Florida Blue Reviews

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About Florida Blue

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Florida Blue delivers health insurance coverage and related services, including individual and family health plans, Medicare options and employer health benefits. Florida Blue aims to improve access to quality medical care for Florida residents.

Pros
  • Affordable premiums for coverage
  • Wide acceptance of providers
  • Comprehensive coverage options
Cons
  • Frequent billing errors reported
  • Long wait times for customer support
  • Limited coverage for specialists

Florida Blue Reviews

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    Page 3 Reviews 40 - 240
    Customer ServicePunctuality & SpeedStaffHonesty & Transparency

    Reviewed July 16, 2025

    I can't be more dissatisfied with customer service and claims. I have been waiting for six months only to get one lie after the other. They have escalated my claim over four times and no one seems to know what they are doing, or maybe they just don't care about the people they serve. I will not be discouraged. Looking at other reviews confirm my opinion regarding their service. Proper training is long overdue for your employees. Script reading is not the answer needed when you're in the field of medicine.

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    CoverageTechPunctuality & SpeedStaffTransparency

    Reviewed July 14, 2025

    I am writing to express my deep frustration and disappointment with the way my family’s care—specifically my 6-month-old baby's care—has been compromised due to your contract dispute with Broward Health. The fact that Broward Health is no longer covered under our plan is unacceptable, especially considering the complete lack of viable alternatives for critical pediatric services.

    Our infant needed a simple X-ray, something that should have been quick and straightforward at the hospital. Instead, we were forced to go through the exhausting and completely unnecessary process of being referred out to multiple “in-network” facilities—three separate locations—all of which couldn’t even confirm whether they could perform baby X-rays until the last minute. This is absurd.

    At the time of the appointment, we were told they actually don’t do baby X-rays—only for the technician to say she could try, but the machine runs “a little hotter” than hospital-grade equipment. There was no proper risk explanation, no pediatric specialist on-site, and no confidence-inspiring environment. We were told they would “cover the baby as much as they can.” That’s not good enough. We’re talking about a vulnerable infant, and you're telling me his care hinges on vague reassurances and questionable equipment? It is absolutely disgusting that the quality of patient care—especially for children—is being sacrificed over a contract dispute. Your failure to resolve this issue with Broward Health has placed families like mine in a dangerous and unacceptable position. Get your priorities straight. Patient care should come first. Always.

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    CoveragePrice

    Reviewed July 10, 2025

    Florida Blue denied me coverage for my medication **. It is the only cure for the skin disease vitiligo. So my cost is $3,000.00. For 1 month supply of 1 tube of cream. This is the worst insurance policy I have ever be ever purchased! This is the worse ran company I have ever experienced! Just horrible the way they treat people!

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed July 3, 2025

    Florida Blue is horrible. From falsely denied claims to poor coverage, it is a joke. I have had Florida Blue for the last two years and have not had a single claim until recently. I went into their approved vision specialist to check if I needed glasses due to bad blurriness in my right eye. The eye doctor found that I had a cataract and provided me with a referral to a cataract specialist. When I attempted to schedule with the cataract specialist, they informed me that I need the referral from my PCP, Florida Blue also told me the same thing.

    I scheduled an appointment with my PCP, who is not qualified to diagnose a cataract, but he did provide me with the referral. A month later, I was now able to see the cataract specialist to diagnose something I had been told about by an eye doctor 2 months earlier. A month after the specialist visit, I received a statement from Florida Blue stating they denied the cataract specialist claim due to no prior authorization. I called up Florida Blue and the customer service individual told me they saw no reason the claim should have been denied after looking at it for 5 minutes. They agreed to issue a case for another team to review, and this could take up to 15 business days. Eight days later I called back in to check, and they said the case can be approved and they can submit this back to the original team to reprocess. They also informed that this could take up to 30 business days.

    In the meantime, I was contacted by the cataract specialist about the three eye drop prescriptions I would need in prep for the surgery. I went to the Florida Blue site to check out these prescriptions and which pharmacy I needed to go to just to find out only one of the prescriptions was covered by Florida Blue. I called Florida Blue, and they asked me to get a hold of the doctor to ask for additional prescriptions that are on their preferred list. Around 3 million cataract surgeries are performed in the US in a year, and these three prescriptions appear to be the most widely used, so why are they covered by Florida Blue? I ended up working with the doctor and their preferred pharmacy to get the prescriptions cheaper than the substitute prescriptions at Florida Blues pharmacy, Walgreens.

    I paid 850 per month in premiums in 2023-2024 and I am paying 950 per month in 2025. On top of this, the plan I am on has a 7500 deductible. This means I have to pay $18,900 a year before Florida Blue starts to cover the limited items they end up covering anyway. This is not health insurance.

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    CoverageTechPunctuality & SpeedRefunds & PayoutsStaffRatesHonesty & Transparency

    Reviewed May 27, 2025

    Florida Blue should be ashamed. We pay around $1,000 a month just for my wife’s coverage, and yet when she urgently needed care for a dislocated shoulder, we were blocked by red tape — not because we were out-of-network, but because of Florida Blue’s own referral policy. What makes this even more outrageous? The provider already had a referral on file for the same issue, and we had an active case open. Still, the clinic was told they could not proceed — not even if we paid out of pocket. Florida Blue’s contract with the clinic forbids them from accepting self-pay from insured patients, even when it’s clearly in the patient’s best interest. So instead of care, we got a dead end — while my wife was in pain and medically deteriorating.

    This isn’t about protecting patients. It’s about bureaucratic compliance that serves no one but the insurer. Even ER staff quietly warned us to avoid Florida Blue-affiliated orthopedic care — they’ve seen this play out before. It honestly makes you question the system: is the goal to help people or to create just enough friction that they give up? Or worse, delay long enough that things resolve or get pushed off — just to save the insurer money? We’ll be switching from Florida Blue at the earliest possible opportunity and sharing this experience widely. If you're considering Florida Blue, ask yourself: are you comfortable paying a fortune and still getting blocked from medically necessary care, even when all the paperwork is already in place?

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    Customer ServiceCoveragePriceRefunds & PayoutsStaffBilling

    Reviewed May 25, 2025

    Do not- do not do NOT get this insurance. We thought this would be better - having State insurance- and it is awful! They cover next to NOTHING on medication- the deductible is so high- they nickel and dime you to death and aren’t willing to pay for anything. They have the worst customer service and aren’t helpful in any form in understanding our bill or why they keep rejecting medicines. As SOON as we are able to switch - we are - do NOT use this insurance!!!!

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    Customer ServiceCoveragePunctuality & SpeedStaffBillingFollow-Through

    Reviewed May 13, 2025

    I decided to be self employed and purchased Florida Blue. In 2 years I had one ER visit as my son had abdominal pain. We ended up owing $5000 for that visit! One time I went to free clinic with UTI and was refused to be treated by a “doctor”. He was not wearing a badge so I didn’t even know who he was. Beyond useless! I had to call corporate quarters to get antibiotics as he refused to give me a script.

    So when I filed taxes I ended up owing $8000 for this insurance so basically this insurance not only didn’t cover anything and was total disservice to our family it’s a rip off! Totally disgusting experience. On top of it I called to cancel it and they didn’t follow through so 2 months later I got a bill! I will be filing a complaint with my state representative and governor’s office. This is beyond disgrace for hard working Americans to be treated as such!

