Blue Cross of FloridaConsumerAffairs Unaccredited Brand
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I have waited 34 days, and have spent hours on the phone speaking with multiple representatives to get a single prescription filled. Just to give you an idea, I've spoken to my doctor multiple times, FloridaBlue multiple times, Alliance (a mail order division of Walgreens) multiple times, Prime Therapeutics (I'm not sure who they are, but I was sent to them by FloridaBlue) multiple times, and Walgreens multiple times, yet my script has still not been filled. If you have a choice of health insurers, I would suggest you pick someone else. My coverage was provided by United Healthcare for over eight years, and I never had these types of problems. If my employer provided a choice, I would insure with someone else.
Had Florida Blue through state employment. Had a good experience. Changed jobs and purchased under their individual and family plans. In short, it costs me thousands of dollars and almost nothing is covered. They send you so much paperwork, even after I told them only electronic. A silly issue I had that created so much headache was around auto pay. I kept trying to set up auto pay and though I had confirmations online, it wouldn't go through to them in the coming months. I would get them on the phone and be shuffled around to departments, it was always a 45 minute or more ordeal.
I had put my newborn on pediatric dental because of the federal laws and I couldn't access that information online so I always had to call in when trying to make sure the auto pay was correct. They would never call me about payment not being in on time, or even email mail. They send a letter, and then the next letter would cancel coverage. When I got customer service on the phone, they were often helpful and pleasant, but then I would find the next month that the issue was not resolved. I ultimately decided to not do business with Florida Blue. I cancelled. 8 days later they billed me again, and I felt compelled to let others know about my awful experience over the last 6 months.
I had Coventry through Obamacare and they stopped all insurance policies so I had to switch. Florida Blue was the only big name brand offering service on the Exchange. It is hard to find a good doctor there, very limited choice, mainly doctors who just accept Medicaid. I was lucky and found a good primary care doctor. They were good at paying my primary care doctor and my prescriptions. I know going to a specialist is a hassle, you need a referral. Luckily I never needed a specialist, so I can't say much about that. I really had no big problems with MyBlue. It all revolves around who you have for Primary Care Provider.
If there was a “ZERO” to give I will not hesitate. The worst customer service and agents ever. In Dec 2017 I was out of state on vacation. On Jan 1st 2018 I was hurt, I called and I was told to go to an urgent care and send them the bill. I told the agent I am not familiar with the area, she asked for my zip code where I was, I provided that, then she said go this urgent care and you will be cover. I walked in gave my insurance card, when it came to pay I was told that I have to pay out of pocket $249. I called FL Blue, I was told, "Oh you need to pay it then send us the bill."
A week later I was back in FL when I faxed all the paperwork including the bill I paid. About 3 weeks later I check the website, claim was received and then by the 4th week it was gone!! I called FL Blue they said some code was missing that I need to provide, I had to call the urgent care and get those code, which delayed the process by another 2 weeks, then in April I was told that it is not covered because it’s out of my network. UNPROFESSIONAL, LIARS and DON’T GIVE A ** ABOUT CONSUMERS!!! Today I called them because my coverage has been cancelled. I was told because of non-payment which is BS... UNPROFESSIONAL, LIARS and DON’T GIVE A ** ABOUT CONSUMERS!!!
I would give zero stars if I could. I signed up for Florida Blue Select, a platinum plan on the marketplace based upon my prescriptions being covered my providers working within the plan and I could afford the co-pays and deductibles. At the time I signed up there were over 300 ob-gyn providers available to choose from within a 10 mile radius, when I went to use the plan after finally getting pregnant as planned the amount of doctors available to choose from within a 10 mile radius was down to 75. All 75 of those doctors work for one company which is rated one star.
I called Florida Blue Select to get to the bottom of this, and was transferred too many times to count. Was told they would call me back and never did. No one knew any answers work and let me speak to someone who didn’t know the answers. Member service representative at Florida Blue Select were rude, spoke over me, did not listen to what I have to say, were not willing to seek the answers of the questions I was asking. After speaking with several managers, they were no help either. Florida Blue Select has chosen to not pay their providers enough money causing over 200 providers that were available originally to drop out of the plan.
