Anthem Reviews

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About Anthem

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

Anthem Reviews

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    Page 5 Reviews 440 - 640
    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.

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    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!!!

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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!!

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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!

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    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!

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    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.

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    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.

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    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!!

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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!

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    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.

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    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.

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    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.

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    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.

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    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".

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    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.

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    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.

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    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

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    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.

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    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.

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    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.

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    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!

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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.

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    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 (?)

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    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.

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    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.

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    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.

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    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.

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    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?

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    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.

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    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!

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    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.

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    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.

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    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.

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    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.

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    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!

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    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.

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    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.

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    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.

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    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.

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    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?

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    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.

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    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.

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    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.

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    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.

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    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.

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    Customer ServiceCoverageStaff

    Reviewed July 25, 2016

    The EOB was sent without an address to appeal/dispute. They require you to call. Calling and talking with a person is a waste of time because I'm still getting bills. Called 4 times today and after their ridiculous automated system that makes you answer questions, it says to call back later because they are having trouble with the system. I guess thanks to Obama. I'm paying for health insurance and now even more for the bills coming through. Anthem's EOB doesn't even explain... it says to pay the "amount allowed by the benefit". Why am I paying for insurance? What "benefit"? IT WAS A ROUTINE ANNUAL PHYSICAL EXAM. I guess I won't be doing that anymore!

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    Customer ServicePrice

    Reviewed July 12, 2016

    Beware of Anthem HealthKeepers Inc. After moving to VA. from N.C. we decided to move our NC Blue Cross Blue Shield. What a disaster! In January we received our premium amount and paid 3 months too in advance. In April, we received a refund for March's payment and at the same time Anthem put a hold on our prescription benefits, for non-payment. After contacting them they asked for March and April's payment, and the cost had increased over $100 a month. We agreed to the increase because of the need for the medications being held hostage.

    In May I received a bill for $2,400 for April and May's premium. After contacting them again, I was told that our policy had been terminated because that's what we owe. Before it could be resolved, I received a new bill for $1,600. After not having the needed medications, I reluctantly paid it. In June I received another invoice for $802 for July's payment, and a letter stating I owed $360 by the due date of 7/6/16, or the insurance would be canceled. I went online and paid it and the next day in the mail I received a refund for $802.

    I contacted a supervisor to look into the issues and she could not explain but requested an audit to be completed the same day. At this point we have been out of our prescription drugs for over 3 weeks. Not hearing back as promised, I contacted them 4 days later however I cannot get Teresa on the phone or to return a call. I spoke with her supervisor Anne ** who informed me she couldn't help and that I would have to wait until we are contacted by Teresa. I asked to speak with Mrs. **'s supervisor and she told me, the only way she could contact her supervisor was by email and if I wanted to speak with her, I would have to leave a voice message and she would return my call in 48 hours.

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    CoverageStaff

    Reviewed July 12, 2016

    I took my 17-yr-old son to the doctor to have a mandatory meningitis shot only to find out he wasn't covered! He was terminated 7 months ago yet I'm still paying premiums. After complaining to HR and Anthem I find out Anthem dropped him in error due to his info getting mixed up with another person based on birthdate only. Not once did they check to see if there was more than one person with that birthdate, didn't check social security numbers, didn't check if other coverage was in force, didn't even send me a termination notice, didn't verify that they had the right person, just dropped him. Thank God he wasn't in a life threatening situation. Total incompetence! But still if I pay for insurance I expect it to work!!!

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    Customer ServiceContract & TermsStaff

    Reviewed July 7, 2016

    I cannot express how horribly disappointed I have been with every element of Anthem/BlueCross BlueShield's performance. This business has failed to show any aptitude in the most basic of functions required to execute in any satisfactory way the requirements of their contracts. As they know, because I have spend over ten hours on the phone dealing with, or waiting to deal with their incompetence over the course of less than 5 month tenure as a captive enrollee, my account was scheduled to close as of a date certain!!! I MOVED OUT OF STATE! I confirmed this with them and the exchange multiple times. They could not even do me the most basic service of CANCELING THIS ACCOUNT AS WE DISCUSSED OVER THE PHONE! No instead they sent me yet another bill.

    No Anthem, I do not owe you yet another monthly payment for a service that I received no value from that was canceled after I moved out of state. "Who's canceling" I confirmed with your incompetent staff. There is no longer a contract between you and I. I am not longer eligible as I purchased this JUNK of a product through the exchange in CT who also communicated to you that I was no longer eligible after moving out of state. I have NEVER in my whole life been more disturbed by the abject failure of a company. I can't get my time, money, or sanity back. What has American business come to?!?

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    CoverageStaff

    Reviewed June 29, 2016

    I have an insurance plan through my work through Anthem Blue Cross Blue Shield. I had surgery on February 23rd. I had to be opened up in 4 places, 3 on my foot and 1 on my leg, but was in the hospital just 1 day. I have been on a knee scooter since the surgery and as of June 23rd has now been 5 months. My bones are not healing and I can’t move on to the next step of physical therapy till I have had bone stimulation to fuse the bones. My doctor has done blood work to see if I am low on anything or have anything that would warrant my bones not to heal on their own. Everything came back fine. So my doctor has ordered me to have bone stimulation and we have been waiting on approval from you. I am sure that my doctor supplied all the documentation that your medical director would need but now this is going on 4 weeks since they received my file.

    Because of the type of policy I have, I am being tagged as initially not important. I cannot control the type of insurance my employer offers. The company that is supposed to be hearing back from you on the pre-authorization has been calling every day to check on the status because he knows I am having a lot of issues not being able to walk. They are being told that because I have an Anthem policy, my issues are of no importance. The doctor will not let me put any weight on this foot till the bones are healed. I am having pain on the knee that has to be on the scooter and pain in the foot that I primarily have most of my weight on most of the time, and my hip and back, not to mention how unhealthy this is for me to not be able to exercise, which is causing weight gain. I am alone and have to do for myself.

    Before I could have the surgery I had to pay my deductible plus 20% of the facility fee which was $1,923. To you this might be pocket change, but to me it’s not. I also paid for the knee scooter, crutches, and the toilet handles myself because I didn’t want to have to deal with your company, and the fact that I knew the knee scooter wouldn’t be approved. Crutches alone are not safe, don’t allow you to do for yourself and I didn’t need anything else happening. It seems from what I have seen happen with other people in my office that have this insurance, that authorizations are delayed in hopes it will roll over to the next year warranting the deductible to be paid again or that they can get more money out of the policy holder. I don’t have that kind of money. This is by far the worst insurance I have ever seen. I have people ask me all the time "who are you with and why are they doing this to you?"

    I need to know who else I can contact, besides you. This is awful for a patient to endure when they have no choice in terms of the insurance they are covered by and should not be tagged by this. I can't help but be extremely irate. I am also going to report this to the Better Business Bureau and anyone else that has to do with health insurance and with names of the people I have contacted. If at all possible, do not get insurance through Anthem Blue Cross Blue Shield. I would not want anyone to endure what I've had to. Because of the kind of insurance my employer offers which is only this one, the help I need is of no importance to this provider.

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    CoverageStaff

    Reviewed June 19, 2016

    I have fruitlessly been trying to get 2 months premium from anthem for 2 months that I had dual coverage through kaiser for, and am still on thank god. Since I originally made the grave mistake of going through covered california even though I was not able to receive any discount - I have to deal with this monstrosity in order to have anthem give me back my premiums. I had no knowledge of being dually covered due to my place of employment closure - until late, then I called cov calif. And they are refusing to give me back my premiums. They claim that I have to file an appeal, unbelievable! This is a vicious cycle which is ridiculous and time consuming and I would think be $ foolish also.

    I thought that covered california was supposed to have been created to make the healthcare processes easier but it seems it has created the opposite effect - chaos and confusion and miscommunication. I'M really not sure if it is Anthem blue cross or covered california who is at fault and cannot get on it to fix problems such as this with an easy fix and not create such confusion and conflict. Help!

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    CoverageStaff

    Reviewed June 8, 2016

    I have had very few health issues in my life. Rarely ever needed or used my insurance. Just paid premiums year after year. I am a big guy 6 foot 3 380 lbs but have been healthy my whole life. Take no medicine for anything. I am 41 year father of 4. Recently my wife told me that my snoring has been noticeably worse. Shared this with my Dr. and he recommended I sleep study done in hospital. Insurance says no and says I have to take home a machine. Test results confirm I have moderate sleep apnea. Dr. says I need a follow-up sleep study done in hospital. Anthem says "nah".

    What a joke! Why does insurance get to make medical decisions regarding my health? Why do I pay premiums? I guess if I had a medical card it would be immediately approved. But I have a JOB and PAY for insurance so I get screwed. The only good thing is I do have money and attorney friends. I guess this is the only way you can get things done nowadays.

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    Customer ServiceCoverageStaff

    Reviewed May 29, 2016

    I have Anthem and it's a Joke. I retired in Jan 2016 from my employment. My wife is also employed by the same company, so I just went on her insurance because it was good coverage. Her insurance went up $100.00 every two weeks. So I had to go to the Doctor for a Senior check up in March, so I gave them my new insurance card assuming my coverage was the same. They put it in their system and said I no longer had a co-pay. "Great," I thought.

    Well later I get the bill from the doctor, Anthem only paid around $109.00 of a roughly $600.00 dollar bill. Normally my end of the bill would have around $200.00. "Wow, they must have made a mistake," I thought, so I called them. The person said I had Medicare Plan B and they only paid 20% of the bill because they were a Secondary Policy. "Wait," I told her, "my medicare is for hospital only. I do not have Medicare Plan B." Her response basically was, "Well that's our policy, you have to have Medicare Plan B," so they are forcing me to have Medicare Plan B. To say I'm upset with them is putting it mildly. They are charging my wife $200.00 more a month for less coverage on me.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed May 24, 2016

    I am new to Anthem Healthkeepers. I was lured over by the best marketing tool ever. Save a little money. Well my first experience is I was diagnosed with having a skin infection that requires a prescription for a medicated cream and antibiotics. This has been about 3-4 months ago. Anthem approved the antibiotics but denied the medicated cream for the burning rash on my leg, stating that this was not medical needed product for my condition. I am still messing with this rash today 5/24/16. The second thing was I tried to order my CPAP machine supplies through SleepMed Therapy and was told that ANTHEM denied those too. Anthem wants me to take off from work and take my machine to have a chip read to make sure I use this machine regularly.

    Now why would I bother ordering supplies if I do not use this thing. So I call Anthem up and was told that until I take this to a doctor that this machine is not medically necessary for me. I have been using this machine for the past 2-3 years and have never had this kind of issue. They want you to pay them for insurance that they refuse to service. I told them I will be seeking any way possible to get rid of these jokers, and was told that there would be a fee for leaving them early. WTF. They can't even provide a service. Speak to my Lawyer. Please people do not chose ANTHEM for anything.

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    Customer ServiceCoverageStaff

    Reviewed May 24, 2016

    First of all because I asked the woman three times to explain it to me so I could completely understand, she became VERY rude! Secondly why is everyone I speak to with a billing question, a rude woman who does not understand nor speak English? VERY infuriating! And finally what is the point of insurance if I take my child to the ER and they pay 0, nothing, nada? Insurance from every aspect is a joke and if I don't have it our government is going to penalize me! Give.Me.A.Break.

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    CoverageStaff

    Reviewed May 18, 2016

    We had Anthem insurance through an employer and coverage was ok. After a job loss, we had to go on to a Medicaid program and chose Anthem as our MCO. They would no longer cover the same medications that they had formerly covered when we were with their other plan. They even attempted to deny the condition existed. Appeals were useless as they pay physicians to review and deny these appeals. Anthem's decision-makers need to be held responsible for the harm they inflict on patients who are victims of their denials and greed. This will not stop until the public demands a single payer system like Medicare for all and refuses to allow any of the present insurers to participate.

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    Customer ServiceSales & MarketingStaff

    Reviewed May 10, 2016

    Recently need to talk with a subrogation specialist. There are virtually no telephone numbers online that send you anywhere but sales. The law provides that when there is a subrogation element to claims, subrogation must be notified. This should be easy. It is impossible. Here is one number to the subrogation department where you can leave a message. We continue to await a call back.

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    Reviewed April 21, 2016

    I need help with my son's case whom is in his 40s. Oxygen is not reaching his lungs and he is literally suffocating to death. Anthem demands that he sees a neurologist first and the earliest appt. is in June to make sure that not being able to breath wasn't in his head. Anthem refused to pay the prescription for oxygen from the physician. Instead they told my son to stay on hydrocodone (highly addictive drug) because they know it makes it easier for individuals to breath when he talked with them.

    They also refused to give him the medication that works for his asthma and instead placed him on something that does not work. Often now when the attacks hit, you can see the mottled from his feet start to move up his body (just as what happens when someone is dying). His feet and hands are swollen and cold, vision blurry, confusion. What can I do? Anthem said he could repeal the decision but it would take 70 days to do so and by then he would be seeing the neurologist. Even after seeing the neurologist, you are then talking about another sit back of days (month/months to be seen). I truly believe my son is in GRAVE DANGER. What can be done?

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    Customer ServiceCoverage

    Reviewed April 18, 2016

    Greedy scum. Despite being covered by another insurance company, Anthem blocked payment of a procedure. I had everything approved in writing in advance. I called and wrote nearly 50 times. They stuck me with a $130,000.00 hospital bill. They are total scumbags.

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    Customer ServiceStaff

    Reviewed April 13, 2016

    Anthem is definitely more concerned with their bottom line than my health. My initial dealings were with CareMore, where they wanted to switch up some of my prescriptions. They were annoyed when I said I wanted to check with my primary care physician and never sent the promised report to my doctor. The changes they wanted to make would have been detrimental to my health. My doctor submitted twice a pre-authorization to see a specialist. It has been two months and despite many phone calls they have yet to make a decision. I have been having problems. My pulse ox levels have stayed in the 80's. I have been gasping for air. My primary care physician wanted me to immediately be placed on oxygen. After seven days, Anthem is still trying to decide on an approval. I would recommend this insurance to no one.