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    Customer ServiceCoverage

    Reviewed May 6, 2025

    Florida Blue is the worse coverage ever!!! They will NOT APPROVE MEDICINE. Everyone who answers the phone has a language barrier. They are CRIMINAL IN WHAT THEY DO!!!! STAY AWAY! NO COVERAGE IS BETTER THAN PAYING THEM!!!

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    Customer ServiceBilling

    Reviewed May 2, 2025

    What a collective group of jerks. Every month my payment is sent electronically. They take up to 2-3 weeks to post an electronic payment, which is nuts for electronic payments. Other payees post in 1-2 days, after two weeks, I start to worry. I send a message, with proof of payment attached from my financial institution and they close the message telling me to call my financial institution. They are unresponsive, lazy, uncaring jerks. I cannot put it any other way. They simply suck.

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    Customer ServiceCoverageTechStaff

    Reviewed April 23, 2025

    The customer service is TERRIBLE! I work for a company that has Florida Blue as our insurance provider. Every time I reach out with inquiries, it takes a long time to get a response. When I do receive an answer, it often seems like they don't understand my questions or provide very unhelpful responses. They believe they only need to communicate directly with the company's Directors, not realizing there are Executive Assistants to support those leaders.

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    CoverageRefunds & PayoutsStaffTransparency

    Reviewed April 16, 2025

    If I could give zero stars, I would. Horrible experience with Florida Blue, I pay out of pocket and have an HMO and getting referrals has been a nightmare because of guideline changes and different specialists and clinics not being up to date. I pay a high premium, and the quality in return is subpar. I will never use this Insurance plan again.

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    CoverageSales & MarketingPriceStaffHonesty & Transparency

    Reviewed April 14, 2025

    I got a very expensive health insurance policy from Florida Blue insurance through agent, Jacklyn **, Blue Direct Sales and am extremely unhappy! My primary residence is in Florida, but I also live in Georgia as well, so I needed a plan that covers both states. I was told by this agent that I will have insurance in both places….Well, physicians and services in Georgia are out of network! I was misled and this was a play on words on her part. I am paying $1,200 a month for insurance that I can’t use because I can’t afford to go out of network and pay huge $$$. Something is SO wrong with the insurance industry. This is criminal and to make matters worse, I finally got in contact with this agent and she tried to upsell me. I am at my wits end with health insurance and something needs to be done!!!

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    CoveragePriceRefunds & PayoutsBillingRates

    Reviewed April 3, 2025

    I have a PPo plan that is essentially "good' insurance. My employer pays for the basic and I pay over 400 month for myself. Insurance covers NOTHING. And then they - The insurance company bills you for services - You know they are pocketing money. I.e. I broke my arm and shoulder and needed a bone growth stimulator. BCBS says, "Your portion is 2,500. Pay us." Said can't afford it. Went directly to seller. Said cannot afford it. Ok here it is for 500.00. ANd that would NOT have gone toward my deductible. Went for CAT scan. My co-pay was over 300. The scan cash price would have been under 200. If you do that, whatever scan finds insurance won't cover. Had same situation on smaller scale today. Legal CROOKS. Goverment lets them do it. How many in Goverment, one example (Senator **) are known insurance crooks and billing abusers.

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    Customer ServiceCoveragePricePunctuality & SpeedStaffBillingTimelinessHonesty & Transparency

    Reviewed April 1, 2025

    Absolutely terrible service on two separate occasions. I was sick once and went to a quick clinic for a checkup. When I walked in they told me they hoped I wasn't using BCBS. I was, and they explained that BCBS' systems were down and not accepting claims, but that I could file a request for coverage via physical mail. I paid the full fee that day and filed my letter. It was ignored and I never heard back or received any coverage. On the second occasion, I searched BCBS' database for a specialist in hand pain, which I had developed. When I arrived at the doctor my insurance was accepted and I saw the doctor for a five-minute conversation. She gave me splits for both wrists and scheduled me for an MRI. The same day BCBS denied my MRI.

    When I called them to ask why, their staff told me to call the doctor. The doctor's staff told me to call my insurance. The next insurance rep told me they'd call the doctor, then told me they couldn't reach the doctor after leaving me on hold for an hour. I called the doctor and explained the situation, and then called BCBS again, who just told me to wait. I did, and several days later received a phone call from a robot telling me my MRI was denied, stating I needed to be in occupational therapy for at least 3 months before they'd cover an MRI. Today I found that I'm being billed 313$ for the five-minute conversation and the splints, as BCBS is covering none of that visit. I'm honestly considering going without healthcare after these experiences, or at the very least ditching this plan entirely. I feel ill giving these crooks any more money.

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    CoverageSales & MarketingPunctuality & Speed

    Reviewed March 24, 2025

    The entire industry of healthy insurances is a scam, but with BCBS it hits the new levels! BCBS locking their customers ONLY to one damn lab in the radius of 100 miles and won't cover anything done by other labs such as LabCorp. The results are crazy, there is no appointments available to the approved lab for 2 months, so you basically have to wait months to get your blood work done AND you paying those scammers a premium. I can't wait until for healthcare reforms, we don't need (3rd party) insurance companies, we can pitch for it via taxes....

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    CoveragePriceStaff

    Reviewed March 14, 2025

    If you have co-pay assistance with a medication you are taking, BCBS is STEALING your money!!! They are stealing almost $6,000 from us. I have a disability and need this medication. The medication company is nice enough to offer patient assistance due to the high cost, however BCBS decided they should benefit from this assistance instead of the patient. It's disgraceful and they should be embarrassed. They are not following the court's recent ruling that the co-pay assistance should apply to your deductible. We are researching every avenue available to us to make sure that they don't continue to steal patient's money that was created for the PATIENT, NOT THE INSURANCE COMPANY!!

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    CoverageTechStaff

    Reviewed Feb. 27, 2025

    This health insurance is absolutely horrid to work with. There are very few providers who accept this abhorrent insurance, and the effort required to find and visit a specialist is enough to need a cardiologist. What is going on with health insurance in the last 5 years?!

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Feb. 11, 2025

    This is the worst insurance I have ever had. Our company switched for 2025 and we had no choice other than BlueCross BlueShield of Florida for employees nationally. Surgery is scheduled for tomorrow morning and even though they approved the surgeon's charges they have not approved the larger cost for the hospital.

    Days calling the reauthorization and customer service numbers, with permanent holds and only ones was able to get through and the person said they are all at lunch and just told me to answer the phone, I can't help you or even take your number and have them call you back. The surgeon's office has the same experience with no one taking the calls. We've even called the hotline and were told we need to call Blue Cross in our state, but they say they can't help us and we need to talk to BlueCross BlueShield of Florida. We don't know what to do except delay the surgery. It is awful to be put in this position, paying premiums from every paycheck for what?

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsStaffHonesty & Transparency

    Reviewed Feb. 10, 2025

    I just moved to Florida from Alabama. I went from Alabama Blue Cross to Florida Blue. I can honestly say that Florida Blue is the worst health insurance company I have ever had the misfortune of dealing with. They have refused to pay for medications I have been taking for over 5 years. Trying to get help is a joke. When you call "customer service" most of the agents speak better Spanish than English. They send you to extensions where no one answers the phone. I have had Florida Blue for 5 weeks. I have had to stop taking an antidepressant I took for 5 years -- cold turkey. I haven't been able to see a doctor and am now 4 weeks late getting a treatment for immune deficiency. Finally, they insisted that I take a generic medicine instead of the name brand I've been taking. But then I contacted 5 different pharmacies, none of whom can get the generic. I am honestly considering moving back to Alabama JUST TO HAVE ACCESS TO REAL HEALTH CARE.

