw up! I’d recommend finding insurance elsewhere. I paid a lot of premium, but I never seemed to get much for that premium. They really need to listen to their customers and act responsibly to resolve issues like the one I had with them. I hope I never have to deal with Anthem again!

    Thanks for your vote!
    Coverage

    Reviewed Aug. 30, 2018

    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.

    I've literally had to file an appeal with the State of Colorado Department of Regulatory Agencies to even get them to consider paying. My only real comfort in this situation is knowing that somewhere, some underpaid, disengaged, twenty-something is monitoring these reviews at whatever terrible social media marketing agency BlueCross BlueShield hired to try and bury this sort of press and hopefully picking a different insurance company for their own health benefits.

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 29, 2018

    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.

    Thanks for your vote!
    CoverageStaff

    Reviewed Aug. 29, 2018

    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!

    Thanks for your vote!
    Customer ServiceOnline & App

    Reviewed Aug. 27, 2018

    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!

    Thanks for your vote!
    CoverageStaff

    Reviewed Aug. 27, 2018

    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.

    We received a letter from Anthem Blue Cross and Blue Shield stating that claims were paid throughout the month of April, 2018, therefore, we owed them $784 for coverage for that month. Employees and Anthem were notified in writing that their coverage would be terminated as of April 1, 2018. The two employees covered have said that they did not use their coverage in the month of April, 2018. Both employees stated that they did not even come close to meeting their high deductibles of $6,550. Since the deductibles applied to all coverage, it would have been impossible for Anthem Blue Cross and Blue Shield to have paid any claims.

    Today, I was notified that Anthem Blue Cross and Blue Shield has handed the account off to a collection agency. The $784 that Anthem Blue Cross and Blue Shield is requesting from us is for services not rendered. We requested a termination of the policy. We did not pay the policy premium. We notified 2 employees of termination of the policy. The employees did not use the coverage. The request for $784 from Anthem Blue Cross and Blue Shield is not justified. I have mailed Anthem Blue Cross and Blue Shield a written request to submit a report or some type of proof that claims were paid for the month. We requested a termination of the policy, so there should have been no claims, no bills, no amount owed, no services and no collection agency.

    Thanks for your vote!

    Reviewed Aug. 27, 2018

    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.

    Thanks for your vote!
    Customer Service

    Reviewed Aug. 14, 2018

    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.

    Thanks for your vote!
    Customer ServicePriceStaffProcess

    Reviewed July 31, 2018

    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.

    What I found out after 40min: ASH informed Anthem always lists only 1 allowed visit despite the doctor referral indication. Rationale - This for the initial visit. Any additional allowed visits are left to American Specialty Health to determine and approve once they are in communication with the specialist office. My concern is 2-fold: 1) It took me 4 phone calls, conversations with 4 different people in a span of 40min to address a concern that was finally explained in less than 5min. 2) I don't want to be charged full price for additional visits to my referred chiropractor because Anthem listed only "1 visit allowed".

    My questions to AHK: Why in the heck couldn't your first customer service rep have really looked and read my Dr office's noted referral to them (indicating unlimited visits; saw the discrepancy and referred me directly to ASH? Why don't you clearly explain the process regarding # of allowed visits in the referral notice? Why did you (AHK) mail a misleading and erroneous notice to me? The written notice informed that my PCP only approved 1 visit. This was NOT TRUE. I have been with you (AHK) for 12+ years through my employer. Several years ago, I was referred to the same chiropractor from my PCP. I never had to go through this.

    Thanks for your vote!
    Contract & Terms

    Reviewed July 14, 2018

    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.

    Thanks for your vote!
    CoverageStaff

    Reviewed July 13, 2018

    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.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed July 3, 2018

    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.

    Normally when a prescription is not covered, the pharmacy will not be able to process it through your insurance and you will have to pay full price. This did not happen - it went through as usual and with my usual co-pay. Anthem, CVS Caremark, and Walgreens are each passing the blame off to each other when I call them to try to get the issue resolved. I'm stuck with a $500 bill because none of them can own up to their error.

    Thanks for your vote!
    Coverage

    Reviewed June 29, 2018

    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.

    Thanks for your vote!
    PriceStaff

    Reviewed June 14, 2018

    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.

    Thanks for your vote!
    Customer ServiceSales & MarketingPunctuality & Speed

    Reviewed June 10, 2018

    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 re-submitted numerous claims over and over again by mail, to the point where I have completely run out time to submit my claims, and ultimately end up paying out of pocket, On top of that, nothing goes towards my deductible. The system, on so many levels is inept and some sort of scam. Everything goes into the circular bin it seems. Online system must be set up to log members out deliberately so that claims CANNOT be submitted and paid. Ultimately, the member runs out of time.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed June 6, 2018

    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.

    Thanks for your vote!
    CoverageStaff

    Reviewed May 6, 2018

    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?!"

    Anthem makes appeals instructions as abstruse to understand as possible; you almost need a legal background to understand them. Oh yes, about my neurologist's nurse: she told me that she cannot get over her shock that Anthem turned down a request for coverage for generic **, the drug which slows Alzheimer's, for another patient. This is shocking, the inhumanity of it is shocking. I want very much to leave Anthem. My only regret will be losing my primary care physician, who is excellent.

    Thanks for your vote!
    Verified purchase

    Reviewed May 4, 2018

    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 was supposed to begin focal CT guided radiotherapy in Stanford. The treatment was supposed to last 5 days as opposed to 7 weeks of traditional RT; additionally, it focused to the metastasis rather than blindly applied RT to the prostate bed. 7 weeks RT (with much higher cumulative dose) directed to prostate bed will not do anything to the metastatic development, and will harm the healthy organs in the field. My condition is one of the conditions for which focal treatment can be particularly helpful. Knowing that metastasis is not in the prostate bed, I disagree with accepting RT to the prostate bed. Knowing the metastasis is focal, I also disagree with long term systemic treatment. But Anthem denied this treatment option. Appeal application is very difficult and will clearly take a long time.

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed May 2, 2018

    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.

    He said he would get it processed right away which I was thankful for but I informed him I had been summoned to court and he said he'd send me a letter saying it was their fault. I waited almost two weeks for the letter and all it was, was the normal statement that they send out showing what they covered and what I owed. Anthem paid my hospital bill in full but I still had to go to "court" which was a card table outside the clerk's office in the hallway with the debt collectors trying to get my tax refund information and wanting to know how much money I make a year. I refused to pay the debt collector $900 they were requesting for court fees, attorney fees and interest so now I have to go to court again and defend my case.

    I called Anthem asking them what happens if the judge decides I have to pay and they said I would have to write a formal appeal to Anthem and Anthem would have to reimburse me whatever I owed the debt collector. People have babies every day, yet Anthem couldn't seem to figure this one out. I am extremely disappointed that I am having to go through this and this stress as a single mother, full-time worker and part-time student.

    Thanks for your vote!
    Coverage

    Reviewed May 2, 2018

    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.

    Thanks for your vote!
    CoverageStaff

    Reviewed April 27, 2018

    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.

    Well today after fighting with this for nearly five months my daughter who was dropped and now added back went to the Dr and they said she was not insured. I have to pay $1035.26 a month for this insurance and I have never ever had this much trouble getting coverage. It's going on FIVE months now and still no coverage for my wife and daughter. With my wife working at the same exact place you'd think the marriage could be easily verified and that all my kids have always been on my insurance which has always been Blue Cross Blue Shield could have easily been verified too. With all this trouble it's not worth keeping Blue Cross Blue Shield and I've always had them as my insurance provider. I hope they do a better job verifying others and not put them in the same situations at us.

    Thanks for your vote!
    Coverage

    Reviewed April 25, 2018

    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.

    Thanks for your vote!
    Coverage

    Reviewed April 25, 2018

    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.

    Thanks for your vote!
    Coverage

    Reviewed April 12, 2018

    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.

    Imagine my surprise in January when I got a bill for the first set of prenatal tests and panels only to see of 1200 dollars, this garbage insurance company only covered 300, so I had to pay 900 out of pocket for the STD panels and the glucose test. 2 tests that are usually covered by any other insurance company. So over the last week I noticed a denied insurance claim. The Natera test. For the deletion syndrome and the down syndrome. 8,000 dollar bill. Yes, 8 freaking grand! So yesterday I get an email stating they'll pay 3k of it, of the 3k I have to pay 529, and I'm responsible for the remaining 5k. Excuse me? Come to find out that 5 grand won't apply to my out of pocket which my out of pocket max is 4 grand, it also won't apply to my deductible because they consider it "experimental". Actually this test has been around for quite some time and most doctors prefer it over the quad test.

    I am livid. I get a bill for my ultrasound yesterday as well, of the bill, they covered 20 dollars, 20 measly bucks, I have to pay the remaining 289 of that. I'm sorry. Why the hell do I even pay this company for coverage when clearly they cover nothing. Next thing they'll say is giving birth is "experimental". I do not recommend this health insurance company. Find someone better. You may as well have COBRA for what you pay with no coverage. No matter if it's in network.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed April 4, 2018

    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.

    Thanks for your vote!
    Coverage

    Reviewed March 30, 2018

    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.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed March 17, 2018

    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.