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    Customer ServiceCoverageSales & MarketingPunctuality & SpeedStaff

    Reviewed April 1, 2016

    Briefly, I had health insurance with Blue Cross who used to be a "blue chip" insurance product. They are now the bottom of the barrel. I paid my premiums on time and even in advance. One day I get a check saying I overpaid. I thought that was strange, the next day I go to pick up a script - and my insurance was dropped. I call them - and they said I underpaid them. Huh? It's not possible - my proof is in my bank's clearance checks/history. Long story short, they sent me a letter saying they reactivated my account. Only when I called to find out about why I hadn't seen an upcoming charge - they told me I don't have insurance only dental. I told them I was canceling the dental since I didn't have the most important part/health insurance and she said she would cancel.

    This morning, I see they ran the dental charge anyway. When I called to speak with someone about this - all I got were a bunch of advertisements with no customer service rep to talk with about my account that was being charged. Once they were done w/ a slew of advertisements, I was told to hang up/disconnect. They should be fined for their gross mismanagement.

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    Customer Service

    Reviewed March 25, 2016

    So I had Anthem's dental insurance in 2015. I went to the dentist every week of February and made the mistake of thinking I had set up for auto pay. My bad I know but the dentist office would call and check on what my co-pay was for this or that every time I went and anthem never said a word about a missed payment and never sent me an email a call or a letter. Then in March I went and the dentist office said I had been canceled. Curious I called and discovered why and offered to pay last month and go ahead and pay march. They sad "nope too bad." So the next year I get a bill from the dentist and it's everything I had done with having anthem. They had back tracked to the end of January and terminated me and did not pay anything I had done leaving me with a debt of 500 dollars to pay.

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    Customer ServiceStaff

    Reviewed March 14, 2016

    My doctor diagnosed me with sinusitis and a middle ear infection. He prescribed a Z-pack (initial dosing over 5 days) with 1 refill. I finished the initial dosing schedule in 5 days, and called the pharmacy for my refill. My husband called from the pharmacy, on his way home, and said that Anthem was declining to pay their part of the refill. It was too soon. I said I was still sick and needed the refill for tomorrow's scheduled dose. My husband paid the full price for the second z-pack. I immediately call Anthem, waited for 10 minutes, was connected to Yolanda, explained the issue to her. She put me on hold. When she came back, she said I was due a refill on March 1st. She said my doctor had to call the with "prior authorization" for the refill to be covered. I called my doctor's office and explained what was going on.

    Three days later, I again called Anthem, was connected to Shuba, explained the issue to her, and was put on hold for 5 minutes. When she came back online, she said I could only have 6 pills/30 days. I asked "who said this?" Shuba said "the FDA". I asked her to fax me doctor Anthem's "prior authorization" form. She said she would, but it would take 72 hrs. to process, it would be faster if the doctor called them (I'm thinking to myself, baloney, he has sick patients to see). I again called my doctor's office to let them know to expect the fax.

    My doctor's office called me a couple of days later to said the form was signed by my doctor, and faxed to Anthem. I asked my pharmacy 3 days later to process the refill again. Anthem again rejected it. I called the pharmacy on 3/9/16, asking them to put the refill through a third time. Again it was denied. Anthem is practicing medicine without a license, interfering in my healthcare, and not paying valid pharmacy claims. They would be paying for my hospital bill, if I didn't pay for the refill, as this bacteria morphs into bronchitis! I filed a complaint against Anthem with the CT Insurance Department (a claims investigator has been assigned), and filed a complaint with the CT Better Business Bureau. This company should not be in the healthcare business.

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    Customer ServiceStaff

    Reviewed Feb. 29, 2016

    In January 2015 I purchased a BCBS supplement for my 94-year old mother, along with their BCBS Medicare Rx plan. (FYI - My mother lives in assisted living in the dementia unit). Her supplement payments are automatically withdrawn from her checking account, but BCBS said the Rx plan could not be automatically withdrawn, (Why?... I don't know) therefore, they would send me a monthly bill and I would have to personally pay monthly.

    Everything went fine until October/November of 2015. I always paid ahead of time, but around December 2015 I received a threatening letter that my mother's policy would be cancelled due to lack of payment stating that they had not received the October payment for the month of November. I called them and informed them that my October and November payments had already cleared my bank before the due date of the premium. Now this has continued with every single payment. They clear the bank and yet I am informed that they have not received these payments.

    As I write this complaint, it is now February 29, 2016, and over the past months I have spent countless hours/days making phone calls, writing letters, faxing bank records and talking to numerous reps at BCBS attempting to get this resolved. Of course, everyone was polite, etc., and I was told each time they would put an "urgent" message on my account to address this issue. I continue to receive threatening letters each month, and the balance due keeps increasing, due to their crappy posting of payments, or whatever they are doing with my mother's money.

    They asked for me to send copies of the front and back of the checks I sent. I explained numerous times that these were electronic checks sent through my bank and I do not have a "physical" check. So then I called my bank and they were able to email me copies of all of these transactions that had cleared the bank that BCBS could not account for. I then called BCBS to get an email address to forward these copies, and I was told that they do not have an email address and that I would have to mail them to a San Antonio, Texas address, even though my payments go to Carol Stream, IL, or I could FAX the copies to them. I did both earlier in February, along with another letter explaining the entire issue once again, and have not heard one word from them.

    No one at BCBS has been held accountable for anything. It is entirely up to me to prove over and over that I paid. Obviously something changed in their company in the October/November 2015 time frame. I am so frustrated and tired of having to waste my time when I have proven to them that the mistake is on their end.

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    Customer ServiceStaff

    Reviewed Feb. 28, 2016

    I am a mental health provider, I hate to deal with Anthem insurance. I have a very hard time reaching a customer service rep on the phone to deal with claims issues. Much of the time I just give up trying to get an answer to my questions regarding claims or authorizations or benefits. If I do manage to reach a person, inevitably they refer me to another number. Yesterday I called 7 numbers, all referred by an Anthem rep, and could not get an answer to a claim denial.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 27, 2016

    For reason unknown as why the first premium didn't get paid, customer service refused to renew my daughter's health care policy though they received subsidy money for the policy and sent out a letter to assure to call. I, my mother and Covered California rep were on the phone after many calls of statements. Blue Cross Anthem could not renew. Though a letter was sent they would be happy to help me. Covered California said Anthem is the only one can renew. My mother is looking at the letter saying where is the billing, second month billing or letter from Covered California of no coverage though renewed with paperwork printed? A letter comes mid Feb dated Feb 9 2016. The policy canceled and to call to renew with premium. I called. Was told the policy cancelled on Feb 10 2016. I then am told by another rep the policy cancelled on Jan 1 2016. That was the effective date. We spoke to many reps for hours.

    The last supposed supervisors Andrew and Jessica were very mean. Andrew gave impression to Covered California rep everything was fine so that rep left the three way call. After 4 hours of screaming stressed purposely by Anthem supervisors Jessica said she would submit for renew and call back Thursday Feb 25 2016. I called again on Feb 26 2016. I was told by Hanna an email from the escalation team would be sent to Jessica to call me that same day and I was assured she would call that same day. I received no call. This policy should be renewed for the mistakes from Anthem of not sending a thirty day notice. The policy may cancel if not paid. It appears they feel nothing is their responsibility, are trained poorly or just don't want to do the work.

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    Customer Service

    Reviewed Feb. 21, 2016

    I have Anthem Blue Cross PPO. I pay over $400 a month (car bill) a lot for 32 years of age healthy and never a Dr. visit, just routine stuff. Found out I might have a hernia, went to see my doctor, seen my doctor and they gave me a list of surgeons. I ended up getting a $300 bill for a 10 minute visit with my doctor, turns out my doctor isn't in the Blue Cross network, my doctor said they'll waive the bill and try getting back into the network but that I needed to call Anthem. I called Anthem, lots of waiting on phone, I explained to them what happened and that from here on out I'll make sure to use doctors that are in the network and if they could please show some mercy and help me partially with this bill. Nope, it's my responsibility. They said there's a list of doctors in Anthem network on my Anthem Blue online account. NOT TRUE. My old doctor was on the list and she's the one trying to get back in the network.

    Their system isn't up to date. For something as serious as people's health, what a shame. So I'm worried about my hernia, so I go to this "list in my Anthem online account," and I do a search for doctors that can "help" me in my area. There's different search fields, so I search for gastroenterologist (which it states on website that this is what I need) and I get to set a distance indicator (basically how far I'm willing to travel to see their "in network gastroenterologist"). I say to myself great, maybe there's something 5 miles down the road, nope, I ended up being told to head in San Leandro (in ghetto Oakland territory). I live in Livermore by the way.

    I FEEL THAT THEY'RE GIVING ME HEALTH INSURANCE TREATMENT COMPARABLE TO THAT OF WHICH AN INMATE RECEIVES. I have this hernia still, scheduled an appointment with this doctor in Pleasanton. Fingers crossed that they fix me and that my insurance helps pay for it. Worried to death and feel hopeless. Please help ConsumerAffairs.

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    Customer ServicePricePunctuality & Speed

    Reviewed Feb. 10, 2016

    I've had Anthem for less than 3 months and have never had a worse experience with any company. For starters they issued our cards 3 weeks late, so I basically had no insurance for 3 weeks and was unable to get prescriptions without paying for them out of pocket. The benefits are absolutely terrible compared to what I was I had before (for the same price) with another company. They are IMPOSSIBLE to get on the phone for anything. I've tried multiple times and spent long periods of times attempting to get in contact with a human but have yet to succeed.

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    Customer ServiceStaff

    Reviewed Feb. 9, 2016

    I have been on hold for an hour. A representative answered the phone and I verified all the information needed. I gave the representative the information to the new PCP that I wanted to change to. The incompetent representative could not verify or find the PCP information that I verified on the Anthem Blue's website as an in-network doctor. The representative wanted to place my call on hold for another 5 minutes and less of a minute while on hold the call ended. The representative did not bother to call back. I called 1(800)888-8288 and now my wait time is 40 minutes. I am very disappointed with the customer service over the phone. I had to call because, unfortunately, Anthem Blue would not allow me to change PCP online and I have been trying to pick my PCP online for a week now.

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    CoveragePriceStaff

    Reviewed Feb. 3, 2016

    The sales agent who enrolled me in Anthem Empire MediBlue Plus HMO touted all the wonderful coverage I would have, compared to my previous Red, White & Blue Medicare. I was mislead that the premium cost would be in addition to my 100+ that was coming out of my SSDI. Not till I got my SSDI revised income statement did I realize that this plan took more $ out of my pocket. I filed a grievance with no resolution.

    Now in the throes of urgent medical testing and treatment, I am finding the copays unaffordable, my prescription coverage a joke. Where I once paid $35.00 for an injectable (under the least expensive Humana Drug Plan) it is now $165.00. NOT COVERED! To add insult to injury, the colonoscopy I am overdue for (a most important wellness procedure) is only covered 75% plus a $100.00 copay. My former government Medicare was an 80/20.

    I had enrolled in this plan, being led to believe it would give me more affordable coverage with my limited disability income. As they say, Consumer Beware. What I thought was 'compassionate counseling/sales' for better health coverage turned out to be akin to a wolf in sheep's clothing. Caught between a rock and a hard place... Food or Empire MediBlue? I wonder how these people sleep at night?

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    Customer ServicePrice

    Reviewed Feb. 3, 2016

    I have had an Anthem BC Silver Plan for one month (Jan. 2016). The Premium is quite expensive and I quickly discovered that Anthem Blue Cross has by far the MOST RESTRICTIVE drug formulary that I have ever encountered. Additionally, the cost of prescription drugs with Anthem BC is very high for anything that is not a Tier 1 drug. I take the same medications in 2016 that I took in 2015. In 2015, all of my medications were included on the Formulary. In 2016 with Anthem BC (and ExpressScripts), I have discovered that 5 of my medications (3 are generics) are considered to be Non-Formulary. Furthermore, my internist went through the Prior Authorization Process for 3 of my medications and all 3 requests were denied by Anthem. Now, I have filed 3 grievances and that process takes at least 30 days. Customer Service has not proven to be helpful in any meaningful way.

    Some of the Customer Service Reps are in foreign country call centers; others are located in U.S. call centers. You will get transferred from person to person and you will never get a straight answer from anyone. I made a HUGE mistake selecting Anthem BC as my 2016 Health Ins. Provider. I hope this review helps others to make a better decision.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 2, 2016

    I have been paying for their services for 4 months now and had to fill a prescription. The pharmacist was told not once but twice that the insurance had refused and they said I had no insurance. I was in their system with the information on the card but they would not cover my prescription. I called them myself and spent 10 minutes getting to a human! I was put on hold while she tried to find out the problem. I was then put on hold again a few minutes later while she transferred me to "someone that could help". I was greeted by Darleen, and after introductions we lost connection. My number had been taken earlier in case this happened. I have now spent 40 minutes on the phone. I did not receive a callback. I did try to call back again and started the whole mess over again. I am dropping them as my provider. My prescription was for Nexium and they now are contributing to the need for a prescription they refuse to cover.

    UPDATED ON 02/03/2016: This is a follow up to yesterday's event when they [Anthem Blue Cross - Blue Shield] told me I had no coverage. My employer talked with them late yesterday and they finally put me in the system as covered. I traveled the 30 miles again to get my prescription filled. The pharmacist said "You are not going to like what they said." She told me that they had refused to cover generic Nexium and that they [Anthem] feel that I could do better with a couple of other drugs that they recommend. I was to get in touch with my Doctor again and come up with something else.

    When did they become my Doctor and when did they get my medical history? I don't remember being seen by them for my condition! They are contributing to my illness. Yesterday my blood pressure was so high due to their nonsense, I could not drive my school bus thus costing me my income also. If we have to carry insurance shouldn't they cover with reasonable accommodations? I will now have to go another day without medications. Doctor appointments can't be made on the spot!