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    Customer ServicePunctuality & Speed

    Reviewed Jan. 21, 2025

    If you send ANYTHING in by fax, call and make sure it goes to the correct department. I sent fax and 10 days later it just got to the right department. You would think that because of their error, they could put a rush on it, but nope. You will wait 3 to 5 more days.

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    Customer ServiceCoverageSales & MarketingStaffHonesty & Transparency

    Reviewed Jan. 18, 2025

    The absolute Worst customer service who will lie to you over and over again just so they do not have to do their jobs. They canceled my health care twice because their sales rep was checking off boxes instead of listening to my request. They have added unwanted family members to my dental plan, AGAIN. I’ve not received membership cards in 3 months of repeated requests. Their hours of business are not customer-friendly. You never get to a supervisor and when you ask for someone’s name they refuse to give it to you. Florida Blue makes state Medicaid seem like luxury insurance! If BCBS is your only health insurance option in FL, then I’d advise you to move out of state!!

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    Customer ServiceTechStaffTransparency

    Reviewed Jan. 13, 2025

    I used the myhealthtoolkit to locate an OBGYN specialist in my area. Many of the phone listings for physician’s offices are not updated. I called the customer service phone number for BCBS of Florida to make them aware of the issue. The representative said, “you can keep scrolling through the list and stuff until you find a doctor with the right phone number.” My point in calling was to get the error corrected. Also, therre first are limited female physicians listed for this specialty in S. Florida. The initial 20 offices I called were majority male physicians or a staffed female PA with outsourcing for surgical procedures. BCBS of Florida please do better to care about women’s reproductive healthcare and preferred provider needs. The nonchalant attitude was disengaging and should not be tolerated in healthcare.

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    Customer ServiceCoverage

    Reviewed Jan. 11, 2025

    Had BC/BS for Medicare supplement… Thought I had it until I called Baptist Healthcare only to find out the companies no longer were doing business…. My option was to find a new PCP or find a new insurance company… A call to bc/bs revealed that they sent me a letter announcing this in the mail… Funny or not so funny but getting cancelled because of a failed business relationship between two companies says volumes about both… Neither company found it necessary to advise their customers via confirmed communications instead relying on a form letter?

    My approach was to find a new PCP or new insurance company… Whichever one succeeded would result in cancellation of the other… Found new insurance company hence kept PCP and dropped BC/BS… Neither Baptist Healthcare nor Florida Blue took appropriate steps to advise me the customer and hence I would recommend anyone thinking of using these Companies consider themselves warned.

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    Customer ServicePriceBilling

    Reviewed Jan. 7, 2025

    Not a great customer experience so far. I have had to spend hours and make multiple phone calls to find out whether a facility is in network and how much a service will cost. Everyone I talk to gives a different answer that contradicts the last person, tells me it's impossible to provide a transcript of their answer (even though they are recording me) and sends me on another wild goose chase. I am very worried about having my service performed and getting an incorrect bill that cannot be verified or corrected. Thank goodness I am not having to do this while I am sick and vulnerable!

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    CoverageTechPriceRefunds & Payouts

    Reviewed Jan. 4, 2025

    Consumers are forced to change plans every 12 months under the guise of being to "the benefit of our members". Fewer participating providers and increased out of pocket costs tell a different story. Look elsewhere for better coverage.

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    Customer ServiceTechSales & MarketingMaintenanceStaff

    Reviewed Dec. 30, 2024

    I've been spending the better part of 6 months trying to understand why a Florida Blue sales agent sold me individual dental plans for myself, my wife, and my daughter and son who were under the age of 18 at the time the plan was sold, instead of a single family plan. I contact Florida Blue on multiple occasions to have my family all under my plan. This was never fixed. I again spoke with Customer Service 877-352-2583 on December 30, 2024, and got the run around without FL Blue correcting the problem as they were not able to fix the plan. I am having to cancel the plans for each family member and will seek a more reliable and reputable provider. Goodbye Blue Cross Shield of Florida.

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    Customer ServiceCoverageTechPunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Dec. 19, 2024

    I have had the worst experience with Florida Blue and I have dealt with many insurance providers personally and for my parents. I had to pay out-of-pocket for a visit while I waited for my member ID. Getting reimbursed for the in-network visit has been a nightmare. It has been many lengthy calls and every rep gives me different info! I have still not been reimbursed. Now, it's been a year since my doctor's visit and they are saying I will likely not get covered despite all the mess-ups they made along the way in processing this claim. They are the worst and I am so disappointed this is who my employer chose. :(

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    CoverageStaff

    Reviewed Oct. 26, 2024

    I don’t have a choice unless I change employers. I’ve never had worse insurance. They deny treatment and care my previous employers’ plan covered. It’s pathetic. I wish I could have brought my previous employers' plan to this company.

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    CoverageSales & MarketingPriceRefunds & Payouts

    Reviewed Sept. 23, 2024

    Horrible.. They are a complete scam.. It's useless to even buy this insurance .. After you meet your deductible they put you in out of pocket for all.. It's a disgrace.. It's better self pay, do not use.. It's useless.

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    Customer ServiceCoverageStaffTransparency

    Reviewed Sept. 18, 2024

    Being in the federal employee program, we're paying a fortune from our pocket, and recieve very little coverage. Today my Doctor send out a prescription for a creame and Bluecross and blueshield decided to hold the approval, because they need the doctor pre-authorization, or an explanation of why he's prescribing this creame. Instead to make peoples life easier, they just make peoples life miserable. What a crazy world.? And the bad thing about it, is that we don't know what to protect and to enforce. What all these business are doing? Who can you complaint? If you call them, they don't care.

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    Customer ServiceCoverageTechSales & MarketingPunctuality & SpeedOnline & AppStaff

    Reviewed Sept. 16, 2024

    I recently became a customer two month ago and I thought I had signed up for a great insurance. Their customer service and website are both terrible. Using their website I had a hard time finding a provider who could schedule me quickly for a general check-up, I only found one decent option that could see me 3-4 weeks away. My appointment is this week. I called last week to follow up regarding my insurance card. The representative had no idea where my card was and insisted I place an order for a new one. I requested switching my address to have it sent to a safer mailing address (I live in an apartment complex). The change was made and a week later I receive an email that my insurance has been cancelled.

    I called FloridaBlue and the representative had no idea why it was cancelled, after an hour or so trying to resolve this issue together the representative states that my plan was cancelled because of the address change that was made. I explained to her that I was not advised about that at all and asked for the address to be changed back to the original address. The representative mentioned this was not possible because they had put me in a new plan, WITHOUT my permission, consent or even knowledge! The representative transferred me to sales to get back into my original plan next month and they were rude about it! Horrible service, so unprofessional and very upsetting especially when you are NEW customer paying nearly $500 a month.

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    Punctuality & SpeedStaff

    Reviewed Sept. 9, 2024

    Worst company. They dropped my primary doctor so I lost my appointment with my pulmonologist that I waited two months for. They don't care if you die. I am changing as soon as possible. This is a money maker who does not care about people.