    I'd love to give them minus 10 stars and it wouldn't be close to enough. Please read all the reviews here and choose another company, but research them first. I had to go through Covered California to get covered, that is a separate horror story, but be aware that if you get coverage through a state exchange you will be in an even more horrendous circle of hell than if you buy coverage directly. They blame all their own lack of even minimal competency on the exchange, in fact they won't even speak with you, except to tell you you need to go through the exchange.

    So I did, twice, in mid December 2017 to cancel my insurance. I replaced it with Kaiser which thankfully in hindsight, I bought directly from Kaiser. I got confirmations of termination of the policy both times, but was billed in January, so I called Blue Shield directly again to get another "cancellation"! Mind you my premium had gone up from $636 to $778 to $1068 in just 2 years, with very little in the way of usage, meaning they made a very large profit off of me. I continued to get bills through March 2018 for the first 4 months of the year. I really had a massive fit at the 4th bill asking for $4,271.56, threatening cancellation, when I'd already made three cancellations!

    At the end of January I even filed a dispute with my credit card company to block the billing, because even the credit card company could see that IT WAS COMPLETELY FRAUDULENT!!! So then BS (** you know what) started sending me paper bills again. The bills say pay or be canceled, and I of course was expecting them to follow through and cancel, but this is what I learned: I had started looking for reviews, and found that they have a pattern of continuing billing and then sending the person who had canceled them to COLLECTIONS!

    BS would claim the person had "been covered" all that time, even in spite of the fact they had gotten health insurance elsewhere, thus attempting to take money that wasn't theirs, and creating a horror show of bills people couldn't pay, time lost fighting a psychopathic behemoth they couldn't spare, psychological trauma and damaged credit! They are committing breach of faith, and FRAUD! There were people who had to pay thousands to this company when they were actually insured elsewhere, due to this shady abusive bullying practice!

    I spent another 2 hours on the phone today, talking with another BS "supervisor" who was hoping I'd just hang up, and supposedly this time I am "truly canceled" and can ignore the bill, but I'm pretty sure they will just let it double and then hit me up with a $13,000 bill and I will have to get an attorney to sue them. I can't even come up with the words to say how much I DESPISE this kind of egregiously bullying behavior, especially on such a massive scale! These people are vermin!

    BS has already had several class action suits against them due to their corrupt policies within the market, but they don't seem to be held accountable for the damage they do on an individual scale. Please sign my petition which will be sent to the head of the California Department of Insurance. And for the love of all that is good and kind, please do not give this company your money!

    Thanks for your vote!
    Profile pic of the author.
    Verified purchase
    Customer Service

    Reviewed March 13, 2018

    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!!!

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverage

    Reviewed March 13, 2018

    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.

    You fax them a claim. They tell you they got it, I call back month later they never seen my fax and they don't know what I am talking about. When I complained thru messaging center they responded that I am sending message from someone else's account, which clearly wasn't true. I will look into getting different insurance because I don't understand what I am paying so much money for every month. This company has no problem paying doctor for bogus appt., but to apply $29 to my deductible when I am trying to improve my health and save them money in the future is a big deal.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 19, 2018

    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.

    Thanks for your vote!
    Customer ServicePriceStaff

    Reviewed Feb. 19, 2018

    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.

    Unfortunately, in my area the top rated hospitals only take Anthem PPO plans and the premiums are expensive in relation to the deductible. Anthem is no longer offering insurance in my area commencing January 2018, and my only alternative is Blue Cross. The premium costs in relation to the deductible are the same as Anthem. For those who are lucky enough to be treated at top tier facilities with other insurance, please maintain your insurance as you are lucky.

    Thanks for your vote!

    Reviewed Feb. 18, 2018

    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.

    Thanks for your vote!
    Coverage

    Reviewed Feb. 17, 2018

    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.

    Thanks for your vote!
    Staff

    Reviewed Feb. 16, 2018

    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.

    Thanks for your vote!
    Coverage

    Reviewed Feb. 15, 2018

    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.

    Thanks for your vote!
    Staff

    Reviewed Feb. 14, 2018

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

    Thanks for your vote!
    Contract & TermsPriceStaff

    Reviewed Feb. 13, 2018

    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.

    The other two visits were $185 each. I live in Seattle. According to Anthem, a "Fair and Regional" compensation for a Psychiatrist should be $36/hour. In Seattle. Of course, they don't even have a presence here, so they admit they don't know the market. But it follows some mysterious formula of pricing. My contract says nothing about testing, and certainly nothing about what they *think* it should cost vs. what it actually costs. They messed with the wrong woman. I'll see them in court. Avoid at ALL costs!

    Thanks for your vote!

    Reviewed Feb. 13, 2018

    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.

    Thanks for your vote!
    Coverage

    Reviewed Feb. 12, 2018

    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.

    Thanks for your vote!

    Reviewed Feb. 11, 2018

    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.

    Thanks for your vote!
    Price

    Reviewed Feb. 10, 2018

    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.

    Thanks for your vote!
    CoveragePrice

    Reviewed Feb. 7, 2018

    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.

    Between the hospital's price gouging and Anthem's price gouging, I paid nearly $100 for a GENERIC prescription that I could've gotten for $4 elsewhere! And this was not through the Affordable Care Act - this coverage was through my spouse's employment, and prior to 2018, we had experienced very few problems. Now, it seems like every prescription we have to fill, we are paying anywhere from 3-5 times the amount of what it actually costs. Insurance companies are supposed to INSURE their clients, not screw them over! There is something seriously wrong with this picture, and I will be following up. This is essentially theft.

    Thanks for your vote!
    Coverage

    Reviewed Feb. 7, 2018

    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.

    Thanks for your vote!

    Reviewed Feb. 6, 2018

    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.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 6, 2018

    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.

    Thanks for your vote!
    Customer ServiceOnline & AppStaff

    Reviewed Feb. 5, 2018

    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.

    Frustrated, I asked her if she would please check to see if my doctor was still in my plan. She said “NO” that I needed to find it on their website. I repeatedly told her that the website did not recognize my Member ID and the list was not coming up. Finally, frustrated, I hung up and called my doctor’s office. The receptionist there told me that “yes” my doctor was still in my plan. Anthem is a corrupt, horrible company to deal with.

    Thanks for your vote!
    Customer Service

    Reviewed Feb. 4, 2018

    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.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Feb. 2, 2018

    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.

    Thanks for your vote!
    CoveragePriceOnline & AppReliability

    Reviewed Feb. 1, 2018

    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.

    Since most medical offices use outside billing agencies located all over the country, Anthem customers are screwed. I think twice about going to the doc as I can't predict ahead of time how much it will cost. This is exactly what Anthem wants. They charge an arm and a leg for premiums - God help you if you miss a payment. They don't pay for anything. Their stock prices continues to rise, their board members are gleaning record gains, CEOs are paid millions of dollars, and customers are screwed over. The premiums we pay are not for coverage, but rather to make rich investors richer.

    Thanks for your vote!
    Staff

    Reviewed Jan. 30, 2018

    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!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 22, 2018

    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.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 12, 2018

    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.

    Thanks for your vote!

    Reviewed Jan. 12, 2018

    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.

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed Jan. 9, 2018

    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.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 5, 2018

    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...

    Thanks for your vote!
    Profile pic of the author.
    CoverageSales & Marketing

    Reviewed Jan. 5, 2018

    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.

    Thanks for your vote!

    Reviewed Nov. 16, 2017

    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!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Nov. 14, 2017

    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.

    It's as if they aren't reading their own form. They asked for the Express Scripts Group number... I called Anthem Member services to get that number and I put it on my claim form. Then I get a letter in the mail that says they need the Group Number and they included a copy of my claim with the form THAT HAS THE GROUP NUMBER ON IT. This is just one example of the multiple issues. Their business processes are in dire need of review. I'm being asked for a document that THEY SENT BACK TO ME. I mailed it, they claimed they didn't get it (or 2 other claims mailed on different dates - come on! Not getting one is probable, but not getting ANY of them mailed over a 2 week period?? Liar liar pants on fire!).

    So I faxed it to the number they gave me. They sent it back denying the claim and said the person receiving the prescription was not authorized under my plan. IT WAS ME!!! I've been getting the same RX's for 3 years. But on various months this year they have a major hiccup and say "who are you, we don't know you." It's insane and I swear they're trying to drive me crazy.

    I have everything documented and I'm sending it to the Bureau of Insurance because I feel harassed. They actually partially reimbursed me (only 4 days of pills but owed all 30 days). Anthem rep said "wow, don't know why they only paid 4, so resubmit and ask them to review again." So I did, and in response I got a letter saying they needed the RX date (ON THE FORM AND RECEIPT) then I got another letter using the same RX # saying that I didn't have insurance on that date so they denied it.

    WHAT??? They already partially reimbursed so how is it that I don't qualify at all now? INSANE!!! This has been going on for months and I'm so distraught. My major depression and anxiety are being tested. I'm a chronic pain patient who can't work and is disabled so this run-around doesn't help. It's as if they're throwing up roadblocks hoping I'll give up and go away. Well I won't! And now I'm taking this up the food chain so someone can be exposed to the stupid processes they have. This form says the "receipt" is confidential so I hope it is because I'm attaching the letter I received where they ask for my Group Number but it's on the form (first piece of data) on page 2.