Per law there is no regulations, and doctors can drop out any time. However, this does not make it right that an insurance company can offer you a huge array of doctors, and then when it comes time to use the plan hardly any of those Dr. still except the plan. The only doctors that are left are rated one star, Florida blue told me to give them a chance. So I did, but these doctors and staff are rude, incompetent, don’t care about me or my care.
Have been to the office twice now and the level of care is practically something you would see in a foreign country. It is unacceptable. Because I don’t qualify for a special enrollment period, I am now stuck with hoping these 1 star rated doctors and staff can keep me alive, and deliver my baby safely. I specifically chose the plan based on the doctors available, and the prescriptions it covered. So disappointed, but yet I have no other options. Never again Florida Blue Select, will I ever give you my business. I’m paying for a platinum plan but being provided with welfare doctors who could care less about their patients.
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In the beginning of 2017 we never got the insurance we had selected and paid for through healthcare.gov. with Florida Blue. My wife at that time had a much needed complicated operation scheduled. They told us multiple times on multiple days that they fixed the problem and everything was fine. When we ran our policy numbers they had given us (with any medical establishment) we would find they had lied, we still did not have insurance. We ended canceling her operation because they denied to give us insurance.
After contacting the authorities, being mentioned in a newspaper article, and contacting state Reps someone from the company called us for the 1st time and apologized, they then signed us up for a different plan other than the one we had signed up for (they told me they would get us on a plan but when I asked them if it was the plan I signed up for and paid for they wouldn't answer me). After suffering in horrible pain several extra months and a having a slightly higher risk of death my wife was finally able to get her re-scheduled operation completed with insurance.
I had to fight them more to get the plan we had paid for and selected retroactively applied. To add we had our insurance canceled at least once in 2017 due to other mistakes of theirs and reactivated, they tried to recharge my deductibles. They also never repaid me from the overpayments for the policy that they put me on by their choice. However they did tell me there would be a check in the mail sometime ago last year, for some reason I still have not seen it.
I have tried to reach a representative of Florida Blue 1 855 692 5830 and the calls are sent outside of the US. If you ask for a US representative they will not be able to do so... Means, you are calling overseas in which they will record your conversation (for quality purpose) and certainly they have all your private information. Secondly it's hard to understand their English... What about jobs in the US??? Why we are at the mercy of companies keeping all our data and health matter in another country. It's a shame. I was not able to resolve my problem, which and please be aware that Florida Blue, will not send you an Invoice to pay your Health Insurance in which at the 4th day if payment is not received they will cancel your policy and still no correspondence will be sent via US Mail. Bad way to do business, bad company, bad service. Shame.
First off I have had my 21-year-old son with this company for 4 years. Suddenly this year BCBS of Florida refuse to pay for feeding tube formula for my son. As they consider it food not medically necessary. Even though his surgeon at the Mayo clinic disagrees, and has argued for his case that he needs the feeding tube to live! BCBS of Florida still denied claim. Ridiculous! My son is 21 and working part-time. He cannot afford 32.00 a case which last him one week. As he thankfully can eat some but little by mouth. I called and spoke with an agent that gave me attitude and was sarcastic... Horrible!
I made a big mistake choosing this company for my 2018 health insurance, I am paying a lot and receiving nothing, specialist are no cover before the deductible, neither your primary doctor if you are sick... This company is a big scam, I do not understand how the Florida Government is allowing this, I am really disappointed!
I would not recommend this insurance provider due after my experience that started in Nov 2017 trying to submit a claim. I faxed and emailed a claim in November, I received a response through mail that a few things were missing, I made copies and resent it out again. Once again weeks later I received another letter stating I needed to add a few more forms. I did that and decided to mail it back and fax it. I decided to check on my claim 4 WEEKS later and miraculously they never received it. I called back and was told by the CS agent it would have to go to the claims dept and they would have a rep contact me. Well I did get called, 3 WEEKS later!!!