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    Price

    Reviewed Feb. 2, 2016

    Just after the ending of the open enrollment period I got the letter I needed like a 45 caliber hole in my head. Anthem has increased my personal rate on insurance from 400 to 704.00, and now the SHOCKER - they are increasing me to $1531.00/month for me??? Is this Legal, if not please let me know? What do I do now, go to affordable healthcare plan next fall and none of my doctors are currently in their network and our only hospital that has all necessary medical expertise is also not in the network. Affordable healthcare act has been as much as a joke as the president or implementer.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 1, 2016

    I can't tell you how many times I have had problems with this insurance company. The worst part of it, however, is calling to fix anything. Their wait times are absurd. You'll be on hold for 30 minutes before you even hear a real voice...then they'll just transfer you to someone else for another 30 minutes as soon as you get a hold of anyone. In my experience, no matter what time of day, you're going to be on hold for at least an hour.

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    Customer ServiceCoverage

    Reviewed Jan. 27, 2016

    Got a notice in the mail that my coverage would be going up another 9.1% this year. Year, after year, after year it goes up. This is the lowest increase in the last 4 years. The problem for me is that I am 34 and hardly ever go to the doctor. What really gets me is that they wait until the end of open enrollment to inform me of these upcoming changes. I have less than 4 days if I want to switch plans to do so!!! Seriously, they had to know months ago that they wanted to raise the premium.

    Is there not some sort of consumer protection built into the stupid Obamacare that prevents this??? Talk about screwing over the consumer. So now I can cancel my plan and pay the fine on taxes next year. Make a really quick, uninformed decision on getting another plan, or just bend over and take it. Really tired of being forced to spend thousands of dollars a year on something I really don't need at my age. Trying to contact Anthem is ridiculous. Their phone menu system will take you around in circles forever. Then when you finally do get a queue to speak with someone, your lucky if you get someone on the phone within the first 45 minutes.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 27, 2016

    I had scheduled a colonoscopy screening at our local hospital; with an 'in Network' doctor. The doctor's office contacted me, asking me to contact Anthem/Blue Cross for an authorization to be covered for a 'preventative screening', since a 'grandfathered' policy does not cover said procedures. It took one hour on the phone with two different member "services" people, only to be told "NO! - we don't allow that. I.e. your plan will not pay for 'preventative' procedures!"

    So, where we are today is like this : first pay your monthly bill of over $1000 each month; get as sick as possible as quickly as possible in the year (so you can "meet"/pay the additional $6000 deductible) - then go do a preventative screening (which will be referred to as 'outpatient surgery') and Anthem/Blue Cross might cover up to 70%.

    What's wrong with this picture in today's day and age? Why do we want our people to get more sick vs. helping them to prevent getting sick at all? After seeing the number of negative 'feedback' for this company, I'm a firm believer, it's not only Anthem/Blue Cross that has it all wrong; the system does! I have cancelled my screening appointment - I'm confident I can have much more fun for $4000+, - with hopes that I'll remain healthy and sound until these 'outdated' and outrageously expensive, so called "plans" are in line with what today's people need and want.

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    Coverage

    Reviewed Jan. 27, 2016

    Anthem's approval process amounts to denial of coverage via enormous obstacles. Ten years since my narcolepsy diagnosis; my M.D. & I still regularly spend hours for "Prior Authorizations" for my medically standard prescription.

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    Customer ServiceSales & MarketingPriceStaff

    Reviewed Jan. 24, 2016

    I purchased Blue Cross Blue Shield Anthem Pathway as a private plan. I've been on this plan a month now, for the last three weeks I have been trying to see or find a doctor that's listed in their provider directory. Spent over 30 hours on the phone with Blue Cross. Very nasty, leaves me on hold for hours. All providers listed in their directory, when I try to make an appointment I ask if they take Blue Cross Pathway they all say they do but will not touch anything with Pathway on it. Some of the listed doctor's offices stated that this is a thrash plan. They write everything off and do not pay therefore we chose not to accept it.

    I call blue cross back for help and after many hours of no help and rudeness they give me more provider doctors on their BS list. Still same problem. After 3 weeks no one wants to touch this junk insurance plan. This is not cheap for me. I asked for the best plan and this is the crap I received. This is a total scam on the American people. What do I do?

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    Coverage

    Reviewed Jan. 22, 2016

    Pay $607.00 a month and it don't pay nothing until I reach my deductible of $6,300 so I can't afford to use it for anything!! I just don't understand, how they can rob people of their money, and their health, while they just sit back and, and fill their pockets with our monthly payments for coverage and our deductibles when we can't even afford to see a doctor.

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    Customer Service

    Reviewed Jan. 10, 2016

    Anthem for a multi-billion dollar company has the worst IVR, voice response system I have ever encountered. The system has no logic or intelligence. The worst customer experience. I cannot believe Anthem has not fixed this super low-quality system. I have had better experience with 3rd party offshore folks in India and Manila than Anthem's automated system. I am beginning to think they just do not care.

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    Customer ServiceCoverage

    Reviewed Jan. 7, 2016

    I've been a member of Anthem Blue Cross of California for about 5 years or more. I live a very healthy lifestyle and visit a naturopathic doctor once a year. My family pays about $1000 a month for insurance and hardly EVER require doctor visits or any medical expenses or prescriptions. But... when we get a routine blood test to check out hormone levels and key health trackers, insurance won't cover it! Unbelievable. I am disguised with this insurance company and the Sick Care model - they have absolutely no interest in a preventative lifestyle! And talking to Customer Service - waiting for hours, very unhelpful. Goodbye Anthem Blue Cross!!! (Thanks for reading!) The current medical model needs to change in the USA if we really want to get healthy as a nation!

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    Price

    Reviewed Jan. 6, 2016

    I have been with Anthem for 2 yrs. with affordable care. At first yr. 38 a month last yr. increased to 89. I understand that but this yr. it went up from 89 to 355 just because I had a 3000 a yr. increase in pay - I make very little money I receive social security and can only make so much a yr. - so how can they increase my rate that much plus change my deductible from 1000 to 2600. I didn't change plans - I need help here cause I want to file something on Anthem cause this is fraud.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 5, 2016

    We have health insurance with Anthem for a year. I give them a D- for the year. I can honestly say I have NEVER across the board, experienced worse customer service in my entire life. Every department I dealt with over the year was a marathon to get anything done or completed. Every phone call I repeated my personal information five times. Everyone passes the buck. It is always the customer's problem/fault, never theirs.

    The last straw was this past December. After a billing dispute, (we were right, they were wrong) they finally corrected the information which took about three weeks or until the end of the month when our policy expired. They never apologized, they could have cared less. They are not in the health care business, they don't care about their customers. I truly believe they are told to drag things out, assume no responsibility and if possible let problems linger until the customer gives up. A horrible, horrible company with horrible customer service. Insurance reform please, they are as bad as Wall Street, crooks.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Dec. 17, 2015

    After going through all the required steps, therapy, 2 epidural steroid injections, etc., my physician scheduled me for NECESSARY surgery on my back. Surgery was scheduled for 2 months after my last office visit. On the day before my surgery, I was informed that the surgery had not been approved yet. I spoke to a very rude person -- could not understand her name -- they did not have the required approval and could not help me. She suggested I go ahead and pay for the surgery myself and could then be reimbursed once it was approved! I asked her where I was supposed to get the money since I had not been able to work for 9 months! She then proceeded to lie to me, telling me they would be in the office at 8:00 a.m. the next morning and would probably have an answer by then! The reason this was a lie is that their office opens at 7:30 a.m. Pacific Time -- knowing full well I am on Eastern Time!

    So here I am, will probably not get to have surgery until next year -- have to pay a $3500 deductible -- while continuing to pay them $545.00 per month for their worthless insurance. I worked in insurance claims for 25 years and if I had treated a claimant like this, I would not have lasted 25 minutes. I don't know what our country is coming to that people are allowed to treat other people this way and not only get away with it but make millions of dollars while doing it!

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    Customer ServicePunctuality & Speed

    Reviewed Dec. 9, 2015

    When Medicare open enrollment began this year for Medicare coverage I decided to go with Anthem Senior Advantage. A few weeks later I changed my mind and wanted to stay with my present Part D. Four weeks later and I am still getting the runaround with trying to dis-enroll from Anthems plan. I call customer service and they tell me I need to fill out a dis-enrollment form which a month later still no form. So I go online and download the form myself and fax it to them 4 times and every time I called to check on the status I was told the form was not filled out right and they will send me another form which never comes. So be informed if you choose Anthem for your Medicare, be prepared for non-existing reliable customer service!

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    Customer ServiceCoverageStaff

    Reviewed Dec. 7, 2015

    I retired from Anthem and had COBRA dental coverage. I moved house and had my mail redirected. The redirection did not work well and I did not receive the next 2 monthly bills. I could not see a way of paying online. I called the Customer Service center number on the card and was told that I should mail a check along with a note of my new address. I did so, heard nothing in reply but saw that the check had been cashed. More time went by without me receiving a bill. I called again. I was told that my address had not been changed on their system and that my coverage was about to expire. I was told that the address could not be changed over the phone. I asked if there was any way it could be, because I had already sent a written change of address with no success. I was asked to hold "for a moment".

    It was a full 15 minutes before someone else came on the line. She told me she could change my address over the phone and would inform the billing department. Based on my previous experience, I said I doubted this would work. She said she changed the address on the system there and then, and would even email me a screenprint of the change if I wished. I asked her to do so. No email ever arrived. She also said someone would call me to assure me that the change had taken place. No such call was ever made. With the transfers between departments and the long holds, this call took well over an hour.

    More time elapsed and still no bill or other notification. I called again and got through to another number - the billing department - where I spoke to someone called Dorothy and was told that my coverage had been cancelled due to non-payment. I explained that I had been trying to pay but they were making it as difficult as possible. I asked what address was on the system and I was told it was my old address. I said that I had mailed them my new address and had given it over the phone a week earlier. She said there was no record of any of that. I asked to speak to a supervisor and was put through to someone called Ashley. She confirmed that no address change had been made on the system and that there was no record of any previous contact by me. She added that there was no point in me mailing in another payment. I would have to submit a written request for reinstatement of coverage. I gave up at that point.

    I should just add that the attitude of the people I spoke with throughout this fiasco was not good. They were unhelpful, impolite, refused to accept any blame, and implied that I was lying. That did not surprise me because, having worked for them for 17 years, I knew how appalling their customer service is, and I only took the dental coverage because, being COBRA, it seemed a good deal. Instead, it turned into a nightmare. Avoid Anthem at all costs.

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    Reviewed Dec. 3, 2015

    My son required behavioral therapy. The clinic contacted Anthem and told them my copay would be $40 a session. After 5 months of therapy, Anthem said they have dropped all mental health benefits and denied all of my son's therapy sessions leaving me with thousands of dollars that I owe. I also have a friend that has been denied cancer services needed to treat her tumor.

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    Reviewed Nov. 30, 2015

    We called to get pre approval for services that client needed. It was approved. We have been filing claims since March 2015 and not ONE PENNY has been paid to date. DO NOT select Anthem as your provider as the people providing you service will NEVER be paid.

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    Customer ServiceStaff

    Reviewed Nov. 20, 2015

    I'm writing this review so you will look into your coverage and where to get advice. We have contacted Customer Service, case managers, Appeal Department, Sales, and O.E. with Anthem BlueCross BlueShield Pathway program. I have been with my wife in hospitals for the last two months. She needs minimally invasive cardiac surgery and coronary artery bypass graft. If she can't she will go through hospitalization programs, costing money every day. The out of state, out of network hospital found that she needs this special surgery for her heart.

    Anthem brought her to an in network hospital (Sunrise). The chief surgeon said he can't and they won't do the surgery because of her conditions, at the in-network hospital. There is an in-network doctor that will do the surgery, but with the technology involved it has to be at the out of network hospital. Still runarounds, 2nd appeal has until 1st of December to reply (how convenient). Today O.E. (operational expert) gave more information that peer to peer reviews don't apply to us because of plan. The last response from O.E.: "We will call you," so I don't have to bother them. Have a nice day!

    Unfortunately we are at the mercy of Anthem Insurance! We also have appeals at Consumer Health Assistance and Nevada Division of Insurance. We have dealt with very sincere, helpful associates working at Anthem and associates who just don't care. Looking for other options. Maybe another insurance company that care about their clients, and not about The Money and not Technicalities why they don't have need to pay.

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    Staff

    Reviewed Nov. 15, 2015

    I was in an accident in which I coded 8 times, had a complete blood transfusion, had my partially amputated leg reattached and arm. It has become a full time job trying to get my medication. I see a pain management clinic monthly where I provide urine samples, have medication accounted for and answer pages and pages of questions. Now my insurance Blue Cross federal plan is making me pay 60 percent of pain med fees. That went from 40 a month to 360 a month. I can't afford it. Why do they intentionally do this to people that play by the rules and need these meds.

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    Customer Service

    Reviewed Nov. 14, 2015

    I personally or including my family have been enrolled under Anthem or Anthem acquired insurance coverage since 1973. An experience this week has caused me to lodge this review. Having a recent health issue that required a specialist to diagnose, treat and prescribe medications then to have Anthem to cause 60 hour delay before approving filling of order at pharmacy. This is totally ridiculous that some phone farm occupant has the right and power to impact someone's healthcare. If I was the suing type I would find me an attorney that would get me satisfaction.

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    Customer ServiceCoverage

    Reviewed Nov. 9, 2015

    Went to my Dr. on 7-28-15 for check-up. Was ask by Dr if I wanted to get shingles vaccine. Was told to make sure that my insurance would pay for vaccine before I got it. Went home and called Blue Cross Blue Shield of Florida and was told that since I was over 60 yrs old they would pay for it one time. I also asked if I could get vaccine at Dr's office and it would still be paid and they said it would. Went to Dr 7-30-15 and got vaccine thinking it would be paid for. When Dr bill came, Shingles vaccine was not paid by insurance company. They said vaccine wasn't covered because it was not turned in as preventive or routine. Called and had charge resubmitted as prevented or routine. Bill came the other day and shingles vaccine still not paid.

    Called Blue Cross Blue Shield back and said another bill hadn't been submitted. Called billing for Dr's office and ask them to resubmit bill. Billing called me back and said that vaccine wouldn't be paid after contacting Blue Cross Blue Shield because deductible hadn't been met. Was told when originally called, vaccine would be covered. Seems like every time you call them, they come up with another way of not paying for a claim. So I'm stuck with a bill that insurance company said they would pay after doing everything I was supposed to do so this wouldn't happen. I will be going on Medicare next as is my husband. Guess who won't be getting any of our business?