    Thanks for your vote!
    Customer ServiceInstallation & SetupCoverageStaff

    Reviewed Nov. 13, 2017

    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.

    One month went by while I was in agonizing pain, I had made calls to my primary care physician at least every other day and no help. I was not even able to get an x-ray (it had to be approved) until I walked into the emergency room. After one month I walked into my primary care's office and was set up with the physician on call (my doctor could not see me). He was horrified by my experience and promised me I would not leave that day without a appointment set up with a surgeon. I did leave without an appointment (after waiting 3 hours in waiting room), but I did get an appointment scheduled the next day. At this point I called Medicare and relayed my story, they gave me a one-time exception to cancel my Anthem Blue Cross advantage plan and I went with traditional Medicare (which I love by the way). Horrible, horrible plan if you are in need of a specialist!

    Thanks for your vote!
    Coverage

    Reviewed Nov. 13, 2017

    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.

    Thanks for your vote!
    Price

    Reviewed Nov. 7, 2017

    Have had minimal contact with Anthem because all our claims and requirements are managed by Anthem with very minor issues. Only issues we have had are with our specific providers not accepting Medicare. We're going away from Anthem, though, because they are increasing their cost to their clients.

    Thanks for your vote!
    PriceStaff

    Reviewed Nov. 7, 2017

    If you go online and try find a therapists that accepts them you will get so frustrated. I am trying to find a therapist within 10 miles of my home and work. They actually have a dead person on their list!! Even if you click accepting new patients and literally go down the list they either aren't accepting new patients or they are from all the company and want a credit card on file so they can charge you if you miss an appointment. Also they have a 72-hour cancellation policy not including weekends. Riddle me this. If you are going for therapy how are you supposed to know how you are going to feel 72 hours Monday-Friday. Completely frustrated. Getting metal shouldn't be this difficult!!!

    Thanks for your vote!
    Price

    Reviewed Nov. 1, 2017

    I have had Blue Cross ever since I was young. I am now 61 and have yet to have a complaint about Blue Cross. Easy to figure out benefits, accepted everywhere, affordable payments. My four children were all delivered using Blue.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Oct. 28, 2017

    Anthem covers nothing 100%. Co insurances crippling. No way to know ahead of any procedure electively what consumer has to pay and no appeal is ever in favor of the insured member. Can't understand customer service, always outsourced and they give wrong info 85% of the time. No regulation to stop the greed.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Oct. 24, 2017

    All I need is an insurance card but customer service just runs me around in an endless grid. It's like I don't have insurance at all without that card. They make you go to a website and an app that don't work.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Oct. 24, 2017

    These folks are terrible when it comes to customer service, particularly online. Any time I've ever written them with a question they've not answered it, closed the request before I was satisfied, made me feel like nothing more than a number. Next election, they will be out of my life. My coverage is decent, but my employer pays upwards of 600 (individual) just for me. No dependents. Only half of my doctors are willing to deal with them, thus dropped them. Now I have to scramble for new doctors and leave the ones that know my history. It's terrible, and I'm done with them.

    Thanks for your vote!
    Customer Service

    Reviewed Oct. 11, 2017

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

    Now, I am out on a leave of absence because of this illness because it is spreading and I can't have surgery because my insurance company that I pay for every week won't pay for it. I have also been dealing with Anthem Life for 2 months now, trying to get my leave of absence approved so I can get paid, and they have done nothing but drag their feet and give me the runaround every time I call them. They have lost my doctor's documents numerous times, and now I am facing termination because these people don't know how to do their jobs. If you have the option to choose a different insurance company, do it.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Sept. 30, 2017

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

    I want to know if the fact I have endometriosis was factored in to this decision. Was my family history taken into account? Grandfather brain and colon, mother lung, ovarian, uterine, aunt ovarian, breast, aunt throat and uterine. There's more but you get the idea. I have previously had a mass removed from my colon (benign). My DR at Northwell gyn oncology prescribed a pet scan as the best procedure for me. How does your dr if it is even a dr know what's better for me? Since my surgery is now delayed I am going for a second opinion at Sloan Kettering. I want the letter for my appointment there.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 19, 2017

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

    That was just the beginning. They do everything they can to avoid paying you! I think their business plan states "wear people down until they stop asking for money!" DO NOT BUY ANTHEM. They will not fulfill their basic obligations to you. I have spent countless hours on the phone with these people just trying to get what we pay for. Anyone else has got to be better.

    Thanks for your vote!
    CoveragePrice

    Reviewed Sept. 14, 2017

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

    The reason for my review is that I have noticed something that I want to share. It seems to me that most primary care and hospitals offer a discounted self pay option. If you open an HSA (health savings account) you can put pre-taxed money into the account for medical uses. I am not sure what the tax penalty is for not carrying health care, but it is likely less than the $5,000 you will dump into your health insurance, and you can take the money you would be paying BCBS and put it into your HSA account. There is gap coverage or accident insurance for a lot less premium- in the event something happens to you... something to consider.

    Thanks for your vote!
    CoveragePrice

    Reviewed Aug. 30, 2017

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

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Aug. 25, 2017

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

    Updated on 10/9/2017: In response to my previous dissatisfied experience on handling my claim I submitted on Consumer Affairs previously, one of the Anthem associate's gave me a call after a month and took all the details of my claim and said she would resolve. She wouldn't want me to call Anthem to follow up on it and she would contact me in a week and provide an update. She also supposed to send an email with all her details. I never received a call back or details to my email.

    Now, I do not have that associate's contact info to follow up. This was not resolved yet. It's been a month now. I don't understand why they always do this. Am so vexed with them and am completely dissatisfied with their service again. If I have a chance I would move from them completely. I do not want the customer service now as they would take forever to get me an associate and I have to tell my year long story. Their systems are too old and never ever get updated with statuses accurately. I would never renew with Anthem again. They do not deserve a single star.

    Thanks for your vote!
    Coverage

    Reviewed Aug. 25, 2017

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

    Thanks for your vote!

    Reviewed Aug. 24, 2017

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

    Thanks for your vote!
    Coverage

    Reviewed Aug. 22, 2017

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

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Aug. 10, 2017

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

    Subsequent to my enrollment I began to receive through the mail, requests for personal information. The documents did not contain any insignia that they were related to my Anthem insurance. I made several calls and wrote Anthem asking for clarity. I was told to "throw the documents away, they have nothing to do with us." In March, while traveling in Colorado, I reached out the Anthem for the billing address to mail my April payment. I was told that I was being dropped on April 1, 2017 for lack of verification of my citizenship. (Ridiculous - I am a very rooted American.) After discussion, the Anthem rep informed me that the documentation that I was told to "throw away" was, in actuality, information required from the Marketplace, a broker. I informed Anthem that I did not utilize a broker. Anthem responded that during open season they utilize brokers because they are "bombarded with thousands of phone calls during the open season."

    I asked why there was no disclosure to me during my call and the Anthem rep said: "Would you prefer to be on hold for hours or speak to a broker?" How rude!!!! So... I wrote Anthem a letter demanding coverage. By the time I received a response I was nervous about exposing myself without insurance so I reached out to another insurance carrier - a type of temporary insurance which ends in October. Not sure what happens in October - I think I will have no insurance until open season??? Awful.

    Additionally, while in Colorado prior to being dropped on April 1st, I got sick and was seen by a physician. I filed a claim on or around April 6th, 2016. It is August 10, 2017 and I have not heard a thing about the outcome except one representative who thought it would not go through (phone conversation). Repeatedly, Anthem made up nonsense concerning the claim in order to not address it - e.g. the date of service was too illegible. FALSE STATEMENT! Run from Anthem. There has got to be a better way. If I am an attorney having trouble with Anthem I pity the person who is not as educated.

    Thanks for your vote!
    Customer ServiceOnline & App

    Reviewed Aug. 7, 2017

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

    Thanks for your vote!
    Customer Service

    Reviewed July 27, 2017

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

    Thanks for your vote!
    Coverage

    Reviewed July 25, 2017

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

    Good example. CPAP supplies are subject to annual deductible but you "NEED" doctor's authorization. WHY?! People pay for it themselves. CPAP users already HAD medical authorization to get sleep study which resulted in purchase of CPAP. Why the heck do you need MORE authorization to buy needed supplies (sanitation health issues) if you pay for it privately? The subscriber needs to submit a Claims Report to have the amount Credited towards the annual deductible amount but BCBS REFUSES to do that UNLESS you get doctor's approval! WTHeck?!

    Other insurance companies actually COVER (even partially limited) CPAP supplies (i.e. buy hoses/masks every 6 months) or get amounts paid personally credited towards annual deductible since you're ALREADY approved hence reason above that you already received a medical authority to buy a Cpap machine! The BCBS workers have to put up with grievances from subscribers for the BS guideline benefits that BCBS offers or does NOT offer. BCBS has a STRICT policy of getting Doctor referrals BEFORE ANY treatment so you better get it or else you pay the referral related expenses directly!

    The company was bad BEFORE ObamaCare and has become WORSE AFTER ACA! Monthly premiums have gone up, annual deductibles/out of pocket costs have INCREASED SIGNIFICANTLY while benefits have dropped!! Some medical expenses that WERE ONCE covered may NOT be covered anymore esp. by BCBS! AVOID at all costs if possible! Stay healthy at all costs! Had better health insurance coverage at same price in MA with another insurance provider. NH has one of the most limited and lousiest health insurance providers!

