
Anthem Reviews
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About Anthem
- Comprehensive coverage for treatments
- High-quality care from providers
- Efficient claims processing
- Rising premiums and deductibles
- Limited provider network options
- Communication issues with support
Anthem Reviews
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Reviewed Jan. 28, 2015
Anthem's phone service is absolutely terrible! Several occasions I have called to have benefit questions answered or to solve some issue. And it's always, the same, I'm on hold and told they may have to transfer me, only to be disconnected after about half an hour on hold. Usually I'm on hold for more than 40 minutes. So on some rare occasions, I'm on hold only for 20 minutes, but usually disconnected somewhere. Their phone system never gets you to the right person and is not easy to navigate. Someone needs to discuss this with them.
Reviewed Jan. 22, 2015
My wife had an office visit after her neck surgery from the same surgeon who performs the surgery. The office visit, Cervical X-ray and all other payments are denied by Anthem to Indian Spine Surgery. My wife has a GOLD Anthem program that cost approx. $941 per month. Unfortunately, I know the ultimate goal of these insurance companies are to deny the claims than to pay for it to increase profitability.
As a group who are suffering with the atrocities of these insurance companies, we should form a collation to convince the Govt. to have a public option (similar to Medicare) that can compete with these insurance companies. Obviously our ultimate goal will be to eliminate the Health Insurance Companies and have a one National Health Plan. We should be living in a civilized country similar to other civilized countries of the world who has a National Health Plan.
Reviewed Jan. 19, 2015
My son Chris has been on Aetna ppo from United Airlines from Jan1st till now. Out of the blue the Rawlings company who works for Aetna says my son has another bcbs anthem policy. They have taken all their money back and left my son to pay a 986.00$ bill. He claims he never got another policy. I had bcbs of Illinois in 2013. Then United changed the ppo to Aetna. My 2 sons and husband and myself are on this policy. At first I thought that it was a mistake and the hospital bill our old insurance. But Daniel at the Rawlings company said it was another bcbs anthem plan. Chris has no other plan.
Reviewed Jan. 15, 2015
ANTHEM CUSTOMER SERVICE: OVER-PROMISE/UNDER-DELIVER!!! BEST BET? AVOID ANTHEM ALTOGETHER. This is the second hellish month I've had with Anthem giving me misinformation, incomplete information, pieces of information, false information - AND the Anthem website is false. My primary care doctor (like many in our area) has not taken Anthem insurance for 15 years due to the horrible rate payment. Anthems website shows my primary care doc of 6 years is IN NETWORK. He is NOT. My former doc says that if it's in the Exchange, Anthem pays less than Medicare for services. The CEO is getting fatter.
HERE'S the latest mediocre, INEFFICIENT ANTHEM customer service experience: January 5th, 2015 - expecting my insurance to be in full force for the 2015 (per the letter that CA Covered sent me dated 11/22/14). I contacted Anthem to ask why I was unable to access my on-line account (to check if my doctor I had an appointment with on the 6th was in network) . Anthem is showing that I am not eligible and that I had not picked a plan. Both untrue. This meant that the prescriptions I needed refilled (several) could not be purchased by me and that I have slowly been running out.
I pushed the first rep I spoke to in order to get to some other ASAP department. The Anthem rep. told me I needed to contact California Covered and get them to overlook that I hadn't picked a plan by the end of December. I was told by the rep. that CA Covered could contact Anthem if they decided to. When I called California Covered, they said that Anthem WAS WRONG. The letter that California Covered sent me dated 11/22/14 showed that they had approved me for 2015 and that Anthem should have followed through. The California Covered person gave me an incident # and told me to have Anthem contact CA covered and they would take care of everything. 5 DAYS LATER I contacted Anthem to find out what the status was as I URGENTLY needed prescription refills. UNTIL THAT MOMENT, NO ONE had contacted me or left any type of message/communication for me stating that I needed to call Anthem for a 3-way conversation.
The Anthem rep I spoke to told me then that someone had tried to get a hold of me?!?!?! To have a 3-way conversation between Anthem and the California Covered people to verify that I was me and that California Covered could not release my application until this had occurred. The application release did not require a 3-way call the first time around?! That they should have already gotten to Anthem without the need for a 3-way phone conversation?!?!?! Said it took 3 days for Anthem to determine that a priority status to push my application through would require a 3-way conversation with California Covered. That was done on the 8th?
January 9th - I received a call that it would be ANOTHER 48 to 72 hours before ...I am not even sure what the "before" means (before I can pick up my medication, before I will have active insurance, before Anthem contacts Express Scripts to let Express Scripts know I am now enrolled for 2015 so that Express Scripts could inform Anthem, and maybe I'd get a call informing me that I MIGHT HAVE APPROVAL TO pick up medications that I have been involuntarily withdrawing from?!?!?)
Sunday, January 11 - ABSOLUTELY NO ONE IN THE ANTHEM OFFICE, even Express Scripts had someone in the office to speak with. Monday, Jan 12th - I called Anthem today and I was informed that Anthem was closed on the weekend and that the 48 to 72 business hours meant by midweek. Absurd: I needed to be sent a bill before I could pay and I wouldn't have coverage until I paid the monthly payment. I asked if I could pay for the months insurance premium last week but was told that there would be nowhere to put the money. I could be sent a bill that I could then pay and that then I could get my medication.
Meanwhile, the Lamotrigine that I take should be partially out of my system and then I have to get back on it slowly over the next two weeks or I could suffer LIFE THREATENING CONSEQUENCES, per my doctor. The Anthem rep. informed me that he could escalate a request for medication in the interim but that the department that receives the request will only authorize prescription fills if it is a matter of life or death, and that it would still take the same 48-72 hours.
Life or death? Should that be an EMERGENCY zero hours? Anthem is no place for an EMERGENCY death. Rep also informed me that I could pay full price and maybe get reimbursed. Trust me, if I could afford full price for medication, I would not have anything to do with Anthem. Tuesday, January 13 - I just think I'll see what happens with this JOKE MEDICATION ESCALATION PROCESS. 48 to 72 hours. SLOW BURN, not an escalation. I received a phone call from the person who received the paperwork for life or death medication requests (I'm thinking of that movie The RAINMAKER, about the insurance company who denies until the cancer victim DIES. Obviously not the same scenario as cancer but I can't help but think about the poor families dealing with a life threatening illness and both parents are working two or three jobs.) TEN DAYS from my first inquiry/72 hours after I was told it would be 72 hours.
Wednesday, January 14th - no word from Anthem in general. No email, phone call, nothing to say that my application was processed. I think it has been 72 hours since they said that this whole thing would be resolved. I went to the Anthem website to log in and it shows that I do NOT have insurance or prescription benefits. By the way, don't bother emailing customer support. I have received nothing in response to a complaint I sent a few days ago. No thank you for your email, nothing. And if you have questions for the live chat, its a robo chat that slips in automated responses that are mostly a sales pitch and answers no real questions.
Reviewed Jan. 14, 2015
The Anthem BCBS website does not operate properly. I have sent numerous emails to Anthem all pertaining to the poor search function feature in their website, all to no avail. It's like this company just doesn't care and, unfortunately, with Obamacare they have even less reason to do a good job. My plan (a silver plan) was changed on me effective 1/1/15. I was under the impression that it was mostly a name change with some minor adjustments to our co-pays (which, by the way, are never applied correctly but that's for another review). I decided to confirm that all of our doctors were still in network because of the plan change. We had an unpleasant experience last year when my husband went to his prior doctor for a physical and we got smacked with a $300 bill because the doctor turned out to not be "in network." Personally, that doctor should have known whether he was in network prior to seeing my husband but that is another issue. It is critically important to only see doctors that are in network or you will pay a huge fee.
The website takes more than 15 minutes simply to log you in because it is so slow. The little icon spins and spins and there is nothing you can do but wait. Then, once in, you have to search for doctors that are in network. The problem is that when you press the search button, nothing happens. I started counting how many times I had to press "search" before the website actually performed a search. One time I pressed it 9 times! Another time I had to press it more than 13 times. That's when the fun really begins.. the search results are inconsistent. The website initially told me “None of our doctors are in network,” which sent me into a panic. I did a search with no doctors just to see if the search feature was working and, sure enough, doctors populated my screen and strangely 2 of the 3 doctors that practice at ProHealth Physicians were listed as being "in network."
This makes no sense. Why would only 2 of the 3 doctors in that practice be in network? I called Anthem very upset and while the person I spoke to was sympathetic, he had no clue what was going on except to confirm that it did not make sense for 2 of the 3 doctors to appear as being in network with the third one not being recognized. I got off the phone, no wiser, and attempted to do another generic search but this time, the website came back telling me there were NO DOCTORS AT ALL that were in network. Finally after spending more than an hour searching for 3 doctors, the website finally came back telling me all 3 doctors are in network. (The only reason I kept searching not accepting the results I was getting was because the search results were so inconsistent...)
If you are really in a jam and facing a medical emergency, there is no way you can find out in the spur of the moment, which doctors are in network. Even the Anthem representative admitted he also had a hard time using the search feature. My family pays close to $1,200 a month for this crappy insurance! Our deductible is $5,200 for the family. My insurance agent has told me that all doctors’ visits (except for hospital admission) should be billed as straight co-pays but that is not what is happening. We do not receive a subsidy. I lose sleep at night worrying about how we're going to pay the monthly premium but that is the going rate for a family of 3. The policies offered one tier down from ours are the "don't get sick" kind of policies which are useless in my opinion because one incident will take your family down financially.
I want to know how this company can get away with providing such poor service while charging such exorbitant rates. Reading these other reviews frightens me. My understanding is that if you have a medical emergency, all expenses will be covered as "in network" regardless of where you go... from the looks of these reviews, it appears that Anthem doesn't want to honor this provision. Overall, I am seriously thinking of changing our insurance company. As long as I can keep my doctors, it doesn't make sense to stay with a company that provides such poor service. God knows, for $1,200 a month, I can find any number of companies that offer similar coverage.
Reviewed Jan. 9, 2015
We needed to add our 16-year-old daughter to our policy in October, 2014 due to a change in qualification with her previous insurance. I called Anthem, our health insurance provider, and they e-mailed paperwork. My husband signed the papers and sent the forms in. We received a letter stating we needed to sign the signature page. On October 17th, my husband resigned the form and faxed it back. A couple of weeks later I called the company to check the status and they still said they didn't receive the signature. At that point we resent the form. A week later there was still no change, so I spoke with the same representative who had us e-mail the form to him. I spoke with him several times during the next couple of weeks and he said it was waiting on approval from underwriting.
On November 26, 2014 my husband and an H.R. person called Anthem again to find out why the application was being held up. At first, the Anthem representative gave my husband the "I can't help you" speech until the H.R. person spoke to them using their jargon. After that conversation, the representative told them my daughter would be added to our policy within 7 to 10 business days. We received a confirmation call stating that she would indeed be added in 7 to 10 days.
Today, January 8, 2015, I called Anthem again. Not only have they not added my daughter to our policy, but they have cancelled my self and older daughter's life insurance policies. I asked about the life insurance first. The response was that the policies were not canceled, but converted. The representative gave me two sets of numbers and neither was correct, nor did we receive any notification of the change. Now, we are unable to pay our bill, therefore we will be dropped due to non-payment. The representative told me they never completed the approval process to add my now 17-year-old daughter to our policy on November 26, 2014. She said they will expedite it, again, and she should be added in 24 to 48 hours. At this point, I no longer wish to do business with them.
Reviewed Dec. 26, 2014
I have had Anthem Blue Cross for at least 20 years. I have an individual policy because I was self employed & now retired. We have spent 4 or 5 months of the year out of state at another vacation home we own for years. We have always been covered when going to a Dr. there. My wife & I just found out (after calling Anthem since August) that the services we have received out of state this year were denied because Anthem will only cover emergency services or urgent care services received anywhere but California. We are now stuck with large billings that we thought would be covered. We called Anthem & they kept saying that they needed to reprocess these, when all along they knew that they wouldn't be covered! Now what do we do if we get sick when we are out of state for those months. We were told that this is not Anthem's fault, but it's because of the "Affordable Care Act". This makes me so angry. What can we do. We are paying so much for the premium & so much for deductible & out of pocket, it's like we have no insurance. So much for "everyone will have insurance coverage." Yeah, if you never get sick outside of your state!
Reviewed Dec. 23, 2014
Anthem Healthkeepers Virginia is the worst insurance company in the world. My 83 year old mother had Medicare and Virginia Medicaid. In July of 2013 everything was switch over to Anthem Healthkeepers Virginia (Coordinated Health Care) because of Obamacare. She was not given a choice. In March of 2014 she was diagnosed with lung cancer and required radiation treatments. Prior to her getting cancer, she never got a bill form any doctor or hospital. Now she is getting hit with a bunch of bills because Anthem keeps denying claims.
Well, it is now December of 2014 and the cancer has taken a turn for the worst and my mom now needs to be put into a skilled nursing facility with Hospice care. Anthem Healthkeepers Virginia has repeatedly denied all claims from her doctors, hospital and the skilled nursing facility. Anthem basically told her to go home and die at home without any medical care. Despite all the efforts from the hospital, doctors, social workers and the coordinated health care specialist, Anthem Healthkeepers still denied their request to accept my mom into skilled nursing facility.
So now I had to opted her out of Anthem Healthkeepers Virginia and get her back on Medicare and Virginia Medicaid. This will not take affect till January 1, 2015. I just hope my mom can bare the pain till I get her into a skilled nursing facility. Anthem Healthkeepers Virginia should be ashamed of themselves for allowing a dying woman to go without the health care she needs.
Reviewed Dec. 18, 2014
Karleah answered my call. She was very rude and disrespectful. I requested a supervisor and she transferred me to an automated system that requested a extension and then the line hung up. I called back and was placed on hold over 17 minutes just to be told again I have the wrong number. This is by far the worst customer service received and even when I called again for a third time Nancy was just as rude and nobody seems to know where a supervisor is at except in a meeting. Every time I call it is the same answer, how does anybody operate a business when there are never supervisor is available. A lot of problems can be resolved at the lowest level possible but there was no resolve to my concerns.
This rep. needs to be coached and her attitude along made me not want to do business with Anthem. Nancy was constantly antagonist and she was nowhere near friendly and did not want to understand that I am already frustrated so she chastised me like I was the problem and the last time I checked were both here to do a job and I called your company searching for answer and there was no resolve in this matter!
Reviewed Dec. 15, 2014
When I first enrolled in Anthem Covered CA in December of 2013, I had decent group insurance through Anthem. Unfortunately, the premiums were due to increase substantially, so I decided to switch to Anthem Covered CA. I followed the website links to "find network doctors," and found both my primary care and OB-GYN on the list for my zip code. Unfortunately, that was a lie. Neither doctors were in the network, something I didn't discover until I showed up for an appointment with my primary care doctor in February. My doctor told me it was a bait-and-switch and that he'd heard there was a class action lawsuit in place. I later learned that he was right, as the local news in my area broadcast information about this lawsuit in November 2014.
Wait times are ridiculous. I called Anthem this morning to change my plan, as the premium increase has again made it necessary for me to move to a less expensive plan. I spent 2 hours on hold before giving up. I selected my new plan on the website but was then moved to a page instructing me to call an Anthem adviser to finish up the change. How long am I expected to spend waiting on the phone?
Reviewed Dec. 4, 2014
I was having acute problems with my asthma and my doctor prescribed prednisone. I completed one course of the medication with little improvement, so my doctor prescribed a second round at a higher dose. When I presented the prescription to my local pharmacy Anthem refused to pay for the medication, stating it was "too soon to refill the medication," as I had completed the prior course of medication as prescribed and had a new prescription for a different dose. How can a health insurance company refuse to fill this? What do I pay my premiums for? I paid for the medication out of pocket with no help from my health insurance company. After all, I really needed to keep breathing.
Reviewed Dec. 2, 2014
My husband and I had Humana Insurance for many years... had to change to Anthem when Obamacare began. We are both very healthy, and have had very minimal use of our Health insurance.... wellness visits, etc. only. I am 64 and he is 54. Until this year, my husband had never been hospitalized for anything. He had a perforated bowel in September that was extremely painful and sudden, and I took him straight to the emergency room of Ephraim McDowell Hospital in Danville KY. He was admitted through the emergency room, in terrible pain. Result was a partial colon removal, with a temporary colostomy.
The admissions person asked what insurance we had, and we told her BCBS, which she said was fine. She never mentioned that the hospital is NOT "in network" with BCBS. You can guess the rest of the story. Not only was the hospital not in network, neither was the surgeon. We assumed that if the hospital took BCBS, we were covered. All of the EOB's we received, from the Pathology Dept., the Radiology Dept., the Anesthesia Dept., and the Emergency Dept. all said in Network. Every EOB we received said "In Network"... including the last one, which was from the Hospital itself, but that one showed us owing $8671.85. (When I called BCBS about this, the person on the other end was very surprised that the EOB said "In Network", and she said it was a typographical error..???) That amount was charged because they said the hospital was not in the network, so we had an additional amount of deductible, plus 30% out of pocket.
When our bill from the surgeon came... it was labeled "Not in Network", and was consequently higher than we expected. I think the hospitals and physicians should be obligated to tell the customer if they are not in the network whenever BCBS insurance is presented. The BCBS agent I talked to told me to write a letter, which I did. She said that since our situation was a medical emergency, and he was admitted through the emergency room, they might reduce the payment... I'm pretty skeptical about that. Anybody else had this issue? I'm thinking a lot of people have been victims to this.....I did find the clause in my Anthem paperwork that says the consumer must make sure that their doctor and/or hospital are "In the Network", but it is NOT on page one in bold print! I feel stupid for missing it, but I'm sure other people have done the same.
Reviewed Dec. 1, 2014
Anthem notified my wife that our PPO plan would no longer be offered as of July 1, 2014. Anthem provided a phone number to call to purchase a replacement plan. My wife called and was offered several options with varying levels of deductibles, out-of-pocket maximums, and premiums. She went over the options with me and we chose the "silver" plan. At no time was the term "HMO" mentioned. We would have NEVER considered purchasing HMO insurance. There was no discussion of out-of network benefits (which there are NONE). Four months later, my wife has lymphoma and we are paying out of pocket for all her oncology care. Her oncologist participates with Anthem. We have Anthem insurance (or so we thought, until the "Healthkeepers" insurance cards came in the mail). I spent many hours on the phone with Anthem and got nowhere. I am a physician and understand insurance issues more than most. If Anthem continues to refuse to cover my wife's oncology care, we will file a lawsuit.
