Blue Cross Blue Shield of Florida

Most of our claims are submitted by a provider and those claims seems to be handled smoothly. We have had 3 services done by providers who will not submit claims. Those self filed claims have been frustrating to say the least. I have attempted most of my contact through the secure message center as I don't have time to sit on hold for long periods of time. It took 3 different contact occurrences (including a phone call where the first customer service person sent me to a department that had nothing to do with my coverage) before I found out I had used the wrong claim form.

Blue Cross Blue Shield fraudulently took premium tax credits on my behalf for over a year. Never provided insurance coverage. Never received one document from them. I being audited for over $8,000.00 for premium tax credits provided to them on my behalf for insurance I never had.

Started calling 9am 12/2/19. Msg said wait time 5-8 minutes. I held 25 min then had to leave. Called multiple times during the day and message said wait time 6 to 9, 5 to 8 etc. The system said we will call you back within the allowed time. Never happened! Now at 5:15pm the message said wait time 1 minute. Now on hold 25 minutes and still no answer. Apparently they don't want my payment or the entire staff is using the computers for their Cyber Monday orders.

My employer chose this company for its employees' health insurance last year. For the most part, there weren't problems until this year, when Florida Blue started underpaying all in-network providers with whom I'd had appointments. Though I verified with the providers in advance that they accepted Florida Blue PPO insurance, and no referrals were needed, Florida Blue has been routinely paying 10% or less of the billed amounts. This is forcing me to routinely file appeals for every provider visit/service provided. If you have a choice on which insurance provider to choose, do NOT choose Florida Blue.

I have been taking a medication for years and all of a sudden BCBS declined the medication. After contacting them multiple times, being on hold for hours a day, being dropped or transferred to other departments that had no reason to be involved. I finally called Florida Blue where you can walk in or call, NOT IF YOU ARE ON A GROUP PLAN! Because of Obama Crap I pay almost $1100 a month for a single person policy which only tries to deny everything a Dr. says you need. After finally getting someone on the phone I called the Mayo Clinic and had them on the phone with an employee of BCBS and Mayo Clinic. Of course they couldn't take it over the phone!!!!

I signed up for Florida Blue through the open enrollment portal. I enrolled in auto pay -- they are supposed to automatically draft the premium payment from my bank account every month. It worked for a month or two, then stopped. They never called to let me know the payments stopped working, they never emailed me. They sent a letter to an old address. So I paid the past due month, re-enrolled in auto pay, and gave them my updated address. According to the reps on the phone, they can't change my address in their system; I have to do it through the Healthcare.gov website. Which, of course, I had already done.

I have an individual policy with FL Blue. The vision misleads you into believing you have the benefits, even gives you doctors in the plan. The benefit is for individuals under the age of 19. The summary head lines "For individuals under 65, Benefit Summary for Pediatric Vision Care". This benefit has nothing to do with me yet it shows up on my account. It should not be on there when I look up my benefits and the exclusions are put on the last page. The doctor takes me in and now I am stuck with the whole bill.

Its coverage is great. We usually don’t have to pay any copays for doctors or hospitals. The customer service personnel are easy to work with try to help us. I can’t think of anything else to say except we are very happy with Blue Cross, Blue Shield supplementary insurance.

This evil health insurance company dropped my poor elderly mother which she obtained though the (scam) Obama Care. They canceled her policy, didn't tell her, made it retroactive for 2 months after she had 2 tests run. They sent her a payment back just to make it another month retroactive. This is fraud. I just found out about this and I'm helping my mother take legal action. Don't do business with these con artists. Just Google all the complaints filed against them! There's news articles about them all over.

Limited to local area, would prefer statewide coverage. Traveling could be a problem, wish it covered every Medicare covered incident. Other than that limitation we have no complaints. Have not ever had them decline payment. Have had them 15 years.

I had another insurance company with $0 monthly premium! And $15.00 copay. Now I have a $10.00 copay and a 42.00 monthly premium. The old saying is you get what you pay for! I am 100% happy with Florida Blue. I will never go with another insurance company.