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    Punctuality & Speed

    Reviewed Nov. 5, 2015

    For the most part I have like my Anthem Blue Cross health insurance, except for the fact that I can only fill my prescriptions at certain pharmacies. Too many times I've not been able to get my meds filled on time because either the pharmacy screwed up on ordering them in a timely manner or because they are out or for some other crazy reason like snow storms hindering timely arrival of meds. I once had to wait a week and a half for my ** patches... a medication that should not abruptly be discontinued. I've had to go to the emergency room several times because the pharmacy doesn't have my meds on time and I'm out and in horrendous pain. I wish that they would allow people to use more pharmacies than just Walmart or Rite Aid.

    I know there are other smaller mom and pop pharmacies that I can use, but I prefer big name pharmacies to the unknowns because Walmart and Rite Aid at least have a schedule of when meds are delivered. Honestly, I wish they would at least add Walgreens to their list because there are no Walmart or Rite Aids in my small town, but we do have KMART, CVS, and Walgreens, along with a smaller family owned pharmacy.

    The only other problem I have with Anthem Blue Cross is that I'm having trouble finding a new pain management doctor that accepts my insurance and one that I feel understands my chronic pain problems. I have Fibromyalgia and have had a spinal fusion, but still have one herniated disc that has been making things worse in the last year. Too many doctors are scared to continue prescribing the kinds of meds I'm on, but I've been on these meds for years now and they are the only things keeping me from committing suicide! I know prescription pain medication is being abused at a much higher rate than ever before, but that doesn't mean they need to treat the people who are really in pain like drug addicts.

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    Staff

    Reviewed Oct. 16, 2015

    I've had severe SI Joint Pain for over 6 months now. Both sides. I had physical therapy for it, which I had to do self-pay because insurance wouldn't add any more. I had Bilateral SI Joint injection, which was also diagnostic and confirmed my SI Joint pain. It helped for only 2 weeks, then the pain came back. I can't have any more injections because I'm a diabetic and the steroids really shoot my sugar up high. I've done all conservative treatments. My surgeon says I need the SI joint surgery and will do the IFUSE. BCBS is horrible since they deny the surgery. They say it's medically unnecessary. They think they know me more than I do and more than my surgeon? I'm only 42 and I can't walk, sit, stand, sleep, ride in a car or anything without severe pain, and I lean also. And they think it's not necessary to fix the problem? They want me to be in pain and suffer? And I can't afford to go on disability.

    I have to work, but, it's hard to work if I can't function. My only income is me working. I also just graduated from an online university and I can't go and get certified because I can't ride in a car without pain. BLBS is disrupting my whole life by not approving a needed surgery. We just paid them 3,000 too. I pay them 3,000 to make me suffer? How uncaring. My surgeon will be doing the peer to peer next week. I sure hope he can convince them. He does in fact know more what I need than they do. Then I guess after that, if they deny, then it'll be court or something like that.

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    Customer ServicePriceStaff

    Reviewed Oct. 6, 2015

    First off let me say that Anthem Blue Cross has caused me more stress and has made my chronic health issues worse. I am so frustrated by the way they treat patients that have chronic auto immune diseases. I would think that they would pay for procedures done by a Medical Doctor in a hospital to make the patient's chronic illnesses better. Oh No, they make a ruling or a decision based on the procedure being experimental. (Mind you I pulled up their qualifications and I met all of them.) However, they will pay for a huge operation that would cost them thousands more. I do not understand their reasoning or thinking. I would think their concern would be for the patient and their health.

    Now after getting the procedure done, I have to appeal their decision and go thru more stress and aggravation making my illnesses flare, making me go to the doctor therefore making the insurance pay out more money. Also, I tried to appeal my case by phone which it says in writing on their website and I was just informed I have to write them to start the appeal process by mail. I call customer service and always get a different answer everytime I call them. Half of them cannot speak English and when I ask them to transfer me I get cut off. Someone in this Dysfunctional government we have should look into all the fraud insurance companies are getting away with. It's insane how much we as American citizens have to pay for medical care. My medical care costs have caused my family to suffer so much. I am so so frustrated with the system!!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Sept. 30, 2015

    My husband has 2 herniated disc in his back, has already had back surgery once, and requires a second back surgery. He has failed every single conservative therapy there is including injections, medications, narcotics, muscle relaxers, physical therapy. He has done it all and has been out of work for 2 1/2 years as a result of this. He has been on a fentanyl patch for months now just to control the pain. His most recent MRI was reviewed by his neurosurgeon in which a decision was made that he needs a second surgery. He requires a lumbar spinal fusion at 36. Not something he wants but is medically necessary given his overall clinical health of his back.

    His surgery date was schedule for September 12th and arrangements were made four our children only to find out the night before surgery Blue Cross had denied his surgery after a nurse review and peer to peer review with the surgeon. His surgeon was furious with the decision as he informed us the "peer" reviewing his case knew nothing about neurosurgery or my husband's needs. We found out a couple days later the reason she knew nothing was because she was a PEDIATRICIAN!!! Not even a surgical pediatrician but a PEDIATRICIAN!!!

    Hours have been wasted on the phone with representatives one less helpful than the last. Multiple faxes that were "never received" yet have confirmation of delivery. Every phone call results in more contradicted answers while my husband's pain and muscle spasms escalate. His depression is worsening by the day as we have now been waiting for weeks for an appeal answer that we were told would only take 10 days and was marked URGENT. I sure hope Blue Cross is prepared for a lawsuit should my husband's worsening and otherwise preventable depression take a toll for the worse while he sits waiting for the so-claimed "medically unnecessary" spinal fusion.

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    CoveragePrice

    Reviewed Sept. 28, 2015

    I have been with Anthem for around 2 years. The cost of insurance that no one wants to take has increased every year and, in California, we only have two choice, Anthem or Kaiser. I live over 100 miles from Kaiser so I am left with no choices. Anthem is forced upon us. I was under the impression that marketplace meant options. ObamaCare has not helped me. The 400+ dollars a month is what I could use for a mortgage but without any cap on health insurance costs, that will not be happening. The whole health insurance industry is for profit only. Since when did health become part of big business? It is a shame.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 24, 2015

    In trying to get one of my patients approved for breast cancer reconstruction, I have been treated by Anthem's preauthorization department in a manner which could ultimately determine the patient's choices and outcome in a negative way. Although Federal Law under the Women's Health and Cancer Rights Act of 1998 guarantees reconstructive surgery after mastectomy, Anthem has made it their business to do their own determinations in covering or not covering these type of procedures. After multiple phone calls to them, and in speaking to multiple representatives about this, I was treated politely, but given inadequate answers to questions I posed to them regarding coverage. While they did indeed approve two of the codes for this particular patient, there was one code which they denied.

    The surgeon I work for was told to do a peer-to-peer with one of Anthem's physicians. They called him, but he was in surgery and was directed to call them later that day. I, myself, left a detailed message on their line, directing them to call us about this manner, so our doctor could do the peer-to-peer in a timely fashion as the surgery was only one day away. The next day, our doctor informed me that Anthem never called. This patient's surgery is today. This patient was so distraught that she wanted to cancel her surgery based on their non-response. Our doctor has chosen to do the surgery without the needed approval for a particular part of the surgery, and to then dictate a letter of medical necessity after the surgery to submit to Anthem.

    This is not good customer service to the patient by Anthem. This is the second complaint I have offered through ConsumerAffairs in trying to "wake-up" Anthem to problems from their side. I actually spoke to three of their supervisors yesterday in chain-of-command order in trying to find out why Anthem is the ONLY insurance out there that I'm aware, who tortures both their clients and the professional medical teams who are trying to help. It is frustrating to speak with multiple reps from Anthem, most who are hired out of the US and getting their sympathy and understanding about a Federal Act of which they know nothing about. Hence, I have to take it this far and offer my negative experience to you. I owe it to my patients to do this on their behalf.

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    Customer Service

    Reviewed Sept. 16, 2015

    I submitted yet another claim, using Anthem's Claim form, as I have done many times. The claim I submitted last week was rejected for "Missing or Incorrect Member ID." Of course, the rejection letter did not include a copy of the form I submitted, with the "missing or incorrect ID" circled, or marked, nor did they reference any form Block or Section (they do have Section numbers on their forms. In addition, there was absolutely no contact information provided, other than "Contact your local Customer Service").

    On the back of my Insurance Card, there is a Member Services telephone number, that when called, makes one run through a gauntlet of inhuman suffering before one is permitted to speak with an actual sentient being. Once I am fortunate enough to kindly state my case, of course, it was not the correct number to call. If I am transferred, a pinball of ensuing transfers may eventually lead to someone to speak with. Often, the transfer drops, or I am put on hold until an adequate period of time has elapsed, that most mortals perish due to their finite existences. Anthem always makes claim submission, even when every 't' is crossed and 'i' is dotted, an extremely aggravating, exasperating, humiliating event. I can only assume that their business plan relies upon unsubstantiated claim rejections in hope that most people just give up.

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    Customer ServiceCoverageSales & MarketingPriceStaff

    Reviewed Sept. 13, 2015

    My older husband now age 87 signed up in 2003 for Anthem so I figured out he's paid over $45,000 for what? First off, Anthem doesn't pay in HI for the hospital visits/doctor's visits/pharmacy prescriptions only the measly $20.00 co-pay! It's DEEPLY DISTURBING as I tried to tell my ohana member NOT to keep paying almost $700 every two months since 12 years ago! What is the SENSE of paying for something that you get ZERO benefit so this company named Anthem would get a -* if you had such a category! I could buy a beautiful new car/truck for my husband with the ton of $$ he wasted over the years as I stopped him dead in his tracks to my dismay he really believed that Anthem even the Primary doctor's office thought he had the FREE BCBS insurance not paying out the nose!

    Now finally he's CANCELED after the last bill sent to his rental home went unpaid so it's a Good Day in Kona Bay! I approached my ohana member asking WHAT benefit do you get with Anthem yet he didn't know only knew he was told he must "sign up" even tho' Medicare pays 100% of the bills! Except the co-pay so either way you slice it we're out at least $40,000 from the lit'l benefit of having this BOGUS company SCAM my 87 year old husband! I spoke to Anthem twice. The first time the male rep. said he paid $400 every two months then later I called back was told that the ins. had expired in May which cost almost $700 every two months! Retired on only $1,100 monthly his Soc. Sec. pension check he pays over $110.00 for Medicare which by the way will pay for his flight to Oahu for medical treatment while Anthem even IF he had it would NEVER pay a dime!

    Run for your life & get RAID to get RID of a money hungry grubbing Ant Hem = Amen! Alo Ha! Mahi *If this saves one person from buying into a BOGUS scam for "health ins." then so be it. Live & Learn. I knew as soon as I heard but thought my husband in control had some type of coverage like more rehab at a nursing home I was WRONG. If I'm not WRONG I don't want to be RIGHT. Buy a new vehicle of your choice! Every person that steps into Hawaii gets FREE health ins. or gets Medicare with hardly any doctors left on the Mentally Disturbed Island of the Misfits they left! Oahu here we come! Thank God we're not under the curse a SPELL that had on my older ohana member = Yeah! I don't know how they get away with it in HI... it's not necessary, it's downright CRIMINAL!!

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    Verified purchase
    Customer ServiceCoveragePunctuality & Speed

    Reviewed Sept. 4, 2015

    I have been on this marketplace policy since Feb 1, 2015. I had to change my medical insurance because the private policy I had with Anthem went up $70 a month and they took away all prescription coverage. In the last year I've been diagnosed with several serious illnesses. Until then I was very healthy. Now I have found out that none of my specialty doctors accept this insurance, only my general practitioner. I can hardly find a doctor for all the services I need. The main problem is the prescriptions. If you run out early, you cannot get your medication. I am currently very ill with possibly my ulcer returning or my gallbladder. I needed my nausea medication, especially since this is a 3 day weekend coming up.

    I almost went to the ER yesterday. I was in so much pain. I told my doctor to change it to 30 pills instead of 20 for 30 days since I actually need it at least once a day, if not more because I knew they would refuse the 20 pill prescription for being too soon. Now they say they cannot fill the new prescription because the amount of pills is changed and it has been sent to the pre-authorization department. And of course, today they cannot possibly get it accomplished, so it will be possibly next week before they get to it. I'm now on hold with a 3rd person and have been told I have to call the first person back and then they hung up. Now I have to call a 4th person and see if they can expedite the approval, which at 3:51 on a Friday. I'm sure there's no way it will be expedited. I hate this company and will definitely be changing when the open enrollment period comes up next year in 2016

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    Customer Service

    Reviewed Sept. 4, 2015

    Called 3 times, talked to 4 people, got 3 different answers on whether precert was required for a service. Answered ranges from no to yes and in between (the drug used required precert thru the drug plan). The plain truth is that don't care, were unempathetic, and have no stake in their members, health care choices or outcomes. What a dinky-drink health insurer, probably soon to be swallowed up by their betters due to health care reform.

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    Coverage

    Reviewed Aug. 30, 2015

    I went for my annual mammogram which is normally 100% covered. The hospital used their new 3D mammography machine to perform my mammogram. Anthem refused to pay for the mammogram at 100% because the 3D machine is considered "experimental". How in the hell is a machine which gives a clearer picture of breast tissue "experimental"??? I also complained to the hospital, pointing out that they did not tell me that Anthem wouldn't cover the mammogram 100% but they won't waive the difference. And Anthem won't pay the difference.

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    Customer Service

    Reviewed Aug. 12, 2015

    I've been with Anthem since 1/2015. It's now 8/11/2015. I have yet to receive a correct billing. I'm getting letters threatening cancellation. I've repeatedly called customer service and there is nothing they can do. Some of them can't even make sense of the bills I'm receiving. Those that can recognize that there is a mistake easily but they can't do anything about it or put me in contact with anyone who can. They contact Billing but billing doesn't do anything. I finally got a supervisor. She wasn't from Billing but she promised to get them the information if I gave it to her. I faxed proof of payment, front and back checks, etc. Nothing happened. The letters come from San Antonio TX but the bills come from Carol Stream Il. I can't find a street address or phone for Wellpoint in Carol Stream that does the Billing or San Antonio who send out the threatening letters.