Reviewed Nov. 18, 2014
Received a letter on 10/27/14 that my policy was no longer available, would be canceled 10/31 & that I would be switched to new policy. I paid my annual deductible and now with 6 weeks left in the calendar year I have been informed that my deductible is $2500 with the new policy however, I'll be switched to another policy on Jan 1 with another $2500 deductible. I received no notice of a deductible increase and now I have been informed by doc of a mass which will require additional testing & surgery, thanks for the $5000 deductible in a matter of 2 months. How can this company get away with changing an individual policy end-year without rolling over the deductible? This is not the policy I signed up for and now that I need coverage more than ever, not getting it. Very disappointed in insurance Companies being able to terminate a person's policy mid year. Who's to stop them from continually doing this to people all the time?
Reviewed Nov. 18, 2014
My 2013 providers' bill have not been paid to date i.e end of 2014. I have been calling the Anthem almost every week and each time I get a different person. I have been enrolled in medicare advantage plan. Some uneducated and possibly stupid person dis-enrolled me from the plan even though they were getting my premium through medicare. That person does not understand simple rule of medicare that once a person is enrolled cannot be dis-enrolled until the following January by either party. I have been struggling since 2013 to get my providers paid by calling Anthem every week because the providers legitimately asking me to pay for their services. This company probably pay employees minimum wage, therefore, gets only intellectually challenged people who lacks understanding of simple rule written in English language by Medicare. After almost a year of hassling with them, I absolutely came to hate this company. Why OBAMA care did not get rid of all these cheating insurance companies? Because the politicians have been playing games with our health for decades and this will continue.
Reviewed Nov. 8, 2014
In May 2014, took on this insurance - was never ill. But 3 of my doctors, therapist, regular doctor, were in network. They told me Mather and stony brook also were in network. I got sick with a emergency in august, brought to er and Mather, they thought I was having a heart attack, and had a pulmonary issue. They put me on blood thinners, I was sedated, they wanted to keep me at Mather for 2 days. It was the weekend. On Monday the 18th of august I was taken to stony brook hospital. The cardio doctors did all the test there on my heart. I have a virus, and after 2 cat scans on my lungs there were spots, they kept me on blood thinners. All of this was emergency, they saved my life. This company, Anthem won't pay stony brook or the doctors, saying this was not an emergency. I am home not working on a lot of medicine, going to therapist for empire is stressing me. I am going to sue them, these people deserve to be paid. Who can I get in touch with to start a lawsuit.
Reviewed Nov. 3, 2014
I have had group health coverage through my employer with Anthem Blue Cross since 1999. I have been told that my plan is being "forcibly" changed to "Obamacare". I will lose my doctors (as they do not accept Obamacare) and my employer is being forced to pay greater premiums. What can I do to contest and/or appeal this forced change to my insurance plan?!
Reviewed Nov. 2, 2014
I canceled the medical insurance policy back in May 2014 since it was only effective in my previous state. I did it thru their website. It was confused with another, already cancelled policy (**). They continued to bill me. I sent a USPS certified letter restating and proving I canceled the policy. That letter was refused. My member account online says "under investigation" as a means to avoid acknowledgement of the cancellation to continue to demand more premium payments.
Reviewed Nov. 1, 2014
I absolute hate this company. They have been my insurance carrier for 15 years because it is the only option my employers offer. My premiums have quadrupled over that time and my benefits have decrease. The company is full of tricks to pay claims. Here are a few: repeatedly denying claims for ridiculous reasons - e.g. Denying payment for my rubella vaccine because it was "infertility treatment". After months of phone calls by me and my doctor arguing about this (I was pregnant and not infertile at the time) I gave up and paid.
My 1 year old son had a medical emergency and had to be taken by ambulance to the nearest hospital. They denied coverage for the ambulance because it was out of network (sorry I had no choice when I called 911) then they denied coverage of the emergency room doctor's portion of the bill because they were out of network. I spent hours fighting this and writing the insurance commissioner about it and go nowhere. I found out that all emergency medicine doctors in the 4 hospitals in my area had refused to take Anthem because they slow pay so I actually have no option for in-network emergency care.
The Anthem customer service reps told me I would need to get pre-authorization, then they would have covered it. My 1 year old stopped breathing! I was not thinking about calling Anthem, I was trying to save his life. Currently I have a $45 copay per dr visit, I always get extra bills and have paid over $3500 out of pocket, not including the $500 a month we pay in premiums. Despite this only $750 has been applied to my deductible so we still keep paying. Every time I call I spend at least 1 hour on the phone and get nowhere. Anthem has decided that I cannot have access to my children's EOBs because my husband is the employee (primary) on the plan. Of course I am still a financially responsible person for their care and you bet they would look to me for payment.
I called to see if they would cover my chiropractic bill. They said they would pay 50 percent of cost up to $20. I submitted bills and after a month they decided to pay $3 because they will only pay 50% of what they deem a fair and reasonable charge. They decided $6 was fair and reasonable. How they would they ever pay up to $20? I called to see coverage for a procedure for my child and they quoted me a similar coverage (all the while telling me that this could not be construed as an agreement to pay for anything, so what's the point). This time I knew to ask about what they deem fair and reasonable. They admitted they would only pay fair and reasonable amount but said they do not disclose ahead of time what that amount is. So there is no way to know ahead of time what they will cover. Again, an hour on the phone to get nowhere. It is so bad that I think I will pay the penalty for not having health insurance and still come out ahead.
Reviewed Oct. 28, 2014
There is absolutely nothing good about Anthem's coverage. It has been getting worse for a decade now. Today, October 28, 2014 we were told there would be a 27% increase in our premiums. Yep, 27%. We saw the chart how they hadn't raised our rates much the last few years. Well, that is because we were forced to change our plan, or have major rate increases. First it was a small deductible, then a few years later a $3,000 deductible and then last year raised to $5,000 deductible. ONLY SERVING to discourage people from actually using its coverage. I have to pay $720 per month to "reserve" a coverage spot. If I actually need to use it, I pay $5,000 per person.
One auto accident not only is awful in the first place, but it would put my family in financial ruins. It was hard enough getting by before, now I have $150 less per month to spend on food, clothing and any other necessity. The things I want to get fixed I haven't in years because it will only put me in more debt. I have to pick: Do I live with the physical pain? Or do I live with the mental pain of constant debt and not being able to afford things? The government will not do anything to stop this.
I know next year there won't be a rate increase well, unless we want to keep the same plan. But, we will probably be able to keep paying the overpriced, un-american, foot on throat fees if we simply up our deductible to say $7,500 from $5,000. Dems say it's the Republicans. Republicans say it's the Democrats. Health Insurers claim it's the hospitals and Obamacare and on and on. I'm tired of the good cop bad cop routine they are using to suppress the middle class.
Reviewed Oct. 24, 2014
We started a small business, and the premiums for small biz insurance for our family of six were outrageous. Our insurance broker suggested putting our four kids on a separate private plan, with our oldest daughter (14 at the time) as the subscriber. We chose Anthem for our kids, and it saved us about $600/month. Then Obamacare happened... our small biz insurance was cancelled, rolled to a new plan, cancelled... same with the kids' insurance... And suddenly, we were going to save $400 by putting the kids back on our small biz plan (in about 6 months, the kids' premium went from about $250/month to $600/month, for no reason). So I called Anthem to cancel.
Anthem wouldn't talk to me - I am not on the insurance plan. But I pay the premiums and am the legal guardian of the kids on the plan! So I offered to put my daughter on the phone so she could cancel the plan - nope, she's a minor! What??? We make automatic payments, so I told them I'd just refuse their payments through the bank to cancel the insurance. They threatened to send to me to collections and ruin my credit if I did that. I've literally spent hours and hours on the phone trying to resolve this issue, and only managed to speak to a live person 3 times. Each time they said we can cancel by filling out a special form and faxing it to them. Each time they promised to email me the form within the hour. Never received an email.
We have used this insurance exactly twice a year for one of our four children (scoliosis check-ups). We get vaccinations and flu shots through a local pharmacy paying cash because it's cheaper than the co-pay using our doctor. We don't even use the insurance! None of the kids has been sick at all. We recently received new insurance cards with no explanation - but our plan had been changed without notice. I called to try to get details of the new plan. Hours of waiting, being hung up on... finally reached a person and was told, again, that since I'm not on the plan, they couldn't give me any details. They suggested I sign up for a web account to see the details. So I tried... you have to be 18 (my daughter is 6 months away from this now) to have a web account.
Of course, a minor emergency struck last week. Our youngest slammed his finger in a door and mangled his finger. We went to the ER. I was stunned - our co-pay was $350! What in the name of all that is holy??? The lady taking our info said it was the highest ER co-pay she's ever seen. We pay $600/month. We never use this insurance. When we actually need it, they screw us. I'm so fed up with this company. Tomorrow I am stopping payments to them from our bank - I don't care what they try to do to us. Lawsuit, here I come.
Reviewed Oct. 22, 2014
I take the same drugs each month and every month it is a different amount cost wise for the same amount same pills. Drugstore says "that's your copay this time." Varies from $67-$76. The drug store says it's the same price. It is the prescription plan with different prices.
Reviewed Oct. 21, 2014
Anthem took my money for 3 months of health insurance, and then opened their bag of tricks intended to make sure I could never see a doctor. Here are just a few quick highlights:
Every time I called, they weren't sure who I was or whether I was covered. But they sure had taken my money. "Register on the website to see a list of doctors." Only the website took my info in form after form, then timed out when I tried to submit. Repeatedly. Reliably even. My phone calls were returned over a week later. Sometimes they responded with letters dated a week later, but the postmark was a month later. After several weeks, I got the website to allow me to register. Over the next couple of hours, through slowly expanding searches, I found that they had no doctors from any specialty within any number of miles from my location. When I called about this: "Who is this? Are you sure you're insured? Oh, then register on the website for a list of doctors. Etc., etc." They responded to my complaint to the BBB with more stall tactics: A delayed, false-dated letter sent to the wrong address for me, misspelled as well, with forms enclosed and materials suggesting if I handled it through the BBB rather than trusting Anthem they would not be able to properly respond to my complaint.
Everyone who had Anthem insurance should report them to the Better Business Bureau and see if we can motivate a class action lawsuit. Normally I think American society has become too litigious, but thieving companies like Anthem is what the judicial system is for. I want my money back.
Reviewed Oct. 17, 2014
My local doctor and hospital were bumped from Anthem's network, no explanation. Covered lab expenses were denied then reversed after I made a lengthy appeal then denied again, due to "coding" errors. No general practitioner in their tiny network within an hour's drive taking new patients. Uninformed and rude call center operators, long waits on hold, frequent hang-ups. Overall hideous service.
Reviewed Oct. 9, 2014
I have had a wonderful experience with Anthem Healthkeepers Virginia. I applied online and the site was most user-friendly. I was able to print my temporary insurance cards and my permanent cards along with my policy came in the mail within the week. I recently added dental over the telephone and the agent was very helpful. I didn't have to change my primary doctor and the specialist that she refers me to also accept the insurance. I love it. Kudos!!!
Reviewed Oct. 8, 2014
You can imagine that while writing this review, there are words that I want to use to describe their service, but for dignity's sake, I'll refrain from using them. I had spent the last 4 months trying to update my address that was in their system. I called more times than I can count, and every time I did, they either redirected me back to the automated system or to another number that nobody was available to answer, or they just kept telling me that it was updated. The ending to this story? It's been 2 months since I've tried to cancel my membership with them and decided to go with another insurance, and they're still sending me bills that I should have stopped getting 2 months ago...TO MY OLD ADDRESS! It took 2 hours on the phone with them, during which they kept redirecting me to the "marketplace" who kept redirecting me back to them. It turned into a ** back and forth tennis match, only in this game, there were no winners.
Reviewed Oct. 8, 2014
I have NEVER received a bill from anthem..I called several times in regard to this issue in which no one solved my problem & I still went without receiving a bill. I call today 10/8/14 to make a payment only to be told my policy was cancelled & that bills are always due the first of the month & basically said I should have remembered the due date. My response: "Isn't that what the bill is for." All he could say was "I understand your frustration" so not only could I not speak with a supervisor, I have to wait 24-72 hours for someone to contact me & still have no insurance..He ends the calls by saying "Can I help you with anything else?" Really mr? Really? If I have no policy what else could you possibly help me with..This company is horrible & it sucks..
Reviewed Oct. 8, 2014
I am the holder on the account and me and my wife are no longer together. I tried to get her off my account starting in February of 2014. Called, they told me to send a fax which I did and when I called in to make my payments, they said I had to pay for both, as she was still on the policy, forcing me to pay for someone I did not wanted to!!! They said I will get my money back when she was off. In March was the same deal and April was the same. It's a scam. Anthem is forcing its customers to pay. CAN THEY DO THAT??
I got fed up and stop paying as I could not afford to pay for both. How long does it takes Anthem to take someone off the policy after the policy holder ask them in writing to take someone off??? When I called to get my insurance back and told them the story, the lady said, "It does not matter who was wrong, you did not pay!!!" What? So it's ok to be illegal and Force people pay for something they don't want to?? What a shame!!!!! It's fraud and millions of people are going through this crap.
Reviewed Sept. 23, 2014
HORRIBLE HORRIBLE HORRIBLE customer service department and agent network. I called in to make a simple upgrade to my dental plan and in the process spoke with Karen>Yolanda>Lugenia>Emanual>Devon>Edwin>Kay>Mark (manager)>Anne>Brittany>Jennifer>Jesse (count, 12 people!! ), spent an hour and a half on the phone, and STILL DID NOT GET MY PROBLEM RESOLVED. Grrrrr. Still have the same coverage, I obviously had to give up because of time constraints. What an absolute waste of time...I'm moving on to another company soon and can hardly wait.
Reviewed Sept. 17, 2014
My Dad is 74 years old... widowed. He is on a fixed income. When my mom passed away... they did away with his insurance so I had to find him insurance that cost tons more than what they were paying together (this happens to all seniors). He is diabetic and the medicine is outrageous... I wish I was on some committee that could rally about this. They count too! How can they just take all his money? He has to eat and pay bills... so at 74 he has to go back to work to be able to stay alive. How funny is that... Not too well in my book. Come on can we not do something about this? Whose fault is that... Help!!!!
Reviewed Sept. 14, 2014
I've not skipped any premiums. In fact, I've paid till Oct 1 according to the staff who processed my payment through the phone two weeks ago. Yet yesterday I received a cancellation notice from Anthem Blue Cross telling me that my 7 year old son's healthcare policy was cancelled due to no payment. I called the toll free and was informed that his account was cancelled. The notice said Anthem cannot reinstate our coverage and we have to wait until the next open enrollment period to submit new application. I called Anthem but nobody was around. Because the cancellation notice was received on Saturday, I have to wait till Monday to contact Anthem. What has happened to the premiums we paid Anthem? In the meantime, we risk having no healthcare coverage for him which is illegal. Pray that my son do not need any visit to the doctors. I do not understand why Anthem can cancel someone's healthcare without calling or checking our account.
Reviewed Sept. 4, 2014
BCBS Anthem dropped my 19-year-old son from my husband's BCBS Anthem plan (in conjunction with Teamsters Joint Council # 83 of VA) in 2012 when my husband retired from UPS. Although we still pay for a family policy through BCBS Anthem, the new government health care laws apparently gave the largely Democratic Teamsters (who contributed millions to usher in Obama and Obama Care) the exception to OPT OUT of paying for member's children under 26 years of age for its insured who were no longer actively employed. I guess special favors to Teamsters for its large political contributions to Mr. Obama.
So we willingly signed our 19-yr-old son up for an individual BCBS Anthem plan and he has been paying his own health insurance since September 2012 (Our son is self employed, working hard to make a go at small business, an environment that already kills small businessmen with taxes). This past month, we received notification that his insurance premiums and deductible were increasing...to the tune of $100 more each month. Our 21-year-old now pays $272.87 monthly and that is without dental coverage! Dental insurance will be $40 more monthly! $313 monthly premiums are a whale of a lot for any 21-year-old to have to afford.
Deductibles increased from $500 to $750. But the killer is how much worse his benefits will be! Most medical services, like lab, X-ray, or specialists, urgent or ER services, out patient surgery, etc. can no longer be accessed without first meeting the $750 deductible, which makes the insurance virtually useless for a single insurer. No sooner will he meet the $750 deductible before another calendar year will roll around. But the thing that has upset us the most is that this new HealthKeepers Plan we are stuck with under BCBS is NOT ACCEPTED by his current doctor, so we have to look for a different doctor and none on the list are worthy of taking your dog to. Thank you, President Obama and ObamaCare! You have, once again, screwed the MIDDLE CLASS of this country.
Reviewed Aug. 15, 2014
I work at Delta Faucet Company & have coverage through a group plan, like most large manufacturing companies offer. Anthem Blue Cross Blue Shield deducts $172 from my pay check for the best family plan! And they have deducted this since last August! To date I have not had Anthem BCBS to cover my dr or prescriptions! This was the whole reason why I got insurance! Instead I'm still paying cash for my dr & Rx but now another $173 for insurance, also! I should've just opted out & saved over $2000!! I cannot change anything unless it's open enrollment "September-October". BCBS denied my dr visits & my Rx! They stated it's because it's non-medical??!! How can an insurance company choose what is medical when it's your health & your money??!!
Then today I take my daughter to the dr for the first time since I got her insurance, EVER! The dr says my card is inactive! They call the number on it & yet it says its active insurance! The website with my member number says I have the family plan insurance also, along with the amount I pay monthly per payroll deductions!! Tried to fill my daughters Rx but they say I have no insurance!! The Rx is $123!! Then I call my doctor & the nurse says it sounds like a conspiracy; you have insurance only when you contact BCBS by phone or web, and they look up your member number. Yet reality is at the doctor & pharmacy you have no insurance!! Anyone can collect money from people & say it's going towards insurance - ANYONE CAN, then just pocket it & tell you everything is fine when reality is your money is being outright embezzled! They are just telling you lies when you call because they know you should be covered!!