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    Customer ServiceStaffBilling

    Reviewed Sept. 4, 2024

    BCBS Florida is absolutely the worst! Their customer service is horrible and they either lack understanding altogether or the language barrier prevents them from understanding. I have BCBSMA, but live in Louisiana, and prior to surgery in Florida my surgeon requested labs to be done which I did in my hometown in Louisiana. Since the doctor is located in FL, my lab filed the services with BCBSFL which was then supposed to send it on to BCBSMA for payment, but they didn't. They denied the claim outright and then refused to speak to the lab, my BCBSMA rep, or me about it. They proceeded to hang up on me too. Dealing with them has been an absolute nightmare.

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsStaff

    Reviewed Aug. 28, 2024

    Nightmare!!! I have been paying my policy with no delays. I required medical attention and all has been terribly wrong, terrible service:

    1) Doctor only saw me and said "you have a infection in the eye" but I explained why I was there and the infection was not in the eye.
    2) She sent me medications. "Pick it up tomorrow" she said. I went to CVS and the medication was not ready. I call Florida Blue and the agent said "Unfortunately the DOCTOR FORGOT TO PLACE THE ORDER in the pharmacy, you need to wait 24 hours more."

    3) I waited another 24 hours, I returned to the pharmacy. The medication was not ready again. The reason? The agent add the indication in the system that you need a refill, he made a mistake due is the FIRST TIME you are picking up the prescription.... Result? WAIT ANOTHER 24 HOURS.

    And in the meantime, I cannot start my prescription, I am in pain and absolutely nobody in Florida Blue cares about it. Do not use this Insurance, all wrong, terrible attitude, nobody cares.

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    Customer ServiceStaff

    Reviewed Aug. 28, 2024

    It did not allow me to leave a review at the end of the call stating it wasn't eligible le but I would also like to point out that Debbie W was amazing throughout the phone call. Very kind patient smart and she made everything very easy for me. She deserves a raise.

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    Customer ServicePriceRefunds & Payouts

    Reviewed July 31, 2024

    High premiums and deductibles, and they still try to avoid paying for as much as they can. I was recently diagnosed with cancer and they denied paying for two tests the urologist used to make the diagnosis, as well as the pathology cost. To top it off, they denied a prescription to relieve the most common symptom from the surgery I had to treat the cancer. I had to pay $205 myself to reduce my pain. I've been paying into this system all of my life, and this is what I get when I actually need something. To top it off, their customer service and website are both terrible. They are clearly solely motivated by making profits. Very poor product.

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    Customer ServiceCoverageTechRefunds & PayoutsStaff

    Reviewed July 26, 2024

    The worst customer service. They don't call you back, they don't write you a letter or notify you in case of cancellations, claims, or appeals. Nothing! You have to call them constantly to find out how the case is progressing, and they are always misinformed. When you call, they can't even tell you which representative you spoke with the last time, so take a pencil and write down the name, date, and time. It took almost a year to get paid for a medical service, and they didn't pay it! They made me call countless times, make a claim, make an appeal, and after digressing and giving me different information, they say that the appeal has to be through the health provider. It's a horrible health insurance!

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    Customer ServiceCoveragePriceBilling

    Reviewed July 22, 2024

    On May 26th or April 2024 I had a yearly physical at Advent Health 4140 Woodland Parks Palm Harbor. I was told that I owed them $135.00. My Florida Blue Select insurance policy says that I get one physical a year. No charge. I called Florida Blue Select and told them that I should have not received a bill because they offer one physical a year no charge. The Person at Florida Blue Select told me that they could email a dispute form to fill out. That is ridiculous. This is so clear cut and simple. Florida Blue either offers one free physical a year or they do not!!!! I should not have to jump through hopes to get them to fulfill what they claim to offer with their policy.

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    CoverageStaff

    Reviewed July 18, 2024

    They are not helpful in resolving issues, they refuse to cover most services and when they do cover something, it could be for $0.00, they deny or mess up claims, in their favor, constantly thus forcing appeals through an antiquated process. Worst insurance I have ever had by a super wide margin, including being self-insured.

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    Customer ServiceCoverageTechPriceStaffRates

    Reviewed June 18, 2024

    I would rate it 0 if possible. The absolute worst insurance plan. High premium with insanely high deductible, and nothing is covered. Need pre-auth for every little thing. When you talk to an "agent" they tell you one thing then the next person tells you something totally different. And that's after being hung up on over and over. You will be on the phone all day trying to get basic information. Their search for in-network providers is a joke. And they outsourced their mental health coverage to a company that just gives you a long list of providers with NO categories or info. Does the therapist see pediatrics, provide a particular type of therapy, specialize in certain disorders? It doesn't specify. Just absolute GARBAGE insurance. They are predatory scammers.

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    Timeliness

    Reviewed June 14, 2024

    Very disappointed. They say there’s a 3 month grace period. Cancelled my plan the same day they sent a past due notice. People get behind from time to time, hence the need for a grace period. Didn’t even give me two weeks.

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    Customer ServiceCoverageTechPunctuality & SpeedStaffBilling

    Reviewed June 7, 2024

    This insurance provider continues to flag our account unjustly. It started last month when our Better You Rewards were applied to our May bill which reduced it. My FL Blue grants its members a 90-day grace period to pay their monthly premiums. If they do not pay their outstanding bill within 30 days, their system flags the account which restricts their benefits. The problem is My FL Blue is not waiting 30 days. They are restricting our account 5-7 days after the due date. I have reported them to CMS and FL Department of Financial Services. Their customer service team is horrible and incompetent. Most issues have to be escalated just to be resolved.

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    Customer ServiceCoverageTechPrice

    Reviewed June 4, 2024

    Extremely expensive individual coverage 1400. month, with horrendous service. They actually will approve something on the phone in the am, and have it rejected in their computers by the pm! They keep changing their providers list after you locked yourself in with them for the year. Their customer service center gives incorrect information about 50% of the time and even the secret concierge customer service misdirects you and wastes your time.

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    Customer ServiceCoverageSales & MarketingPriceStaffHonesty & Transparency

    Reviewed May 19, 2024

    Do not use Florida Blue for your health insurance. They’re a scam. They make you pay a ton each month for coverage. Then, on top of that, they make you buy the ‘basic’/generic version of your prescriptions and it still costs over $70. The worst part, you can call in, discuss in detail the problem you’re having with an agent. Then, after you’re told one thing, go ahead and do something that you were reassured of would not be affected, then Florida Blue lies to you and changes their word.

    They will NOT cover doctor appts and medical costs that should be in network. They tell you that Quest is an in-network company, and then you go to a Quest. They deny the coverage because they say ‘that’ Quest is out of network. One of the dumbest and most insecure companies I’ve ever dealt with. All they do is lie to you, and pass your problem around until you get fed up of calling and dealing with a situation for months and months. Please. Choose a different company for insurance.

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    CoveragePriceStaff

    Reviewed May 14, 2024

    This company is an absolute NIGHTMARE. I don’t have enough time to list all my complaints and it’s only May. This is the WORST insurance I’ve ever had and it’s NOT cheap. Many primary care doctors are dropping the myBlue HMO. I just found out my primary care of many years stopped accepting myBlue on April 1st because of all the “changes to policy” this company has made mid-year! How is that even legal? I just talked to a specialist’s office who I’ve gone to multiple times this year already and now myBlue is requiring a “pre-authorization” through my primary care for every visit I’ve ALREADY HAD this year. I did had a referral! Well, my primary care is no longer accepting this horrible company, so I don’t even know what I’m going to do.