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    CoverageOnline & App

    Reviewed Aug. 4, 2015

    After choosing a plan from the healthcare website, Anthem Healthkeepers Gold Multi State and paying my premium, I tried to find a primary care Dr. After calling 4 offices from the anthem website Dr. search, I was told by each, that they no longer accept Anthem. I called Anthem to figure out why this is happening, they explained that their website was updated weekly and they may not have updated it as of that day. I waited a week and did the same thing. Not able to find an office who accepts this insurance. I compared the list of Dr's I printed the previous week to this one, and nothing had been removed. What good is insurance, if you can't use it. Maybe the premiums I'm paying, are for the free protection they offered me after their site got hacked.

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    Verified purchase
    CoverageStaff

    Reviewed Aug. 2, 2015

    They paid my MRI from the hospital then refused to pay radiologist to read the report. After I insisted that the radiologist was needed to read the report they deemed it all unnecessary then had the hospital in Virginia refund their Anthem paid portion and bill me for everything. This is a year later and have no access to my files since changing employers. Seems very fraudulent to submit payment and deem it covered then decide it was not necessary a year later and have money refunded.

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    Verified purchase
    Customer ServiceOnline & AppStaff

    Reviewed July 31, 2015

    I went to the FEP website to locate a doctor in Henderson NV, 200 doctors came up. I called almost 20 that seem to fit my needs, the information listed, ie: phone number, doctors name, accepting new patients etc. Was outdated, out of every office I called none were accepting new patients. I called Blue Cross directly, was placed on hold for over 15 min. then asked to call another number. I was on hold after fighting the automated system to accept my member number and info it asks repeatedly. I spoke to Katie in Reno Nevada Customer Care, she insulted me, implied that I was lying about the information on the website. She said no one else had ever complained about the Henderson NV doctor information. When I told her I did not like being called a liar, she kept repeating how she didn't say I was a liar but she just didn't believe my story.

    She continually spoke over me, interrupted me, implied I was interrupting her, which I did, because she would not let me speak, and was continually insulting me by implying I was wrong and she could not believe what I was saying. I asked for a supervisor after 9 minutes on hold. Katie informed me that her supervisor Melissa would not take the call, she was out of the office, she would call back in 48 business hours. I asked for another supervisor, Katie informed me that all other supervisors were at lunch and none would take my call, after she had given her interpretation of the events at hand. She refused to provide a complaint address, or any other avenue in which to reach a supervisor or manager.

    I called back again and got Robert. He said it was protocol that must be followed. I waited 11 minutes to get Robert, he said he would try to reach a supervisor. His supervisor Jessica ** refused the call, and another supervisor Rochelle said to email Jessica and say the customer wanted a call back by day's end, however that is not what the customer wanted. So out of these attempts, no supervisor would take the call. Blue Cross has no listing or any way to get a complaint filed on their website, nor any address to write a complaint too. This is a very bad customer service provider.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed July 28, 2015

    I work for a surgeon and my job is to submit predetermination requests for pending surgeries. Anthem has absolutely have to be the worst medical insurance company out there. I do not state this lightly. I mean it. This past year Anthem asked us to begin using their Availity website. When you try to, though, it never works! I decided to go back to mailing predetermination requests to them, but now they want you to call and set up a case first. At that time they give you a reference # for all correspondence. EVERY single fax they provided to me has not worked after multiple tries.

    I finally got a rep to give me an email address ohioplanningdischarge@anthem.com. I sent everything there. I also mailed in the entire packet, the pre-D letter, the photos needed, and testing done as part of documentation. This person was promptly denied. They said we could do a peer-to-peer review which they said had to be done in 24 hours! My doctor/employer did that and was given a fax # to send the documentation again. Once again the fax didn't go through.

    I called this am and actually got a clear-speaking rep on the line (surprise!) She tried to help, but upon transferring my call to the area she thought it should go to, I was only able to get another voice-activated prompt. I told my employer it is time we discontinue being an Anthem provider. I would never buy into this product or its unethical practices and I tell everyone to beware of Anthem. Still no resolution for my patient as I write this. How sad for them.

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    Customer ServiceCoverage

    Reviewed July 27, 2015

    Do not, I repeat DO NOT get Anthem dental insurance. The company I worked for recently change dental insurance companies. And it went all downhill from there. No one informed me or my dentist, that was a 'waiting period' for things like implants, etc. I just got a call from my dentist telling me that Anthem denied covering part of my surgery, that I desperately needed!! Now I'm on the hook for another $950.00!!! Great to know your insurance company has got your back. Anthem wants nothing but your hard earned $$ before they even care to help you out!! A WAITING PERIOD?!?! ARE YOU KIDDING ME?!?! Anthem, you are HORRIBLE!!!

    I will do my best to make sure that everyone I know stays clear of Anthem insurance!! How can you sit there and tell my dentist there's a waiting period?!?! So I guess I'm screwed if something happens in that waiting period?!?! You are the reason why people hate insurance companies. Calling you despicable would be giving you credit!!

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    Customer ServiceCoveragePrice

    Reviewed July 27, 2015

    I had Anthem Lumenos HSA for years. Anthem discontinued the plan and auto switched me to Healthkeepers. Cost 300% increase, Deductible 225% increase, Coverage much less and NONE of my doctors that I have had for 20+ years will take this insurance. Anthem Customers service told me to file a complaint and that is all they could do. I should find other insurance. 100% worthless company with 100% worthless customer service. This company cares more about buying out other companies than taking care of their PAYING Customers. SCREW YOU ANTHEM and Blue Cross. Less than Zero Rating.

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    Customer Service

    Reviewed July 25, 2015

    Filed a grievance about a bill and was completely cut off from contact by email. Can't read their response or send a follow-up. Real great customer service, Anthem! And it's only over a $25 co-pay that should not have been charged. Just plain sad.

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    Customer ServiceStaff

    Reviewed July 21, 2015

    If you are insured via Anthem Blue Cross/Blue Shield, then no doubt you can relate. I am 100% healthy, exercise regularly. I shopped around and purchased Anthem GOLD plan back in March 2015. Since that time, I have had one issue after the other. Instead of assigning me to my doctor of 10 years, they assigned me to a homeless shelter doctor. Then denied my wellness claims after my town had an outbreak of HepA. I got the vaccine only to have it denied due to my assigned physician.

    It was only then that they disclosed they screw up. I have called in 3 separate times each time on hold for upwards of 55 minutes only to be told that all would be corrected. I have never posted on one of these boards in my life. I can't even imagine a worst customer service experience. Anthem is beyond pathetic to the point it is laughable at how ridiculous their errors have become. Today, my customer service rep after 53 minutes questioned the accuracy of my phone number. The same one that I was calling her on. They had transposed my number and refused to correct their error.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed July 20, 2015

    They have twice canceled my family's insurance for lack of payment only to find out both times it was a mistake on their end. Both times I wasn't able to get necessary prescriptions filled for days until they corrected their mistake, and numerous doctor appointments were incorrectly denied coverage. I have spent many many hours on the phone dealing with this and am currently 1.5 hours into a call while typing this complaint. Despite having canceled my insurance for lack of payment, they have now confirmed that my account is OVERPAID by $283.80. The last time they incorrectly canceled my family's insurance, my wife was pregnant.

    Additionally, every month I get a letter of cancellation due to lack of payment. The first several months with Anthem I would call them every month to make certain they weren't canceling my insurance. My wife was pregnant at the time so this was a particularly terrifying thought. What I learned is they send these out before your payment is even late and it appears they send them to everyone. How is that even legal? I have never dealt with a less competent or more dishonest company.

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    Reviewed July 11, 2015

    We changed how we pay our premiums to compare how Anthem wanted to process payments (through their online payment plan) but we did not realize it was manual payment month to month vice a bank draft. After 25 days, they cancelled our policy. Just like that. They sent one letter according to them, which we did not receive, according to U.S., and after 17+ years, our policy was cancelled after 25 days or nonpayment, when we did not realize they had not been paid. ** them. I will find another insurer. Obama says they have to insure me and thank God for that.

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    Customer ServiceStaff

    Reviewed July 6, 2015

    Called, request change on 06/02/15. On phone about 1 hr. Called numerous times. Finally on 07/06/15 and staying on phone at least 3yrs. 3 hrs. being transferred to wrong department, being told by one person for another to call me back on she never did. She was oriental, soft spoken, very hard to hear and incompetent to say the least. Finally after 2 more people a dropped or disconnected call I called back AGAIN THIRD time. I was fortunate enough to reach Michael ** the most patient, informed and knowledgeable person I've ever talked to at Anthem. Everything I needed was completed.

    I believe at least 3 of those individuals didn't know how to do what needed to be done because my zip code kept coming up connected to the wrong county. After 3 hours on phone I'm going to CHANGE FROM ANTHEM DURING OPEN ENROLLMENT. I would not recommend this insurance for anyone who has another choice unless you have a lot of time to sit on phone dealing with incompetent, poorly trained people. Thank god for people like Michael **. Horrible experiences like this happen too much with Anthem Blue Cross.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed July 2, 2015

    My policy was cancelled unbeknownst to me. End Result: No enrollment for 6 months due to Obamacare/GA law, and most likely I will pay a Federal Tax Penalty for having no insurance... because I cant sign up for it. What? I was never sent a late payment notice. I was never sent a grace period notification. Their online system does not indicate either were sent. Over numerous calls, they were confused of my termination date. One representative actually stated, pay by phone the late fees and ask for reinstatement. And when I called, I was rejected, and told I would not be able to do this.

    Erroneous information points to 2/27 being the past payment, yet I made a payment on 3/13. They could not reconcile this system error. Online payment system is SEPARATE from the main site. Auto pay was unavailable so I had to manually pay every month. No email of payment due was sent. I logged in numerous times and noticed zero payment due. Previously, my premium went from $200 to $280 from 2014 to 2015. Healthy individual. Deductible from $3500 to $6800.

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    CoverageStaff

    Reviewed July 2, 2015

    My friend has had Bluecross insurance thru ObamaCare... pays $700/a month. Recently found out she has cancer.. Dr. said she needs surgery immediately. Now ObamaCare has canceled her saying she is not a US citizen so Bluecross had cancelled her coverage. She sent s/s card and birth certificate. Now they are saying it will take 7 to 14 days to get reinstated... Not sure if she will make it for 7 days. What makes them think she is not a US citizen.

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    Coverage

    Reviewed June 30, 2015

    I switched to my husband's insurance late May after my company had layoffs. Through his company, he is paying $98 bi-weekly, which covers him, myself, and our son... We have PPO. I went to pick up my GENERIC prescription the other day and it was $55.87. I used to pay $10/month!!! Come to find out, our prescription deductible is $5,000!!! I'm so frustrated that we are paying SO MUCH to have insurance, and the coverage is TERRIBLE!!!! Come November with my new job, we are getting the HELL off of this damn insurance. BLUECROSS can SHOVE it.

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    Reviewed June 29, 2015

    BC/BS is not paying for some medications that my doctor is trying to prescribe. I am in such severe back pain and they are now telling me my second set of injections must be authorized and it may take up to 3 weeks before I can get authorization. I cannot get the medication I need including a topical cream that's been prescribed. Not only is the pain holding me hostage, but so is the insurance company!!! Please do not use this insurance company!!! We have talked with HR at the company, but I am getting no help as of now. I need prayers for all this pain. I managed to get out of the wheelchair after the first injections. I was so hoping to stop using the cane after this next round.

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    Coverage

    Reviewed June 28, 2015

    Doctor ordered an MRI for my injured ankle (in pain, hard to walk), saying most likely need surgery. Literally waited 2 months and then Anthem denied it stating "not medically necessary." My doctor appealed that and they still denied. What is the point of having insurance if you get injured and your insurance company just refuses to pay for anything? Also, I'm no surgeon but I believe an MRI is NECESSARY before I get my ankle sliced open. They will prob deny payment for that as well. What a joke.

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    StaffProcess

    Reviewed June 26, 2015

    The doctor wrote a prescription which wasn't on formulary. Went to Costco to pick it up. I have met my deductibles and annual out of pocket for the year so should be covered at 100%. Costco said nothing posted to my account. Called Anthem and they said I needed to get an authorization from the doctor, then file for reimbursement. Went through the process and was denied. More incorrect stories from Anthem. Refiled again and was denied again. Again different stories from each person at Anthem. And now an appeal. Another 30 days? The joke is on the patient!!??

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    Customer Service

    Reviewed June 24, 2015

    I am on the third time of submission of a claim to Anthem Blue Cross which should have been paid the first time due to the benefits that I pay for each and every month in the amount of $664.00. Anthem has argued with me, screamed at me at the top of the lungs (to the point where I have to hold the phone all of the way out from my body and still can hear them) just to attempt to get out of paying the claim and have it go toward my deductible (should have no deductible). I feel that they are legalized thieves. And, in fact, have more respect for real thieves who admit to being thieves. How can they be allowed to run a so called professional organization this way?! One really has to wonder!

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    Customer ServiceCoverage

    Reviewed June 23, 2015

    I started with Anthem a few days before their cyber attack in February 2015. When I tried to register online it took six phone calls to get an account. They originally had the wrong birthday in their system (I was told it was happening to a lot of people due to the breach and resulting glitches). When I gave my correct one I was unable to access and pay my bill. I was then told to enter the erroneous birth date to access the account because they couldn't fix it! In the end, after hours spent on the phone over a period of a week they accused me of supplying them incorrect information--after they told me to access that way (My birthday is ** and the one I was told to use was 12/19/1969--twelve years younger. I didn't think about being suspected of fraud for using it--especially when they told me to do it.).