BCBS is making sure to show clients what they pay for online & by phone or by paycheck deductions!! But reality is they run your card & you show no coverage!!! I am going to my Human Resources Dept tomorrow & throwing a fit until they sort this ** out! I have insurance Paycheck deductions yet stand in line at the dr & pharmacy & on the phone on hold with BCBS for an hour & half so I hang up!! So, I look them up to discover this site along with countless others complaining on BCBS!! No wonder people live off the government!! I'm working & paying for insurance that's useless!!!! How could this even be possible?? All the stories here sound like what I've encountered!! On the phone forever, pretty website yet useless!! Every procedure & Rx listed as covered on their website is in fact not! And the doctors listed as providers are not either!! What can be done???? I'm so upset!!! This is a scam!! How's this legal!?! It's not!!!
Reviewed Aug. 13, 2014
My family has been covered, privately, not through an employer, by Anthem Blue Cross for several years. We have rarely made claims and have had few health issues. Suddenly, out of the blue today, we learned our coverage was canceled. The phone agent claimed it was due to a lack of payment. We have never not paid a bill, but the agent could not provide any copies of bills, state any dates of missed bills, nor any explanation as to why they were missing any payments. The only thing he repeated was that we could not be reinstated until November 15. This comes at the worst possible time, as we are currently treating a sports injury and the kids' yearly check ups are coming up.
In today's age, there is no reason we could not have been easily contacted if we had indeed missed a payment, and money easily collected or a warning given before this termination. We weren't even notified by mail that it was terminated, only told over the phone when we tried to look up our recent sports injury medical info. I don't understand why we missed bills, or even if we did, nor why we can't just pay whatever might be owed and continue coverage - if I miss a gas bill I don't have to wait three months to turn the gas back on! This is after a slew of billing mishaps when The Affordable Care Act came into play and we received several bills in a row in one month, then some credits - all of which made no sense. In short, they're a mess and now they're messing up my health coverage and costing me money.
Reviewed Aug. 9, 2014
I'd been disabled approx. for 30 months, when I was advised that I would no longer be covered by Indiana State Medicaid. I needed 1 month of coverage from 1 June - 1 July 2014, when Medicare automatically took over coverage. After inquiring about state coverage on a temp policy, I was directed to the Federal Healthcare exchange, for 2 month's coverage. I chose an Anthem policy, which was to take effect 01 July 2014. On 06/28, I get a premium statement in July for Augusts premium, which I paid promptly online. This is where the blues begins...
On 18 July, I'm cut a check by Anthem for the price of a premium, stating that my insurance terminates on its effective date: 01 July 2014. After waiting for a "customer service tech" for over 40 minutes & God knows how many layers of phone menus, I'm told by 1 rep that I had been terminated, and a refund would be generated. THEN I'm referred to the "Healthcare Exchange Dept", where I'm told I HAVE coverage. So, I make an appointment with a spine surgeon for treatment. Then another check for a premium was cut on 07-23 with a notation "overpayment refund". HUH?
On 28 July, I get a "notice of premium(s) due..." HUH? x2... which was quadrupled from the original premiums. So, I said the heck with it, cashed the checks on 05 August 2014, and set out to put the $ on Medicare co-pays. On 09 August, I get a statement from my bank, that Anthem has now cancelled the refunds and the bank charged me for the deposit fees for withdrawal. And Anthem is sending me more notices about premium payments...
I guess my next stop will be the State Dept of Insurance, then a lawyer.. As for my spine Dr., he is within his rights to tag me as "unable to pay", and that sends me 100 miles to the next spine surgeon.. BE CAREFUL IF YOU ARE FROM THE EXCHANGE.. Anthem certainly does not have its act together. I have already turned the matter over to HSSA, and Anthem is now "happy to serve me, provided I send them $802 by August 1st... They STILL don't know what date it is. Very sad.
Reviewed Aug. 8, 2014
Anthem Blue Cross is a fraudulent, disgraceful company. Everything is denied by them. I'm talking basic healthcare and prescriptions. Be ready to waste hours and hours thanks to Anthem's gross incompetence and aggressive practice of obstructing its members' access to healthcare. I agree with everyone here. People's lives are at stake and, undoubtedly, Anthem Blue Cross members are dead as a result of the company's practices. The rest of us healthy ones just feel our lives drain away with each (useless) phone call to Anthem. I'm writing this as I've been, according to my phone's clock, on the phone with three bozos back to back today for 1 hour and 22 minutes...and am on another endless hold.
Anthem's billing and administration is a total joke. We received our "Welcome package" four months after joining and paying monthly premiums, and now receive the "Welcome" package monthly. Every single written correspondence we've received from Anthem is riddled with mistakes. Morons. Nearly every prescription issued by one of our doctors is rejected, whether brand or generic. Of course, Anthem Blue Cross makes doctors spend hours fighting with them so their patients can be approved for basic medical care. Usually to no avail (Making everything nearly impossible and unreasonably time consuming for everyone is a slick but sickening strategy to pump profits).
Prior to Anthem, we had UnitedHealthCare, which weren't perfect, but they did fulfill their part of the contract by paying legitimate claims (UnitedHealthCare stopped doing business in California because it couldn't compete with Anthem Blue Cross, which gets millions of dollars each year in government subsidies and tax breaks. Yet another way to pay for nothing with Anthem).
Anthem Blue Cross are corporate criminals and their criminal actions are well-recorded by the continual lawsuits against them that Anthem continually loses. Glad to know that the many thousands of dollars I pay Anthem every year is worthless. That is, except for being tossed into the executives' bonuses and salaries (CEO Angela Braly took nearly $20 million in 2013).
By the way, if you're an Anthem member and get a phone call for a "survey," beware of being had. It's sponsored by Anthem's PR company, which is slanting the survey to push for premium hikes. That's well-documented, too. When my husband took their silly, ridiculously skewed survey, at the end, he said, "I'd like to give some feedback about our experiences with Anthem, because it's been disastrous" the person said, "Oh, we're not taking any feedback from members." Like I said - and many others here - corporate criminals. Unfortunately, that has serious consequences for all of us who pay Anthem Blue Cross for our healthcare "coverage."
Reviewed Aug. 1, 2014
After many years of stabilization, holding down a job that I love, and continuing with graduate school, I faced a setback when my PTSD was re-triggered. I have previously received EMDR therapy that worked wonders and had a brief stint in a hospital many years ago. After lengthy discussions with my doctors and having to leave work and school, we decided a residential center that specifically treats PTSD and trauma recovery is the best option for long term gains. The only one my insurance contracts with has a 10-week wait. I contacted Anthem and discuss the situation with them, informing them that I had found an alternative female specific program but that it was out-of-state. I was told I do have residential treatment benefits, and that we could request a clinical review for that facility. That request was denied as being not medically necessary because I should utilize partial hospitalization first.
The same in network facility that has a 10-week residential wait was contacted for admissions to their partial hospitalization program. The first big problem was that when they contacted Anthem to verify my benefits, and I gave them the wrong information and told them, "They were not in network." I contacted Anthem and was told that the provider line often gives misinformation. How was I or the facility to know that? The response I received was that there was no good answer for that. The facility tried again and this Time benefits were verified. That facility states that my needs would be better served in a residential setting and denied partial hospitalization.
I am curious to see how the appeals and review will go with this information. What a nightmare! I have been trying to handle this mostly alone with my doctor. Each request sets me back another week. We were so told we could not request entry to both programs at the same time. When partial hospitalization was deemed inappropriate, the wait list for Residential had increased. I work in the social service field locally so it makes partial hospitalization a unique situation anyway. Anthem is a nightmare. I do not have the energy or Patience to deal with this now and am close to giving up.
Reviewed July 31, 2014
I need open heart surgery and was suppose to have it done on Aug. 6, 2014. My doctor called yesterday saying that he was out of network. I called Anthem and my plan does not have a heart surgeon anywhere in the State of Ohio in my network. They have cardiovascular doctors but no heart surgeons. They have no one because they pay the doctors so little that doctors don't want to be a provider. Anthem sucks.
Reviewed July 28, 2014
I spoke with Anthem before starting to see a counselor and they assured me that Anthem (not Medicare) was my primary insurance carrier. I started seeing the Dr. in June and they keep insisting that they are not receiving anything from the Dr. I have copies of replies from Anthems Conn. Address (which is the one indicated as the proper place to send the forms) - they have been denied - mainly because my patient ID number is missing one number. They refused to even try to fix it as "they have not rec'd any bills from my Dr.? If I have copies of replies then somebody received something from my Dr.! I called 1-855 member number and tried to explain, but they were polite but insisted nothing had been received and that only the physician can straighten it out?? I could not? I have paid my premiums and have had very few claims - other than wellness visits and labs. What gives???
Reviewed July 27, 2014
I took a Marketplace policy with Anthem that started 1/1/2014 for my wife and myself. We chose a multi-state plan with a $1500 deductible per person and a $4500 annual Max. I take a tier three medication and according to the plan we bought it would be 30% coinsurance. We had the same start-up glitches that everyone else had but everything started working in March. For three months, I paid 30% coinsurance at my local pharmacy till I filled my medication in July. Suddenly I have to pay 100%. I contacted Anthem and they advised me that tier three medications require you first meet your deductible before the 30% coinsurance kicks in. I went online and reprinted my policy. When I compared it to the printed copy of the policy I bought, they had changed the coverage to now require the deductible be met. I filed a complaint with the Virginia Bureau of Insurance and provided them with copies of the original and the changed drug benefit. I also was able to provide them with proof that Anthem had been covering the medication from their own website history. The Virginia Bureau of Insurance sent me a letter advising me I would need to get an attorney.
Reviewed July 20, 2014
Something is going on at Anthem Blue Cross in CA. I work for hospitals as a coder. The business office told me that BX Anthem is denying the claims for "coding issues". I called BX and spoke with Marlene. First she told me that they did not receive the claim(s). I asked her, "Then why am I looking at several denial notices?" She said, "Oh, they haven't been 'keyed in yet'". To which I asked her, "Then why is there a denial notice?" and "why can you view the claim?". Her answers, although very polite, were vague. I was constantly put on hold for answers, that I never really received. I have been a claims examiner, medical business office professional and a medical coder. Something rather fishy is going on. They (Anthem BX) is denying claims routinely without a true reason. I will not let this rest. On Monday, I will be calling or writing the Calif. Commissioners Office, until I have answers.
Reviewed July 17, 2014
My wife fell and fractured a vertebrae. Two doctors recommended kyphoplasty. Even the Anthem doctor agreed but "they" would not let him approve the procedure, listed as "experimental and investigative'. I went online and found in Anthem's own policy the conditions under which this procedure is deemed medically necessary. My wife fits the criteria. Turned down again today, 8 weeks after the incident. The doctor's office said they have never been turned down before. We had to get on the Obama exchange, not having 1600 dollars a month for insurance. I promised public exposure and legal action. This is a start.
Reviewed July 14, 2014
Anthem required my small company to cover all of my employees (ten) with life insurance even though I only had 3 employees who wanted health coverage (started with Anthem around 2004). One of my employees got sick in 2006, spent years getting the wrong diagnosis. Ended up dying of cancer in 2014. My company paid the premiums until he died. Anthem will not pay the 10k life insurance. Says they will return the premium. Says he was no longer an employee. ANTHEM IS NOTHING BUT A BUNCH OF ** THIEVES. WARNING DO NOT BUY ANY KIND OF ANTHEM INSURANCE....YOU WILL REGRET IT!!!!!!
Reviewed July 10, 2014
My service/plan was changed without my knowledge, my premium went up $257.00 to $1147.00 per month and my RX coverage would not go into effect until each of my family members exhausted our $6000.00 each deductible. How do they get away with this!!! I can't afford to pay what I'm paying now. My children and husband and I need prescription drugs and will not be able to afford the cost. How does our government allow this to happen to us. I had surgery in April that should have been covered and they haven't paid a dime. My frustration level is at max. Someone needs to STOP Anthem BCBS from making their own rules and then change them whenever they feel like it. Oh and I forgot to mention how times they put you on hold and then hang up after 20-40 minutes!!!
Reviewed July 7, 2014
While I have numerous issues with Anthem over the last two weeks (primarily dealing with their refusal to issue a medication authorization), I decided I should write the information received on Thursday (07/03/14) and confirmed today (07/07/14) as a service and warning to loyal ConsumerAffairs website readers. The story begins last week, when I went thru my local CVS to fill a prescription that I have been taking for a number of months, but for the purposes of this story, all of 2014. My coverage with Anthem began on 01/01/14.
Each month I got the exact same medication at the exact same CVS, and the medication was always a $0 refill. This always struck me as odd, since my Anthem plan usually has a co-pay on medications between $10 and $30. However, since I just started the plan this year, I just thought it was some sort of covered benefit. Yeah, right. So when I went thru the CVS drive-thru and asked for the refill, I was informed that the cost was a fraction over $200. Huh? I went from a $0 per month on a medication to a sudden price of $200? I told CVS that I would come back later after I had talked to Anthem.
So I called Anthem and after going thru the usual dozen levels of "phone prompt hell" to get thru to a "customer service" person, I gave my information and the particulars and asked for an explanation of the sudden price, and what I was told boggles the mind. I have been in healthcare for almost 30 years, and much of that has been in the administrative side of things, which includes insurance contract and benefit negotiation, and the story I was told by Anthem is unique and a "first" to me.
Apparently, the Anthem "claims and benefit" software had a "bug". This "bug" was such a significant glitch that Anthem apparently just found it. Six months into the year, and they just now figured things out. The "bug" was that for patients that have a deductible (mine is only $750), the Anthem system was not properly adjudicating claims in a fashion that patients and their deductible were processed properly. If you had a claim or service (in my instance, a medication), when the claim went thru the Anthem system, instead of processing it in such a fashion that the medical provider would request a co-pay to be applied to your deductible, the Anthem system ignored your deductible and just processed the claim without a proper bill to you.
Think of it this way, and I will use my pharmacy bill as evidence: I would refill a prescription, and the medication was a type that I needed to pay towards my deductible. Instead of me paying towards my deductible a little at a time from the beginning of the year (which is how deductible works), Anthem completely ignored my deductible, they paid all claims with asking for the deductible, and it took them six months to figure out the issue and start collecting the deductible. I think I got very lucky that the patient rep that talked to me even admitted the problem.
The funny thing (sadly) is that if you are an Anthem patient and go to their website and use your patient portal to look at your account and benefits, there is no mention anywhere of the deductible error and how Anthem plans on covering this as they move forward. I also worry that instead of processing deductible issues moving forward that they will go back and try and re-process all healthcare claims from 01/01/14. My deductible is low enough that I can handle it. What about patients who have deductibles that are thousands of dollars. What will happen to them? No surprise that Anthem has screwed this up. A word to the the wise who have Anthem. If you have deductible issues, you might now know why.
Reviewed July 7, 2014
Does anyone have any insight into how to get a response from Provider Relations at Anthem BCBS? We have outstanding issues that have gone unresolved for a year and a half. The Provider Relations rep who handles this area does not respond to emails, phone calls or faxes. The issues cannot be resolved without her interaction, yet she ignores all attempts to contact her. Does anyone have any ideas besides filing a complaint with the Insurance Commissioner. That is my next step.
Reviewed July 5, 2014
I changed over to Anthem BCBS in January through my employer due to my previous health insurance doubling in price. Right off the bat, I got the flu in January and was very sick. I went to pick up my prescription and they couldn't verify my insurance. I heard a few people at my office had the same sort of issue so it wasn't just a fluke. In March, I got a different strain of the flu and went to my doctor and they stated that I owed $20.00 from last visit. They said they would resubmit because I had paid my co-pay each time.
In April, I got a collection letter from my doctor and now I owed $40. It's not much, but I live on a very tight budget and that is the difference between eating or going without. I emailed customer service at the first of April and never heard anything back from them. I logged into my account today and saw that someone had responded to me 3 weeks later, but she didn't email my email address. The response was just sent to sit on my Messages in account. She stated that my doctor was a specialist which was why the co-pay was $20 more. I have been going to for the last 20 years and he is now and always has been a family practice doctor. I sent another email and copied this information about my doctor (which by the way I found on their website!).
I'm sure it will be another long few weeks with another apology about their high email level and I really don't expect them to honor my plan. I would be very surprised if my doctor stays in their network if this is how they treat their providers. I know when insurance renewal time comes, I won't be continuing on with Anthem. My issue seems very small compared to some that I have read on this site, but it seems to be a standard practice of this company to not stand behind their word and lie and cheat their customers and providers. Shame on them!
Reviewed June 30, 2014
Our family is self-insured. We received our "Dear John" letter from Anthem over 6 months ago. At one point I received a call from an Anthem employee asking if we had turned in the "form" to keep our policy. I asked, "what form?" The employee then stammered and said, "Oh, you must be one of the customers that did not receive a form in order to keep your plan. "HUH?" I called several times to see if we could keep our plan. Nosiree Bob!
Finally received a letter from Anthem telling us they could roll us into a Barack Hussein Obama plan for $1850 per month, $12,000 family deductible. HUH, AGAIN? I thought we were being punked. Two days before our current plan expires, we get new cards in the mail for the $1850 monthly premium plan (the Barack Hussein plan.) Received the new cards on a Saturday so I could not call until Monday (the very last day of our current plan). I called and was told I had not opted out so would automatically be rolled over into the new plan. OPTED OUT? I wasn't sent an "OPT OUT" form! Also, to make matters worse, our family's premiums are automatically deducted from our bank account and I was told the deduction was already in process. FOR $1850!! WHAT?! I called my bank and put a stop payment immediately on our bank account. The money has not been withdrawn yet so I have to wait and see if Anthem tries to retrieve it!
Dirty, dirty, dirty is all I can say. They say they have sent forms, and there are no forms. They are automatically rolling over customers into new, Barack Hussein plans without consent! If America ever digs its way out of this mess, I will never, ever, ever take medical coverage with Anthem BC/BS! NEVER EVER!
Reviewed June 30, 2014
I received a letter from Anthem saying they were going to cancel my coverage because of two missed payments due April and May 2014. I tried to get through their maze of electronic Press 1, Press 2, etc. only to get dropped and have to try all over again. Looked up several numbers for them on the internet and finally got a human and even she could not get me through to someone. I finally called my agent and asked them to handle it! Even after submitting all the cancelled checks to prove I had paid, they said they would investigate. That was May and now it is almost July 1, 2014. I also sent copies of my checks and the new payment check to the payment center registered mail. They sure did cash my check but no signed signature card returned. Just yesterday, they sent me another cancellation notice if I did not make a double payment. My agent has turned this over to their regional sales rep because they are not having any success getting this resolved, even with proper documentation from me!!! Cannot wait to change policies this November. I refuse to make a payment I do not owe.