Bought a dental plan direct from BCBS Florida by a pushy sales rep. Never told there was a 6 month waiting period before I would be able to receive any sort of treatment as I was out of the time limit from previous plan, infact I was inside the time frame by a day. Found out I was not covered on my first visit to dentist! Called BCBS and spoke to 6 different people in 6 different departments with no success, one manager just put the phone down on me!! Disgraceful behavior from a so called blue chip company! I complained in writing to the BCBS complaints department and never heard back!!! Just had a letter one month away from cover to tell me they had not collected my premium from the bank as they should have so have dropped me!!!!

100 dollars for copay for urgent care service is too much for a copay. This insurance is too expensive as it is and then charging 100 for a copay. Don’t want this insurance, how are people supposed to afford crap like this. I would give it 0 stars if I could.

Just tried to use my Florida Blue Insurance for the first time. Sent to one of their urgent care clinics and then was told all costs would be out of pocket until my $9,000.00 deductible was met. When I asked their price and then called around, I found that they were the highest priced urgent care clinic in the area. Why would Florida Blue send anyone to the highest-priced Urgent care in the area?

A PPO plan typically means that although the policyholder will save money by seeing a doctor in-network, they can still choose to pay more and see an out-of network doctor if they choose to. As a doctor who is not in-network (meaning I have no contract with Florida Blue), A patient could not see me under this plan even when they chose to go out-of network. When I called the plan to ask why I could not see this patient even when the patient was aware that they were going out of network, their response was the following: “We have a list of ‘in-network’ and ‘out-of-network’ doctors. Even our ‘out-of-network’ doctors have to be accepted and registered with Florida Blue PPO.” So I then asked how do I register as an "out-of-network" provider (something that doesn't make sense because you are out of network by default for the simple reason that you are not registered with them).

I really thought that subscribing to a well-established insurance carrier like Florida Blue would be best for my family. After 6 months of paying my premium with no real medical visits, I decided to schedule an overall checkup for myself. I went to the Florida Blue website and after calling several offices that said they no longer accepted Florida Blue. I found a couple of options and one said he was no longer accepting Florida Blue and the other said they could schedule an appointment for me three months out. That was ridiculous so I waited another month or so and went back to the Florida Blue website and found Sanitas Medical Center Dr. **. I scheduled an appointment with him and the day before my appointment they called me to cancel the appointment. I am fed up with this sub par medical plan. I pay nearly $600 p/ month to be treated this way! DO NOT GO WITH FLORIDA BLUE for good healthcare!

I have been dealing with Florida Blue for 2 months now, trying to get them to pay out claims they have retroactively denied because they've suddenly decided that I'm covered by my old insurance, despite me switching to Florida Blue a year ago and not having any problems with them before 2 months ago. I've been checking in and asking if I need to do anything frequently and keep getting told no. Now I've received a letter from them asking me to ask my old insurance to send them proof that my old coverage is over. This is absurd and a waste of time, and I'm getting the impression that they're just hoping I'll give up so they won't have to pay out the claims.

When I search for insurance each year, my number one thing I look for is to ensure my one medication is covered. I did this with Florida Blue prior to registering for their insurance. Upon having to refill my medication I was informed that it was not approved. I went through a 7 month back and forth with several representatives within several departments, appeal forms from myself and my actual doctor. Calls and emails from my doctor and myself to have them deny the medication stating it wasn't "medically necessary". A medication that I had been on for 7 years.

I'd give a Zero stars if it was possible. We recently moved to FL from SC and the Humana plan we had was not available here. Because we travel a lot, we wanted a plan that would be easily used in other parts of the country and the agent said Florida Blue would be a good choice. EVERY SINGLE THING HAS BEEN WRONG!!! They said that they were told I was getting premium reduction help - that's wrong, they gave the pharmacy the wrong co-pays and then sent me a letter that I owed them money for the mistake ($158) and if I didn't pay they would increase my premium. Finally got that corrected, then got a letter that my premiums hadn't been paid correctly - and I owed them money...or they would just take it.