    I had a really bad feeling about the company from the beginning and did not like the idea of being told to use incorrect information. I voiced that concern numerous times. My coverage began in February and each time it has been a complete hassle make the payment. I spent so much time fighting with the website and then calling the company to pay the bill each month. Why didn't I just send it in the mail? I should have, but I am completely out of the habit of snail mail and was afraid I'd forget!!! Bad choice. I should also mention that my policy had a high deductible and I had not yet reached it, so I paid for all my care in addition to my premiums for the few months I had the policy. They revoked it June 1, 2015.

    Now I have no insurance until next year, and I am branded as a non-payer. How do I deal with this? I know it was my responsibility to fight them to get my payment, but I honestly forgot. I was sleep-deprived and thinking, "Yes, I was online paying my bill." When actually I never got it to work. Please help! They did send a letter, but I was so stressed the mail went unopened during that time. I would not mind paying a penalty--it was my fault.

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    Customer ServiceStaff

    Reviewed June 22, 2015

    I've been on the phone with Anthem to dispute a non payment on a claim and I've now been given 1-800-6762583, 1317-488-6000, 1800-331-1476 and now 1-800-203-0584. Still no help. No one recognizes the tax ID of our office the Rendering Dr. NPI or the Internal Provider number on the claim or the remittance number. 5 different people and no one know what they are doing. I believe you should be paying for wasting my time and not my employer. Over 40 minutes with another 15 on hold and NO one knows how to help. Worst Dental company to get information on patients or breakdown of your services.

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    Customer ServiceStaff

    Reviewed June 19, 2015

    April 2015 Anthem Blue Cross Blue Shield got the 1st of my monthly Visa payments for Obamacare for promised medical coverage starting June 1, 2015, through Lighthouse Insurance. As of June 18, 2015, I have received NOTHING in the mail, and NOTHING for HOURS AND HOURS of EMERGENCY COMPLAINT phone calls, filling out online forms (worst possible ratings) and NOTHING after repeatedly being promised to talk to the executive office. On June 2 I was given an Anthem Customer Service contact phone number by my broker, Lighthouse Insurance in Irvine, CA.

    After over an hour on the phone the Anthem employee told me I was calling the wrong state. I begged and begged for her supervisor, OR for a return call from the proper person. She REFUSED. Normally I would drop a co. who did that to me ASAP. Hours and hours later I reached a woman who PROMISED a return call from the Executive Office. Instead I got a call from a nasty jerk who DEMANDED I talk to him IMMEDIATELY for 5 minutes. He would not listen to me when I said that it was impossible. Hello? Some people could get fired for taking personal calls at work. He started yelling at me, so I told him to call me back in 10 minutes, and hung up. BIG PROBLEM to get free in 10 minutes. Did the jerk ever call back? Did anyone else from Anthem ever call back? FRAUDULENT COMPANY. TERRIBLE, TERRIBLE CUSTOMER SERVICE.

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    Coverage

    Reviewed June 12, 2015

    Anthem makes up new clauses as they see fit that allows them not to pay or not to pay. Lots of my doctors won't take Anthem anymore because of their "policies," fine print and level of reimbursement. In Virginia, it's the only health care policy allowed to operate so I can't get any other insurance (I've looked).

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    Price

    Reviewed June 9, 2015

    I have had Anthem ever since the Health Insurance Marketplace opened up, and I have not had any problems so far. I recently went to the emergency room and the bill was almost $2000. My cost only ended up being $257. It also helped pay for a big portion of my prescriptions when I left the hospital.

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    Customer ServicePriceStaff

    Reviewed June 8, 2015

    I took the insurance in January 2015. I have used it a few times and after a month or so I get a letter saying all claims are rejected. First I received an EOB with one reason and when I started enquiring they sent me another EOB and changed the reason. I was given this plan keeping into account that my job needs me to move every 6 months to one year. So that I can get covered in any state. But I am fed up now.

    I filed the appeal. I did not get any response even after 2 months. I need to wait on hold for hours together during my office hours since the customer care is available only till 6pm. They never ever called me back. I have no clue. Each representative gives me a different reason. I am shocked that such a big company cannot resolve my issue even after 5 months. I am frustrated. Sometimes I feel like calling the cops and filing a case against them. I don't understand how that company is still surviving when it can't resolve a case for 5 months. My frustration is that I have no clue as to what the reason is till now and I don't know what to do but they are charging me every month around $300. I need answers.

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    Reviewed June 8, 2015

    I have to say.. ANTHEM Blue Cross, is the absolute worst Insurance company that ever existed! They pay for nothing. Every single one of my current Dr's that I've seen for 5-20 years, dropped them. I was told by all my Drs, that they stopped taking ANTHEM, because they will not reimburse them for anything.. and offer to pay small portion of the actual cost of any procedure. I need to have an endoscopy for problems I'm having with my esophagus. I am having to foot the entire bill of over $1800.00!

    They don't even pay for my prescriptions. I have yet to have them pay for anything. Every single time I go to any Dr, or have blood work done, or urine tested or my Gyn apt tests done.. I get a bill saying I have to pay yet another amount. It is truly NON stop. I'd like to know, what does my $550.00 premium per month go towards???

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed June 4, 2015

    We have been paying our monthly statement since starting with Anthem since October 2014. I had retired from my employment in September 2014 and had to switch to COBRA. Our first bill received from Anthem was three weeks late to start with. The bills we receive are always late by two weeks or more and at times there was no credit for payments that have been made. This month they have cancelled us for lack of payment for the month of May. Anthem BC/BS never sent us any statement to respond to and make the payment.

    I have since gone on Medicare and my wife has the COBRA from my former employment. The whole thing has been a total nightmare and not much help through Anthem BC/BS. So as it stands my wife has no medical coverage. There have been many phone calls and it doesn't seem to help. Anthem has even given us phone numbers to contact a different part of their agency that are no longer in service. Don't you just love Obamacare?

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    Customer ServiceCoverage

    Reviewed June 3, 2015

    I not only have Anthem as my Insurance, but I have to deal with them on a daily basis as I work in the medical field. Bottom line, ANTHEM PLAYS GAMES! They will DO ANYTHING to get out of paying for anything. I have had to submit claims for my own personal insurance and all Anthem does is go in circles. They have no clear or concise directions on how to submit claims and they always come back at you with something new they require after you have given them every possible document they require.

    On a business level, I deal with them everyday at work. I am always on hold. Customer service workers are ignorant and you could call with a child that is literally on their death bed and Anthem WILL NOT AUTHORIZE service on some occasions due to their guidelines. I mean CHRIST! A child could die! WTF is wrong with the monsters at Anthem? For every child that dies because they have Anthem insurance that won't cover their health needs, I personally hope the people at Anthem responsible burn in hell.

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    Coverage

    Reviewed May 26, 2015

    Beware of Anthem's practice of issuing new policies when given updates by marketplace. Have been canceled once without notice and policy terminated and replaced with new policy because of updates. Premiums were increased because of birthday during one update. Beginning dates do not coincide with letters received from market place. The original application only gets updated, a new one does not get created, but according to Anthem every update is a new application. If 100,000 people were increased the way I was, Anthem would benefit $20,800,000 by the end of the year. All happened because of removal of husband because he started medicare. Have been left without coverage because Anthem interprets things to benefit them and told just to keep paying what Anthem says. Angry, aggravated, disgusted with this company. Going to take an act of congress to correct their ways of gouging people.

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    Customer ServiceCoveragePricePunctuality & SpeedOnline & AppStaffEase of Use

    Reviewed May 19, 2015

    Gotta be honest, I am happy with Anthem HealthKeepers. Background: I had an Anthem BCBS individual PPO policy for 14 years. It was damned good insurance -- saw any doctor I wanted, they paid for pretty much anything (but I paid 20% and so on). $300 deductible and $1500 maximum out of pocket. Good insurance. But it was ** expensive. For me and my wife, $1800 per month by 2014. Well, we got tossed unwillingly into Obamacare and our old policies disappeared. With great misgivings, we signed up for a Silver plan with HealthKeepers. Without subsidies it is still less than half the cost of what we had. It has less doctors in the plan but it's a POS so we can go out of plan if absolutely needed.

    By the way, in 14 years we hardly ever needed health coverage, just the usual sprained ankles, colds, and some routine middle-aged stuff. Well, on exactly January 1 I got pneumonia and it's led to 5 months of complications. I've had: an MRI, 2 cat scans, 4 X-rays, and seen 2 specialists for a total of 9 visits. That is in addition to seeing my GP a bunch of times. Anthem has paid for EVERYTHING without complaint. No problems whatsoever. All the stress we felt over whether it'd be a good policy now seems like wasted anxiety. There are fewer doctors in this plan and we thought they'd be bottom feeders who couldn't afford to pass up the low reimbursements. But I used the various websites that rate doctors to find 4+ star specialists and they've been great. The formulary list is more limited than in the old days with BCBS, but not a single drug has been refused, and I am on many.

    I have to say I am quite happy with Anthem HealthKeepers. I'm docking them a star because administratively-speaking, they're difficult. Hard to get on the phone, hard to use their website, hard to navigate the pre-authorization process (though I've now learned how to do it), hard to get set up for auto-payments. I've learned good insurance management and that keeps me out of trouble -- I pay early in the month and I call on the 25th to ensure my account is paid. I make damn sure I have the actual pre-authorization # in my hand before I get any kind of procedure done. With some simple cautionary behaviors like that, Anthem has worked out well for me.

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    Staff

    Reviewed May 16, 2015

    Have Anthem Blue Cross/Directors Guild of America ins. I have bone on bone at L5-S1. Minuscule disc at L4 L5. I sued Anthem/Directors Guild. Went to mediation. During mediation told by Anthems legal team Anthems' guidelines state experimental procedures are not allowed. Original request for two level artificial disc replacement denied because not FDA approved. During mediation, requested fusion with artificial disc. Anthem legal team said will "expedite", "Put big red X on file." My back surgeon's surgical scheduler received approval code. Booked surgery. Went to hospital to register yesterday, May 15, 2015. Was told surgery was denied. Help me please. Pain meds almost killed me. Unconscious, Dec 2014- Jan 4, 2015 in ICU. HELP.

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    Customer ServiceCoveragePriceStaff

    Reviewed May 15, 2015

    August 2014 I was without health coverage for myself and my children. I went through the state to attain original Medicaid and was only told that I would be able to get into some other form of an insurance program. I was on Medicaid until November. When November came I received a statement stating that I would be covered by Anthem Blue Cross Blue Shield. I was very confused because I kept receiving additional letters from Anthem but yet had not received an insurance card or any other form of communication from them in regards to an actual policy number. When I utilized the service the very first time based on the letter that I was given told that I can represent it to obtain coverage or services and not be charged I was then charged an additional fee at the doctors office. According to their coverage I was not supposed to be paying any out of pocket expenses.

    I finally received a bill along with an insurance card. The bill told me that because of my financial situation I was only responsible for a 12 dollar a year premium. By the way I am a single mother of four with no additional income making less than $10,000 a year as well as not receiving any type of child support or other government assistance. So I contact and dumb and I pay my premium over the phone within a matter of 2 months I needed some assistance medically I went to a facility that was inside of the network. According to my coverage guidelines this facility being in my network I was not to pay anything out of pocket, I was not to be billed for anything and all of my prescriptions were to be completely covered. Walking out of the clinic with a double ear infection and a sinus infection they tell me that I had a copay. Thankfully I had some money on me when I went into the facility though I expected to pay nothing.

    I left the facility and went to the local pharmacy that I had been using. I'd spend 45 minutes in the pharmacy to learn that Anthem pulled from using them as one of their pharmaceutical providers. So here I was with a major infection, a raging headache and a fever trying to find the next closest pharmacy that I could fill the script. So I go in additional 4 miles out of my way to find out that Jewel Osco happens to be one of our providers. Over an hour of being at Jewel Osco I find out that they were changing over the Anthem Blue Cross Blue Shield plan and had not informed any of their m 5-day.

    After all of this the pharmacist then finds out that they would not cover my prescription. My prescription was a 5-day **. The last time I had gone in for a sinus infection I was given a three day ** to which I paid $5 for. It turns out that though this being an antibiotic they will not cover it if it falls within a 25 day grace period. Now I understand the hesitation if it was a controlled substance such as ** etc. This was an antibiotic that was much needed - being I am allergic to **, this was the only alternative that I had. The next option is surgery to which I cannot afford.

    After having paid my premium for the entire year I receive an additional letter that states they have since changed my plan yet again and I am now responsible for 56 dollars a month in a premium on top of what I had already paid them. Nothing has changed in my policy. Nothing has changed as far as coverage other than them stating that I was in the healthy Indiana + plan that required me to pay nothing out of pocket if I went to any facility including no out of pocket if I was admitted to the emergency room as well.

    Well let me just say this is crap because I received an additional bill from the last clinic that I went to stating that I owe them money and they have since decided to pick a primary care provider I have no idea who this person even is or where his so called office is located. Add to this I receive automated phone calls 5 times a day almost on a daily basis regarding the coverage and or if I have had myself or my children in for the continual exams. I cannot seem to get these phone calls to stop and I do not think that it is right nor is it fair to be able to get these phone calls when actually my phone is on the Do Not Call list. It doesn't matter that this is my insurance. Currently it is not like they are calling me in regards to coverage or my bill. It is more of a nuisance and maybe I should charge them for utilizing minutes on my phone wasting my time every single day.

    I can also state that the state of Indiana needs to catch up with other areas in regards to these type of insurance plans. I was told that I was making too much money to still continue to qualify for Medicaid. At any given time I've offered to show them my income tax filings for each and every year to prove that I am actually living below poverty level. All I know is everyone better get their things together including Anthem or I will make a big stink. I am A fed up, overworked, underpaid single mother of 4 who has had it up to here and has no problem letting the world know about it if I am being done wrong!

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    Reviewed May 13, 2015

    Company telling us that we can no longer get our prescriptions at local pharmacy. We must now order all through the mail. How is it legal for an insurance company to dictate where and how a patient receives their meds? It's a bunch of BS!

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    Reviewed May 11, 2015

    Very angry "loyal consumer" about the rate increase. It's almost like the company waited for everyone to sign up, and then throw a surprise. I'm guessing this was all in the "hidden" plans anyways. I will sign every petition to not let this company take advantage of its "loyal consumer."