Reviewed June 28, 2014
I had been complaining of endocrine symptoms for years as well as difficulty swallowing, frequent clearing of throat, frequent cough, food getting stuck in throat.. Anthem said there was only one endocrinologist in Virginia that was in network. I had to wait a year to get an appointment. I almost missed my appointment, no thanks to LogistiCare (as they frequently deny transportation) I had to travel to Richmond Virginia to see the doctor. All he did was blood work for over a year... No ultrasound. Just blood work. He said my thyroid function was fine and could not find anything wrong endocrinology wise, even though I was previously diagnosed by my OB/Gyn with polycystic ovary syndrome (PCOS). Around 2008 or 2009 I was referred to (NIH) National Institute of Health by my former PCP (family physician). I was denied transportation by Anthem and LogistiCare claiming it was not a covered service.
I managed to get to 3 appointments, thanks to a friend. NIH found several nodules in my thyroid and did needle biopsy and thyroid uptake. I thought I was going to die after they gave me Norvasc before they did the biopsy. I suffered damage from that drug and never fully recovered and have a dropped foot as a result. They discovered cancer cells but weren't sure. They wanted to take out my thyroid to be sure. They wouldn't let me talk to the surgeon so I found my own surgeon as Anthem denied me access to Cancer Treatment Centers of America. My surgeon took the right thyroid lobe in December 2009. I refused to allow the left lobe to be removed as I'm highly allergic to pharmaceutical drugs. I'm highly allergic to chemicals and even food just everything in general. I was pressured by doctors and Anthem to complete the surgery and be reliant on medication for the rest of my life.
I went to UVA in 2010 as they now accepted Anthem HealthKeepers Plus/Medicaid. I told the doctor I did not want the left lobe removed because of my allergies. She said the surgery was incomplete and the tissue on right side needed to be removed to make sure cancer did not spread as I had issues with my bones and my OB/Gyn suspected cancer may have spread to my bones. I was allergic to test so test was not done. The endocrinologist at UVA said she would tell the surgeon what needed to be done. She lied to me and surgeon. He removed the left lobe. Now I'm in big trouble. In the beginning Anthem covered (with complications) my thyroid from a compounding pharmacy (Prosperity Specialty Pharmacy). All medicines have to be compounded as I'm allergic to the fillers. I'm even allergic to antibiotics. Since 2011 all my medications have been denied simply because they have to be compounded.
Anthem denies the only antibiotic I can have and my heart and thyroid medication. I have gone a week without my medications. May 2014 was the worst yet...I had to stretch out 6 pills for a month. My doctor insisted I go to emergency room. I was scared because I'm a single mom of a son with autism and we have no family and his father won't help. I will die without thyroid medication. I have called lawyers but they brush me off. One lawyer finally admitted that no one will take the case because its too complicated. I contacted CNN and WUSA 9, but no one calls me back. I desperately need help. I'm going to die if I don't get my medications. I'm disabled and only get SSI so I can't afford my medications as it would cost hundreds of dollars. Someone please help. Anthem and LogistiCare can't keep getting away with this. Bad enough I can't sue the doctors, but Anthem needs to be held accountable.
Anthem refuses to give me a denial in writing. They refuse to let me talk to a supervisor or the medical director. They even dropped my pharmacy so I had to look for another one. They only said 2 pharmacies are in network. I contacted them and they can't make my medicine. They told me about Alexandria Compounding Pharmacy. They were able to make it but refused to make it with the acidophilus and would only make it with methyl cellulose. It made me sick. They would not remake it. Anthem won't cover my meds in acidophilus. I contacted several pharmacies. I ended up having to go to Goolrick's in Fredericksburg Virginia and that took a month to get my thyroid medication. Anthem didn't even tell me about this pharmacy or the others I contacted. I'm afraid this will continue each month as it has for years. Please someone help!!!
Reviewed June 14, 2014
Changing my health insurance to Anthem 4 months ago was the worst choice I could have made for my health or finances. Appalling customer service! Anthem illegally cancels services that are part of basic preventative care (skin cancer screening, pap smear) but make dealing with the customer service so impossible you eventually give up on trying to resolve their denied claims. Costs me double what my former insurance did, didn't even cover basic preventative care and stopped allowing even normal pharmacy use, instead forcing me to go through their horrible mail order prescription which still hasn't worked.
In the last four months I have spent more than 12 hours on the phone dealing with one major problem after another. I have never been more angry or disgusted with a company in my life. Terrible physicians in network, and even the physician they sent me to (who was awful) didn't get covered because they later said she was "out of network". Same doctor who had forced me to schedule 5 different office visits just to have a basic physical and a pap smear. Can't say enough about how I hope they go out of business.
Reviewed May 29, 2014
As is often the case when dealing with health insurance companies, I'm mad enough to eat glass right now. I was born with Microtia, aka a partially formed earor, as one person put it, "an ear that looks like chewed bubblegum". Naturally, that draws some funny looks. This isn't just a cosmetic thing, though; the malformed ear doesn't properly funnel in sound, rendering me half-deaf.
About a year ago, I learned that instead of painful and expensive skin grafts that insurance companies have consistently refused to cover all my life (regardless of who's in the White House), there's the option of getting a prosthetic ear that looks and functions better, for a fraction of the cost. So I decided to try again. I sat in waiting rooms long enough to gather dust, I paid high deductibles and saw specialists, I gathered paperwork (including a Letter of Medical Necessity), and I wrote more formal emails and spent more hours on hold than I can count.
The problem? I have Anthem BlueCross BlueShield, the company that was just in the news for denying coverage to a man dying of cancer. As you can imagine, providing my ear prosthesis wasn't exactly at the top of Anthem's To Do List. After weeks of double-talk and laughably frustrating interaction over the phone, they finally refused. I'm told I can appeal but the odds of getting an approval are close to zero.
Anthem takes close to $3,000 a year from my paychecks but can't be bothered to answer phones, let alone do their jobs. If anyone doubts the level of incompetence over at Anthem, I respectfully suggest that you find a friend who has the misfortune of being assigned to Anthem and ask said friend to call their Member Line with a simple question or request. Listen in. If you reach an actual human being in less than twenty minutes, Ill be shocked. Personally, I think that just as frivolous lawsuits are fined overseas, frivolous denials should be fined here. Too bad, that's about as unlikely to happen as Anthem is unlikely to get good press for a job well done.
Reviewed May 29, 2014
I have found Anthem Blue Cross to have the most outrageous premiums! The yearly increases were ridiculous. At age 60 my premium, after the last increase ran $650 a month and this was with a $5,000 deductible! Although the Obama Care has created quite a few problems with many, I'm happy to say I am so pleased it passed because I now pay $350 a month for Blue Shield's Ultimate Platinum policy with NO deductible and tremendously better coverage. I'm just hoping not to see the huge premium increases!
Reviewed May 27, 2014
My family policy was dropped by Anthem and then they offered me a policy that increased 180% and we weren't even sick. Anthem of Virginia blamed the ACA. We took out a catastrophic policy and it still is more than our previous one. Then they had our name wrong - still haven't received the corrected cards and now I sit on the phone again trying to get it straight after hours and once my name was corrected, now they somehow changed my street name. What a poorly run company as I can see from all the other complaints there is no question about it.
Reviewed May 22, 2014
I was so happy to have insurance after I set up my plan with Covered CA. I made my first payment to Anthem BC in January and got a confirmation, as well as a card. Great, I have insurance! Not so fast... In February, I received a cancellation from Anthem, retro to January 1. They said I had not made a payment! Not true, they had not processed it. Rather than contact me about that, they just cancelled my plan. It took three hours on the phone to get a supervisor at Anthem who refused to take responsibility for this problem and referred me back to Covered CA. But I didn't pay Covered CA, I paid Anthem! No matter. I know a local Assemblyman, so I got his office involved.
Finally, in March, I spoke with someone with Anthem who was able to remedy to the problem. He got me reinstated and was able to take a payment over the phone. He said I'd be invoiced for the next payment or could pay on the website. I've been going to the website every week since then, trying to make a payment. I can't because it says I have zero due. Can't change the field, even. Today, I got another cancellation notice! There was no reason cited, but I'm sure it's because I haven't made a payment. Not for lack of trying!
So I called Covered CA, as instructed in the letter. Covered CA can't take a payment either! Apparently no one wants my money! This is unbelievable! Fortunately, I had saved the phone number of the Anthem rep who helped in March. I have a call into him. I hope he can fix this! It's ridiculous that a company as big as Anthem can't efficiently set up their website to accept my payment. So stressed out right now!
Reviewed May 18, 2014
I found out that as a Veteran I can now get a cheaper insurance for my Dental Insurance there Metlife. I have had Anthem for 3 years. So I called them and told them I need to cancel my insurance because I am going with another insurance company. So far I keep getting told goodbye by a computer on the phone. Then they took their money as usual for this month on May 5th out of my checking. On May 7th I got my teeth cleaned.
Now they told me I didn't pay them in May and sent me the whole bill to pay back and told me I have to make a payment for the month. No one to talk to on the phone. One time only and it was a boss from Dental Insurance who told me she couldn't transfer me to a person so she was going to send the info to get me canceled. That's when the bills came in. Now what do I do? I need to drop them so I don't pay for two insurance companies.
Reviewed April 17, 2014
My story begins in January when I had to sign up for Anthem Blue Cross through Obamacare. I filled out an application and submitted my first payment. Two weeks later, I was contacted by email that my application was incomplete so I called an insurance agent to fill out the forms for my health coverage. And again, another payment was made. In February, I contacted Anthem about the double payment and they said they didn't have any documentation of a double payment. They said they would open an investigation. I never heard back from them. In March, I went to the pharmacy to fill my prescriptions and no problem.
Now this past Friday, April 11th, I went to get my prescriptions and they denied coverage due to "lack of payment"! It took four phone calls to get someone to tell me that I had to pay both March and April premiums first (which I didn't owe). A debit card payment was made immediately so I could get my meds. Another two agents later, I was told it would take 24 hours to clear the payment (at this point, still no meds). On Monday, April 14, back to the pharmacy I went and the first agent said my payment had cleared but the Express Scripts (who approves my medications) said my payment was still on hold. This time I called Anthem and asked to speak to a Supervisor but conveniently no one was available. So they put me over to a Senior Rep who said to me, "That's what happens when you don't make your payments on time"!!!! She didn't know that I was already two payments overpaid. So she said she was sending a notice to Express Scripts.
On April 16, 2014, I first called Express Scripts and they said my payment was received by them. Back to the pharmacy I went only to be told I was still on hold by Anthem. I called Anthem and this time they said my payment still had not cleared with their bank! A Debit card payment had not cleared 5 days later but yet I had a confirmation number????? So the Supervisor this time told me she was sending Express Scripts an electronic notice to release me from hold. She said it would take about 2 hours. No phone call back at 4:15pm so I called the Supervisor back. She left for the day and said I would have to wait until the 17th!! Still no meds!!!!!
In total, I spoke to 16 different people at Anthem within five days, each with a different answer and promise to do something!!! Six days of a Debit payment not clearing even though I was told three times it had cleared. No prescriptions. My ride to the pharmacy is 23 miles ONE way which I did four times because I was told it had cleared.
I hate these people!!! I hate their management!! I tried to file a complaint with Anthem but an Error message came up that their forms were not available. I was also told that Anthem does quarterly reviews of what medicines they will cover for the next quarter! I am sickened that these people are cold and heartless. They were quick to take my double payment and then to refuse me coverage! I have this evening filed complaints to many companies about their program! I will wring them through the news and anybody else who wants to listen!
Reviewed April 7, 2014
Make certain you know all the ramifications of free preventive care as mandated by the Affordable Care Act and NOT PROVIDED by Anthem Blue Cross. If you believe, for example, that you will be able to get colon cancer screening for free, you may be in for a surprise. I have an Anthem Blue Cross PPO with a $2,000.00 deductible. The monthly premium for this policy is $723.29. The description of my plan benefits states in several different locations that preventive care is not subject to the deductible. It also specifically states: colorectal exam-covered in full.
I scheduled a colonoscopy with an in-network gastroenterologist at an in-network facility. My reason for scheduling was not because I was experiencing problems. The morning of my scheduled procedure, the billing clerk wanted an upfront payment of $1,306.00 for the use of the Surgery Center. This is when the truth about my free preventive care was revealed. If during the screening a benign polyp were discovered, the screening becomes diagnostic. At that point, forget the free part, all the other co-payments, co-insurance and deductibles kick in. The Surgery Center wanted to make certain they got their portion of my deductible first, just in case the diagnosis changed from preventive screening. The billing clerk reassured me that after I satisfied my deductible, the most that I could expect to pay in 2014 is $6,350.00. I was stunned.
I thought that early detection and prevention were keys to keeping health care costs down. I thought that the screening would be free, but if, for example, lab tests were required, that I would be responsible for that. I had no idea that the whole deal could radically change while I was in twilight. I cancelled the free screening and walked out. I still couldn't believe this happened, so I called Anthem. They agreed that everything was done correctly. Hypothetically, I asked, if I went to the derm for a screening and she told me I had a fungus (Athlete's Foot--that I already knew about), would that change it from a screening to diagnostic? The answer was YES. Unbelievable. Anthem is out of control. They will do whatever they can NOT to pay a claim. We need INSURANCE REFORM. This company and others need to be regulated.
Reviewed April 5, 2014
Contacted Covered CA several times and now waiting for Anthem to update their billing center to make a payment. I've been on hold for over an hour with nothing but lousy classical music and no recording of how long I have to wait. The website asked to click a link to get customer support but all I get is an Internal Server Error - Error while processing request. No phone support, no call back number and no email reply service. Completely Useless!
Reviewed March 31, 2014
I am a physician who takes care of many Anthem patients. I have come to know that they will deny any tests if there is not an actual abnormality on exam. This is fine and I am willing to send my patients to therapy if all they have is pain. However I recently had an MRI of the cervical spine denied, by Dr **, despite the fact that there was numbness on exam and a history of a car accident. This is malpractice but nothing I can do about it. They are saving money at the expense of their patients who pay their premiums every month. How can they get away with this?
Reviewed March 30, 2014
Been to doctors that are on their "in-network" list. Inevitably, I get a statement from Anthem that the cost of the procedure/visit is "too high" and they will only pay for some, or none, of the visit. Even though we've met our deductible, I'm being nickel and dimed to death by this company. What's the point of having an "approved" list if they still won't pay the price that is charged? How the ** is this my problem? This is, by far, the worst health insurance company I've ever had the displeasure of dealing with. If you have a choice, stay FAR away from these jackals.
Reviewed March 29, 2014
A salesman rushed me into a plan that was not good for me. I was in a hurry because of the Obamacare deadline. The agent did not send me a copy of the plan until I asked and did not send me any info about the dental plan I bought along with the health plan. I was told a packet would arrive with complete details, a handbook, and an ID card but it didn't. Without the ID number, I could not go online and look at the details of my plan and any alternatives. I was not told of the 10-day look-see regulation. Because of the Obamacare deadline, the phone wait was an hour or so, so I could not discuss my situation. My sales person did not return my calls. Healthcare Gov (Obamacare) got me out of the plan and connected me with a more appropriate plan from another insurer (The effective period of the Anthem insurance had not yet begun). Now I must try to get back the $310 first premium they took from me.
Reviewed March 6, 2014
We became entangled with Anthem in June of 2012 through a Cobra plan that my disabled chronically ill husband had with Whayne Walker Machinery. Problems began literally on day one, when they failed to enroll him with the group. It took from June 2012 until September 2012 to get this matter and the issues it created straightened out. Then in November of 2012, Anthem zeroed out his $2,250 paid out of pocket and started processing claims at zero, which caused another disaster. It took 5 months of phone calls, registered letters, and going through their grievances and appeals process to get this straightened out. My husband became eligible for Medicare in June of 2013 and I thought we were done.
In October of 2013, I received two notices for over $200 due to double payments Anthem made to a Medical provider. Anthem came after us because they had made the original payment to us and then I, as I was told to do, endorsed these checks and mailed them to the medical provider. I have made countless phone calls, mailed a registered letter, and told them that they needed to look beyond the fact that the checks were endorsed, and that they needed to look at who deposited these checks and into whose account these funds were deposited. Anthem has this information and I have no access to it. Despite all of my efforts, Anthem turned us over for collection. I have been promised repeatedly by Anthem that they will provide me with this requested information but none of it has been forthcoming. I am literally at the end of my rope. Please help.
Reviewed Feb. 26, 2014
I attempted to contact Anthem regarding a bill I received from my doctor. On 4 separate attempts I spent over 1 hour on the phone trying to reach a customer service representative. The one time I was successful, within 2 minutes she had me call another phone number that turned out to be the same exact phone number I had used to reach her. In short, Anthem customer service is the absolute worst customer service experience I have ever had with any company. They should be ashamed.
Reviewed Feb. 19, 2014
I sent Anthem a complaint letter asking them to explain the reasons for increasing my premium 23%. And, I can't reach them by phone. Also, Anthem Blue Cross states that the reasons for rate changing are as follows:
2. Rising medical and prescription drug costs.
3. Advances in medical technology.
4. Changes in benefits and/or taxes required by state and federal law.
They provided me with a blank letter as a response to the following questions:
1. Increased consumer demand for services. Where is the data showing yearly increases?2. Rising medical and prescription drug costs. Please provide annual data.
3. Advances in medical technology. Advances in medical technology should LOWER costs. Please provide evidence.
4. Changes in benefits and/or taxes required by state and federal law. Please provide evidence of changes and/or increased taxes.
Can't reach them by phone and their written response contained NO information.
Reviewed Feb. 12, 2014
Denied a MRI for ligament tear, had to pay out of pocket to get test... never return calls. Now see orthopedics out of pocket again... Why do I pay this bill each month to not get covered!!!
Reviewed Feb. 11, 2014
To get a password reset, I was sent to SEVEN different numbers, three of them in the Philippines. The customer service at US Healthcare was dramatically better; the Anthem service was grossly incompetent. The people were nice, just untrained.
