Blue Cross Blue Shield of Florida

These people take my money every month $830. In the year 2020 I had prior authorization for specific doctors and treatments. I paid my portion. I paid my bill every month on time. All of a sudden I start getting all these erroneous bills in the mail a year and a half later. A procedure that was done in the beginning of April 2020, they have now decided to take their money back that they had already paid for the claim that was already preapproved and I have the authorization numbers and claim numbers to prove it. They have done this to me numerous times with numerous doctors. I’ve never had anything like this happened to me in my entire life. I don’t know who to call or how to get this resolved.

I received an email on the 4th of July saying that my address has been changed. I had not requested any address change and so I am sure that the account was hacked. They obviously have inadequate security for your personal data.

My 26 year old daughters premium is $830.33 per month for BCBS of Fl platinum plan. For 3 months the company has denied her prescription coverage because she requires the brand. Initially, they required her doctor to fill out a form for brand being medically necessary. The doctor sent in the form. Then Prime therapeutics, the pharmacy division of BCBS, informed us that was a mistake and a tier exception form was needed. Once again, the doctor faxed back the form. Then, prime admitted they made another mistake and yet another set of forms was required called brand penalty waiver.

I'm 68 years old and cannot get test strips from Florida Blue Cross even with my Dr.'s prescription for my diabetes because Care Centrix denied my claim. How am I supposed to test for my diabetes now.

I have had BCBS for many, many, many years through my employers because they were SO much better than all the other health insurance companies! Until 2020, I NEVER had a problem with them! They paid for everything they were supposed to pay for, billing was always correct, customer service was always knowledgeable and willing to help you find your answers, and if any changes were ever made to my benefits, I was notified very quickly!

I have had Florida Blue health insurance for over ten years now. I pay almost $800 a month for this insurance. I've been denied two other prescriptions from them, which upset me, but I dealt with it. My doctor prescribed a medication for osteoporosis and it took the girls at the office several days and hours to get it pre-approved with my insurance company. Once they finally approved it they said it had to be mailed to the doctor's office. The doctor's office will not be responsible for patient medications being delivered to them. I was told it would be a $60 deductible, which I didn't have a problem with because it's one shot every 6 months. I called to give my credit card information to have it mailed to me and was told my insurance company would not honor the $60 copayment as previously stated. They were going to count this as a medical procedure instead of a prescription, which it is. I was on the phone three times for over an hour with them and requested to talk to a supervisor stating it is a prescription it doesn't matter if it's delivered through a syringe, patch, a pill or liquid it is a prescription and it should be covered. They said they were sorry but there was nothing they could do. I think this insurance company is terrible and I would not recommend them to anyone. I am going to do some research and find another insurance company. They don't have any problem collecting $800 a month for me, but then when my doctor prescribes something for me they deny it. During this time with the virus and everyone out of a job it's a shame that they treat their longtime customers this way. They are a rip-off.

My husband and I recently got individual insurance through Florida Blue. After being covered by my husband’s employer J.B. Hunt insurance for 20 years by another large Insurance company. My doctor that was my primary care doctor at our previous home in Dallas TX for over 23 years. He took care of my blood pressure medications. I sent proof to Florida Blue that Cigna covered it.

During Covid19 crisis I met with my Doctor Virtual Visit through ** which is a free service provided by my Dr. But my plan only accepts virtual appointments. If member uses ** so Telemedicine visit is $40.00 per visit 80% covered after deductible. So one would think since COVID19 Stay in Place per CDC and Law, was in Place then virtual visits would be free. And My DR who is "In-Network" utilized the service ** which is 100 percent free, even says so on the website itself and I took pictures, Anthem BCBS charged $149.00 for the Virtual appointment, additionally they are confirm I am responsible for $101.21 for the visit. So of a Visit is $40.00 and I was subject to 80% then my bill should have been $32.00, in this instance 80% of Free is Free. Ok, so if my total cost is $149.00 and I'm responsible for even 80% of that the amount would be $119.20.

I pay $800 monthly as an individual for the market place plan... $9,600 annually. Then I have to meet a $16,000 deductible that’s $25,600 out of pocket before they will pay for anything and then they only pay 60% of all claims after out of pocket of $25,600 total between the monthly monthly premiums, & a ridiculous deductible that is not affordable. I can’t believe the Marketplace is turning a blind eye to their unethical, and abusing a system that’s set up to provide affordable plans. I was hospitalized and meet my $16,000 deductible but my balance with the hospital is $26,000. I canceled my plan and have will continue to file my appeal Over and over every month. I found out it’s not the Florida state Insurance Commissioner office to file a marketplace complaint and claim of fraudulent policy actions. Thought I’d pass that on to those who have suffered the unethical actions of FL/Blue.

Terrible rates for ACA, No kind of easy way to pay bills in advance, they make you visit sight monthly and can't arrange for bank payment on next month till this month is processed (ridiculous), no payment due notifications. No easy way to shop services among providers, Huge disparity among provider fees allows for price gauging. They have monopolized ACA in Florida so it's my opinion they just don't give a hoot, I would do business with ANYONE else if I could through ACA. In my opinion this company represents every reason we should have some form or Medicare for all or ability to buy into Medicare.