While traveling abroad I had disabling back pain. I could not sit or walk for more than 30 seconds without level 10 pain. I had myself driven to the best doctor that was recommended. He evaluated me, had determined I needed an MRI. Upon reviewing the MRI he determined I needed immediate surgery. I contacted my insurance company and they they could not approve anything immediately. They demanded two days for approval. Despite the fact that I told them I had major loss of function in my left leg due to the herniated disc, and broken bone in my spine. I waited two day, and my condition worsened. I was losing feeling in my left leg now.

Florida Blue has a LOUSY customer service team, useless customer service attitude, starting with Victor, Natalie and Olga, Olga's Extension is **. What a waste of space she is taking up at Florida Blue, Liar, incompetent and useless. What a shame these 3 are to the word customer service. Let's not leave behind Emily, she has no clue of what her job is, even though the notes are in the system. Hire better people. Robert **.

Working for a provider, it is exhausting to call BCBs and spent 1-2+ hours on the phone to get BCBS to pay for services provided. Their newest tactic is to deny claims and say there is other insurance as primary, despite the fact that a patients auto claim or work comp claim had settled 4-5 years prior. I have witnessed this numerous times with numerous patients over the past 3 months. It is very difficult for the patient to get this updated short of having a old work comp carrier or auto carrier call BCBS to update. The hoops that BCBS makes patients and providers jump through is ridiculous. In addition their call center in India has POORLY trained personnel, they barely speak english and have no medical experience or knowledge.

What is going on with Florida Blue, Blue Select? We upgraded to this plan after having Florida Blue HMO last year. Mistake! We now have even fewer providers, especially in our area. Half of the doctors our family used last year quit the plan, some in the mid-year, yet we cannot do the same. I contacted Florida Blue customer service for help finding a doctor and was given names one hour north and one hour south of me. That's ridiculous. There are numerous doctors right here in town and in the surrounding cities. Why do none of them take this plan (anymore)?

I called Florida Blue several times, regarding issues logging into the web site. The automated system sent me to the wrong Dept several times. Each time I was transferred I was put on hold. This is not the first time I have had log in issues. I have changed my password and all that entails several times. One password worked for a period of time. Than I got an error code it could not find my information. This has happened after several calls in the past regarding this issues. One on seems to be able to figure out the issue, for 5 months. I am sick of paying for lousy service. I have talked to multiple people re set password multiple times, did many tech maneuvers on my computer, still can't sign into the web site. If you can get through the automated phone, maze customer service is incompetent.

Insurance is not like it was in the old days (80's and 90's). I guess doctors back then weren't getting sued enough. Premiums are ridiculous and so is the deductible. I am not impressed with the prescription options. I can get some of my prescriptions cheaper without using the insurance and with FAR less hassle. I do like the online web interface though. It is easy to use and somewhat helpful.

I recently had a colonoscopy. After the procedure I was in a great deal of pain, I was bleeding and I could not pass the gas use during the colonoscopy. Borland Groover Clinic where the procedure was performed sent me home claim I would be fine. Twelve hours later I was close to death. My wife rushed me to the emergency room at Mayo Hospital in Jacksonville Fl. and they performed emergency surgery that saved my life. I spent 8 days in the hospital where there were times I didn't think I was going to make it. I now have a colostomy bag, a huge foot long scar wound from my groin to the bottom of my chest and hospital bills approaching $100,000. I will need further surgery and that means more bills.

BC and BC PPO is accepted everywhere by all providers. There is never a question about coverage. Provider and insurance company resolve issues if any without input from the client. Hassle free and reliable.

Insurance and Gen needs to be revamped. I had a hospital stay for five days - the bill was $57,000. My insurance cover the majority of it. My portion of the bill was 2500 but honestly, if I didn’t have insurance I don’t know what I would’ve done.

The high deductible is just too much for someone to meet. I no longer go to the doctor unless I am really sick. It just way too high. You need to lower it. My deductible is $7500, that is totally outrageous.