Reviewed Feb. 7, 2014
My Hepatitis C doctor has filed for me to get pre-authorized approval to be treated... because I am in stage 4 liver disease. Anthem has not approved me for treatment with these 2 new drugs... which has been proven to be 96% to 100% effective in destroying the HCV virus and achieving SVR in 12 weeks. I am one step away from contacting my state representative's and the Kentucky State's Attorney General's Office. I pay my premiums and I expect the best treatment available.
Reviewed Jan. 13, 2014
I broke my foot & MUST see an orthopedic surgeon or risk permanent damage. I had an Anthem HMO plan but because, after 2 weeks, Anthem still had not approved ortho surgeon, I upgraded to PPO plan so I could see any Dr. I wanted. But, because I have yet to receive my PPO Id number, ortho won't see me unless I pay out of pocket. ALL I NEED IS THE NUMBER! Almost another 2 weeks have gone by & at least 80 hours of calls to Anthem (mostly on hold & waiting) & I still do not have PPO number. I have gotten the complete run around. I've heard every excuse imaginable. All I need is the number but can't get it. Anthem is solely responsible for aggravating my medical condition & refusing to provide me with the medical care I contracted & paid for. I am an attorney & I have threatened them with a class action & bad faith lawsuit. They don't care. HORRIBLE. HORRIBLE. HORRIBLE!
Reviewed Jan. 8, 2014
I was just required to switch to Anthem because my employment changed and the new employer only offers Anthem. I chose the most expensive Anthem policy because it offered the best coverage, deductibles, etc. I'd like to know what the point of even having a drug formulary is, if many of the drugs will still not be covered because they are "too expensive." My single-pill HIV medication Complera is in the formulary, at tier 2 (there is just one HIV medication in tier 1, Atripla, which I cannot take). When I went to the pharmacy to make my first pick up under the new plan, I was told that Anthem was rejecting coverage because they had a drug cost limit of $1500, and Complera was $2100 for a month-long supply. They sent a fax to my doctor so she could plead my case to the insurance company, but I doubt that will work. What I imagine will happen is this: I will need to replace Complera with 2 "tier 2" drugs that are both under $1500. However, they are still expensive. The cost will be almost $3000, and I will have to pay double on my tier-2 copay and go from 1 to 2 or 3 pills daily. Anthem does not win, I do not win, no one wins.
Reviewed Jan. 7, 2014
My husband received a couple of bills from Anthem he is not aware of. One bill was for $306 and another was for $3,800 and seems like an annual bill for the premium. I called the customer service for him to clarify what that bills are for. I first questioned the representative what is the charges of $3800 for. She said she doesn't see such a bill went out to him. I asked her again to check well because I have the bill on my hand. I also asked her if it is mistakenly generated by the system, make sure the system won't wrongly billed to us again. No response. Then, without clarify about the $3,800 bill, instead, she informed me, he overpaid one month premium fee, and his old policy expired by Dec 31. I got confused a bit about this new information. I worried if he is not covered this month since his policy was expired by last month, Dec 31st. Then, she said "He has new policy and the $306 is for the bill." First, I was confused because my husband or I didn't aware that the new policy took over. I start to ask about the new policy.
The information she was giving to me was too scattered and I had to figure out what was going on. While I tried to understand the situation, she told me "Do you need to be explained again?!" "I can't talk to you anymore! You have a language barrier problem." "Forget about the $3,800 bill! Just tear it up since it is wrong bill" (Finally she gave me the answer for my initial question). "DO YOU UNDERSTAND WHAT I'M SAYING?!?!" English is not my first language but I don't miss or misunderstand any words she said. If any case she couldn't understand what I said, she can ask me to repeat but perhaps she didn't need to. I assumed she got frustrated that she couldn't explained well to me about whole situation. But she blamed on... my accent? Their representative was very rude and unpleasant.
Reviewed Jan. 2, 2014
We recently switched from $600/month private insurance with Anthem Kentucky to the Medicaid provider Wellcare after I was laid off. After terminating my wife's redundant insurance coverage by phone, Anthem did not end the insurance or refund our premium. Any time of the day or day of the week we experienced extended holds over 40 minutes and spontaneous disconnects. Frequently, when we finally got a human being to answer, we were told the number we called was not the "Kentucky" Anthem and we would have to be transferred. This was despite going through the maddening automated router with all my personal data just to get to the live human option.
Today, January 2, 2014, we called both Wellcare (one of the two medicaid contractors for Kentucky) and Anthem at the same time to get a problem solved with our coverage. After about twenty minutes Wellcare answered and helped us, I am still on hold waiting to speak to an Anthem rep after over ninety minutes on hold and being disconnected once and calling back. It's cheap and easy to have an automated call back feature for busy phone centers. This prevents hundreds of customers having to wait on hold with painful 10-second looped piano music to speak to the few representatives the company chooses to keep on staff.
Our experience with Anthem in Kentucky has been very expensive insurance, relatively high co-pays, deductibles, and co-insurance, poor automation for a service that most people don't need to be stressed out about, and most importantly, very poor policy service to deal with changes and inform the customer about what medical procedures will cost. Please do your homework and choose what seems the best deal understanding you will NOT be able to communicate with Anthem in a timely way. This is apparently relative to other insurance carriers and not just the same as every other company. This also seems to be purposeful since there are alternatives to long hold times.
Reviewed Dec. 10, 2013
I had received a call from a person who worked at Anthem, where I work. From the first word, she was verbally abusive and threatening. Our boss was out of town for 3 weeks and we could not do as she asked us to do and we explained that he was out of town. The other employees understood but not this woman. She threatened our boss with court, and us in the front office she got really verbally abusive with statement of we are not doing our ** job and we need to learn our positions, etc. Now I work in an office and if we talked to a patient that way we would be fired and escorted out promptly. Why do these idiots get to do this to us? Most of the time they say that there is a recording going on for "Quality control" but not this time, they were unrecorded. Gee, I wonder why? I would never recommend this insurance to anyone for any reason, not even an animal! Just wanted you to know and maybe they need to weed out the bad apples.
Reviewed Oct. 23, 2013
Waiting for a prior authorization on Flonase Spray. Got two letters of approval. Went to CVS Pharmacy and the medicine got rejected. Pharmacist called Anthem Healthkeepers Plus, the lady online got mad and said it wasn't approved yet and to send another prior authorization to the doctor again. I need this medication badly. Someone down the line screwed up. Not happy.
Reviewed Oct. 15, 2013
Good plan but expensive. After writing an extreme poor review for Cigna, I must say that our old insurance plan, Blue Anthem, paid everything. They were twice the price at $1,000 per month for a single mom with two little girls; Cigna at $600/mo. has paid nothing at all. Just FYI.
Reviewed Sept. 5, 2013
There are too many complaints to lodge in this forum, but my latest is that their website is wholly ineffectual. I have spent the past twelve minutes trying to navigate to Anthem.com and continually receive an error page. Thus, I am unable to look up a provider in network, check on my claims, check my deductible, etc. This is one of the many issues with their page. Others, when I am once able to log on, include: their records about the services I have received are incorrect; their calculators which determine how much more I owe toward the deductible are broken (as per their customer service rep); subscribers are unable to look up providers when logged in, only when not logged in which results in subscribers not being able to tell if providers are covered under my individual plan. Attempts to circumvent this process leads to numbingly long hold times to speak with an agent (30 minutes or more) and then I am met with an explanation that I can look up providers at their website (which I can't).
Reviewed Aug. 29, 2013
I applied online after Gregg ** (consultant) refused to put any information I requested "in writing"- I never received any policies until the Insurance Commission sent me the copy in early April 2013 - where I wrote to BCBS certified mail to both the main office AND the address on my policy I just received in April - TO REQUEST A FULL REFUND FOR ALL MY PAYMENTS OR TO GET THEM TO PAY MY DUE BILLS - (which was RETURNED "undeliverable") - the other CERTIFIED REQUEST WAS IGNORED (by sourcehov received). I made payments, exactly what was billed for Sept., Oct., Nov., Dec. 2012 and payment in full in January 2013 - then after they cashed all my checks, they BACKBILLED me a different amount (I wasn't covered for) and canceled me when I wouldn't pay in Feb. 2013. They didn't pay a dime for any of my office visits (pre-approved procedures) - I was canceled after I was found to be sick (even that they got my payments).
The Insurance Commission received all the emails, correspondence to/from BCBS, received my payments to the bills sent (paid in full) , received my attempts to contact BCBS to resolve billing issues and correct billing/coverage issues. I was only sent my online application directly from BCBS in Dec. 2012 - which by the way even reflected a billing $40.00 LESS than what I was billed on my first policy - the first policy didn't cover anything and Gregg refused to explain the policies IN WRITING over the internet. They have thousands of my money - all I get is bills from the doctor they never paid - and an Insurance commission that does absolutely nothing about it and ignores me!
Reviewed Aug. 8, 2013
Would you buy insurance from a company that tells its brokers that it's more about sales and not about doing whats right for the client? Threatening to destroy producers livelihoods because Anthem can't put a quality product or price on the shelf... forcing producers to sell at any cost otherwise they will shut down your contracts to sell with them. Lying to producers telling them they are doing a poor job, worse than anyone else and put fear into you that you are making mistakes. Little does Denise know that we are a strong and close broker community that WILL ALL be going to the DOI to report the poor behavior!!! As a buyer... beware of the FOR profit company only concerned about stocker holders.. NOT you!
Reviewed July 18, 2013
Verizon changed to Anthem in Jan. 2013. I was hospitalized in January. Anthem played stupid & denied all claims. I am out of pocket 100%. Customer service is unbelievably bad. Their Dr. ** can apparently determine medical issues via telepathy. Terrible service and help.
Reviewed June 14, 2013
Representative called my internist and dermatologist and wanted money back from a year ago, saying they were not my primary insurance. They are. I was told they're going to take it from another patient's account to make up for it! I'm just stunned. They have been my primary for eight years, and nothing has changed in my life.
Reviewed May 21, 2013
I purchased and paid for my son's health insurance through Anthem. He is not in a position to pay for it so I did in case he becomes ill. Every month, I have to call an 800 # that a machine picks up, go through a phone tree and finally get to a real person whom I can ask to take a payment. This month, I'm told that before she can take a payment, she has to have voice approval from my son. Now, how stupid is that? I suppose Anthem has a real problem with too many people calling and attempting to pay other individual's health insurance premiums! Here is the number one rule in business, Anthem. When someone hands you money, take it and ask what it's for later. Jerks!
Reviewed May 15, 2013
Today, my wife received a letter from Anthem. She was informed that after they had conducted an internal quality audit, Anthem had discovered that she had been under billed by $407 and was expected to pay the difference. My questions are: Is this usual industry practice? Is this fair billing? Can this be contested?
Reviewed April 3, 2013
Anthem BCBS of Ohio - I just found out that after being an Anthem member since 2004, which is nine years, that they supposedly have been processing my medical claims incorrectly. Now that they have corrected their mistake, I will have to pay $67.44 per/week to see my medical professional, instead of the $25/week I was quoted and charged for nine years. If anyone has this same issue, I suggest taking this as public as possible. This is unacceptable. The representative told me that my only option is to file an appeal, and they will take 30-45 days to give me a response. So during this time period, I cannot seek medical attention because they have changed their prices. And if the appeal does not end in my favor, I will then owe over $450 or more. Do you think this is acceptable?
I would advise anyone at this point not to be an Anthem member. I now have to live in fear for 45 days or more that my condition will get worse because there is no way I can afford office visits at $68/visit compared to the $25/visit I have been charged for nine years! So now, I will not be able to seek medical attention. If there is any lawyer that thinks this is unfair and would help, it would be greatly appreciated. I feel horrible for the people who have life threatening illnesses that now cannot afford their visits/treatment. Sickening.
Reviewed March 26, 2013
The doctor writes a prescription, and Anthem holds it up - I have medical issues that require the medicine - I have discs that bulge. I ran out of my pain medicine and went to the doctor. The doctor realized that I was out to renew my prescription and saw that I was in unbearable pain. I can’t sleep at night, and I can barely make it through my job all day. I can’t receive a few to get me through because it’s a control substance. I just think that as a consumer, I have rights. I am not trying to get away with anything. I am just trying to go to work and live my live. This is so unfair! Please help. I think I am also going to contact a state representative for assistance as well.
Reviewed Jan. 22, 2013
I received a promotion in the mail for health insurance. I called agent Mark for insurance quotes and then was passed on to application specialist Carlos for one hour. The whole time, he pushed through the application while I was asking for more information about deductibles. He kept pushing my questions aside by telling me the agent was busy, even as I was giving him my credit card number. Then he asked for my permission to sign for insurance. I had to stop him by raising my voice to get him to get agent Mark on phone to answer my damn questions and, from that point, I cancelled the application. This is very bad business. I'm very angry.
Reviewed Dec. 28, 2012
I have been misinformed and put on hold for hours with Anthem. I wasted hours waiting for them to figure out what they did wrong and then they spring unexpected charges on you that are not on your statement! I do not recommend Anthem and they will raise your premium only months after starting. It's the worst company.
Reviewed Dec. 7, 2012
Anthem contracts their pharmacy benefits to Express Scripts. Express Scripts verifies coverage at retail pharmacies in real time. I went to a retail pharmacy expecting to pay my contract rate for a prescription for my minor child, only to be told my health coverage was terminated two weeks prior. I went home to retrieve my account status from Anthem's website, returned to pharmacy and provided proof that my coverage is in fact active. Express Scripts again denied my benefit. I went home again to retrieve my current bill for coverage, showing continuous coverage and the same policy number as on my member ID card. Express Scripts again denied my benefit. Finally, I left the pharmacy after two hours of trying to overcome a simple error with no luck and without my child's medication.
All the pharmacist could do was offer/sell the prescription to me at retail price, but I had only budgeted for the contract price in my benefits schedule, thus did not have enough money for my son's prescription. My son is going without his medicine because Anthem sent false information to Express Scripts and Express Scripts would not/could not correct it in real time to approve the pharmacy benefit. I pay over $400 out of pocket each month to carry this coverage and am very angry that I am being denied coverage under my active policy, leaving my child lacking the basic standard of care. Express Scripts had no problem telling me to call Anthem when they are open, knowing my child would go without necessary medicine while Anthem is closed.
Reviewed Nov. 6, 2012
Pre-authorization has resulted in interruption of my treatment: I have been prescribed an anti-seizure medication for severe migraines for several years. Although the drug is on Anthem's list and I have two different MDs who have prescribed this medication for me and a brand new Rx from my PCP just 3 weeks ago with a 12 month refill, Anthem is now requiring a "prior-authorization." Despite numerous phone calls to my doctors, the pharmacy, and Anthem (waste of time) and numerous submissions of the Anthem forms, I have not had my medication in over 4 days. The drug manufacturer warns against abruptly stopping the medication stating that even those who have never had seizures can have them if the medication is abruptly stopped. I take 2 pills each day!
I now have a migraine and have been in bed all day. My pharmacy has offered pills to "tide me over" but unless Anthem "approves" my medication, I will not be able to continue it anyway. I am now considering stopping all medications. This is a very frightening situation. My doctor is not treating me any longer. Anthem is calling the shots on my care. I have 2 different current prescriptions from two different doctors and cannot continue my meds uninterrupted! I also learned today that this is not an unusual situation for an Anthem customer. I am a former Health Facility Administrator and I know the importance of compliance to treatment protocol. Here is the statement from the home page of the drug manufacturer: "Do not stop taking Topamax without first talking to your doctor. Stopping Topamax suddenly can cause serious problems."
I am extremely concerned, but I am at the mercy of Anthem. I have also been in bed all day with a severe migraine headache and have suffered 2 panic attacks (the first severe headache or panic attack in over a year!). This drug is not to be taken lightly and I am very worried about what might happen to me. I spoke with an Anthem representative on Friday. She just kept blaming my doctor who I have seen within the past 3 weeks and gotten a new prescription from. It's an endless circle.
Reviewed Oct. 14, 2012
I have never been one to complain. But after multiple calls, not to mention spending ridiculous amounts of time on the phone trying to help them understand how they overcharged me for both dental and medical, these people do not care. They get sarcastic with you, and they don't call back when they say they do. I hear they treat their employees like crap. I will go without healthcare before I ever have to use them again. Hey, Anthem ... people do have choices!
Reviewed Sept. 24, 2012
On hold 40 minutes, no response - As I am trying (still) to get an Anthem representative on the phone, there is still no one live to speak to except the original two people who just pass you off to the on hold forever queue. (Sorry I can't answer that for you, all I do is sales.) Funny, if all they do is sales, and put people on eternal hold, it won't take long with service like this to end up not answering any phones at all. The service at Anthem is deplorable!
Reviewed Sept. 21, 2012
Thank goodness to Anthem Blue Cross! After my second year renewal with them, they had increased their fees and decreased some of the coverage, especially the laboratory services which we all know is ripping our pockets. It came as a big surprise to me that I was billed a hefty 80% of the total cost of the bloodwork done in one of their in-network provider which is contrary to what Anthem says to utilize in-network provider to save on out-of-pocket expense. I had three sets of bloodwork that needs to be done.
Initially, I went to Quest Diagnostic and had it done, so the bill came in and I was glad that Anthem covers a lot and I need to pay just 20% of the total cost. Come my second bloodwork, it has to be done in a multi-specialty clinic which is also an in-network provider and when the bill came in, I need to pay 80% of the total amount. I called in Anthem customer service and was given a lame excuse that deductible hasn't met yet and I need to pay the bill. I argued that the first bloodwork was done two weeks apart from the second one but they covered a lot. Deductible hasn't been met yet when first bloodwork was done. I called them thrice but none of its customer service was knowledgeable enough to explain why such way different amount of coverage on my plan.
Reviewed June 30, 2012
My daughter, Katie, was treated on September 21, 2011 at Hillcrest Hospital Cleveland Clinic, and at the time, I had coverage to pay this bill. Apparently, you are stating she had a pre-existing illness. She went to emergency with stomach pains, and they were not related to anything else. The tests they took at the hospital were all negative. I believe it was a bad case if influenza. I want to dispute the amount that I am being billed ($4,637.55). Kindly respond to this matter.