    I have already spent a FORTUNE on co-pays and prescriptions that they will not cover. I needed a procedure (same doctor, same facility, same procedure) that I had done in December and paid $85. It’s now a $2000 co-pay. Oh, and you can’t go to CVS anymore either. With the amount of money I’ve spent this year because of all of the loopholes, denials, co-pays and now all the specialist office visits I’ll be totally responsible for, I’m probably going to cancel my policy and go without healthcare until next year when I can sign up with a better company. I will be contacting the FL Attorney General’s Office and hopefully something can be done about this horrible company.

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    Coverage

    Reviewed May 3, 2024

    Don't sign up for their Insurance! Crazy Co would take all day explain nightmares I've been through. Basically nobody knows anything-10 people tell you 10 different things-I foolishly gave them 2nd chance & of course, it was worse than 1st yr-DON'T MAKE SAME MISTAKE I DID!

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed April 23, 2024

    I had to reschedule my doctor appointment twice because my booked MRI appointment wasn't approved by the insurance company. Blue Cross Blue Shield never approved the doctor order to the imaging center for no reason. This insurance company uses a third party as an excuse who cannot approve directly. So they just intermediate and do nothing. Everything is handled by calls. I had to pay by my own to get MRI study done and they said I won't get the reimbursement. I'm a cancer surviving patient and this is a regular follow-up which I've done it for 6 years with formers health insurance companies without any problem at all.. Don't waste your money and time with this insurance company. This is the worst health insurance company I've ever had!

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    Customer ServiceCoveragePriceStaffBilling

    Reviewed April 19, 2024

    I have been member of BCBS Florida for almost 17 yrs. This year for first time I used the benefits of the wellness card and I made 150 dollars for doctors visit and pharmacy co-payments, last year specialist copayments was 40 dollars. This year increased to $45. I went to see my cornea specialist due to a transplant and in records, they make a mistake charging from card old copayment $40 when they noticed was 45, they passed card again for 5 dollar to complete the full payment. And since then this have been seen a nightmare wellness card are contacting me by mail and email. I have explained to them what happen, they do not used common sense and keep sending me email that wellness card will be cancelled, my health is coming first that any money in this work and my insurance know all my medical issues, they can cancel the wellness card with the rest of the money $130.00 dollars but stop sending me more emails and letter.

    I’m very frustrated by the end of the year in enrollment time I will definitely will sign with another insurance. I will no recommend this nightmare to any body else, please stop contacting me and sending all this emails and letter by regular mail. Ridiculous way to lose an insured of 17 years for 5 dollars… pleas read and be aware of what they doing with people health, what way they help us…..

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    CoverageTechPriceStaff

    Reviewed April 15, 2024

    The MyBlue insurance that I pay over $1,100/ month is virtually worthless. I pray to God that they do not deny my care any longer. The only reason I choose them was for a Dr. Listed on the "In-Network Providers". I set that Dr. Up as my primary and the Dr's office told me they dropped MyBlue for the terrible way they treat their clients. They should be banned from doing business in Florida and an investigation should be launched immediately.

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    Contract & TermsCoveragePriceRefunds & PayoutsStaff

    Reviewed April 11, 2024

    If I could give negative reviews I would, this is the most garbage insurance that has ever existed. I have been dealing with a faulty organ for 4 months, I've had to go out of pocket to get my MRI, Ultrasound, HIDA scan, urgent care, and Gastro appts, because this insurance is so bad. It has costed me thousands of dollars and countless hours of work and I'm still not getting surgery because of it, I HATE this insurance with all of my being. I'll be dead before this awful insurance does anything.

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    Customer ServiceCoveragePriceBilling

    Reviewed April 9, 2024

    A true emergency. A 911 call, ambulance ride to Mayo Clinic, a bad situation. Florida Blue doesn’t cover emergencies. Apparently they wish you the best but Don’t go to Mayo Clinic in a life and death situation because Florida blue denies 100% of the mayo bill. Florida blue states that they don’t recognize mayo clinic's coding. Mayo Clinic states that we have to fill out paperwork so mayo can “advocate for this charge and become a case manager, for us, To Florida blue" (we did that paperwork). Nope and nope. Florida blue won’t pay one penny. This was a life and death situation.

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    Customer ServiceTechPunctuality & SpeedStaffBilling

    Reviewed April 8, 2024

    We appreciate if you get better about solving our problems showing inactive, in website which is not true, it is frustrating to call because it takes more than half to answer the phone, either your problem is appointment or bills, you are luck if you find someone to talk to and willing to help solve your issue. If you do prepare to be hours waiting. It is really frustrating when you pay to get assisted like this, scheduling appointments, for tech and communication problems between providers and doctors or clinics. People must be more professional and care about you are doing!!!!

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    Customer ServicePriceRefunds & PayoutsStaffBillingRates

    Reviewed March 20, 2024

    I'm being generous with the 2 star review because the staff that assists me each year in solving this repetitive problem seem genuinely interested in helping. The overall system (after setting it up) each year runs flawlessly. BUT, every year after renewal, I receive an email instructing me to visit the site and be sure that the box is checked to automatically generate my payment. Since (every year), the website denies access to me, why not just let me pay via my own bank and set up the auto payments myself from my bank?

    For the benefit of the reader not experiencing this same frustration: each year, I log in to the FL Blue site using my Admin credentials. The next screen asks me to choose from a drop down box. My choices include: Member, Benefit Administrator, Shopper, etc. I choose the Benefit Admin and click NEXT. And the site loops me back to the screen that asks me to choose from the drop down box... again and again until it locks me out. When asking a rep about that loop, she suggests that I choose "forgot my password" plus "forgot my username". Unfortunately, the system resets my Member username and password--not the Admin credentials.

    My question remains unanswered year after year: Why can't you invest in a software upgrade that would prevent me from needing to call you after my renewal? To add insult to injury, after calling and arranging the payment of the March invoice today, I'm told that the "box cannot be checked for the automatically generated payments to begin until the March invoice has been paid". I need to call back after the payment has cleared.... So, yes, dear FL Blue, I will gladly take time out of my day tomorrow to call YOU so YOU can take MY money from me.... it will be my honor and privilege. (Along with paying over $30k annually a majorly high deductible policy to protect 3 people---but that's a different discussion altogether!)

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    CoveragePriceRefunds & PayoutsBilling

    Reviewed March 5, 2024

    I’m not happy paying what I do for my policy nor the coverage it provides. I get a bill after every visit as well as paying for copays and deductibles. I make a decent salary but not enough to pay for all this!!!!

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    CoveragePriceStaff

    Reviewed March 5, 2024

    No out of county coverage for medical, agent will misinform about this..will not cover needed drugs if cost too much. Refused to authorize diagnostic tests required by specialist..Beware of Florida Blue Medicare Advantage plan including Ppo & HMO. Their computer system is putting people in the wrong county & plan & won't fix it.

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    CoverageTechPriceBillingRates

    Reviewed Feb. 25, 2024

    These people send you a contract under the inception of your policy binder you will go. Their providers will charge you rates. There are not in line with their contract. They will send you to collections and try to ruin your life. Meanwhile, if you go try to talk to them waving around the contract the stipulated terms of network benefits, they will tell you that what is in their computer is in black-and-white and not the typed out material that they sent you with the binder. Steer clear of these incompetent people that will leave your health at risk! I still cannot use my insurance this year because the last few months they claim my policy is terminated and they can’t seem to take my payment. But they feel entitled to try to steal my tax credit! Thieves!