    Thanks for your vote!
    Customer Service

    Reviewed July 21, 2017

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

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed July 8, 2017

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

    After two weeks of checking with my insurance they indicated that they had not received anything from Anthem Life. I called Anthem. At this time they said that they had not received any information from insurance company, and that because of that they were mailing me a letter indicating that they were closing my claim. They told me that I could file an appeal if I wish. I intend on it. My insurance has no reason to not reply to any insurance paperwork. It's not a fly-by clinic. I do believe, however, that they never had any intention of paying or sending the paperwork even after I sent them the proper point of contact information. I can imagine that the they are laughing at the idea of me appealing their judgement on my claim. Beware. Sneaky crooks whom I still have to pay for in my paycheck.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed June 21, 2017

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

    I was told by another department to ask for a supervision and the lady on the phone refused to give me one and hung up on me. I called back and talked to multiple different departments who gave me the same answer. I asked if they had someone who worked in the state of Michigan and they denied that and told me to call another number in which was of no help. I seriously called them probably 10 times, my auto insurance company 3 times to finally get someone that was willing to investigate how to get my problem solved. They seriously need some more training. It was a horrible experience.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed June 21, 2017

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

    After 30 minutes with a customer service rep, I come to find out that the newborn services for our newborn is not applied to my deductible (even though I'm paying $4,000 out of pocket for it). I asked the rep why this wasn't applied to my deductible and all she could tell me is that my benefit does not entail newborn care. This made me furious and I ended up hanging up on the customer service rep. I could go on and on about Anthem. But I'll keep this review somewhat short. DO NOT PURCHASE ANTHEM BCBS FOR YOUR HEALTH/MEDICAL INSURANCE!!

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverage

    Reviewed June 19, 2017

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

    I gave my orthodontist the new plan information and was informed that our plan did not cover orthodontics at all. I enrolled in the Dental Family Enhanced Plan in January (which hopefully included orthodontics this time). I made appointments at the orthodontist for my children and received a letter on June 15, 2017 that even though our plan includes orthodontics, neither child will be covered for the cost of braces. I finally cancelled the plan on June 18 after spending $545 in premiums.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed May 27, 2017

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

    Finally, someone told me they would get my prescription reviewed and it should be approved the next day. They were supposed to call. Instead, I waited until the afternoon, and I called back. After only 3 transfers and 1 hang up, I was told - "We made the decision at 10 this morning. It can't be approved until we get more paperwork from your doctor!" If people had options, they would have exactly zero customer/members. Terrible experience.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed May 19, 2017

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

    About a month and a half later, I have another similar problem. I've attempted to get help for the past three weeks. My contact doesn't call back as promised until I've called her (after patiently waiting five business days on two separate occasions) or I've called to ask for a supervisor. I've had to begin taking my issues to the same higher ups again.

    It is extremely difficult to get help from this company. I deal with UHC and Medicare on a regular basis, and I've yet to experience the level of rudeness and apathy with them as I've experienced with Anthem. My contact returned a call to me today after I requested to speak with a supervisor. She said to me, "Here you are asking for a supervisor when I thought we had a working relationship." My response was, "I thought we did too, but you aren't returning my calls or providing me any information after three weeks." She didn't have a response to that. I worked in a customer service call center for over ten years, and I know it's a tough job, but this level of non-service is unacceptable and clearly a pattern with Anthem.

    Thanks for your vote!
    Customer ServiceCoveragePrice

    Reviewed May 16, 2017

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

    This time I was canceled, they told me someone would be contacting me back in 4-5 days. I received no call, no mail, no email! It takes over an hour each time I phone in to reach someone. After 20 days, when finally able to reach them, they said this case was resolved 10 days ago. No contact had been made, despite me leaving them my work and cell numbers. Meanwhile, I still had no coverage, and no contact by mail, phone, or email from anyone at Anthem. After over 2 months of trying to get an answer as to why I was canceled, I have just learned yesterday, by means of the online Message Center, where you are not able to respond to any of their messages.

    They attached a bogus letter from December 2016, stating because I have moved out of the service area (PS. I have not moved or tried to) they were canceling me, and I had 60 days to obtain new coverage. Since I am just seeing this letter for the 1st time, it is out of the 60 day period, where I am unable to get insurance through the open market. I am furious. I expected the to reinstated, as they had done so before. When attempting to get short term coverage today, they were able to put me on a 3way with Anthem. They told the agent, I was sent letters of the cancellation 4 times. I never received 1, and have maintained the same address, the same email throughout my coverage.

    I am so angry. They deserve to be sued. They are illegally manufacturing false documents, at the expense of people's lives. Over $16,000 a year, and this is what you get! I will do my due diligence to let every consumer know, they are a horrible company, with terrible customer service and deceptive practices. They should be sued, and hopefully someone has the time and means to do this.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverage

    Reviewed May 12, 2017

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

    Thanks for your vote!
    Customer ServicePunctuality & Speed

    Reviewed May 1, 2017

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

    Thanks for your vote!
    Coverage

    Reviewed April 10, 2017

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

    Thanks for your vote!
    Coverage

    Reviewed April 7, 2017

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

    The WORST thing you can be is middle class because we get NO HELP, so essentially we are spending $400 for health insurance that applies a PORTION of our actual out of pocket expense to their deductible rate. How does that seem right??? If given a choice between Anthem BCBS and NO COVERAGE, I will choose NO COVERAGE, because I'm paying $400 a month for NOTHING.

    Thanks for your vote!
    Customer Service

    Reviewed April 4, 2017

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

    Thanks for your vote!
    Customer Service

    Reviewed April 3, 2017

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

    Thanks for your vote!
    Customer ServiceCoveragePunctuality & SpeedOnline & AppReliability

    Reviewed March 24, 2017

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

    So I was stuck without any insurance for 6 months, and was billed over $2500 in tax penalties by the US government because of their mistake! Because I wanted to keep my doctors, I tentatively re-enrolled during the next open enrollment period, in a slightly different insurance policy with Anthem. It was $760 per month with a $7500 deductible (ridiculously the cheapest I could find). Within 2 months, I received a notice saying they are discontinuing my policy and giving me a new one that was "comparable".

    When I read the fine print, it was NOT comparable, as it only covered 50% of anything. So if I was to get cancer, they would only cover 50% of costs... which could possibly bankrupt me. I called to complain, and demanded to change plans. If they are discontinuing my plan, I should have the right to change it if I am not happy with it. Again, they wouldn't allow me to do this because we were outside the open enrollment period.

    In a few months, the same auto-billing issue started up. Luckily I caught it in time before they cancelled my insurance. I had to manually log in every month to pay my dues. This year I again changed plans. I was double billed for the first 2 months this year for both my new plan and my old plan. I am still not reimbursed. I received a letter last week saying I have not paid my insurance, even though I am enrolled in the auto-pay program.

    Every time I call them I have to wait 45 minutes to talk to someone that has absolutely no idea what they are talking about. They said I could enroll in auto-pay over the phone, that their website sometimes has "technical difficulties". They told me someone from billing would call me within 48 hours. That was 6 days ago... still no call. Every single person I know has had similar issues with this insurer, If you are interested in joining me in a class action lawsuit against this "company", please let me know.

    Thanks for your vote!
    Customer ServiceCoverageOnline & AppStaff

    Reviewed March 12, 2017

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

    4) I pay my monthly premium electronically and every month I receive a letter stating how my payment is late, but not to worry since Anthem will cover me if I make a payment in the next week. When I call, I am on hold for at least an hour and am told that I am all paid up. When I pressed Anthem as to why I get these letters I get the reply, "these systems have a mind of their own". 5) Since Anthem cannot process electronic payments, they sent a letter to the State of California stating how I never paid my premium(s) and my coverage was going to be dropped. I called the State and explained the situation. The State informed me that people on Medicare had been calling with the same situation and were surprised when I stated I was ACA. If I provided my customers the level of service Anthem does, I would be FIRED. As a software professional, I am insulted by their online "services".

    Thanks for your vote!
    Customer Service

    Reviewed March 8, 2017

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

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Feb. 26, 2017

    Sick from exposure 4 1/2 years ago and in pain everyday since and cannot even go to the er because I'm a marked target not to help me even though I pay extreme amounts for deductibles and pay cash to doctors they won't put in my network, even though they say they did. I've read all of your reviews and I've experienced all similar situations with them, fed up, I'm suing. My jury trial after waiting two years is April 17, 2017 in downtown St Louis. Let's all rally together and be heard!! All of you are invited to testify and tell your experience with this piece of ** company, or you can email me at **.