Reviewed June 26, 2012
I switched to a new PCP. I was told to have lab work done at the facility in their office building. I never had a problem before so I did so. Anthem now states that because I went to a hospital lab, my deductible will apply, which means I am responsible for the entire bill. Also, before receiving this bill and learning about this, I went to have an extensive lab work done. I now owe over $400. Had Anthem made it clear which labs they work with and which they don't, this wouldn't have happened. I could've easily gone to the lab I used with my prior PCP, which is actually closer to my house and it would have been free. Recently, I read on one of their websites that most people know to use a network PCP, but not a lab in the network. Well, why don't they fix this and share the news?! Because it doesn't cost them any more that's why! Stay away from this horrible company. Nothing but dishonesty and problems. Anyway, our premiums increase substantially on a yearly basis too.
Reviewed April 30, 2012
Anthem Blue Cross (Anthem) dropped all federal employees and retirees in a letter dated 9/20/11 without warning. I am a federal retiree. I changed to a health insurance covered by the Office of Personnel Management's approved list. Anthem terminated its coverage as of 12/31/11. My new insurance started 1/1/12. I have been getting letters from Anthem (the last one dated 4/25/12) stating that the premium for my policy is due 5/1/12, and that I have 30 days to pay it or Anthem will cancel my policy. This is the third letter I have received. I do not owe Anthem for any premiums. My health insurance premiums are taken out of my federal annuity automatically. I want Anthem to stop asking for money, clear my account and apologize for its mistake.
Reviewed April 18, 2012
This is making me sick and I don't know if I can sustain the unbelievable rate increases by Blue Cross. Here is a chart of my monthly rate increases since 2009 for my PPO Share 500 - (1929) policy: Baseline rate $567 - April 1, 2009; 10.8% increase $678 - October 1, 2010; 23.7% increase $839 - July 1, 2011; 19.6% increase $1004 - May 1, 2012. Within the last 11 months, a whopping 43.3% increase. A total increase since 2009 of 54.1%!
Also, since 2009, Blue Cross has increased deductibles and reduced benefits! I'm feeling very ill. My heart sinks. I might as well get real sick just to get something for my money! At this rate, I will get sick. This is unsustainable for my middle class family of just my wife and I. I am going to get sick working my ass off just to pay the over $12,000 in insurance costs per year! I might as well give up and die. My hard earned income is just being funneled to Blue Cross. I've been with Blue Cross since I was 21 years old, but I guess all that money I gave them isn't enough. Is Blue Cross giving me 54.1% better coverage? Yeah, right. I'm ready to just give up. Bring on the death panels.
Reviewed April 16, 2012
Anthem Blue Cross went up from $224.00 to $276.00 last year on my secondary insurance 20% to Medicare. I have been getting the run around and this is a huge jump in a year. They went up again this year. They said it's because I am 62, on permanent disability and people used it too much. No other plans went up but this one with Anthem Blue Cross.
This is ridiculous. This company is getting way out of hand and paying for less and less. No one will help me with phone calls I have made, with letters I have sent. No response what so ever! They refuse to give me an answer. The insurance commissioner needs to jump in and see what they are doing to customers and perhaps get media involved and open another insurance company who will not cheat customers. That’s a $50.00 increase. My husband pays $224.00 for the past 1 year he has been a customer and has gone on Medicare.
Someone has to do something with Anthem Blue Cross and see insurance companies. We are overpaying for insurance in CT. That is why people are leaving this state when they become seniors. I can't afford it and God forbid, you live until 90’s, most monies will be gone to taxes, insurances, and more taxes. I want to be contacted any time. Thank you very much.
Reviewed March 29, 2012
Rate hike again for the third time in two years! I want California to stop hammering on me increasing healthy care premiums for individuals that pay for the politician's golden thrown. How the ** can they agree allowing Blue Cross another rate hike while the government talks of improvements. I hate living in California because we are so used and mistreated by the inefficient political leaders. It is more cost effective to be an illegal immigrant with no money and live for free off those afraid of the government. I am fed up! ** ** Dave Jones is just another **.
Reviewed March 27, 2012
I paid for State Wide Van to pack everything, being physically disabled. Besides being inadequate about the whole incident, two men went to pack. They never sent anyone out to view what was needed. Only thing they told me is what % of tip they get. Needless to say, 14 hours to pack, they stayed until 3 am. Since I already paid a down payment which was non refundable due to the time frame, I was stuck with them.
After 4 months in storage, I had them deliver to my new place. Well things were broke and the delivery men told me and gave me the name and number of the insurers. They said all was covered by them, since they packed. So I called Anthem Claim Management, they sent me the form with instructions. I did what they asked in the time frame they asked with pictures.
I got a letter back stating nothing is covered. I didn't send pictures. I didn't send the info in the 9 month time frame. So I called up and she said, “All you are due is $54.00.” My handicap son's TV and the lens are cracked. My wood headboard to a canopy waterbed is broke. The headboard is cracked all the way north to south. I cannot sleep on my bed. Others things that they packed are broke also.
Reviewed March 15, 2012
I wrote to Anthem on March 13, 2012 to request a re-investigation of their business decision to categorize my December 29, 2012 mammogram as if it was performed at an out of network provider. The day of the service, the women's clinic staff recommended that I called the number on my Anthem Blue Cross Insurance prior to the procedure to confirm coverage due to repeat issues their clients have had with the processing of mammogram claims; therefore, I made the call and provided my group number and ID number and subsequently explained to the individual who answered the phone where I was and that the staff suggested I call and confirm that the mammogram was covered under preventative care and that I would only pay a co-pay as the clinic indicated that several of their clients have had issues with their insurance regarding mammograms.
The individual who answered the phone said that Women's Care clinic was in network and that I was covered and should feel free to proceed with the mammogram; however, after receiving my bill, I learned that Anthems staff provided me with incorrect information and that my mammogram was not covered as in-network and that the procedure went against my plan's deductible. To provide misinformation is an unfair practice; therefore, I have written Anthem to request that they re-review my claim and pay the claim as in-network due to their staff's error. I will update you with the results of their investigation.
Reviewed March 5, 2012
I have contacted Anthem on a few occasions to check on an order that I got through a company called Medtronics. This is the company I get my diabetic supplies through. Part of the supplies I get (or used to get) are also related to my being diabetic. The "disposable sensors" are essential to my life. They let me know when my sugar is low/high. Without the sensors, I don't know when my sugar has dropped until it's dangerously low/high. Anthem has covered them before and now all of a sudden, the senors are not covered. I can not understand why such an important part of my being diabetic and having these sensors are no longer important enough to the insurance to cover them? I'm now down to 3 weeks of sensors left, then I'm out. Please expedite this as I have been waiting for this to be decided or figured out in regards to why I can no longer get these.
Reviewed March 1, 2012
I will be 48 years old on May 1, 2012. I just received a letter from Anthem Blue Cross about increasing my monthly payment from $667 to $865 ($198 increase) after May 1, 2012. They have increased the monthly payment every year. It is a payroll check amount! Why nobody can stop them?
Reviewed March 1, 2012
Anthem is raising my rates for health insurance by 21%.
Reviewed Feb. 28, 2012
Anthem Blue Cross is raising my premium for individual policy by 19.1%. I just changed policies so that I could get some preventative care and my premium went up just $3 but my deductible went from $2500 to $3500. I currently pay $308/month and it covers basically nothing and it takes a catastrophe to meet the deductible. Now, it will be going to $367 per month! They are openly blaming Obama Care and I think that is so wrong. I can not get cheaper coverage anywhere as I have documented manic/depressive, bipolar disorder for many years and they can put you in the super high rates for that. This is so out of control and I don't think anyone in the government is doing a thing to stop it.
Reviewed Feb. 25, 2012
Health insurance rises from $70/month to $1800/month. My 23-year-old daughter left her job to go back to school. When I tried to add her to my policy, we both had Anthem, her monthly premium jumped to $1800 per month because she has psoriasis and had a wrist injury. Of course neither of us could afford that so she is now uninsured. It is so utterly ridiculous I still can't believe it. I only paid $130.00 for her before on my policy and she only paid $70 through work. It's highway robbery!
Reviewed Feb. 17, 2012
I am having total knee replacement surgery on 2/22/12. My surgeon has adamantly suggested I have home health care and rehab after my arrival home, and then outpatient physical therapy after that's done. I've been informed that I have a $2400 deductible for home health care in addition to my normal policy deductible. This is an abomination. The price of health insurance is exorbitant to begin with, and then to gouge the consumer with outrageous charges like this is mind boggling.
Reviewed Feb. 17, 2012
I cancelled my wife's health insurance on the form provided by Anthem on 1/25/12 in writing. They took $219.00 out of my checking on 2/6/12. I have been trying to get the money back with no success. I called on 2/10/12 and was told that a check had been mailed on 2/9/12. I was told by Sadie (Anthem Grievance Associate) that the check would be at my house by 2/16/12. I still have not received my refund check. I called at 4:30 PM today and after being on hold for over 20 minutes, that everyone is in a meeting and I could not leave a message. I was told that nobody was available to help me. What do I do?
Reviewed Jan. 31, 2012
Just received another increase of over 25% this year. No real explanation--just a lot of it could be this or that. Shouldn't they identify real reasons why the premiums would increase this much in a single year? Seems like they have a "charge anything" kind of approach to me. I try and carry the high deductible HSA plan that was supposed to be good for the system, but I will soon no longer be able to afford even that. Particularly since I also have to pay for all my actual health care.
Reviewed Jan. 26, 2012
I received a letter on May 03, 2011 claiming I will receive my unused power account funds. After a while of not receiving anything, I gave them a call on June 13, 2011 and they told me in six months I would receive it.
I am guessing they would hope I'd forget all about it, but I did not so I called again on December 31, 2011. I talked to a guy for a little bit. I could barely get a word in during the conversation but he told me to call back in two weeks. I called them today, January 26, 2012, they told me I would not receive the unused power account funds; it was only a mistake. They are feeding me some **.
Reviewed Jan. 7, 2012
The problem with my experience is that no entities have done anything technically illegal, though why health care isn't considered a crime nowadays baffles me. I just needed to gripe about the state of health care in this country.
As a small business owner, I have been paying my own health insurance bills for 21 years. Every year, it goes up double digit percentage points. I am just finishing up paying about $4,000 for it this past year and next year, it will be closer to $5,000 if I stick with the same plan. Or I can opt to keep the same cost and get virtually no benefits.
My doctor wanted me to have two fairly routine tests done, a stress test and an echocardiogram, so after paying him $50 for the 15 minutes I talked to him, I had the tests scheduled. I was in the hospital about an hour and the two tests apparently cost $2,400. Anthem was kind enough to pay a quarter of that bill. That left over $1,700 for me. I never would have scheduled them if I had known that they would be that much. Do hospitals have a price list somewhere? Several calls to the hospital and Anthem brought no relief. The hospital said they could put me on a payment plan. Gee, thanks.
Now, my "This is not a bill" statement came for the doctor. I don't even know what it's for. It's from Anthem, it mentions the tests and my doctor, but the doctor wasn't there for them. Anthem is covering some of that. The cost to me looks like an additional $315. I'm thinking that I still have a bill coming from the doctor who was actually in the room for one test. That will likely be in the hundreds of dollars. Then, I'll have to pay another $50 for my doctor to tell me the test results.
Anthem just chalked it all up under my deductible. I have always had a deductible and this is what I get. But really, what has happened to this country? I pay $4,000, soon to be $5,000 a year, for insurance and then I have the privilege of paying $3,000 more for any services before they'll start cracking out the benefits.
For now, I guess I'll just have to keep hawking my retirement to keep insurance and try like the dickens to never use it. Here's a bunch of money, thanks for giving me nothing in return. It seems to me that I might be better off sticking the money under my mattress and paying hospitals in cash or throwing the money out the window.
Another few years and it's going to be cheaper for me to move to another country and just fly here when I need to get some work done--except then I'll have to deal with the airlines.
Reviewed Jan. 6, 2012
I have written several times to get the transcripts, written, oral recorded to CD and typed records for the past 3.5 yrs from the 24/7 Nurseline to no avail. I have sent status report request as of recent. I need these records due to the volatile condition of my nervous system as it connects to my heart and teeth after a chiropractor performed an evasive procedure, bending the right femur in my leg to stretch the injury out of the spinal cord after I was hit crossing the street in a cross walk in 2008.
The complaint and summons was filed without my agreement by legal tech and filed incorrectly. An out of court settlement of $10 million. It was offered then denied ever having occurred. The attorneys of many whom I have contacted have all reported to me, "They won't let us take your case and represent you." First submission of this form states invalid captcha, registered victim of ID theft, approx. 1984 through D.A. Ed ***/Child support office in connection with Quigley, mayor of West Covina and Ehrle family, with eldest sibling and husband, to the best of my knowledge.
Reviewed Jan. 4, 2012
Had a health coverage individual policy w/ Anthem for several years. I paid approximately $250/month. I could never call this s policy because it didn't cover anything. I felt I needed to protect my real estate in case of a catastrophic accident or illness. Shortly before my medicare began (10/1/11), I was told on several occasions that preventive procedures would be covered. I was encouraged to use this insurance for a Colonoscopy. Thinking that I might get some benefit from the thousands of dollars in paid premiums, I had the procedure on 9/28/11.
I was told as was well, 3 polops had been biopsied - negative. Soon, I began receiving statements for $488/lab work for the biopsy. Anthem's response was that the procedure lab work ceased to be covered due to the need for examination of the polops. What part of the procedure was not considered preventive care? Why was I not told in several calls that the lab fee was not included? Fraud can be slipped by so discretely, deception by insurance companies. The reason that they are one of the most profitable businesses in the world. When will we realized that health care for profit creates, greed and fraud. A never ending vicious cycle. Getting worse by the day. Hope the Joe Public's are paying attention.
Reviewed Dec. 20, 2011
I was mailed the Lumenous HSA brochure, which I requested. I reviewed it and it looked good. The representative from Anthem at the same time emailed me the application. I filled it out only to find out later that they had given me the lower grade insurance. I had a catastrophic event after enrollment and have paid over $12,000 in bills. I called them to ask what was going on because according to the Lumenous, all this is covered. I was informed I filled out the application for Blue Direct, which I did not even know existed. I asked to change to the Lumenous after explaining. They sent me the Lumenous brochure with a Blue Direct application and was told that now I have a pre-existing condition and am not able to change. This is fraud on their behalf. I warn people this is not the first time I have heard of them doing this. Be forewarned and do not allow them to trick you!
Reviewed Dec. 6, 2011
I have a plan with them which includes child physical exam for my daughter. However, when she did her annual physical, they charged me 80% of doctor's bill while I am paying the premium. They say it had to meet the deductible. But in the initial plan they say that the child physical exam is included.
Reviewed Nov. 3, 2011
The cost of Insurance! In less than 4 years our health insurance has gone up from $900 a month to over $1,600 a month for the basic HMO Saver family plan. How can the public start spending money and turn around this economy, when we're getting ripped off like this? Something needs to be done to regulate their greed! They're making $$$, we're suffering. I can't even figure out how or who to complain to. The Blue Cross just doesn't Care!
Reviewed Oct. 18, 2011
Our family is enrolled in Anthem Blue Cross Power Select PPO Plan (in California). I learned that not all PPO plans are created equal. If I can give 0 star to this plan, I would. Here's my source of complaint.
We discovered earlier this year that the in-network providers on the more expensive Anthem PPO plan are not available for the Power Select PPO Plan. As a result, our family could no longer go to the same family doctors we've been going for years. We discovered that this plan now comes with 2 deductibles: $500 deductible for in-network providers and $1000 deductible for out-of-network providers. The 2 deductibles are separate. If you see doctors (i.e. chiropractor) both from in-network and out-of-network, you must fulfill both deductibles (yes, $500 plus $1000) before they'd reimburse 80% of the medical expenses.
There was not a single Power Select PPO in-network doctors in the city in which we live. Mind you that the city in which we live has over 210,000 in population, not a small city by any measure. Instead, Anthem sent us a list of in-network doctors in neighboring cities. It is appalling and infuriating that we had to travel to another town to see an in-network doctor! Their website (www.anthem.com/ca) is archaic and very user unfriendly. I wonder why they don't use search engine such as Google to enable an easier search for a doctor. I consider myself web savvy but give up using their website in frustration. I wonder if insurance company purposely make everything difficult for patients so we will give up contacting them. I called Anthem Blue Cross (800-765-2588) today (Oct 17, 2011) and waited for 1 hour and 8 minutes before I reached a live person. This is totally unacceptable. Where is good customer service? Lesson learned: insist on confirming the list of preferred providers before signing up on a particular PPO plan.
Reviewed Oct. 10, 2011
My wife has been treated for bipolar and manic depression and was undergoing electroconvulsive therapy (ECT) treatments at the Mayo Clinic in Rochester, Minnesota. Anthem notified Mayo that they will no longer be covering for her as an inpatient; they will cover for her as an outpatient only. My wife's doctor and staff requested an appeal two times and were denied. Mayo felt she needed continued inpatient medical care. I took her out to our motel and was trying as an outpatient. My wife showed signs of stress, restlessness and anxiety and was vomiting, crying and et cetera.
On the next day, I returned her back to the ER at Mayo, and she was readmitted. Her doctor again requested for an appeal and was again denied. Anthem even refused to allow me to contact them to plea for my wife's welfare. How can a world class clinic with world class doctors be denied allowing a very ill patient to be hospitalized? I have contacted the BBB (Better Business Bureau), our school union (NEA of Indiana State) and our school's lawyer for any action on behalf of my wife. The state of Indiana said they will look into this matter.
Reviewed Sept. 27, 2011
I had a very involved intravenous procedure with a stent placed near my heart. Anthem paid measly $1,200 then claimed they did not receive a full bill. Then they said it is "usual and customary". Then they claimed to have never received anything, then they demanded more codes form me, then they went ahead and paid a doctor who was paid in full by me instead of reimbursing me.
I am still calling every two weeks for what soon is going to be a year. They don't keep records (or pretend not to). Everything has to be explained from the beginning from one CS rep to the next.
Never in my life have I dealt with such dis-organization. My car insurance is way more responsible, organized and quick. One would think that health insurance would be considered a little more important.
Reviewed Sept. 8, 2011
I had a brain tumor and underwent surgery in March of 2010. The total billed to Anthem Blue Cross of the hospital and doctors was right around $129,829.44 (not including all the pre-surgery appointments). Anthem Blue Cross paid a total of $6,271.24 leaving me with a very large balance and causing me financial hardship.
Reviewed Sept. 8, 2011
I cancelled my insurance policy and my daughter's by claiming late payment. There was auto pay for years, but they cancelled that option and told me I should have checked the notice on the bottom of my bill. I didn't check the bill. I had auto-pay!