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    Customer ServiceCoverageTechPriceMaintenanceStaffTransparencyHonesty & Transparency

    Reviewed Feb. 14, 2024

    I renewed my house insurance directly was Blue Cross Blue Shield in November and double check that I could have access to the same providers because once again they change the plan. Not only my premium increase 50%. It took me three days to go through their list of providers to find a new primary care physician, I was sent list of providers that were incorrect doctors that were no longer accepting new patients and I had been gone for years.

    When I called Florida Blue to advise them of the issue, they told me that the medical providers were the one to call and update the list, so I picked a new provider was my new plan and it was confirmed by Florida Blue via two letters in November. Last week when I needed to go to the doctor before leaving the country I realize that my primary care physician had changed. I called twice to know why this happened. The first time I asked to talk to a supervisor and was told that the house marketplace made that change. I called the healthcare marketplace and of course there was a lie as they do not get involved with providers.

    I called again today to let them know about the lie, and was advised by a supervisor that it was the system who changed my primary care physician when I asked why the system didn’t let me know of the change, they had nothing to answer except we fix the problem and that’s all we can do. If it was not for the marketplace I would pay over thousand dollars per month for such Customer Service. This is absolutely unacceptable and it seems that they do not care about our health all they could tell That they would make a note of it for the future. It is sad because I have no confidence in this company and will make sure to find a new house provider next year.

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    Customer ServiceCoverageStaffTransparency

    Reviewed Feb. 9, 2024

    Went to insurance office to get help to file claims resulting from medical problems incurred on ocean cruise in April 2023. Florida Blue office in Winter Park filed claims and they were acknowledged as received. Over the past 9 months I have dealt with claims, service, and dispute personnel. 2 claims have not been processed. Lastly I dealt with disputes person who said claims were entered but no one can find them. Don't reply to email. Don't answer phone. No way to leave a message. Customer service is no help. It has been 9 months since this claims process has started. What is a person to do? I just want them to process the claims so I can submit the explanation of benefits to my travel insurance.

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    Customer ServicePunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed Jan. 31, 2024

    The folks they have answering questions aren't qualified to answer. I have spent the last 3.5 years trying to get a refund check, I've spoke to "the manager" who said they were putting it in the mail...3 years later nothing..Second problem I have is trying to see why a claim keeps getting rejected due to not being able to identify patient...my responses are not even relevant to the question. Please call 1-800 if you are being billed for a claim that we have processed. NO you haven't processed the claim. Please do better...Get qualified people that understand questions.

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    Customer ServiceCoverageStaffBilling

    Reviewed Jan. 29, 2024

    After FIVE years Florida Blue decided to automatically CHANGE MY PRIMARY DOCTOR and PHARMACY with 2024 insurance. I'm informed right in the middle of taking care of tests, referrals for a surgery and a doctor's appt. the next morning, I had to call and change the primary back to my original. Then, after a doctor's office sending in prescriptions I find out my PHARMACY has also been changed after five years. They're saying it's mandatory I move to Walgreens. I was told there's no appealing it and it couldn't be changed. My current pharmacy is across the street. The new one is way down the highway through a nightmare of construction. I cannot fathom why they did this or wouldn't care about the situations of their customers.

    Florida Blue continues to get worse and worse. After several years at my Chiropractor, he had to stop taking my policy in 2023 because a third party (I was told) who handles payment decisions didn't want to pay as much so he had been losing money for a couple years. What a hassle. If I wanted a position doing Insurance I would have applied for a job.

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    Customer ServicePriceStaff

    Reviewed Jan. 28, 2024

    BCBS are the worst. My individual health plan cost is very high. The customer service cannot answer any question as anyone I have spoken with do not speak english with any degree of clarity. Even more they have zero knowledge. The only reason I stick with them is the agent is so nice and helpful and I have one more year until I get Medicare. Guess what? BCBS are not even in the running to be considered for my advantage plan. Stay away from this company until they start be more customer and patient friendly.

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    Customer ServiceStaff

    Reviewed Jan. 25, 2024

    Unfortunately, the process of receiving help with customer service is just an endless rabbit hole in part because the representatives do not know what they are talking about. They intentionally drop the call and hang up on you.

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    Customer ServiceCoveragePunctuality & SpeedStaffTransparency

    Reviewed Jan. 8, 2024

    They are THE WORST. Nobody I have spoken to on the phone knows anything and you're lucky if you can understand any of them. They don't update their doctor list as most of the specialists they have listed do NOT accept their insurance. It has been absolute hell trying to deal with them. I have been urgently trying to get a retinal appointment. The ophthalmologists they have told me take their insurance #1 are not retinal specialists (which I specifically asked for) and #2 don't take the insurance. I am now well past due and having my vision impacted due to this.

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    CoverageTechRefunds & PayoutsBilling

    Reviewed Dec. 28, 2023

    BCBS of FL is our primary insurance provider through my employer. They have denied 30 claims for my family and myself stating we have another primary insurance provider, which we do not. I have spoken to supervisors who tell me they will correct their records and reprocess our claims but nothing has been done after 4 months of fighting this. I am now getting debt collection notices because of unpaid bills because BCBS of FL is completely inept and refuses to do the job for which I pay for.

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    Customer ServiceCoveragePriceRefunds & Payouts

    Reviewed Oct. 19, 2023

    I pay almost $10,000/ year for medical insurance with a $9100 deductible for my wife and myself. I got something in my eye and scratched the inside of my eyelid to the point that it had bled. I went to my primary and he prescribed drops to alleviate the pain and swelling. After preauthorization BC denied the prescription. After two days of pain and ME going back and forth between my doctor office and BC I called the pharmacy and paid for it myself. For a grand total of $64.99! They wanted more information from my doctor and held up my prescription for $65. What a terrible insurance company.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Sept. 6, 2023

    Please use this insurance as your last and only resource. Bad customer service and they don't know anything to help you with when you call and that's if you can understand them. They will make you wait more than a month to find out if they will cover you for a medication you need and probably won't cover it very well or not at all and nothing will be explained at all if you call about your responsibility.

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    CoverageRefunds & PayoutsStaff

    Reviewed Aug. 30, 2023

    Run don’t walk. Have been with BCBS for many years but after failing multiple diabetes drugs and having intractable vomiting with **, they won’t pay for a new drug ** for me to try after failing literally 5 medications. Guess they would rather pay for all the hospital trips instead. This company only cares about money, don’t use them if you can help it. Unfortunately this is the only insurance I can use because of my employer. Sad no one really cares anymore!

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    Customer ServiceCoverageStaffTransparency

    Reviewed Aug. 22, 2023

    Absolutely awful. I pay $1300 per month for individual private insurance (just me) and they have denied two medications I need that my doctor wrote the prescriptions for. They also denied an MRI I needed. In addition, I am starting physical therapy and they have only 2 physical therapists in-network close to me - neither is good. Good doctors are often not in network with them, forcing the patient to opt for not so good doctors. Their customer service reps know nothing so don’t count on them when you need help. Their find-a-doctor section of their site is disorganized and not up to date. I’m so unhappy with them and will be making a change to another plan as soon as possible.