    I'm extremely ill and representing myself because of the ** bureaucracy and political aspects, this our chance to be heard!! I won't stop until I die or until justice is served. This is the worst health insurance, mind playing, game playing, phone playing, lying, could care less about human life company that I've ever seen, hope to hear from you all.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Feb. 23, 2017

    For the past three weeks I have attempted to a person to review my account charges because I believe that they are not crediting me correctly. While waiting for hours there is an electronic voice that states "Thank you for calling, good bye" or "we are having technical difficulties, call again". Three weeks like this. Right now I have been waiting for two-and-one-half hours and it is close to five o'clock, so I expect the "thank you for calling". Giving these people one star is too much. The icon of a ** is more appropriate. I do not have an order number but a policy number which I am including. These people do not assign case numbers as I have not spoken to anybody

    Thanks for your vote!
    Customer Service

    Reviewed Feb. 14, 2017

    When I lived in NY, I was covered under the Empire Plan with Anthem. Then I moved to Colorado mid 2016. I then called Anthem in 2017 so that my tax form could be mailed to my new address in CO. At this moment, I have been transferred about 5 times and have spent over 2 hours on the phone between waiting and verifying information. The customer service is horrible, no one can answer any questions. This is INEXCUSABLE.

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Feb. 13, 2017

    I'm fairly new to the Medicare medical insurance (one year on disability). I had two sleep studies done (one without machine, one with machine). I have sleep apnea. Both my parents had it and 5 siblings also. I was approved by Anthem where they will pay 80% of the cost of the machine and I'm responsible for the other 20% and monthly rental fees. I called to ask why this is not covered and I was told that if I want the machine I have to pay the 20% upfront and sign a lease. I ask the representative, "Why did I have to pay anything for a device that would keep me from passing away in my sleep?" Preventive copay on my plan is $0. Is not dying in my sleep without the machine not preventive (prevent me from dying)?

    I ask the representative to please explain why I have this policy if my regular Medicare would pay the 80%. She became upset with me and actually hung up on me! I called Medicare and they said that they would look at the situation and probably cover the machine at 100%, since it's a life-threatening condition. Anthem did not want to hear that! They just told me (after I called and waited on hold another half hour) they will only pay the 80%! So, in other words they told me if I die in my sleep... it's too bad. When I first enrolled in their MediBlue plan I was told that this plan was to help cover the 20% that Medicare doesn't pay! They didn't say that it was replacing my Medicare with the same coverages! What a scam they have going on with us retired/disabled people.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Feb. 8, 2017

    This is a lousy health insurance coverage. First it started the first day or should I say the first month we signed up for this coverage. They did not have the correct number for verification of dental. My dental office end up charging me double because the insurance could not verify the right coverage that my son had, then later back in June 2016 they cancel my son's health insurance without notification and here we go all the way in February 2017 just found out that their system had cancelled his health insurance and we received a bill from the hospital stating that our insurance declined payment.

    Then Anthem Blue Shield Blue Cross state it because my son payment at the bank was inefficient one-time their system automatically cancels your insurance without notice. Now they said their system they mailed us a letter. We never received a letter. Now he have to wait all the way until the end of this year to have health insurance. That mean the IRS is going to find him for no insurance.

    I am highly pissed off at this company because now we're stuck with $1,000 hospital bill when my son was supposed to be covered. I'm noticing under these other reviews they've encountered a lot of people health insurance without any notice to the customer. That is not fair that we've been penalized for their systems. Be aware before you sign up with this company they don't know how to verify their benefits for providers to call if they have a hundred and one phone numbers and they do not give out the right phone numbers for verification. So now you're stuck with a bill they're making you responsible for. This is a lawsuit.

    Thanks for your vote!
    Verified purchase
    Customer Service

    Reviewed Feb. 6, 2017

    I chose Anthem BC-BS as my Medicare Supplement Provider, in late 2014: Premiums over time were: 2015: $130.70, 2016: $143.30, 2017: $178.25. I REPEATEDLY left Messages on the the Anthem Website ("Message Center") beginning in mid - December 2016, as I just simply grew weary of being left on hold for hours at a time - that is, once I finally wound my way through their looping "Phone Tree"! Essentially I wanted to know when the 2017 Premium would be and why I hadn't been billed, as usual, for the Dec 2016 and Jan 2017 Premiums. No answer to any of those Messages!

    I eventually became aware that Anthem had "changed their Direct Payment Policy" without prior notice to me in writing. Unknowingly, I had come awfully close to having my Policy cancelled, as the aforementioned Direct Billing Change had resulted in my falling behind on my monthly Premiums (and which was one of the reasons I had messaged Anthem via their Website... to no avail)! I have since moved to AARP - UnitedHealthcare Medigap and haven't looked back. Goodbye Anthem and GOOD RIDDANCE!

    Thanks for your vote!
    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 4, 2017

    It is a travesty that California allows Anthem BlueCross to get away with false communications while its residents have few options for health insurance! I was forced to choose a new provider (ours left CA) and chose Anthem based on being able to still visit one of my two local Palo Alto Medical Foundation locations. That said, we are amenable to selecting new primary care providers/practice locations. Upon trying to select a doctor, I was given only two choices accepting patients. Only one was a woman and she is too far away. This is unacceptable. I reside in the SF Bay Area where there should naturally be more options and I am paying an expensive monthly fee. I deserve reasonable choices.

    Thanks for your vote!

    Reviewed Feb. 3, 2017

    Switched to Anthem Blue Cross effective December 1, 2016. Since then everything medication I need requires pre-authorization, even meds I have been taking for years. Everything is a hassle. I injured my foot and have been hobbling around for weeks. Finally went to the doctor. He wanted me in a walking boot until they can get x-ray and MRI scheduled. Cannot get a walking boot without diagnosis which won't happen until x-ray and MRI. Is not the fact that I am in pain and hobbling around enough? If I was bleeding out would I need pre-auth for a band-aid? I don't understand this. There is obviously something wrong with my foot and I can't get a boot until they have figured out what it is. In the meantime, if it is a stress fracture, I am probably making it worse. I will definitely be high-tailing it from Anthem next open enrollment. Never again.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Feb. 1, 2017

    I had this insurance for 2016. When I tried to make my first payment for 2017, they told me that I wasn't in their computer system. They refused to do anything about this. I was on the phone for seven hours one day and several hours the next. I would be put on hold for over two hours, only for the phone to be answered by an idiot who would just say, "I don't know what to do. Talk to this other person I am transferring you to!" A "specialist" was supposed to call me today but never did. The enrollment period ended without me getting anyone on the phone who knew what to do. So much for having insurance this year. Unfortunately, they are the only company on the Texas health insurance marketplace, so I can't use anyone else.

    Thanks for your vote!
    Verified purchase
    Customer ServiceCoverageOnline & App

    Reviewed Jan. 27, 2017

    There are 3 people in my family. Me, my husband and my son. All of us have signed up for Anthem through the healthcare marketplace ("HCM") which is a joke. There must be a disconnect between the HCM because each of us have a different story to tell. We used an insurance broker because we dont trust HCM. I have confirmations (in writing) for each of us. All 3 of us have been totally screwed up.

    My husband paid for his insurance for January in December. He received a confirmation. We received a letter saying he had been canceled. After a 1 hour wait on hold we found out that the payment of AMEX was not accepted even though we received a confirmation. THERE WAS NO INDICATION THAT AMEX was not accepted. We called, we made another payment using a debit card. We had to call INDIA to get the username and password reset because their system totally sucks and does not track by name and ss #. We have paid the bill and have attempted to login since making the payment. We have now been on hold for 1 hour. Still no answer as to why it says there is no coverage for the person listed on the website login.

    When calling the Tech support you go to india. When you go to india, they do not understand what you are asking and the sound level and quality is awful. We have had to hang up and call multiple times for the same thing. Yesterday their website was down. They should be embarrassed by the fact my husband goes to the doctor 1 time per year and gets a really cheap RX for cholesterol and pays $700 per month. What a travesty. This is terrible.

    I signed up for a new plan in December. I received my bill from Anthem. I paid it in December. I also received new cards. I then receive a letter that says I did not pay my coverage. So after a .50 call with a nice American boy, I found out that anthem send me a bill for the wrong coverage and sent new cards for the wrong coverage. They sent me a refund and I am still trying to confirm my payment has been accepted because the login that I have to anthem does not match the new coverage I applied for. When I called INDIA they had no idea what was wrong and said I had to call Anthem again to sort out. My son has called to confirm his plan and his login is correct to the correct ID #. So go figure. Anthem is so screwed up. This is all caused by ACA. This must change.

    Thanks for your vote!
    Customer ServiceCoverageSales & MarketingPricePunctuality & SpeedOnline & AppStaff

    Reviewed Jan. 27, 2017

    I was so excited to finally get my own health insurance last year as a small business owner through an individual plan. But to my dismay, it's been a nightmare to get coverage. I can't trust Anthem with my healthcare needs for these reasons: I was on a PPO plan last year called "pathway PPO". This means preferred provider and that I get to choose my own doctors etc. But if I want Anthem to pay 100% I have to use their in-network doctors. That being said, Anthem's Doc Finder Tool is a joke and never works properly. After spending hours online and calling Anthem directly to try find specialist and an MRI facility, I was unsuccessful. Anthem provided a list of about 10 MRI facilities, but when I called each one down the list they said they don't take my plan because it's "pathway".

    When I called Anthem back to dispute they said it's up to me to verify coverage and that it's really not guaranteed because the doctor's contracts change every month. In the end, I could not find an MRI facility within 40 miles of where I live! I live in a major metropolitan area where there should be many facilities. Having no car, it was impossible so I just gave up. I guess I will really never know if I have a tumor in my brain or not. I feel there should be a minimum requirement of healthcare providers offered within a certain radius. Also the contractual obligations should not be monthly, they should at least be yearly between the insurance company and the health care provider. What a disaster! What's the point of having an insurance if you can't use it?