Reviewed Sept. 8, 2011
This insurance was taking $69.90 extra out my account for two years plus the insurance amount I agreed to.
Then when I realized what they were doing, they decided to cancel my insurance on false pretenses. Saying I did not pay my insurance, when it is deducted from my checking account at the beginning of the month. And I have proof they took the money from my account
Reviewed Aug. 30, 2011
I ruptured my Achilles tendon. I went to the ER and then to my primary. They both verified that I had a possible tear/rupture of the AT. My doctor referred me to an orthopedic surgeon and to get an MRI.
Anthem denied my referral stating I needed to have more treatment from my primary doctor. They can't do anything further for me.
Reviewed Aug. 25, 2011
Issue # 1. Aside from the unmanageable increase in premiums and decrease in coverage, Anthem have now stopped allowing auto pay to credit cards. In order to use a credit card, I must call each month in which I am charged an additional $15 per month. I had been on auto credit card pay for years at no additional cost.
Issue #2. Also, they do not cover those items that were supposedly mandatory under the new law because I am "grandfathered" in to some exclusion that they found.
Reviewed May 31, 2011
I've been paying my health care insurance premium with my credit card. Until recently, have been able to call an 800 number and self direct myself to pay my bi-monthly bill. I just received a letter stating that starting Aug 2011, there will be a $15 charge to pay a premium with a credit card. The only "fee free" option they offer is to write a check (which they charge $2 paper fee for) or hook up your checking acct for online pay. Customer service said Anthem pays $700,000 in credit card banking fees per month and is looking to save money.
I'm outraged since that savings is obviously not trickled down to me...my premium was just raised and they took the liberty to raise my co-pay and deductible. I can grocery shop and pay with my credit card, pay my cell phone, cable bill, buy anything online and NOT incur a fee. This is just another snakey way to screw the customers and needs to be stopped. I feel that charging customers a fee to pay with their cc is against the law as well as raising the deductible that I bought into. I can just imagine that more people will feel the same way. It's time they treat their customers with respect instead of putting their shareholders first!
Reviewed Jan. 22, 2011
I have smoldering Multiple Myeloma, which is a type of blood plasma cancer. I also have an auto-immune condition called Sjogren's Syndrome, which puts me at risk of Lymphoma. A mass was found in my chest on my Thymus gland and several "spots" in the upper portions of both my lungs in Dec. 2010. I was to have these biopsied on 1/21/11. Anthem Blue Cross denied this biopsy, stating that it is not medically necessary. They stated that the medical code for this procedure does not fall under the commonly used codes which are approved within Medicare guidelines. Anthem uses Medicare's guidelines as their own for approval of procedures. Anthem is the only insurance company that denies this type of biopsy and even Medicare patients have received this specific biopsy from my doctor.
This biopsy procedure is special in that it is an outpatient procedure and has the capability of reaching all the areas where cell sampling is needed to make an initial diagnosis. Depending upon what type of cancer is indicated, the management and treatments differ. Due to this biopsy denial, I am now faced with my next option, which is a Sternotomy. A procedure that is much more invasive as my sternum must be opened, requires a hospital stay and will only address the mass on my Thymus and not the spots in my lungs.
Reviewed Dec. 27, 2010
I have been trying for almost two hours to find out if I have vision coverage. Anthem Blue Cross, 800-333-0912, just gets your information and puts you in a queue that goes nowhere, no one ever answers. I've tried on-line at the anthem site. It does not show under benefits. There is no search button. I went to Customer Care section, my plan is not listed. I used the number for a PPO plan and got senior services. They transferred me back to another 37-minute holding pattern before hanging up. I went back to the site to “e-mail us” which refers to the message center. I sent a message, no answer. I tried going through an Anthem site online, she was very helpful, but again, she could not get me anyone online. My premiums are increasing and I cannot get an answer. I have a disputed claims issue with my cardiologist, but I can't resolve it because my insurance carrier is not reachable. They are not accessible. I went through this a few months ago when Blue Cross refused to fill my prescription. I had to postpone by dental surgery because I could not reach anyone to get my prescription authorized.
Reviewed Dec. 18, 2010
I am a 35 year old female with a 2 1/2 year old daughter. I currently pay Anthem Blue Cross $666 per month for my medical insurance premium for me alone. Anthem Blue Cross denying me a procedure 6 Orthopedic Surgeons say I need. Anthem's employed physician says it's "Not Medically Necessary". Over the past 3 1/2 years I've had really bad lower back pain and sciatica running down my entire buttocks and left leg to foot. I've tried all conservative methods the doctors gave as a course of treatment, anti-inflammatory medications, pain medications, physical therapy, acupuncture, injections, chiro, light exercise, massage, etc. All of which either provided very little to no help.
The pain has moved into my right leg recently so doctors ordered 2nd MRI which showed completely degenerated disc and bulge and doctors say spinal fusion at L5 S1. 2 days before the surgery. Anthem Blue Cross paid physician "Dr. Marappa **" denies the authorization stating not medically necessary based on a Milliman Care Guide. Also my Surgeon put in multiple requests for a Peer to peer (what physicians will often do so they can help the Anthem Physician understand your injury or problem). Their "Dr." never returned my doctors call and did not honor the peer to peer.
After sending over records from other physicians who supported the surgery, Anthem "Dr." still denied the authorization. I'm only 3, how can Anthem be allowed to force me to be in pain for the rest of my life or go bankrupt trying to finance this procedure on my own. How do I take care of my 2 1/2 year old daughter with this back pain and sleep deprived from the pain? Is this legal? Is this humane? Is this what average income Americans should expect moving forward in terms of quality of life and Healthcare?
Reviewed Dec. 18, 2010
I am a 35-year-old female with a 2 1/2 year-old daughter. I currently pay Anthem Blue Cross $666 per month for my medical insurance premium for me alone. Anthem Blue Cross denying me a procedure six orthopedic surgeons say I need. Anthem's employed physician says it's "not medically necessary". Over the past 3 1/2 years I've had really bad lower back pain and sciatica running down my entire buttocks and left leg to foot. I've tried all conservative methods the doctors gave as a course of treatment--anti-inflammatory medications, pain medications, physical therapy, acupuncture, injections, chiro, light exercise, massage, etc. All of which either provided very little to no help. The pain has moved into my right leg recently so doctors ordered second MRI, which showed completely degenerated disc and bulge and doctors say spinal fusion at L5 S1.
Two days before the surgery, Anthem Blue Cross paid physician "Dr. Marappa ** denies the authorization stating not medically necessary based on a Milliman Care Guide. Also my surgeon put in multiple requests for a Peer-to-Peer (what physicians will often do so they can help the Anthem physician understand your injury or problem). Their "Dr." never returned my doctor's call and did not honor the peer-to-peer. After sending over records from other physicians, which supported the surgery, Anthem "Dr." still denied the authorization.
I'm only 35. How can Anthem be allowed to force me to be in pain for the rest of my life or go bankrupt trying to finance this procedure on my own? How do I take care of my 2 1/2 year-old daughter with this back pain and deprived sleep from the pain? Is this legal? Is this humane? Is this what average-income Americans should expect moving forward in terms of quality of life and healthcare? Please help.
Reviewed Oct. 25, 2010
The State of Colorado charges people who have insurance a charge to cover the medical costs of people who don't. This charge is assessed through people's insurance policies. In 2009, the assessment was $25.13. But Anthem decided to charge its customers $3.15 for 8 months. The problem is that comes to $25.20, and increase of 7 cents. That also comes to $56,000 for Anthem's 800,000 members. Having scammed the public in 2009, they did it again in 2010, this time for $55 per customer, for a total of $440,000 from overcharged Colorado residents. The Colorado Division of Insurance doesn't seem to care.
Reviewed Sept. 26, 2010
We have a 13 year old completely disabled child named, Andrew. He has been disabled since birth. He is developmentally 11 months old and relies on my wife and I for his complete care as well as a nurse that comes to the house in the evenings (this coverage was denied also by Anthem).
My wife is winning her fight with cancer but unfortunately the removal of the lymph nodes under her right arm left her weak in that arm. Andrew is now about 81 pounds. This makes it nearly impossible for my wife to move him around (nurses are not allowed to lift more than 50 pounds) and bathing him is very difficult since if we change his body temperature too rapidly and chill him, he can have seizures (this was verified by Dr. Debra Holder from Children's Hospital, the child neurologist and leading seizure specialist on the east coast to our provider Anthem).
The hard part of it is trying to put him down into the tub with the near body temperature water so we don't kick off a seizure. We have been requesting a bath chair that can be lowered into the tub mechanically so we can avoid chilling Andrew and the physical strain on me. I am 200 pounds and 6ft 2inches but I can barely lower Andrews 81 pounds into the tub anymore and then back out. I am developing back problems from it. They continuously deny our requests for any medical equipment for Andrew. We end up having to plead to other agencies or pay for it out of our own pocket. The latest denial from Anthem states that Andrew "should not be immersed in a bath if they could have a seizure and as this would be a safety issue to take a bath at all".
We just won't clean Andrew. We also were denied a feeding chair for Andrew. A specific chair called a Tumble form is needed for Andrew to eat in. It provides the correct seating to avoid aspiration or the inhaling of his food. They denied it saying that his wheelchair (that they also denied paying for recently) could be positioned correctly for his feeding. After getting a cookie swallow test done, we proved (by a certified specialist and MD) that the wheelchair positioning put the food straight into his windpipe. They were provided pictures of this and offered the xray/video that showed it as well as received a written statement from the specialist. They still denied it.
The letter states that the bath chair that we are attempting to get paid for by our insurance company is more than is needed. I thought that since 1 of the reviewers is a physical therapist, 1 is a health plan medical director and the other is a grievance and appeal rep that between all of these knowledge perhaps, they could direct us to the type of bath chair that they say would meet our needs to lower and raise Andrew from the bathtub since they say the bath chair we selected through one of their preferred providers is not acceptable.
Last but not least - our 18 year old son had to have his molars removed and I called for a pre-notification from Anthem for the anesthesia. They said it was covered and gave me a prenote number. We showed up to the oral surgeon's office and they said that Anthem denied coverage. The doctor estimated what my delta dental would pay and I paid the $176 difference out of my pocket.
When I got home, I called and got the same person that had given me the prenote, Robert, and he said now that this was not covered. I asked for a supervisor. He said they would call within 24 hours. 8 days later, a supervisor called and said they could not find the voice conversation I had with Robert (they tape all conversations when prenoting) and they would pay for my $176. I asked how to submit, they said they would send a claim form to me. I waited 2 weeks and called back and had them fax it to me. I filled it out and sent it back showing on the bill from the oral surgeons office where I paid the $176. I called 3 weeks later and they said that they needed the tax ID from the Anesthesia provider (even though the provider is an Anthem preferred provider). I sent that to them at the address in California that they directed me to and waited 3 more weeks. I called back and now they say I should have sent it to the local Blue Cross office here in PA.
I gave up. I don't have the time keep chasing this $176. We have been denied a wheelchair, a feeding seat, a bath chair and nursing care. We do not have a lift in the house or a special van or vehicle for transporting Andrew. Our Insurance policy has provided no "needed durable equipment" as described in our policy yet my employer and myself keep paying for it. If we had a normal child these items wouldn't be needed but we don't.
Reviewed Sept. 8, 2010
They are "requiring" mail order for certain medications with another screwed up company which is now changing names. When I tried to register on their online website, it kept telling me I have to re-register, and when you do, it tells you you've already registered. This goes around and around and you can never register! If I don't get the prescriptions on time, my life is jeopardized. They keep stalling with these outside referrals.
Reviewed Aug. 29, 2010
I have had Anthem Blue Cross Individual PPO for many years. Last year, I received 3 taped calls from Blue Cross recommending that I get a colonoscopy. I finally decided to have a colonoscopy and endoscopy (I have relatives who have had stomach cancer) done at the same time at UCLA. This is for preventative care and I was shocked to receive the bill for $2,400 after Blue Cross paid about $150 of the bill.
I cannot believe that we need to pay this much for a check up. When I called Blue Cross, I was told that this is considered outpatient surgery. I think this needs to be categorized under preventative care.
Reviewed Aug. 23, 2010
I tried to re-order prescriptions and discovered that Anthem was putting up a new web so I had to re-register. When I tried, it wouldn't recognize the new info. I got online with Tech Support who also had problems but eventually got it to work, but could not get to prescription service, apparently recently outsourced to Express Scripts. Tech Support said they couldn't help because another site (also confided they were very busy with complaints re: new web site, the one that had a major security breach). When I called the number he gave me, I got a recording saying they closed at 2:00 pm PST and to call back when they were staffed. (Amazon, Zappo's and Apple can provide 24-hour Customer Care but Anthem can't! ) I tried to call the Anthem Tech Support number again but the phone just rang. I assume this means that there weren't enough lines open. (I know a little about customer service and technology, did they not increase staffing for the new web site cut-over? )
I'd like to know what Anthem and their partners' service levels are regarding response time, hours of service, missed calls, etc. It seems dumb (or greedy) that customer service for a pair of shoes would be better than for health insurance.
Reviewed Aug. 23, 2010
Our Anthem Insurance expired on 6/30/10. We went through the month of July without insurance and decided to go through my husband's work and obtain insurance effective August 1st. The forms asked, “When was your last date of insurance?” We put 6/30/10. The effective date was 8/1/10. The underwriters put us down for the month of July and want us to back pay for the entire month of July. Note that during the month of July we did not use the insurance, nor did we submit any claims whatsoever. We explained that we did not want insurance for the month of July and we didn't use it. They said, “Too bad, you still have to pay for it.” What a joke. This is a rip-off from a multibillion dollar company.
Reviewed Aug. 18, 2010
At the end of May 2010, my Cobra coverage expired with Anthem Blue Cross, received a letter from them stating this. Went on line to Anthem, made contact with sales rep Tracy **. Completed and submitted an application for myself and spouse. After 3 weeks passed, heard nothing from the sales rep, so made a call. She states nothing is happening because one of my doctors did not respond back with required health information they requested. I complained to her about never getting phone call of this issue. Now armed with this info, called my Dr and the health info they needed was sent to the underwriter.
Now it is end of June, still have no coverage and I have a chronic disease so can't see a doctor. A few more weeks go by, and still nothing, than discover wife's doctor had failed to transmit required health info causing further delay. Went back and forth for 2 weeks with Dr's office and underwriter to get the required information back to underwriter, and couple more weeks go by and now at end of July, still no coverage. So now that I am past the 60 day mark, if I decide to go to another health insurance carrier, I will not be covered for any pre-existing conditions for 12 months.
So now, for the last 2 weeks the sale rep is still telling me they are getting this done, but still my account has not been debited for the amount agreed, still have no insurance cards or coverage, and now it is August 18th. I seem to have no recourse. I have Chroine's disease, and Chron's RA which at time is very debilitating, especially without my medications, one of which is $400 per month out of pocket, so I have to go without it. This is just ludicrous! And the worst part is not having any recourse except to complain, which does little to resolve anything! I grow to hate this country and all capitalist pig insurance companies.
Reviewed April 27, 2010
I went online and filled out a brief application which didn’t ask for much information and I received a quote. There was never ever a screen asking for my banking information. Anthem Blue Cross electronically debited my checking account without my authorization! When I called to dispute, I was told that I entered my information at the time of filling out the online application. Not true! Why would I do that when I am not for certain if this is the company in which I would choose for healthcare! Consumers beware!
Reviewed March 20, 2010
My husband and I have a health insurance policy through Anthem. We pay roughly $1900.00/mo for a family of 5. We own our own business, so this is directly out of our pocket. I had taken my son in Jan.'10, to the doctor's for an ear infection. He was seen and treated by our pediatrician. A couple of weeks later, I get a phone call for the office gal at our Doctor's office saying Anthem has denied our claim and that we are no longer with our medical group and that we no longer have our current pediatrician. I was dumbfounded. I had called Anthem to find out what was going on. They said, that my medical group is still with Anthem. They had not renewed their contract with Anthem, but within the last few days, they had. So they will pay our claims. I thought I was done with this. In the meantime, my oldest son get's pink eye and so do I. We go to the Doctor's get treated.
Same thing happens a week later. They are denying my claims. I called them to see what was going on. They said that Hills Medical Group did not renew my policy with Anthem. I called Hills and they said the exact opposite. In fact, they sent me new medical cards within a week, with my policy on there, and that in fact, they did renew with my policy. That was around the second week of Feb. A week later, Barb from my Doctor's office called after I had told her what Hill's said, and informed me that Anthem has once again denied the claim.
I called Hill's and spoke with Gina. Gina informed me that my policy was renewed with Anthem. I told her that I had a doctor visit on Feb. 26th, for my twin's kindergarten physical and that they needed the rest of their immunization shots. Will I be covered? She said, "Yes". She said she was going to put the renewal of my policy retroactive from the first of Jan. and she was going to put a rush on it. She called me the very next morning and told me that I was good to go and to go ahead with my current doctor's visit. I went! I received a phone message from her on my cell phone the next day, saying that Anthem did not renew my current policy and the appointment would not be covered. A day too late. I was furious.
I called Anthem and spoke with a Supervisor named Jasmine. She told me she would cover my medical claims up until the end of Feb. and that would be it and that I would have to go find new doctor. I agreed to that. I had the doctor's office fax over the claims put to her attention, per our conversation on Feb. 26. I got a phone call from the pediatrician's office this week (Mar. 18) saying that they had denied our claims.
I am at a loss right now. Anthem has royally screwed us. They assigned three different doctor's for my family, without our knowledge. They never informed us of this change or did they send us any information regarding the rate hike we would be having. If we wanted to upgrade our policy,so that we would have the same doctor, we would have to pay $300 more a month and that didn't include the rate hike that would be happening in the next months.
So on Sat. 13th of March, my husband threw out his back in our yard and needed to see a doctor. He went to the urgent care, because we are without a doctor and they turned us away. They said, "Sorry, we are not accepting this insurance." Your policy doesn't accept Urgent care visits. I had looked up the medical group that they had assigned us, and none of the doctor were accepting new patients. This is criminal. I started to cry. We have been paying Anthem $1900.00/month for health insurance and we have no doctor or urgent care to go to. Why? I would like to take this up with an attorney please! Someone call me!