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    Customer ServiceCoveragePricePunctuality & SpeedOnline & AppStaffBillingRatesHonesty & Transparency

    Reviewed Aug. 8, 2023

    I have been with FLORIDA BLUE for 5 years. Every single appointment I have ever had with a Primary has lasted ten minutes UNLESS I have forced the dr to give me more time passively aggressive of course. I started out at the Jupiter location, was not bad at first, quick, straight to the point, then they started rotating doctors; lets say STUDENTS instead of DOCTORS because you will NEVER see a real doctor, you will see their "assistant" the one who is STILL IN TRANING, but yet the one you are supposed to trust with your health and leave your life choices in their hands. WHAT A JOKE.

    Today was the last straw, I just called in to schedule a doctor appointment for my "primary", the one they have changed on men AGAIN, TWICE IN THE PAST THREE MONTHS, to tell me "I can not be seen until January 2024" when asked to change do to new "dr" or at most, be seen by anybody; "NOBODY ELSE TAKES MY INSURANCE". WHAT AM I PAYING $70 A MONTH FOR? FLORIDA BLUE HEALTH INSURANCE IS A JOKE. You see a "specialist" and pay a "copay" but then YOU STILL GET A BILL IN THE MAIL, that same BILL WILL GO OFF TO COLLECTIONS, and WILL HURT YOUR CREDIT.

    It's the REVOLVING GAME OF GREED! and how high they can get their stats; oops I mean how many patients they can push through the door. AFTER 5 YEARS, THEY ARE FIRED. To be honest with you, NOWADAYS, you're better off just going straight to the EMERGENCY ROOM, THAT'S WHERE THE REAL DOCTORS ARE, not these fancy young college students who want to throw on a white coat, walk around with a tablet and pretend to be taking notes. WHAT A JOKE. THE ENTIRE HEALTH CARE SYSTEM IN AMERICA IS A JOKE! 90% OF THESE "DOCTORS" DON'T EVEN QUALIFY AS DOCTORS! If you're thinking FLORIDA BLUE, dont! Remember YOUR HEALTH IS ALL YOU HAVE, THE PRICE IS WORTH IT. Save yourself some time, skip FLORIDA BLUE/ BLUE CROSS BLUE SHIELD OF FLORIDA.

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    Customer ServiceCoveragePriceMaintenanceStaffRates

    Reviewed July 31, 2023

    This company outsources its call center jobs and 99% of the time when you call to speak with customer service, you get an agent in a non English speaking country who has an accent that is so thick and who speaks in such broken sentences that you can't understand what the heck they're saying. Some of them even say sentences backward! I'm not kidding you! Their ability to troubleshoot issues is NULL. It's like talking to robot with very limited programming that repeats the same thing over and over because it doesn't have the capacity to process and function beyond its limited programming. It's BEYOND FRUSTRATING. I have complained about this (and I'm sure I'm not alone in this), but nothing changes. Their prices are very high and their plans are tricky. This is enough to make anyone switch their insurance carrier!

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    Contract & TermsCoveragePricePunctuality & Speed

    Reviewed June 27, 2023

    They're awful. They have denied my prescribed antibiotic - $210 for a month. I waited for this decision more than a month after submission. Florida Blue paid $0. Also none of my PCR tests were covered as well. Had to pay 100%. My plan costs me over $1000 a month. Just unbelievable...

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    Customer ServiceTechPunctuality & SpeedStaff

    Reviewed June 26, 2023

    As a provider I submit the 1500 form. BCBS of Florida always send a letter asking to add something new that was already added in the previous form with the purpose to not pay. The customer service team doesn’t know what they are doing and the waiting period for someone to help is 30 minutes to 1 hour.

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    CoveragePunctuality & Speed

    Reviewed May 17, 2023

    Florida Blue Outsourcing the approval of procedures my doctor has requested a paper pusher paid to delay and denied my healthcare. I have taken off work to get test done and the insurance Gods haven't finished their reviews to see if this is something they will allow or not and if so, I'll have to take off more time from work to possibly be able to be permitted from God to be able to get this service done. They wait until the last minute and have little to no regard for anyone time but their own and take no responsibility in anything. I guess they had no responsibility in the anti-trust lawsuit they settled without admitting responsibility because we should have not trusted them in the first place.

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    Price

    Reviewed May 7, 2023

    CORRUPT THIEVES, LIMITED BENEFIT, LOTS OF HASSLE - I pay over $1000 a month and get very limited benefits for that large expense. I just had four positive skin cancer biopsies and FloridaBlue rejected the Doctor's ** Rx for treatment. CORRUPT THIEVES!!

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    Tech

    Reviewed Feb. 22, 2023

    This company used to be a really good one, but for the last few years, most of their providers database is outdated, going from not showing hours of operations up to some of the ones listed are no longer in business for even years already.

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    Customer ServiceCoverageRefunds & PayoutsStaffBilling

    Reviewed Jan. 20, 2023

    BCBS of TX (Blue Cross Blue Shield of Texas) regarding my wife who has had their coverage since either 12/2019 or 1/2020, and she has many medical problems, has been the most common health insurer I have seen... Being 62 and my wife is 54... that provides the VERY least insurance coverage possible. They claimed if she had major back pain issues, which she does, they had all sorts of medical solutions. The fact is they have always minimized approving any coverage for this issue aside from the pain doctor certifying her minimal needs. When her pain doctor recommended a needed MRI with contrast, to confirm a side issue which arose from this, BCBS of TX denied the MRI.

    When she had a bone infection, they would cover nothing over a period of ten months and the doctor advised she would lose one of her legs if she did not receive treatment. Instead, we had to pay the doctor and medications out-of-pocket. BCBS of Texas, and I could go on and on, is a money-grubbing health insurer. Every time I have ever called them, another simple example, the first question on their automated system has been 'Push 1 if you are calling to make a payment.' We have always made our payments and on time, but they simply are VERY lacking in terms of truly helping with serious medical issues. We just closed our account with them, effective 1/31/23, and won't be back.

    Buyer beware of Blue Cross Blue Shield of Texas. They will waste your time, your money and might even make you a bit discouraged. Our best suggestion is 'DO NOT sign up with Blue Cross Blue Shield of Texas. They're simply not serious about helping people who pay for nearly their best coverage plan available. They minimize covering any and everything possible. A very dissatisfied, long-time customer (Ted & J. Post). Do NOT sign up with BCBS of TX unless you want a lot of heartache & frustration.

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    CoveragePriceRefunds & Payouts

    Reviewed Jan. 15, 2023

    Paid over $6000.00 for a Florida Blue plan that only covered basics. A physical and blood work. Very disappointed. Could have paid for those things with the $6k that I paid Florida blue and still has money left over. Sad. Needless to say I’ll never insure with them again.

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    CoverageTechPriceRefunds & Payouts

    Reviewed Nov. 5, 2022

    Never covered anything my contract said it would cover. Had to fight every single time I went to the doctors for them to cover what they were supposed to. Was overcharged multiple times for a total of $1,3900 overpaid to them. After years of fighting (5 years since I overpaid and have been fighting them) they agreed to refund only 119$. This refund check never did arrive. I also found out that even though my membership was supposed to be cancelled 5 years ago they have been illegally enrolling me every year without my consent or knowledge. This company needs shut down.

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    Customer ServiceTechStaff

    Reviewed July 8, 2022

    I am a provider and have to call FL Blue daily to check the status of claims, etc. They have THE WORST customer service. Their hold times are outrageous, and when I do get a representative it takes them 20-30 to provide the most basic information. Most of that time I'm sitting on hold. Most of the representatives I talk to have minimal knowledge of claims and do not provide accurate information. C'mon Blue Cross....you make enough money to provide better service to your members and providers.