    For the specialist, I was looking for a gynecologist. I found several on a Anthem's Doc Finder Tool that said they were in network. I called the doctors beforehand to verify coverage and they all said yes. I made appointments, but when I arrived, they told me that I was not covered because I had a "pathway" PPO plan. Therefore Anthem was providing false coverage information on their website, but wants to take no responsibility. They said it's the customer's responsibility to verify coverage. And the doctors say it's the insurance's responsibility to provide an accurate list of in-network doctors. No one cares or wants to take responsibility. FML.

    Anthem told me on the phone that I have to use the "secret language" or terminology to verify with the doctors if I'm really covered or not. I was supposed to ask them if they're "contracted with my plan" since I'm a pathway PPO. Since I have pathway many doctors discriminate and don't take it. But I feel this is very unfair and should be illegal because Anthem was advertising my insurance as a PPO when I purchased it, however when I go to use my insurance it is not the same as a regular person's PPO. This is considered bad faith and I would be very interested in prosecuting if I could build a case.

    Every time I call I've spent hours on the phone and online feeling very uneasy about my healthcare coverage. Every time I call, I speak to someone different in the call center with no way for me to ever speak with them again because they don't provide direct access. No one cares about me, I am just another number to them. This again should be illegal and is unacceptable. I'm contractually obligated to pay my premiums every month, but yet there is no transparency and clear line of communication with Anthem. Just. Unbelievable.

    For 2017, I was considering hiring my husband under my small business just so we can get a group plan and be treated like real citizens in the insurance game. I wanted to start our group plan coverage under my company starting January 1. However I couldn't get the documents together in time and I couldn't figure out the cost comparison. Therefore I kept my individual plan as is... With even more nightmares to come. Anthem emails me and tells me that my plan will be changing to a EPO instead of the PPO starting January 1. This is verbatim the email from Anthem: "On January 1, your PPO plan will change to an EPO (Exclusive Provider Organization) plan. You can choose any doctor or hospital that participates in your plan, with no need for a referral. Care from doctors and hospitals outside your plan is not covered, except on an emergency or urgent basis."

    This is extremely unfortunate, given that this notice was given on October 28th 2016 - barely enough time to plan an insurance strategy for the new year and open enrollment was right around the corner. Especially being a small business owner it takes time to do the proper research... It's a very complicated thing. To my dismay, this new plan means that I will have even less coverage because no out of network providers will be covered now. Great. Even worse, nowhere did anthem mention that my premiums would be increasing. However, just recently I received a notice on my credit card statement that my bill is now $97 more!!! How is this legal?? Absolutely mind boggling.

    I just broke my arm during a ski trip ready for Christmas. Thank God this happens still in 2016. Stay tuned for the nightmare that I will have ahead of me dealing with the billing from last. I absolutely hate Anthem and the lack of healthcare and healthcare regulation that is plaguing our country. All in all, I have spent over 200 hours this last year battling this monstrosity. There should be more options, but yet these health insurance companies monopolize the market and it isn't ethical.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 24, 2017

    PLEASE PLEASE NEVER SPEND A DIME WITH THIS COMPANY!! I'm very upset with the amount of disrespect I've been given with the lack of communication with this company. I purchased a health plan for my two children, husband, and myself. First, they entered our names incorrectly on our cards and in our plan, so I had to pay out of pocket when I took my daughter to a doctor. Then, I was on hold for over 3 hours to get answers as to why we don't show up in the system, but my account sure has over $1000 a month coming out of it to pay for our policy. Finally I got that situated, then had another headache. We are on the state line, and cannot go to the doctor we need to see 30 miles away. Instead, Anthem wants us to travel 2.5 hours away to a doctor in our state. I will find another insurance company today if it's the last thing I do. I refuse to hold for one more second with these people. I'm paying a lot of money for zero help.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 19, 2017

    My husband's company insurance is through Anthem. His Union offers an additional benefit through Anthem with reimburses 80% of out-of-pocket medical expenses when submitted within a 12 month period. We submitted a claim in March 2016 which was not resolved until December 22, 2016. Why did it take so long? Repeated calls to Anthem said we were not eligible and when the company called them to verify eligibility our reimbursement would be processed. The company's HR rep called Anthem and our reimbursement was; not processed. Both my husband and I called repeatedly and every customer service rep either said that Anthem offered no such coverage, or they never received our reimbursement submission, or we weren't eligible, etc. etc. Each phone call took about 1/2 hour or more with no resolution. No wonder Anthem is doing well financially, they WON'T pay out the benefits that are due to their subscribers.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 18, 2017

    ** customer service. This customer service manager should be fired and this company customer service never improved from last two years since I joined. I will definitely cancel this company policy. I will go with UnitedHealthcare and I am very much comfortable with UnitedHealthcare with my dental plan. Anthem PPO customer service is the all time worst. What is this company vice presidents and CEO are doing? No sense at all. I have called customer service at least 10 times and a long waiting period for at least 40 mins.

    Stupid rules. Finally if I talk to a representative they says we deal with few states and I need to call my state. Finally called my state plan and they says I need to call group plan service. This is complete **. Learn from UnitedHealthcare customer service. I am so mad on this stupid company. Lazy bums and irresponsible people. Have a shame reading my review here. Dear CEO: call as a member and listen to your fantasy customer service. Just Imagine how people are scolding your company every day.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 18, 2017

    Anthem Blue Cross Blue Shield of NY customer service is appallingly bad. It has taken over 3 hours to attempt to get my insurance ID number. I have most of the digits but can not get my hands on the initial 3 digits which I should be able to get online. That systems doesn't work any better. I have put in my username and password in multiple times. The systems says it is going to a secure site and then goes back to the main menu. I would highly advise people to stay away from this company if at all possible.

    Thanks for your vote!

    Reviewed Jan. 18, 2017

    I am under the care of one of the top cardiologists at a large University in CA famous for its medical center and medical school (Stanford). I am on two medications for heart problems I have, ** 50mg due to an ascending aortic aneurysm and pulmonary artery aneurysm, and ** 2.5mg for chronic chest pain. I had once been on ** 60mg daily and was getting so dizzy I would almost fall down at times when walking. I was taken off that medication and put on ** - I had Blue Shield of CA at that time, and there was no balking from the Blue Shield about the cost.

    Flash forward - my insurance benefit provider changed last open enrollment from Blue Shield of CA to Anthem Blue Cross - no choice of mine, I was forced into it by my employer, with the only other option of Kaiser (see my previous posts about Kaiser if you want to know why I didn't opt to go with them...). Transferring my prescriptions, I discover that Anthem Blue Cross denied my ** medication, and thus my cardiologist had no choice but to put me back on **, which didn't work very well and was causing me to have significant dizzy almost fainting spells. I'm just lucky I didn't fall down a flight of stairs on the stuff.

    Anthem feels that to save costs, my safety is of no concern and they feel they can dictate to a very good cardiologist at Stanford the medication I am to take for my chronic chest pain. Anthem will put you at risk to save a buck. Anthem should be put out of business. Anthem is using the Kaiser model for health care benefits. In short - Anthem Blue Cross sucks.

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 17, 2017

    They cancelled my family of 4 twice without notice or explanation. They don't know why. They cannot update my billing information with a new credit card # and I cannot speak to someone without waiting on the phone for 1 - 2 hours, WTH! Horrible, I have paid for 2016 and they cancelled my plan (?)

    Thanks for your vote!
    Customer Service

    Reviewed Jan. 17, 2017

    I have had Anthem Blue Cross insurance for years but for 2016 I had a PPO plan I never used. I was notified that I would have to get an HMO for 2017 bc they stopped offering PPO plans. I sent in my application in December for my new plan and they required me to include my bank card info. On December 12th they took out $271.60 and I thought everything was fine until Christmas Eve I got a bill in the mail for $271.60 due January 1st (short notice for one thing and another that was not a good Christmas present at all). So on Dec 26 I call 7am and get through to a girl I can barely understand and she can't understand me. She finally figured out they accidentally put the entire $271.60 on my Dental plan that I only owed $32.20 on for December and was to be cancelled Jan 1st.

    She tells me in her broken English that I only owe $32.20 for January and I didn't have the money then so I called back when I had the money only to find out that it was still showing I owed $271.60 due January 1st and I couldn't get through to a human so I was force to pay ANOTHER $271.60 on Dec 30th to keep my insurance. On January 4 I call and get a guy named Jean and his computer was down so he'd have to call me back. He calls me back and my phone shows it is Google calling me and flags it spam.

    I call Anthem and get the same girl I got on Dec 26 and she says there is a positive credit on my account for $239.40 and I only owed $32.20 for February. I went ahead and paid that then so I'd be paid until March 1st... WRONG!!!! It has been two weeks and it is only showing I paid $32.20 for February and still owe $239.40 due February 1st. I wrote a letter I plan to send certified mail and if they cancel me, then they cancel me. I'm going to see if my bank can help me get a refund and report them to the Better Business Bureau.