We have been paying Anthem our premiums on time every month, since January. Now our pediatrician's office is calling us for payment of the visit's. My kid's kindergarten physical alone was nearly $500 and that is times two, because I have twins. I have paid the doctor's office my co-pay. My husband was in so much pain from his back problem that he had to miss work for three days. I cannot pay this extra money for the doctor's visits when I was told that Anthem would pay. (per Jasmine on 2/26). I cannot sleep because we are currently without insurance. We cancelled our payment to Anthem set for Mar. 19th and are currently in the process of getting a new policy with a different company. I have faith that we will be insured, but I feel we have paid Anthem all this money for the past three months and I feel that they owe it back to us, since we have to pay for our visit's now. This has put a huge strain and not needed stress on my family. I am so mad, I don't know where to turn other than the Insurance Commissioner and this website.
Reviewed March 14, 2010
I just received a notice from my Anthem Blue Cross of California that my rate had been increased $300. Additionally, I just picked up a non-generic prescription and noted that my co-pay had also increased. Non-generic medications are no longer affordable to me yet some of the medications I take do not come in a generic form. Other medications, such as Synthriod, should not be substituted for a generic brand. At some point in my life I was a consumer and figured that Blue Cross was working for me since I have been paying my own policies for the past 25 years or so. Were they padding the CEO's pockets in the past? Probably.
It's now become a "sick joke". I can't afford medication. I fear that I will be dropped if I develop a "pre-existing" illness. Do I need a written advanced directive stating kill me now because I don't have enough money to live (literally)? I am not sure what to do. I am a Medicare provider and my fees have been cut by 21 percent. Yet my insurance premiums have gone up not to mention interest on credit cards. I do watch the news and this all makes sense until I started getting screwed. What is going on? I cannot afford my medications any longer.
Reviewed March 5, 2010
We are self-employed, we have a small business. We are a family of three and have Anthem Blue Cross. Our premium was $1454 a month before they tried to raise it by 38%. We tried to switch to another plan but were denied due to shoulder surgery I had last June. It was suggested that we switch to a lesser plan that does not require being underwritten.
We were accepted as of March 1, but now I learned today that the price I was quoted of $903 two weeks ago has already changed because I turned 55 on Saturday, so it is now $1079. If Anthem gets their way, they will raise this plan by 38% and we will be paying more than our original plan had cost, a whopping $1489 monthly, receiving much inferior coverage. This is a greedy and unacceptable maneuver by Anthem. Too many people like us are being squeezed and there's very little alternative. We are not taking care of our people and this is a most dangerous thing.
I support single payer, public option and respect other countries for figuring out how to provide health care to their citizens. Who cares what it's called, socialism, communism, democracy? Isn't it a smart thing to take a look around us and see what works for others? Is it that hard to promote something that will enhance our lives? This is truly a crime and before we totally fall from grace. Let's make an effort to stop the greed of our corporations and care for our people.
So many people have complained about Anthem on this site, but what are we doing to stop them and other companies from walking all over us? Republicans are in full agreement with greedy rate hikes and no regulation. They instill fear in people who don't quite grasp what's really going on and the democrats are too weak-kneed to stand up and explain it clearly to us what it all means and they don't have the cazongas to speak up for public option, single payer health care. The lot of them are so dependent with lobbyists. The chance of serious reform probably won't happen anyway. What are we to do?
Reviewed Feb. 28, 2010
Anthem Blue Cross cancelled my policy without explanation and without notice. Again, I received the refund and cancellation on 2/26, which is only 2 days notice before the cancellation became effective. How can this be legal? I am extremely stressed about not having insurance by Monday, May 1. I now have to take time off of work to immediately find new coverage. This is unfair practice on Anthem Blue Cross' behalf, that is causing undue depression and anxiety.
Reviewed Feb. 8, 2010
I signed up for insurance as soon as I was eligible. I pay $60 a week post tax (about 1/4th of my pay). Every statement I get has nonsensical pie charts with 3-5 different colors that tell me what they are paying for; each color is labeled Data 1, Data 2, etc. Nowhere on the statement does it say what the data numbers equal. Is green medical? Is yellow pharmacy? Who knows? When I called, I was put on hold and blind transferred to another random department where I explained again what I need to know, and again I was put on hold and transferred. This goes on as long as I can stay on the line. So, as far as I can guess, I have to pay my premiums and an additional $3,000 (about $6,000 a year), for my 4 doctor visits a year to refill a prescription that costs $12 a month.
Anthem would not cover my wisdom tooth extraction because I already had teeth when I enrolled. The representative who sold me the insurance also misinformed me that the money spent on the choice care card counted as out of pocket expenses.
Reviewed Feb. 4, 2010
My Anthem health insurance rates are going up $100/month again, same as last year. Of course, it’s due to the "rising costs of health care." That’s all they have to say. My rates have more than doubled in three years even as I’ve lowered my coverage to try and save money. Yes, I have a condition, which does not allow me to get coverage with anyone else. So Anthem has decided to either squeeze every dollar out of me. They can and/or push me out the door. I’m 43 yrs old. My rate is $500/month for catastrophic, high deductible coverage. What is it going to be when I’m 50 or 60 years old?
Reviewed Feb. 4, 2010
I am submitting this complaint on the behalf of our client. Blue Cross has not updated her information and we have faxed all the forms that they requested several times. They are denying her claims and as a result the client is going into collections. I have contacted Blue Cross many times and they put me on hold and then disconnect me.
The client is elderly and was illegally sold a policy by a Blue Cross representative who mislead the client into believing he was from her current policy. This client has been getting the run around from Blue Cross since 2009.
Reviewed Jan. 30, 2010
I just received a notice from Anthem Blue Cross CA announcing they will raise monthly rates for my PPO plan (Smart Sense 1500) by over 31% on March 1st, in my case from $208/month to $273/month. My situation has not changed, no new age bracket, no claim, no litigation, nothing, just a "reward" from being a good customer, I guess. The irony is that the letter starts with (and I quote) "Controlling health care costs is important to you, and you can rely on the stability and experience of Anthem Blue Cross to secure the best prices..." (full document available on request). What a joke!
My question is, if Anthem Blue Cross is so expert and stable, why do they "need to increase prices" by 31%? Wouldn't it instead be the result of gross mismanagement (or sheer greed) by Anthem since it's unlikely people got 31% sicker? Here goes their reputation of "expertise" and "stability".
Secondly and most importantly, this appears to be "price gouging" of the worst kind and I suspect Anthem, taking advantage of a situation of quasi-monopoly, is positioning themselves in advance of a Health Care Reform that would not allow them to treat their customers as captive "cash cows" any longer.
I'm not a lawyer, but I'm sure price-gouging laws must exist to prevent that kind of abuse. As much as I understand companies need to remain profitable, there is no way Anthem Blue Cross operating costs went up 31% in a year, unless of course, they lost customers left and right from bad service and/or predatory pricing policy.
Please look into this. I personally can afford the rate hike but I know many people who do not and who could decide to drop medical coverage, potentially endangering their health and that of their families and/or putting themselves in dire financial jeopardy should they get injured or sick. Not to mention the added burden on the state or federal government which will, one way or the other, have to pick up the medical tab for additional uninsured or under-insured people. Thank you.
Reviewed Dec. 20, 2009
I am an RN at Wellpoint Blue Cross. My 17-y/o daughter, Becky, has been treated for acne since 2008. She has failed liquids, gels, lotions & antibiotics. Recently, it became inflammatory and ugly so I took her to a dermatologist on 12/7/09. This is her senior year! Dr. ** of Pediatrics and Dr. ** of Derm. have worked very hard so Becky could get treatment. I worked very hard for this company for 2.5 years and I am laid off on 12/31. I will have insurance until 2/23/10 but there is no excuse for this type of delay. I do medical review and Rebecca has met every criteria for this treatment. A copy of this letter is being distributed on Complaints.com so that 10,000 people can see how Blue Cross treats their own nurses. I am also sending a copy to the FTC for any violations thereof.
Reviewed Nov. 11, 2009
Reviewed Sept. 3, 2009
I recently took my mother, who has Anthem Health Insurance, to the hospital for a test that a vascular doctor explained was basically checking her blood pressure in her legs. He explained that it was a noninvasive procedure that was no big deal. When we were in admitting, the attendant told us that the procedure cost over $300 and that her insurance would not cover any of the cost. Why do "insurance companies" take your money when you pay your premiums, then refuse to pay for medically necessary exams? Once again, it goes to show that healthcare in this nation is only concerned with the almighty dollar. Needless to say, we refused the test and are filing a complaint with the insurance company as well as the local and state health agencies.
Reviewed June 30, 2009
My grandson was critically injured in an auto accident. As a result, he is severely handicapped. He suffered a TBI (traumatic brain injury). He was left in a vegetative comatose condition. The problem is that the insurance industry, although he is covered by Anthem Blue Cross of North Carolina by his mother's insurance, his policy states the many items he has been denied multiple times. The laundry list of Deniels are: denied electronic hospital bed. Reason: "care giver convenience." He is 19 and he is 6'3". He has a trach and is fed through a G-tube. He has seizures and blood clots and must be turned every 2 hours. He is also incontinent. Air mattress was denied. Reason: no ulcers. He now has ulcers and was sent an air mattress that is worn and torn and is 12" too short for the bed. Once again he is 6'3" and his bed is 84" long. It’s a donated electric bed (12 years old and donated from a nursing home). Wheel chair was denied. Reason: doesn't need shower. Wheel chair was denied. Reason: not medically necessary.
I'd like to see these same people never have a shower and see how medically necessary they think it is to their well being. Blood pressure machine was denied. Reason: not medically necessary. Why are these insurance companies allowed to violate the policy that people pay for? The rules change every time there is a request for home DME. Every Deniel gets a different answer and requires another letter of medical necessity from the doctors. This is an on-going trend with insurance companies. The American public hears so much about the uninsured. They better pray to God they never really need their insurance because they will be in a big surprise: the insured can't get what they need either.
Reviewed May 20, 2009
Reviewed April 30, 2009
Reviewed April 8, 2009
My monthly rate will be going up 50%. I called customer service and they said everyone across the board is getting a large rate increase. The rate was due to the escalating cost of healthcare, but a 50% jump seems very large. How can there be no recourse for the customer, besides dropping health coverage? How can people pay this?
Reviewed March 15, 2009
Reviewed Feb. 23, 2009
Reviewed Jan. 24, 2009
Reviewed Oct. 20, 2008
WellPoint Pharmacy sent me only 73 days worth of a prescription and charged me the copay for a 90 day supply. The prescription is for Kariva, normally taken for contraception, however I take it for premenstrual/psychiatric reasons: I take the active pills continuously. My prescription as written by my doctor included a special note that I take the pills continuously. I made at least 6 telephone calls when the prescription was filled incorrectly 75 days ago. I was told they had all the information they needed, yet I never received the fourth pill pack. I ordered a prescription refill yesterday and apparently it is being filled incorrectly also per the pharmacist at Precision RX.
Reviewed July 28, 2008
I was looking for new medical insurance because I moved from California to Nevada. I found a policy that would work and I have to fill out the application online. One of the questions I did not understand correctly and because of that I have been denied the insurance which is discrimination base on the fact that I misread the question. I had to continue looking for other coverage, however to deny someone coverage because they read a question wrong is grounds for discrimination.
Reviewed June 26, 2008
In 2006, I filed a claim for testing on my son. He has a medical diagnosis and reason for the claim. It took over 18 months before Blue Cross paid the claim. In that time they tried everything they could think of, with no shame. They never received the claim, they received it but it was missing information, it was deleted by the system (time and time again), it was not a medical condition....it was mind boggling how many excuses they came up with. And not once did they call me to let me know the status, so I had to call and spend days of my time talking to yet another new associate, and find out where my claim was, and why it was rejected again.
Their incompetence truly works in their favor. Unfortunately, I have just had to resubmit a claim for the same test, repeated recently. I sent a cover letter with all pertinent info., and reminded them that they had paid for this in the past. So far it's been a month, and I've made four calls to check on the status, and had four different reasons for it to be denied to far. A new person, each time. Some info. I gave to them during one of my calls was typed in wrong, resulting in it being denied. This whole process kills me. Truly if the bill were small enough, I would pay it and just be mad.
A year and a half waiting for the claim to be reimbursed. Many hours on hold, and talking with different representatives. Even if you get their names, you can't seem to reach the same one twice. Despite our doctors recommendations, I can not bring myself to have my son retested this year, I was still battling with BlueCross, and we could not afford another unpaid claim. And I hate the thought of dealing with these folks again.
Reviewed April 10, 2008
My nephew has Neurofibromatosis. Last Dec. he started having severe pain in his legs. My sister took him to be xrayed and doctors found fibroid tumors in his legs. He was put on pain meds. Did not stop the pain. Doctors wanted to put him on **. BC would not approve this medicine. Doctor sent an appeal letter two or three times to BC. Still nothing. Dept. of Insurance was notified. Still nothing. My sister even contacted Anthem from the law firm where she works asking them to please allow her son to have this medicine. Nothing...
Well, now my nephew was scheduled for a PET Scan for this morning because the doctors want to rule out any malignancy because the pain meds aren't stopping his pain. He is taking ** (?). They have even upped the dosage of ** to 15mg. twice a day. His doctor scheduled him for the Pet Scan. When they got to the hospital this morning @ 6:30, they found out BC had denied the test. It is bad enough to have the worry of your child being sick like this but to contend with an insurance company being so heartless is beyond words. My sister never did hear from the appeals to BC in regard to the **.
Reviewed Oct. 26, 2007
My Doctor prescribed me Nexium (acid reflux) about two weeks ago and the insurance company is refusing to fill it. I've made numerous phone calls to the insurance company, and they state that it's still under review. They told me that they needed additional information from my Doctor's office before they would approve it. My Doctor has sent them the additional information that they requested on10-19-07 and as of today (10-26-07) they still state that it is under review.
I have made about 10 phone calls asking what the status is, and their answer is always It's still being reviewed This is the only medicine that helps with my acid reflux. My Doctor gave me samples, and it worked great.
I've been in extreme pain with the acid reflux and I'm having trouble sleeping at night because of it.
Reviewed Sept. 12, 2007
I acquired insurance through Anthem in 12/06. I had many claims which they did not cover, saying they were pre existing. I was told by a doctor that I should have knee surgery, which they said would not be covered for a year. The doctors office said according to their literature it should be covered.
Then after approximately 6 months, they dropped me because I had moved. When I signed on with Anthem, a huge reason I went with them was because I was told they would cover me wherever I lived.
Now if I CAN get insurance, I will likely have waiting periods all over again.
I had to pay for multiple bills out of pocket, including a recent injury which requires PT. My knee is still painful.
Reviewed June 21, 2006
For several years my husband and I have had health insurance with Anthem. In January 2006 our insurance agent arranged to have my husband removed from our health insurance as he was switching to Medicare. I paid my premium in January as usual in the beginning of the month.
In February I didnt receive a premium statement. Upon calling my agent I was told I would be receiving it shortly. In March I did not receive a statement and once again called my insurance agent. I was told that Anthem would be sending statements out shortly. In April, I didnt receive a statement and called my agent once again.
Within a few days I was told that Anthem said I was being dropped because of nonpayment. I was told, I could reapply which I did. I completed my application and sent it with a check for $287.90. The end of May I received a letter from Anthem telling me that my application was denied. I spoke with my insurance agent and asked him what they do with the check and was told they destroy it.
On June 13th check #3053 in the amount of $287.90 was paid. I called my insurance agent. Anthem said they didnt deposit the check and wanted proof. I sent a letter from my bank with a transaction history statement. Then Anthem said this was not proof enough because the check was processed electronically and I needed a legal document from the bank proving that the check had been cashed. I spoke with a representative from my bank who attempted to get such a document and was told they have no access to this. In the meantime I would like my money back and theyre not giving it to me.
Reviewed Oct. 1, 2005
i have had what i have been told was the best health insurance to be had. i have been paying $2800 per mo. for myself, my husband, my son on a group policy for years with anthem. now, my son has a chronic pain condition with herniated and degenerative discs in his back.
After much anguish and taking him to about 7 doctors, i finally found accucare interventinal pain center in milltown new jersey who think they can helf fix the pain problem. after sceduling consultation, paying for mri out of my own pocket and ready for the procedure this next week, anthem tells me they will not cover part of the procedures.
Could you please help me understand why i cannot now depend on the insurance co. i believed to be the best, after paying such high premimums for all these years, i cannot get the help for my son that he deserves so much now from this insurance co who promised, represented themselves as the best?
if my son does not have the procedure for his back he must live in total agonizing pain from now on.
Reviewed May 10, 2005
I have been trying to submit a medical claim to Anthem for the past 5 weeks. During one phone conversation the represetative stated I should mail the claim form to Empire Blue Cross & Blue Shield at P.O. Box 3877, Church Street Station, NY NY 10008. The claim form came back stating we had the wrong insurance carrier.
We again called Anthem and they stated that we should send the form to Empire Blue Cross & Blue shield P.O. Box 5011, Middletown, New York 10940. They now state they have no record that the form was submitted. We are unsure at this time what adress is correct nor how to get reimbursed for $3400 in Medical bills. The representatives we spoke to refused to allow me to talk to a supervisor.
Reviewed March 29, 2004
IN Novemeber of 2003 Anthem Blue Cross and Blue Shield changed pharmacies for my daughters medication. When they changed pharmacies they picked Anthem specialty pharmacies for my daughters medicine. It is a very expensive drug and I guess they were trying to save themselves some money. To date the new pharmacies has not gotten a order right. The medicine bottles are broken when they arrive and they were 5 weeks late getting the meds to my house the first time.
This medicine is a life or death thing for my daughter.
I talked to servral different people when I called to get the meds and finally have gotten the same person who I can talk to each time. I however still cannot get them to do their job. Each time it is a chore to get the meds and each time there are broken vials. Each time I call they apologize and try to make things right however their excuse is they have no experience in this medication and are trying their best to fill the perscrition.
They sent me a sharps container for used needles and I have no way to dispose of it. They just keep telling me they have no idea what to do with it. This is very frustrating and Anthem blue cross is of no help.
THe last time I talked to some one there they said sorry but it is cheaper for them the insurance company to use this pharmacy. It may be cheaper for them but it is my daughters life. And to me that is not right.
Anthem Company Information
- Company Name:
- Anthem
- Website:
- www.anthem.com