For them to leave a voicemail on my cell Saturday. I finally got in touch with a Supervisor and Trey informed me that I could fax it to him directly and he would make sure it was given to someone to work on. Well once again for the 6th time it was sent back to me because they wanted procedure codes (which were all listed on there and with dates of service). I called him back to ask why someone cannot figure out how to put this through. He stated they needed the dollar amount for each procedure code to determine if this would be covered. I had reached out to my Provider's office and they state they have never had a insurance company turn this Superbill down. VERY disappointed in this Insurance company. They may have a well known name but I think more people should research your insurance companies before buying into them. I had no choice, it's who my employer uses.
Don't Get this Insurance Plan offered by the Marketplace. They send you a lot of Promotional Ads saying how great it is. Then you go to use it and you find out what a bad choice you made. They are soaking the Government for subsidy payments and give you near worthless coverage. I had a stroke in mid Jan. 2018. Went to my primary care 2 days after and thought they would react promptly. Instead the Dr. questioned me as though I was making up the story and calmly said she would order a referral.
It took 2 weeks to get the referral then another week to schedule an appointment. When I went to my appointment the Dr. asked why did I wait so long to see a Dr. She diagnosed me as having a Brain Stem Stroke which requires immediate medical attention. This was the beginning of how they handle their patients. Every Dr. visit with my Primary care has been similar in respect to the urgency they apply. I wish i would have made a better choice. I hope this helps you when you choose your Marketplace provider.
I have been enrolled in Florida Blue for over 5 years and this year when we chose our plan through the marketplace we thought we would be all set. Made the payment before January and heard ABSOLUTELY NOTHING from them so we figured same cards no problem. We were wrong. My wife became very sick in the middle of January and we try to go to our Dr to get her help but we were then told unexpectedly that our insurance was inactive. I told them there was no way because we had chosen the same plan as the years before and paid our premium. I called Florida Blue who says the application was denied and that I would need to have the marketplace resend it.
Well it’s February 19th now. The marketplace has sent the application 3 TIMES. Every call I make to Florida Blue just makes me want to tear my hair out. They have no care in the world towards my situation and don’t give any straightforward answers. It’s always “oh there is another department looking into this” or “it’s just going to take some time for this to be resolved.” There is no accountability. No answers!!! I finally came to my senses after two months of fighting with them and filed an official report with the Department of Insurance against them. Now it’s time to see what stupid answer they pull out of their hat for the DOI.
They are a secondary to my Medicare. It sometimes takes a while before you receive your paperwork, but this is probably true of most companies. I do wish doctor's names and procedures were written out, as it is sometimes difficult to remember exactly what was done on only a date being given. It makes it difficult to check for accuracy if you don't have this information.
For more than two years, this site has not functioned properly. I have tried on various devices with various browsers. I have contacted Florida Blue on several occasions. Besides poor customer service, the inability to use the site made shopping for insurance very difficult. Frankly, I only chose this again because there are no viable plans in my marketplace. PLEASE get some competition in here!!!
Retired now, so have a supplemental to medicare a & b. They take care of everything, pay everything, and only at the beginning of the year when I have to pay my portion for the year, do I have to pay anything. The drugs are a little different. They pay all but a small co-pay for generics, and still do give me some discount on those I must take brand. Cannot complain.
They constantly called from their vendors, wanting me to go to seminars and other various meetings. I requested that I be taken off the vendors call list but to no avail. Worst experience I've EVER had with any medical insurance company. There were several other incidents that occurred as well.
My husband and I are self employed and the new plan prices came out for 2018 on October 4, 2017. We have never received anything from the marketplace, after careful consideration we decided not to renew. We took our account off of auto draft. Everything that we received said that we had to put down our first month premium in order for 2018 policy to start. I cancelled the auto draft, wrong. On Jan 1, 2018 an email came saying, "Thank you for your payment." We called them and they said yes it did draft the premium. I asked how when we didn't renew. The customer service rep cancelled our policy as of Dec 31, 2017. He told us we should received a refund in 10 business days. I called back in the middle of month only to be told that it will take 30 days to process our refund. I am very upset. I didn't renew in the first place because we really couldn't afford it. They assure me it's cancelled.