    Thanks for your vote!
    Staff

    Reviewed Jan. 13, 2017

    I am a broker who has worked with Anthem for years. Now that they are basically the ONLY game in town, when it comes to individual plans and it appears there is less and less training when it comes to problem resolution. We have had case after case where paperwork is properly submitted, only to have it snag and, while we are used to making meticulous notes when a client has an issue, problems just seem to be passed along and you're telling the same story over and over and over. I asked for a "broker OMBUDSMAN or LIAISON" today. The Anthem supervisor did not know what either word meant. Disheartening because, the people we work with locally are some of the best.

    Thanks for your vote!
    Coverage

    Reviewed Jan. 11, 2017

    I write this as I have been on hold for ONE AND A HALF HOURS so far. And all I want to do is cancel my term life insurance which DOUBLED this month to $200! Contact the State Dept of Insurance, when health insurance cancelled me because I guess I was costing them too much (I have a very rare blood disorder requiring 4 consecutive days of blood infusions at an infusion center in a hospital EVERY other week). I went online and filed a complaint. It took three months, but the insurance company was forced to reinstate me and cover all my medical costs. None of the infusion centers were in my plan. Hang in there, I know what it's like with a bad back. Have had multiple laminectomies myself.

    Thanks for your vote!
    Customer ServiceStaff

    Reviewed Jan. 10, 2017

    Misplaced my old card and wanted a new ID card for the new year anyway. (Haven't been issued a card since 2015.) Automated phone system told me it would be 40 minutes before the call was answered. Waited on hold for well over an hour. Where is the customer service? Is there only one person answering your phones? And the automated recording kept suggesting I "email the inquiry" every 45 seconds. No, I CAN'T email without knowing my ID number. So frustrating!

    Finally got a representative, but she couldn't help me or find me in the system without an ID number either. Put on hold for an additional 25 minutes. Not the rep's fault, but you could hear the frustration in her voice. The system they have to work with as well as being understaffed is maddening. Transferred to another rep/department to try to find me in the system. Another 10 minutes on hold. Finally transferred one last time with an additional 15 minutes on hold. I just needed a new card and I HAD to speak with a human being. Again, no issue with the reps, but what should have been a simple request took two hours of my work day.

    Thanks for your vote!
    Customer ServiceOnline & App

    Reviewed Jan. 7, 2017

    Anthem chooses to be the most inefficient company possible when it comes to processing claims and reimbursements directly to patients/parents. My pediatric dentist will not submit claims directly to Anthem; however, both my husband's and my dentist will file claims, but not participate as an Anthem provider. When our claims are submitted by the adult dentists, they are processed within 48 hours. Not the same story when I, the policyholder, sends in the claim forms for my children. The timeframe is now 30-60 days!!! Then, once processed, the reimbursement check isn't mailed for another 7-10 business days from the date processed!! Oh my, this has meant that nearly $1500 that I had to pay upfront for my child's abscessed tooth is being held hostage by Anthem for almost 90 days before I, the policyholder, receives my reimbursement.

    This business practice is completely unacceptable! To make matters worse, when calling customer service, I am told that they can't reach or contact the processing center to even verify that the claim has been received. If something went awry in the submission you will never know it until you give up waiting for it to appear on the website. Additionally, customer services can't say when or if the payment has been processed and they can't advise you as to when you will receive payment because, as I was told, no one can contact the Claims Department! Can anyone imagine a company being run so inefficiently?

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Jan. 4, 2017

    Anthem is just awful. Absolutely awful to work with. Please think long and hard before getting insurance through them. Their customer service for one thing is the worst I have ever experienced and I myself have worked in a call center before so I know what it's like and can empathize but this was just ridiculous. Not only did they not cancel my coverage when I requested it (called in, multiple messages on my account, and even wrote an official letter). Still got charged and THEN this past week not only did they not cancel my policy but they renewed my coverage with a new policy (much worse than my previous one) and much higher premiums.

    How can you possibly renew/enroll a customer in a new policy without their knowledge or consent. You can be most certain that I will keep looking into this to help ensure this gets resolved and that no one else has to deal with an issue like this again either. I am so, so disappointed with my experience. I had them years ago and had an alright experience but after this nightmare I am steering as many people away as I can so no one has to deal with what I did.

    Thanks for your vote!
    Customer ServiceOnline & App

    Reviewed Jan. 4, 2017

    My wife and I recently had to select a new insurance company to get us through until I'm 65. At $2237 a month, I figured "how bad could it be". We have only been with Anthem for 4 days. I have tried to call customer service numerous times. First two times, waited 40 minutes and had to hang up. Jan. 2nd - finally got a hold of them to set up auto pay because their website is continually not working. Spoke to lady, she assured me she had me set up on auto-pay and would send an email confirmation. Email never came but I got an email Jan. 3rd reminding me to pay by Feb. 1st. Been on hold now for 1 hr 17 minutes.

    That's one issue. My doc's office also tried to get me approved for a test yesterday - they spent 5 hours with Anthem and another company Aims Services who actually approve tests. Both companies are having "computer problems" so nothing can get approved. Wonder how much money they saved with people giving up! Unbelievable first 4 days with this company!

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Jan. 4, 2017

    I have enrolled in Anthem Blue Cross Silver EPO through Covered CA. The payment has been processed. ABC has confirmed my member status via email. And of course sends me info on additional products. However, they have not supplied my member # in any format. Without a member #, there is literally no way to access their system (to register or log in) - or even to lodge a complaint. Calling 800-333-0912 or 888-553-5423 has resulted in a 1 hour 40 minute wait (last week - after citing a 1 hour wait time), and today the system literally says "Call volume is very high, we cannot take your call." I have insurance coverage with absolutely no access to it because the member # is the key, and if they don't provide it I have no way to access them. They have built the perfect wall. I would seriously consider another provider if you are reading this and customer service matters to you at all. It had to be awful for me to take the time to write this.

    Thanks for your vote!
    Customer ServicePrice

    Reviewed Jan. 3, 2017

    I will from now on subscribe with other providers, anything but Anthem. I finally found a plan, a ridiculously expensive plan at that. A draft was made from our account in the amount of $1100 in December 2016. I made 2 calls to them in the same month asking to please send us the ID cards. Here it is Jan 4, 2017, I have no cards, I am sick and my daughter is sick and have no cards to go for a doctor visit. I go on their site, and it tells me that I am not a member. I have been given every number on earth only to speak to a machine. The lack of service and lack of human contact and apathy is just heinous. I am beyond frustrated. Now I am on a call waiting and they say that the wait time is 1 hour. Anthem ought to be ashamed of themselves for being such a suck ass company. I am LIVID.

    Thanks for your vote!
    Customer ServiceCoverageProcess

    Reviewed Dec. 30, 2016

    I moved from a HMO plan to a PPO plan this year so I could see a spinal surgeon that I had researched and been referred to and have more choices. I did my research and made sure he was in network not even thinking that the hospital he is affiliated with would be an issue, I proceed to see him and made plans to have the spinal procedure he had recommended only to discover that my policy has something called Blue Distinct+ facilities for spine surgery and even though he was in network, the only hospital he is affiliated with is not. The list I was given as to the hospitals I could have the surgery at was very limited with only 22 facilities in the entire state of California and not a single one in San Diego county. I have proceeded to file a appeal/grievance which has been a joke and pushed aside and even deleted without giving me a response, forcing me to create another one and wait even longer.

    Every time I have called I have to explain the situation to yet another person and am told everything from "I can't transfer you to the appeal's department" to "I handle all the departments and will email the person above me for you." This whole process and issues I have had has been a total nightmare and have caused me possible permanent damage and pain I am having a hard time controlling and they still won't expedite my appeal because it is not a life threatening issue. So now they expect me to start all over again with limited choices of doctors and facilities that meet the two criteria of in-network and affiliated with a Blue Distinct+ hospital and when I have already establish a relationship and researched a doctor I am comfortable with.

    My doctor has also gone the extra mile for me and file a appeal on my behalf and even contacted the hospital CEO to see if they could work with Anthem get the surgery done. It is ridiculous that Anthem has this policy to hide behind and deny people a surgery that they desperately need all over money and which hospital they can pay the least to.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 29, 2016

    My pharmacy acknowledged me with a premium problem on my account. So I wanted to call in the customer service to see what's happening. I hold for 1 hour and 5 minutes, and the music finally stopped and there was the dialing tone. However, there was no sign of anyone picking up the phone!! I can't believe the call just ended after one minute of no sound and hung up with a "thank you for calling Anthem healthkeepers, goodbye."

    Why can't this company add a call back service so consumers do not have to wait and be HUNG UP?! Not only this was a horrible experience, but last time I had a question about out of state benefits and when I finally got a REAL person to pick up the line, she was super impatient when I tried to ask her to speak slowly and repeat the benefits of my plan. I was transferred to the market place, then back to that representative, and then somewhere else where none solved my problem of getting a plan where out of state benefits are available. No one gave me the suggestion of whether if Anthem healthkeepers have a plan that will cover out of state nor any way avoiding to get a health insurance in another state.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Dec. 20, 2016

    My wife and I have had Anthem Ohio Blue MedicareRX for all of 2016 and have been struggling with billing issues all year. All payments have been submitted in a timely manner. Have yet to receive a correct bill and keep getting notices threatening to cancel the insurance. Two calls have been made to the company to no avail. Bank statements detail all payments as having been delivered but the company provides conflicting info. Unless you have time to spend on the phone, I'd beware of this one!