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    Verified purchase
    CoveragePunctuality & SpeedStaff

    Reviewed May 5, 2015

    Anthem would not allow me to set up auto-pay and claimed I was late when I was not, and then claimed I did not pay at all even though they refunded me the payment they said I did not make. When I checked with the affordable care market place, they said Anthem continued to accept and keep the monthly goverment supplement of $340 a month, even while denying that I was covered. This seems like fraud to me. They say I will have to wait until the next open enrollment period, which leaves me very nervous about the coming months healthwise. Anthem continues to refuse to talk to me or my independent insurance agent about this problem.

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    CoverageStaff

    Reviewed May 4, 2015

    On 10/31/13, my hubby had ankle surgery. Knowing he'd be out of work for 4 months, we switched him from his employer's PPO health coverage with Blue Shield to my employer's PPO with Anthem effective 1/1/14. Mid-way through 2014, we started receiving EOBs from Blue Shield (it turns out that his employer requires him to carry ins through them and had registered him for Blue Shield's high deductible plan as Primary, even though we had him fully covered under my employer's plan). I explained the situation to the docs, his employer, Anthem and Blue Shield. Anthem agreed to pay as secondary once Blue Shield processed the claims as primary. Anthem even approved 2 extensions of physical therapy for my husband.

    Now, almost 1.5 years later, they have denied and reversed all of their payments and say that we owe the full $5K deductible (Blue Shield's portion, not Anthem's) amount first (we already paid Anthem's deductible). We paid a lot for him to be covered under my employer's plan (my portion for him alone was almost $500/mth plus whatever my employer paid). How do I resolve this now? My flexible spending acct is spent for 2014, and I don't have $2.5K in cash to pay the P/T (that Anthem says we owe for the deductible). I'm afraid this is only the tip of the iceberg for all the docs he went to last year. I'm at a loss as to how to resolve this situation. Help!

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed April 23, 2015

    I enrolled - or at least I believed that I had - in an Anthem plan in November, 2014. I did not receive any plan information or identification cards or invoices by November 30. I called Anthem - be patient, I was told. Two more calls in December - I was told the same thing. By December 30, 2014, I still had received nothing, so I called Anthem again - I was told that I was NOT enrolled because Anthem had not received an enrollment from the the Federal Marketplace. So we have a three-way phone conversation (Anthem, Marketplace and me) and the Marketplace tells me my application was "stalled," but if I write the application ID on my check, I can still have coverage for the month of January, 2015.

    In the meantime, marketplace will "expedite" my application. On January 2, I received a call from Anthem's compliance department wanting to know why I had not sent in the first premium, since I WAS enrolled in a plan. I told them what had happened, that I had mailed a check on December 30 WITHOUT ever having received an invoice, and the check should reach the Oxnard, CA address the week of January 5. So I do that and mail the check on December 30. By mid-January, the check had not posted, and I had no confirmation of coverage.

    I called Anthem no less than five times between the 15th and the 26th, and was finally informed that they could not process my check because it had the wrong application ID on it. This was the application ID provided by Marketplace, and Anthem needed the Anthem application ID. I told the woman that I did exactly what the Anthem employee directed me to do, that I did not know what the Anthem application number was. The "expedited" application from Marketplace was finally received by Anthem in late January, but Anthem still refused to post the check.

    I obtained the Anthem application number (after 40 minutes of being on hold) and told Anthem to simply change the application number on the check, then process it. Anthem refused, saying they would return the check to me. On January 26, I received an email from Anthem reiterating that the check would be returned to me, but that I may want to put a stop payment order on it...REALLY? Well, I did stop payment on it, because today is 22 April, and the check still has not been returned to me. I also never had healthcare coverage in January, because Anthem refused to process, and then lost, the check mailed on December 30.

    I sent them two checks in February - one to pay February's premium and one to pay March's premium. I paid the April premium in mid-March, and the May premium was just mailed. I still had not received a correct invoice, and have been sending them e-mails twice a month drawing their attention to that fact, but I did receive a notice from Anthem that all of my payments have been more than 30 days late and I was in danger of having my coverage canceled. Today, after two hours on the phone with them, and Marketplace, I figured out what they are doing: they applied my February payment to January - EVEN THOUGH I HAD NO COVERAGE IN JANUARY, BY ANTHEM'S OWN ADMISSION - and they applied my March payment to February.

    Today they informed me that they have to bill me for January unless Marketplace changes the effective date from January 1 to February 1. So we have another conference call with Marketplace. Actually, one conference call and four separate calls to Marketplace, because Marketplace will automatically disconnect the caller if the call is left on hold for more than X number of minutes. This has been going on for nearly five months, and I have no reason to believe that it will be resolved.

    To those of you who have, and continue to, suffer through this atrocious customer service, outrageous premium rates and "trimming" of benefits, contact the office of your Congressional representative. These are exactly the kinds of stories the members of Congress (at least the Republicans and Tea Party members) need to hear if we are ever going throw off the burden of this onerous scam known as the "Affordable Care Act". By the way, my monthly premium jumped from $135 to $451 - more than TRIPLED - and in a liberal's mind, that makes it "affordable". Contact your Congressman or Congresswoman and let's bury this thing once and for all.

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    Customer Service

    Reviewed April 21, 2015

    Two years ago our 17-yr-old son went to a wilderness program. From there he went to a residential treatment center. We began the claim process about 6 months after he started this treatment. The insurance we have with Anthem is an individual policy. Our claim was originally denied by Anthem. I enlisted the help of a company to help me with the claim. This company seemed competent. We continued the claim process even submitting an appeal to our state insurance department. All of these claims/appeals were denied. I was told suing Anthem was the only option. So I took all of my documents to an attorney. He reviewed our case and came back saying he did not recommend pursuing this as he could not see a good outcome.

    Shortly after hearing from the attorney Anthem called me asking for proof of payment on all of our expenses. I was surprised to get this call from them and told them so. But I had the proof of payment so faxed that info to them. A few weeks later they called me and said some of the claim was approved and in another week or so would let me know if the rest of the claim was approved. I was elated, of course! When they called again I was informed the claims were not approved and my only option was to appeal our claim. I told them I had already appealed. The gal looked at our file for a few minutes and came back and said a claim was in order. I told the company that had helped with the claim process what had happened. They say Anthem does not know what they are doing and if I appeal again it will just come back denied. Does anyone have suggestions about what to do with the case?

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    Customer ServiceCoverage

    Reviewed April 19, 2015

    I took out a med. insurance policy through Covered California, and was very happy to have the benefits I was receiving for the cost I was paying for it. I tried to enroll in an auto pay, so that my premium would come out of my bank account every month and I wouldn't have to worry about making my payment on time... because truthfully I'm terrible at that. Since I've had medical coverage with Anthem, I still do not have an auto pay account set up, even though I have 4-5 confirmation letters, and voice mails assuring me that I do. And let me just say, 4-5 times is being generous!! It's actually probably closer to 6-8 times that I've tried to set up an auto pay account!!

    Due to this my policy has almost been cancelled several times. I've had to physically send auto pay paperwork in 4 different times now, and I've literally spent hours on the phone with billing/payments customer service. Not to mention the last time I talked with customer service I was told it was my fault they haven't been able to set it up due to incorrect info on the paperwork I sent in. I sent the paperwork in four different times, and have been assured 6-8 times that my auto pay account has been set up!! Only reason I haven't left Anthem is because I don't want to go through the headache of changing insurance companies. Although I am getting close due to the headache I've had to deal with their customer service!

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    Customer ServiceInstallation & SetupCoveragePunctuality & SpeedStaff

    Reviewed April 16, 2015

    I would like to express how utterly furious I am with this company. I have only had it for about 6 months, and I do not have a single good experience with it. To start, somehow it started and terminated my insurance on the exact same day. Make sense to you? Me neither. I didn't find out about this (since I had an insurance card) until I tried to pick up a prescription and couldn't. So instead of spending the day before Thanksgiving prepping food, I got to spend all day on hold with the "customer service." It literally took the entire day to resolve, and I had to get my company's health care representative involved to even get anywhere, because everyone I spoke to claimed to have no record of me (even though I had a card!).

    They had to cancel the original plan and then restart a new one the next day. It took over a month to get my new card! Fast-forward to yesterday, I go to my doctor appointment, expecting to be able to get in and out without any issues, and what does the receptionist point out to me? My insurance card reads the wrong PCP. I have only had one PCP my entire adult life, and her name is the only one I have ever listed on my forms. I don't even recognize the company on my insurance card! Not only that, but I somehow still have a balance of over $120.00 for an EXAM last October.

    How is it I pay this company more than $70 every pay check, but it only covers $40 of an exam?! I had to get this issue resolved before I could be seen for my 9:30 a.m. appointment, and my doctor tried to give me time, but it took 8 minutes on the customer help line before I even got to speak to a human, who then immediately placed me on hold for another 10 minutes! I lost my appointment slot!

    When the other woman finally came on the line, she told me it would be 24 hours to get the PCP changed. I told her this was unacceptable, as my doctor was still willing to fit me in and I needed to be seen that day. She assured me that she would fax my new card over to the office, as well as e-mail it to me within 24 hours, and that I would have a new card in the mail within 14 days. She informed me that the information would be back-dated, so I could be seen that day and the visit would be covered.

    She then forwarded me to a woman named ** who would help me with the $120 balance with my doctor. ** was very helpful, told me that somehow my PCP on the first plan was Patient First, and that's why the bill was so high. She assured me it would be taken care of, and called my doctor's office to explain the situation so that I would not have to pay the balance. I was on the phone for over 50 minutes, and spoke to an actual person for probably less than 10.

    I didn't get to be seen by the doctor until noon. Then come to today, at 1 pm I had not received an e-mail with my corrected information, and the doctor has not received a fax. I asked my health care representative to follow up with the company, as by now I have absolutely no trust in it what-so-ever, and I expended all of my patience on the phone with it yesterday. Come to find out, there is somehow NO RECORD of my conversation! That was an hour of my day off spent on the phone with those people, wasting my and my doctor's time, and they have NO RECORD??? My representative got the ball rolling on fixing my PCP, but now I have to wonder if my October bill is going to be fixed.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed April 16, 2015

    As an in-network provider in mental health services I am responsible for contacting customer service to ascertain outpatient mental health benefits for prospective clients. The average length of time in the Anthem system is not less than forty minutes. I am expected to sustain robot driven transfers to varied divisions, none of whom can answer basic eligibility questions. Apologies are effusive but customer service rep training non-existent. Denied claims typically do not identify denial explanations as was once the custom, calls are always routed overseas to untrained script dependent call center employees. I have yet to encounter a customer service rep who could access a scanned denied claim to make sense of a denial.

    Setting up an online profile in "Availity" is an exercise in futility as the portal rejects many variables. Grievances and appeals must be sent to a PO Box. Clients often complain that they must submit to the same demoralizing delays in getting any human interaction on the phone. The consequences? The next open enrollment they will opt for Cigna.

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    Coverage

    Reviewed April 13, 2015

    I have a had billing issues with Anthem since I started with them in 2008. In 2015, things have taken a serious turn for the worst. They have tried to revoke my wife's coverage despite being up to date on my her payments. They have taken hundreds of dollars from me which they cannot account for!!! Because of my extensive health issues, I am forced to use this horrible company. I wish they was another option.

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    Customer ServiceStaff

    Reviewed April 8, 2015

    It is quite understandable that due to the new healthcare laws coupled with the breach in their member accounts privacy - Anthem is having an extremely HARD time keeping up. However, I have called Anthem every month since February at least two times a week, having been put on hold with no interruption or courtesy check for 45 minutes and my issue(s) have still been left unresolved. All I am trying to do is pay my bill.

    I keep receiving bills from the state as well as Anthem for the last 2 months and yet Anthem has not updated their systems. The state says pay, Anthem says I cannot pay yet. Two different reps told me they see me in their system and they are "updating my billing information" and sending the request to the billing department, yet when I call to pay the following week - there is NO record of this nor has anything been updated or request sent (to billing).

    How they can function as a respected insurance company - with such inadequate service and incompetent representatives I do not know. What is gonna end up happening is - I am going to end up losing my insurance due to inability to pay -on their end- and I will be the one that has to go through all the motions -AGAIN- with regard to reinstatement. I'm tired of being told the issue is being handled and the issue remains unresolved..

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    Customer ServiceCoverage

    Reviewed April 7, 2015

    I have spent hours trying to get my insurance taken care of---I have been given the wrong information, told I would be called back and never received a word--today I received five pieces of mail from Anthem--2 different insurance cards, a refund check for last month's payment, a letter changing my PCP, a bill requesting payment with the incorrect information. Unbelievable!!! I have been told I had coverage--check my account online--ask questions and no one can answer them.

    Trying to contact Anthem--is a nightmare! One call can take over 60 minutes. Customer service has always been respectful---but never seems to resolve the problem-different answers to the same question. Why should it be so difficult to change insurance plans. Today I spoke with a representative that told me he would follow up on my application--even gave me his personal ID # and phone number to contact him. This is a first--and I hope my problem will get resolved. For the amount of dollars--the service provided stinks.

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    Coverage

    Reviewed April 3, 2015

    Okay healthcare was supposed to be if you were sick and had insurance you were covered ."Wrong." My premium is 750 a month and I spent 500 deductible and the only people who benefits is the doctor hospital and insurance company. They will not cover my treatment. This is a quality of life issue - I have chronic hepatitis c. What is wrong with this picture. I am no better off than when I didn't have insurance.

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    Punctuality & Speed

    Reviewed April 2, 2015

    Anthem has a HRA ($650) that if you don't use all of it rolls over to the next year. For some reason Anthem will not roll over our balance ($800). Gives me all types of excuses and dates that they never follow through on. This is our money roll it over!

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    Customer Service

    Reviewed March 30, 2015

    Concurrent with data breach started getting deluged with calls from obviously non-USA numbers wanting to sell drugs and other medical items. After spending hours on hold for the "identity protection" company, they immediately transferred me to Anthem member services where a totally disinterested and unconcerned woman told me that they weren't interested because the only information they released were social security numbers, dates of birth, and names. That is certainly reassuring. Why would anyone trust a company that Anthem selects to "protect their identity"?