I don't like the fact that we can't afford it! Part of the reason we can't is my husband is divorced and pays child support but they include all the money you make. We don't actually see that money. It's not taxable to his ex. I am not saying that part is FL Blue fault but what I am upset about is the prices. If I was able to scrap up the increase in health insurance the plan is useless when I go to use it. Why? Because, I then have to pay for my own doctors visits, first $7300.00, not to mention $7400.00 in yearly premiums before the insurance pays anything. That means I have to pay 14,700.00 before they have to kick in anything. To me that's not affordable.
I read a story on Apple news about Anthem wanting to not pay your ER bills if it's a non-emergency. I think everybody should drop health insurance companies! What is the point of having health insurance if the insurance companies can now use terms like not medically necessary and just not cover the bill? I know I am just one person, but it's honestly how I feel!
Very Unhappy with my experience with them. I have been a loyal customer for many years, even paying for it when I really qualify for assistance. I got conned by a salesman and decided to try a different Ins. Well I decided real quick I made a mistake. I paid for Dec. then Jan. would start the new ins. which I kindly cancelled by the 20th. When I called Blue Cross and Apologized for making a mistake and I want my old Ins. back they would not help me at all. They kept sending me from dept. to dept. Finally one said if I paid for Jan. (even though I didn't use it, had the other ins) I could just keep my plan. So after thinking about that, nearly 1,000 payment on top of what I paid to the bad ins. (I can’t get back.)
I called and asked if I could pay my bill and the billing Dept. said I cannot because I cancelled my ins at the end of Dec. So thanks for treating your LONG Time Customers like trash! I have No ins. for the year now. I was willing to pay for January, even though we are still in JANUARY!!! They would not let me continue my plan. There would have been NO GAP! IT’S STILL JANUARY!!! Florida Blue you should be held accountable...
I called Florida Blue to get a new primary care. I had talked to Watson Clinic about a primary care that was taking new patients and they gave me a name. I tried to get Florida Blue to assign me him, but they would not. Something needs to be done to them.
I have gone through my first back surgery, results or not good, my pain level is now through the roof, my second surgery was scheduled which has been denied from an insurance company I pay a premium to with a very high deductible. They want me to stay on pain management which does not work. I have a wife and children and being on pain medication does not fix me. All it does is push me farther away from the people I love. My doctor has told me this surgery will fix me and you guys have declined it, there's an ** epidemic and the United States of America and you folks, are taking my Wheel of Life Away From Me.
Please reconsider. All I want is to be out of pain and be able to love my children and my wife and not be miserable. I have paid you folks and expect you folks to help me, this will probably never be read by them and all I'm doing is venting, I wish to be normal again. I have a seven-year-old that Council me and right now I can't even be a father due to you folks. Someone needs to change these policies, it's the American way to help each other and for a multi-billion-dollar company you should see that. From a loving family men I'm tired of hurting and want my life back.
Horrible! Horrible! The most Horrible experience to talk and to deal with! Stay away from this one! The web page is back to the 90s! They need 3 days to fix your log in issues! They telling you that the plan they sold you is not a plan!!! It's just VMDH piece of nothing and doesn't accept by good doctors! You need to pay for everything yourself and still can't explain what for they charge you 650$ every month! If you are going out of Florida Nobody even wants to hear about this kind plan! And MARK my world nothing is gonna change!
Daughter went to Dentist first time in year. She has cavity but dentist can't do anything. Child too scared so sends to Specialists. Insurance refuses specialist charge because exam all ready done by other dentist. Have to wait six months for them to pay for her to have another exam to take care of tooth. So basically let my child tooth get bad before I do anything or pay for it myself. Why pay for insurance then.
I had an issue with the marketplace, Florida Blue agents went above and beyond to help me solve the problem. They do listen to their customers. My experience was very positive. I had insurance with Florida Blue in 2017. I will be happy to do business with them again. I think overall their insurance had a good value. Thanks Florida Blue!