    Thanks for your vote!
    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 13, 2016

    I am very upset with Anthem, taking all of our jobs to different countries. We have good customer service in the U.S. I'm tired of not understanding the person on the other end of the phone. I call for insurance information benefits and get prior authorization for patients. I spend so much time on hold waiting for the customer service rep to give me what I need. With other insurance companies -- Humana, UnitedHealthcare -- I don't have that problem, ONLY with Anthem. I'm tired of you'll sending our jobs to other countries. I'm glad my company don't carry this insurance. The service is poor and their systems are always slow or they have to reboot or something.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Dec. 7, 2016

    First of all, I am a physician. And a patient. I understand the medical business very well, after 30 years as a physician. And I can completely understand the frustration my patients have for this inept system. Anthem is the worst example I can cite for what is wrong with healthcare today. Their premiums have increased 25%, their coverage has plummeted, and their customer service is abysmal. I just spent 30 minutes online trying to get access to my account, but the website would not take my login password.

    So I called their customer service number, trying to speak to a human to sort out the problem. The woman at the other end barely spoke English, and had a microphone that kept cutting out of the conversation. She assured me that my password was correct. I assured her that it would not work. So she gave me a new temporary password to log on. It didn't work, either. 15 minutes later, I had a similar phone conversation with Express Scripts, the inept online pharmacy that Anthem uses - and I had similar results. Unable to logon with previous passwords, unable to refill prescriptions, and I was given erroneous information on how to fix the problem. My advice: RUN, do not walk, away from this insurer and find anyone else you can - my $1440 a month in premiums is worthless if I cannot even access the system.

    Thanks for your vote!
    Online & App

    Reviewed Nov. 16, 2016

    Been on ABC for couple of years and never needed it. Now I need to find a primary care Dr and there are none available. Their website hasn't been updated in years. The only dr's that are accepting new patients are taking appointments 7 months in advance. They offer NOTHING to their customers, but still take the full premiums from us. Obamacare at its worst.

    Thanks for your vote!
    Customer ServiceCoverageStaff

    Reviewed Oct. 28, 2016

    I've been struggling with back issues the last few months. I continued to work until I could hardly stand/walk. My dr took me off work and referred me to a neurosurgeon which takes almost a month to get in to see. In the meantime I have them fill out my short term disability forms. Approx 4 weeks ago. And I have yet to even be "approved" for the short term by their "doctors" that evidently look over all my mri's and prior treatments. I've called three times this week. First time my "caseworker" was at her desk but for some reason wouldn't answer. In turn I was told that she technically had until the end of the following day to get in touch with me on the determination.

    Ok, I waited until the following day and lo and behold no call. So I called there once again. I was told I could leave her a message and she will get back to me the following day. I said "no, I was told she had to call me with the answer TODAY!" So, she transferred me to a manager. Wow, much to my surprise they did not answer either so I left another message.

    Now today I call once again. My caseworker is not available. Would I like to leave her a message? NO, I want answers, not voice mail. So she tells me my file shows they have not made a determination on it yet. I repeated what I had been told two days prior and said "I want answers!" So, once again they transfer me to a manager who does not answer so I leave yet another message. So I've been off work for 4 weeks now with no income and bills to pay. My son is type 1 diabetic and he still has to have his insulin so where is this money coming from to pay for that not to mention my Dr bills that are adding up. Grrr.

    I also have Anthem blue cross blue shield for insurance. My drs been trying to find a pain medication that will help. They gave me one, I took it to the pharmacy and was told my insurance had to pre authorize it before they would fill it and if they don't cover it. It's $700! What?! So I let my drs office know and when they hear back from bcbs they all if I've tried, and rattled off three medications. So my Dr prescribed one of the three insurance listed.

    I ran to town, picked up the prescription, took it to the pharmacy and they come out and say, "This needs to be pre authorized before we can fill it." Are you kidding me? So now I can hardly walk, much less function doing anything else, having been out of my old pain pills for two days now. I'm so fed up. Wish for once the shoe was on the other foot. How would they like if their health depended on what a large corporation felt was "right for them"? How can they make a determination without seeing how much pain you're in.

    Thanks for your vote!
    Verified purchase
    Customer ServiceStaff

    Reviewed Sept. 15, 2016

    I just applied online for Blue Cross & paid my first premium. Then I look up phone numbers. The operator on the line tells me the Reno line is dead, then the Las Vegas line is not in working order. He finally gives me a national line for Anthem and then after going through many loops of automation I say "Applicant" and... "technical difficulties" and the line is cut-off. I am not even sure if they have customer service, and if the Reno & Vegas lines have not been in use for a while does that mean their offices have closed down?

    Thanks for your vote!
    Profile pic of the author.
    Customer ServiceStaff

    Reviewed Sept. 2, 2016

    First off, it's every BC/BS state, plan, it's just the company itself. I am a member of their federal employee pool; the largest single employee pool in the nation for private health insurance. I've come to the realization that this company, along with just about every other company that interacts with customers simply doesn't get it and simply doesn't care to get it. Too big to fail I suppose. Ok, on to my observation. Got a notice in the mail that BCBS is sharing my info with our beloved Federal Government as required by everyone's favorite unaffordable care act. What they fail to supply the Govt is our Social Security numbers. We, the customer are required to do so. If in fact we do not do so, we are liable for a shared portion of the fine. BCBS will be charged I believe a $50 "fine". Now, it would appear, our beloved Otrauma care is extending the ability to fine/tax the citizenry to private companies who we pay in the first place to use their services... I digress.

    Really this isn't my main beef. My main issue/concern is twofold. 1. I am required to obtain a PIN in order to register my info with IRS.gov from BCBS by way of accessing my account. I cannot establish a PIN online. You have to call customer service, and no, it isn't an automated process. Hello 21st century, hello PITA BCBS. Call back during business hours; business hours not designed to support some of us working class stiffs who travel out of town to work in this awesomely roaring economy. Ok, I guess I can carve out time at work while on the clock and do so... so much for convenience on my terms. Why these people go to work before 10 am and have weekends off is beyond me. Well, maybe not. It would appear as though we the customer work for them, not them for us. I digress yet again.

    Issue #2 when I, one of their cherished customers attempts to provide some honest feedback/constructive criticism, no mechanism via their web page or other means exists. Essentially, don't have any issues outside of "business hours" and certainly don't try to reach out to them to voice your concerns. I'd fire these clowns but I imagine that "they" are all like this. It's a failed industry and we're all stuck holding the bag together. I want out but have no choice. Very American of us huh? And here we all are complaining about an NFL QB not standing up during the national anthem when we ought to be OUTRAGED at this ACA and the lack of accountability in this nation in ref to our government. Taxation without representation. Hate the fact they're making me vote Trump.

    Thanks for your vote!
    Customer ServiceCoverage

    Reviewed Sept. 1, 2016

    I am extremely dissatisfied with our health care insurance. They cover NOTHING. And we have paid them thousands of dollars since February. I just tried to log a complaint with someone on the phone and they let me know that their complaint department doesn't get back to clients... What kind of business is run like that? Health care is an absolute disgrace in this country.

    Thanks for your vote!
    Contract & Terms

    Reviewed Aug. 29, 2016

    I have an individual policy for which I pay $2000.00/mo premium and a $6,000 deductible. After the deductible is met all costs are supposed to be paid by my policy and have been over the years. My policy's deductible was recently met and suddenly, today, after many years of being prescribed a particular medicine for migraines which has no generic, and for which we've paid OOP till our deductible was met, I found out that the pharmacist tried to run it through and got back a message that I needed a prior authorization. This, despite a couple of weeks ago being told that it was too soon to fill and we needed to wait a couple of days.

    I paid cash for that prescription. But now I'm told I need prior authorization which our doctor said can take weeks. If I end up with a bad migraine I will be forced to go to the emergency center which BC/BS will have to pay for so I can't see how this decision of theirs (which they blame on EXPRESS SCRIPTS) can possibly be a sound monetary one not to mention a breaking of our contract of care.

    Thanks for your vote!
    Price

    Reviewed Aug. 22, 2016

    Since Obama care this product is worthless to me as it is affordable, the deductible alone is half my years income on social security, and increasing every year.

    Also they are still in the dark ages, you can't even make payments online.

    Thanks for your vote!
    Verified purchase
    CoverageStaff

    Reviewed Aug. 8, 2016

    Insurance is worthless! I have been with this insurance carrier for over 35 years, with very minimal use. You would think I would at least get a Thank You card for all the huge buildings I have helped them build. Anyhow, I recently got a diagnosis of prostate cancer. I did my research, and found several options that would give me a better quality of life, after treatment. None of the positive options I found were covered. However the ones that would insure that I would pee and, crap my pants for the rest of my life, and most likely produce cancer to other parts of my body, those were covered. Who sets behind the desk in the office, that my premiums paid for and makes these foolish decisions. Obviously no one that has prostate cancer.

    35 years of caring and providing for the thousands of patients in my healthcare career, and this is my payback. I'm just going to ride this one out and let it run its course. I would have been better off to have never worked and got on Medicaid, at least I could get the care I need. Once again let me reiterate Anthem insurance is pathetic when you face a serious health problem.

    Thanks for your vote!
    Loading more reviews...

    Anthem Company Information

    Company Name:
    Anthem
    Website:
    www.anthem.com