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    Contract & TermsStaff

    Reviewed March 26, 2015

    I am contracted with Anthem HealthKeepers. I have not been paid for services for a serious patient with a track, and on a ventilator. I contacted the Anthem representative ** who want to settle the amount owed out of contract. I provided the nurses and the service, the family is satisfied with the services, no complaints with service since started in 2010. Now Anthem is refusing to pay since October 2014, is cancelling contract on 04/01/205 and want to settle instead of paying the amount owed.

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    Verified purchase
    Customer ServiceStaff

    Reviewed March 23, 2015

    My dental insurance was terminated due to a missing payment. After countless hours talking on the telephone, and different people saying totally different things, I gave up. In a few month I have decided to take a risk and sent a check which they cashed, and it appeared that I was in good standing if I catch up with the rest of my payments, which I gladly did and made an appointment with a doctor. Only to my embarrassment the doctor said I have no dental insurance. After countless hours talking to them again, they have decided they never should of taken my money after my account was cancelled. They returned some of it, but not all, saying they applied to some previous months.

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    Coverage

    Reviewed March 20, 2015

    My doctor prescribed three different medicines, nasal spray, decongestant, and sleep aid, none were covered. Name brand or generic, they would not cover any. When does the insurance company get to decide what medicine I take? Apparently, there is a list of approved medicines, and none were on it.

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    CoveragePrice

    Reviewed March 19, 2015

    My family is double covered with mine being the primary which pays at 90%, Anthem which is my wife's keeps throwing this co-insurance back on us stating that every time a balance is left after mine has paid and paid a lot at that. My insurance pays the largest portion, no questions asked and with the small remainder Anthem still ** and passes the cost to us on top of our premiums. I will NOT be renewing Anthem next year, I can't do any worse by throwing darts blindfolded at a list of insurers in the dark and in heavy winds! WE HATE ANTHEM!!!

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    Reviewed March 13, 2015

    I keep getting these "Notice of Intent to Non-Renew Due to Non-Payment" even though my payments are made and cashed by Anthem before the due date. Last month, my check was cashed and cleared on February 27 yet on March 1 they sent me the notice anyway. This had been going on for some time now and I can only imagine how many other people get these notices. That's a lot of stamps and prints to send out to people. Shouldn't the premium dollars I send every month go towards my healthcare and not towards this 3 pages notice? Shouldn't their billing system post payment to my account the moment the check is received and processed?

    The billing service rep told me to send payments prior to the due date but I already am. He said it's Anthem policy to take time to "post" the payments in their systems from 1 to 3 business days. Is that a fact? Shouldn't that be written in the invoices and taken into consideration before sending the notices? I do send payment just before the due date however the payments are made and cashed before the due date.

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    Customer ServiceCoverage

    Reviewed March 12, 2015

    I scheduled my 12 year old son's physical months ago and 2 days before his appointment, his doctor's office, who has been his doctor since birth with this same insurance, called to inform me that we had to get a written authorization or Anthem would not pay for it! What? Seriously? For a physical exam and vaccinations which were covered last year? And our rates are going up 12% this month for what? Less coverage, even though we have a PPO? So, my husband is actually on the phone with Anthem and our doctor's office (2 phones at the same time - no kidding) for 2 hours now trying to get an approval from Anthem. He is still on the phone as I write this!!! This is INSANE!!! Did Obama care really improve things for the hard working people who have been paying outrageous premiums all along? And now we are denied coverage and are paying more!!!!! Arrgghhhhh! There should be a class action suit filed. I'm in.

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    Customer ServiceCoverageStaff

    Reviewed March 12, 2015

    Failed to honor coverage and payment multiple times, for bizarre and outrageous reasons. Then, after admitting they'd allowed a massive breach of customer data, and failed to encrypt or protect our personal info, Anthem's auto payment system failed, they failed to bill us regularly, claiming our policy was going through changes, told us to wait, and then cancelled our policy and refused to reinstate. I am an Inc 500 CEO, fully willing and able to pay my bills. Their marketing department called us once a week even after we asked to be placed on the do not call list, but their billing department didn't have the brains or courtesy to simply call us and let us know payment was due. They were rude and insolent when I tried to resolve it. Anthem is Total. Complete. Failure.

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    Customer ServiceCoverage

    Reviewed March 9, 2015

    First my app was lost a total of (6) six times, from November to the end of Jan. My starting effective date was Dec. 1st 2015. I didn't receive any info from them ever about my policy, only member id cards on Feb 6th 2015. Then on Feb 5th sat down with our agent and she told me of another plan that would be a lot more beneficial to me and said she would switch it over. After calling her numerous times and finding out it wasn't done, she finally called me on March 4th 2015, and said that Anthem would not change anything after 30 days which would have technically been Jan 1.

    I WAS FURIOUS to say the least. Anthem told me a supervisor would call me within 24 to 48 hours. They lied, still waiting on that sup to call. When I would try to call Anthem myself I was not in the system at all. I've hit a brick wall, if the government wasn't forcing insurance and open enrollment of course ended during all this, I would not choose Anthem. Not to mention the cyber attack so my info may be in the hands of a criminal to boot. I am going to alert the local news and whatever I have to do. But I will not just bend over and take this from Anthem!!!

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    Verified purchase
    CoverageStaff

    Reviewed March 7, 2015

    I had a dental plan with Anthem for 2014 and up to now (March 2015). They don't pay out on claims as advertised. I have gone to the same "in-network" provider, and when Anthem didn't outright deny my claims for dental services, they would pay them at the much lower "out-of-network" rate. Their billing and claims departments evidently reside on different planets and are unable to communicate with each other as well. I had claims denied because my coverage had been terminated for non-payment of premiums, even though I always paid my premiums in full and on time. In 15 months, I spent well over $1000 more than I would have spent if I had no dental plan at all. Please do not give your money to this extraordinarily incompetent organization with inconsistent and deplorable service. Your best bet is to ask the staff at your dentist's office which plan they think is the best.

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    Customer ServiceCoverage

    Reviewed Feb. 28, 2015

    Covered by Anthem Blue Cross in 2014. Tried several times over the phone to pay my January 2015 bill, but Anthem refused the payment. Received bill dated 1/31/15 for 1/1/15 - 3/1/15. Mailed check 2/2/15, cashed by Anthem 2/10/15. Premium was refund with check dated 2/17/15 -"contract cancelled". Did a little research as I thought I had a three month grace period mandated by the ACA. Here is what I found: "This grace period applies after the individual has paid at least one month’s premium within the benefit year." My two cents - I believe Anthem refused my January payment in order to cancel my health coverage purchased on the Exchange - their lawyers found a loop hole.

    Of course - It gets worse. Open enrollment closed 2/15/15 - two days before the refund check was issued by Anthem. Next open enrollment is October. Not only are we required to have health insurance (I really would like too - always have had it), but come tax time, there are heavy penalties calculated on your tax return and added to your tax liability for NOT having health insurance. There are times I sure wish I had gone to law school :)

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    Coverage

    Reviewed Feb. 26, 2015

    My Anthem plan requires me to use in-network providers to get the best rates. The only in-network ambulance service listed on Anthem's website for Gary, Indiana is in Hammond, 13 miles away. However, the dispatcher for that ambulance service (the Hammond Fire Department) says it does not serve Gary! I'm eagerly awaiting Anthem's explanation for how I can use an in-network provider that doesn't cover my community, and the state consumer affairs division opinion on whether it's legal for Anthem to charge out-of-network rates if it doesn't offer an in-network provider.

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    Reviewed Feb. 18, 2015

    I always check my deductibles and max out of pocket max. They were always 4500 deductible 4500 and out of pocket 6450 on website. So I thought I met everything and was going to order my drugs through Express Drugs. They said I still had 2000 plus deductible to be met. According to Anthem now we have to meet a 9000 dollar deductible now. I guess now there was hidden language in fine print. The plan was sold as 4500 dollar deductible out of pocket 6450. I even have an insurance card that states so. Also I saved one of their web pages with the old values. Which of course has all been changed. I guess it’s all a big understanding. Of course I cannot change plan now because of deadline.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 17, 2015

    Spent 45 min on the phone with all the automated service trying to get a hold of someone to help me. Was calling because authorisation for my son's diabetic appt was denied. He has been going to the same clinic since he was first diagnosed at 18 months old and is now 18 and he has always been approved in the past but now they are telling me he is denied because we are out of network even though nothing has changed. I am extremely unhappy with this insurance. We also keep receiving bills for services that they will not pay. Including my son's flu shot. This is ridiculous! This insurance is a joke!

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    Verified purchase
    Customer Service

    Reviewed Feb. 14, 2015

    Anthem cancelled policy after payment. I paid in full Jan. 9 and on Feb. 10, when trying to pay, I was notified I had been cancelled. I was told on phone that the funds were misallocated, and I would be reinstated Feb. 14 Instead, all the accounts were closed without my request. On Feb. 13 though, it stated at my request.

    Anthem is pretending this is an account, but I have a card issued by them. They want me to start another account and be without ins. until March; also pay another sign-up fee.

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    Reviewed Feb. 13, 2015

    My personal info and millions of others' info has been hacked and Anthem is responsible for the security of our information. They are not proactive enough, when your security is vulnerable to hackers.

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    CoveragePrice

    Reviewed Feb. 10, 2015

    Anthem is paying for the HACKER ATTACK on the backs of Seniors. Healthcare companies will spend a lot of money to upgrade security systems over the next three to six months. The total cost of Anthem's breach likely will be significant. When retailer Target Corp. suffered a data breach affecting 70 million customers last year, it reported spending $148 million in a single quarter to cover legal fees, forensics and other expenses. That was only partly offset with a $38 million payout from its insurance policy.

    Cybersecurity insurance has become common in healthcare, particularly for insurers. Larger companies can purchase cybersecurity coverage in excess of $100 million, and in some cases, up to $300 million. Average healthcare clients have a $1 million policy, with annual premiums ranging from $5,000 to $10,000. I received a letter dated January 28th, 2015 stating that they are raising my premium $15.00 a month. The new amount is a change to your current late enrollment penalty amount based on the annual change to the National Base Beneficiary Premium. This means that each year that the National Base Beneficiary Premium changes, so will the amount of your last enrollment penalty.

    I was with Anthem last year and they should have rolled me over for 2015. I did not make a change during Open Enrollment, and they called me last enrollment. I called them on 2/9/2015 and talked to Customer Service. They said they would take my information and pass it to the billing department and that they would give me a call to straighten it out. WHY is this happening? Because they need the money to pay for being HACKED.

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    Coverage

    Reviewed Feb. 8, 2015

    Anthem said they sent a letter on 12/18/2014 relaying how to pay for my policy set to begin 1/1/2015. There was no document sent with explanation of coverage details. I received no information regarding finalizing my healthcare policy and Anthem cancelled my policy 1/1/2015. I've spent weeks tracking a human down who said "re-enroll, your policy was cancelled." You're supposed to be given 90 days to pay for the insurance and I was given less than 10 days by their records of sending an UN received bill over Christmas. Obamacare doesn't allow me to re-enroll and I'm still uninsured.

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    Verified purchase
    Customer ServiceCoverageStaff

    Reviewed Feb. 4, 2015

    Everyone needs so to be very careful with Anthem. I signed up for coverage with Anthem in October 2014 with a January 1, 2015 start date and they said someone would get in touch with me so I could make my first premium payment. In November I still had not heard from anyone so I called. They said I couldn't make my payment because it was still pending. I call back in December and was told the same thing. Called again in December and was told the same thing. Finally called on December 31 and they told me the same thing.

    I told them I had to make the payment before the first or I would not be covered in 2015. After being put on hold they said they might be able to work something out so I could make my payment even though the policy was still pending, and then once it's processed they would send my policy and my insurance card. I made my January payment on December 31st. I never heard a word from anyone all month but on January 31st I got a bill in the mail saying my February payment is due on the 1st (the next day) and if it wasn't paid I would not have coverage until it was paid.

    On February 3rd I finally got my insurance card in the mail but still no policy. On February 4th I called requesting that they use my January payment for my February payment since I was unable to use it. They told me they would not credit my account because it was after January 31st. I asked to speak to a manager and he told me it wouldn't do any good because they will tell me the same thing and it will take 24 to 48 hours for them to get back to me. He said he will have my policy sent to me. I guess that will take another month. I'm now waiting for a manager to call me back but in the meantime I'll have to make my February payment.

    Just be very careful if you plan to use Anthem. They are very nice about getting you signed up but that's where it end. They take your money and leave you with no policy, no insurance card and no coverage. It will be interesting to see if they actually pay any medical bills. Next step in Consumer Affairs and Virginia SCC.

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    Coverage

    Reviewed Feb. 4, 2015

    I was a member of Anthem Blue Cross in good standing, I paid our bills for me, my husband and daughter every month. My husband is self employed, I’m a stay at home mom. Anthem DUMPED us off their roles anyway- for no reason. Blaming a "Computer Glitch". They are claiming they refunded my January payment, but of course nothing has arrived. I am too angry to give further details, but am going to explore a CLASS ACTION LAWSUIT- I know I’m not the only one. This company is out of control. IF anything- ANYTHING, happens to my family- while we aren’t covered (I enrolled Blue Shield yesterday - the 2nd), after finding out about Anthem's despicable practices on Saturday, 1/31/15 and we are not covered then I consider them morally and financially responsible.

    They raised their rates for ME ALONE from $640 December 2014 to $760 as a monthly rate starting January 2015 and I didn't complain. I re enrolled thinking it would be easier than switching. What a fool I was- even though I was legally enrolled they dumped us off anyway. I have NO major illnesses- am very healthy. Makes no sense.

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    Coverage

    Reviewed Jan. 29, 2015

    My son had an annual physical and was required an immunization. After years of having shots and annual physicals, suddenly now Anthem is not covering an immunization that is required in order to be enrolled in school. The fee for the immunization is $193.00. The physical took place in August of 2014 and now in January of 2015, I just get a bill where they have denied the claim.

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    Anthem Company Information

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    Anthem
    Website:
    www.anthem.com