So, I recently moved to FL and had to sign up for new insurance. In my home state, I was covered under Medicaid but as FL never expanded their Medicaid program, I fell into the coverage gap where I make too much, and too little at the same time -- a situation that many have found themselves in, in the state of Florida or any other states that chose not to expand. Therefore, I pay 265 a month which is technically more than I make since I am a full-time student. This plan has not been accepted anywhere I have tried to receive care. Their customer service is terrible, and there are major discrepancies between the care providers that will accept me according to the website, and then following through contacting these doctors -- low and behold, they do not accept MyBlue. On the website itself, I have been assigned a primary care doctor--but only a name and number are listed.
Upon further investigation, the number is to an insurance agency, and not a primary care office. No address, and when I called that number, someone who spoke broken English answered my call, with no greeting. It sounds like this plan is only good for backdoor quality, shady care. I can't fathom how this even qualifies as insurance. Sure, my prescriptions will be $35 a month, and doctor visits are $65... But how good can coverage be if it is not accepted anywhere? So, I have next to useless insurance at an astronomical cost to me personally. It's outrageous that this company can gladly accept consumers money, and then do little to nothing for them. I would not recommend this plan to anyone. I either will cancel it, or pay more for a better plan that will actually be accepted.
Please, if you have the option--make sure you do research before signing up for an insurance plan. Where Blue Cross Blue Shield provides decent plans, they also provide inadequate plans that are literally not worth the money. All I need are a couple of prescriptions covered a month, no hospital visits, nothing extra... And this MyBlue plan cannot even deliver the most basic of needs. If you are able to speak to someone about finding insurance, please do, as perhaps with an advocate this process would be easier. Consumers must be informed before wasting time and money, and I do not wish this experience upon anyone.
With how difficult the site has been to navigate, compounded by the poor customer service -- I would think the average user would share the same stresses and issues dealing with this company. I feel like I have reached a dead end here. I had an extremely basic plan in my home state which I had no problems using, and my plan was accepted at reputable primary care doctors, as well as basic care facilities like walk in clinics, and Planned Parenthood. MyBlue is not accepted at even PP, which strikes me as absurd.
I don't know where to begin, no one knows what they’re doing, I requested a simple claim information sent to be my mail and it's been over 2 months and have yet to receive anything. Called about 15 times and none of so their so called agents speak English, had to spell out every word and be their English teacher to communicate. Just horrible, they also lie to you to get you off the phone. Seems like Blue Cross enjoys making their customer's life miserable.
This company is horrible. None speaks or understands English well and we get different answers every time we call. My husband was sent to emergency while we were out of state and had to stay in hospital for 5 days. Florida Blue will not cover anything. $58,000. They claim my husband was denied because the hospital did not notify them within 3 days of the accident. How were we to know this? We are appealing. Not sure where this will end up. Why are the self employed given such poor choices for health coverage?
I have had to call this company several times. On all 3 occasions I got transferred 5 times or more. They are too big for their own good and their agents are not empowered to solve simple and common account issues. What should take minutes takes hours or days.
Takes forever to speak to someone who can't understand or even speak English. They changed my provider to someone 20 mile away-then when I called to complain and gave my current provider they told me no such person in system. Asked then, "Who the hell have you been paying over the past year?" They couldn't tell me. Took 20 min to find her and put me back to the provider I have been seeing for 5 years. Don't try going online to view your acct. What a joke.
I got this insurance through healthcare.gov. It has been totally useless the year that I have had. Thought I was getting insurance for help with cancer treatments and now have no help and thousands in bills.
I had Florida Blue with my job. After leaving my job was offered cobra, my deductible of 5000 was paid. After being assured if I took the cobra my plan just carriers on and deductible was paid after paying 513.24 month I got EOB telling my deductible is not paid. They went back to see how much of the 5000 was from me and put 2500 deductible on me because my wife did not stay on plan. There was no notification of this change along with being told everything stays as is. This is very deceitful. I am a veteran and kept the insurance because deductible was paid for the year. I could of went to VA free if I was not lied to. Now I have paid 513.24 a month and have to pay my doctor bills on top of it. I could understand if my plan was a $2500 per person but it was not. It was $5000 before a dollar was paid for any bills between my wife and I.
Blue Cross of Florida Company Information
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- Blue Cross of Florida