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    Customer ServiceCoverageRefunds & PayoutsStaffBilling

    Reviewed June 14, 2022

    We didn’t have the money to pay for my health insurance for three months because we had to get my dad out of the tough spot and he’s 79. So what I did was pay for two months and then they told me that until I paid for the third month as well they were not it going to let me call my prescriptions through the insurance. I am a psych patient on three different antidepressants and I have PTSD. So I will be going to the mental hospital before I can pay the bill on the first. It is now 14 June. I paid $300. All I owe is $114.25. They also told me that they would drop my insurance if I don’t pay before then. So because I looked out for my father, I cannot get my medications. That makes a lot of sense! Don’t go with this company! Have been with them since 2013, no more!

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    Customer ServicePrice

    Reviewed June 11, 2022

    I've been being charged for a dental plan I do not need for over a year. Every time I try to call and cancel the plan (since they offer no other way to) I have to go through the automated phone system for 10 minutes only to hear "Your call can not be connected, hanging up". Very frustrating. If a business only offers one way to cancel it needs to be working at all times. This should be grounds for a class action lawsuit

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    Customer ServiceCoverageTechPunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed June 8, 2022

    Worst customer service in the World. I have used the same fabulous dental provider for over 30 years and never had a problem with paperwork or payment. Now I have this insurance (which doesn't really pay for anything!!!) and they called my dentist's staff -- liars. Said they never sent the paperwork. And, of course the staff showed me where they submitted it 4 times electronically and twice by USPS. They just don't want to pay. Now I wait. This has been going on since February. FOUR MONTHS. Run away from this coverage. Do not recommend it for anyone.

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    Customer ServiceCoverage

    Reviewed June 2, 2022

    My wife has severe Parkinson’s disease and her neurologist has proscribed ** 2x a day at 137mg. Florida Blue refuses to cover this drug even with repeated calls from her doctor. They have held up her meds for 8 days now. Stay away from this company if you have Parkinson’s. They are heartless.

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    Sales & MarketingStaff

    Reviewed May 3, 2022

    Bait and switch? Or is their software just dated. Earn up to $500 credit towards your premiums. Complete challenges towards your goal. Challenges completed, no points. Numerous calls- nothing. Super frustrating!! I’m told 5 different things by 5 different agents. I’ve sent in screenshots documenting everything. Still nothing? Not legit.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed April 18, 2022

    Their customer service is horrible. I needed urgent information about a treatment. No one is there to help with what I wanted. Very confusing automated voice call that takes forever and when I go to the representative she hung off on me. I will escalate this to my company and let them know about this frustrating experience.

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    Customer ServicePriceRefunds & PayoutsStaffBilling

    Reviewed March 23, 2022

    I canceled and removed my method of payment with Florida Blue on January 15th, 2022. On February 2nd, 2022 Florida Blue charged my card illegally and without consent. The agent on February 3rd said I would receive a check in the mail. It's now March 23rd and on my call this time I'm notified it's on hold... They have my money, illegally acquired and have failed to return it. I have emails for all notifications from the system. I'm asking for my money back while a major corporation holds my hard earned cash... Shame on you Florida Blue and for all my time you've wasted on this. This review is easier than dealing with your customer service and your policies and practices.

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    Punctuality & SpeedStaff

    Reviewed March 7, 2022

    Blue Cross Blue Shield of Florida needs to have a more responsive system. Waiting on hold for hours is unacceptable. No other way to get in touch with them. As I am writing this review I have still not spoken to anyone.

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    Customer ServiceOnline & AppRefunds & PayoutsMaintenanceStaff

    Reviewed Feb. 21, 2022

    If I could, I would leave a no star review. This website doesn't allow that. For the past month I have been trying to get credit/points for the "rewardable activities" that I have done with Florida Blue. I have BlueSelect which is a PPO. I have had the same plan for three years. For some unknown reason Florida Blue decided to get rid of the Better You Strides rewards program that was working just fine. Now, we get nothing!! I have called twice, chatted once, talked to four different people in different departments and gotten nowhere. I keep being told to be patient. The way I see it I am not getting what I paid for. We are paying $2000/month for this plan. I don't know about you, but to me that is a lot of money. If I am allowed, I am going to attach a document with screenshots that shows what I have done, the date, and the fact that I have no points in my rewards center. That is why I say it is broken.

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    Coverage

    Reviewed Jan. 26, 2022

    There is a fraud going on with company CareCentrix, subcontractor of Florida Blue. They use Phillips recall of CPAP machines to prevent eligible people from getting replacement after 5 years. I got CPAP made by Phillips in 2015 and when I requested the new one they turned me down because of the recall. CareCentrix is subcontractor that does the dirty job. In short, despite of the fact that I pay approximately 6000 dollars yearly as self employed person, Florida Blue and their partner, CareCentrix are not going to cover a new machine and I will have to buy it online for $750-1500. Stay away from these criminals!

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    TechStaff

    Reviewed Jan. 24, 2022

    This company denies approval for needed medical testing. They only think about profit over health care. They hire a 3rd party vendor to review and deny claims. There should be a class action lawsuit against them.

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    CoveragePriceStaffBillingRatesTransparency

    Reviewed Jan. 19, 2022

    Was slapped with a surprise bill despite using an In-Network Lab and despite taking every single precaution to avoid it. I might have well gone to a lab without insurance. The details: On April 6, 2021, my primary care Doctor requested a bloodwork. I did my due diligence of choosing an in-network lab from Florida Blue. On April 6, 2021 I spoke to a Florida Blue Agent to make sure I would choose an In-Network Lab in order to avoid a surprise bill. Furthermore, I read the “My Benefits” book from Florida Blue Health Insurance to make sure I wouldn’t get any exorbitant bill for this bloodwork.

    Despite all those precautions, I ended up receiving a surprise bill from my In-Network Lab for the amount of $227.22 because the Assay of Homocystine is not covered by my Health Insurance. One has to be a genius and extremely knowledgeable in order not to be slapped by a surprise bill. As usual, lack of transparency in prices and In-Network options end up affecting us (customers).

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    Price

    Reviewed Oct. 15, 2021

    I'm on social security. My premium went up from year 2021 to 2022. 57 dollars a month to 165 dollars a month. Does this sound legit? How can anyone pay this and live from day to day. This Florida Blue is a RIP off.

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    Customer ServiceCoverage

    Reviewed Oct. 11, 2021

    Everyone I have encountered while trying to check on a claim had no idea on anything. I have now called this company 4 times and EVERY time I have called I am on the phone on hold or being transferred no less than 4 hours. EVERY single time I have called I have been transferred multiple times, back and forth from departments and every time having to explain everything over and over again. Either the people they hire are incompetent or the training for these people are seriously lacking. If you have a choice of Insurance Companies, DO NOT choose this one. They are awful!

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    Sales & Marketing

    Reviewed Oct. 5, 2021

    This is the ghetto version of Florida Blue that they offer on the marketplace. Basically no Dr. takes this one because it is such a hassle for them. This is a scam that the gov and this company is in on to bilk the citizens for money. They don't treat you like a regular Florida Blue customer.

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    Customer ServiceCoveragePriceStaff

    Reviewed Oct. 4, 2021

    This is the worst of all health care insurance. I was in a car accident in May 2021, it now October and still calling. This was a car accident in which I was transported by ambulance to the hospital in another state. This is COVERED and they have denied all $20,000 plus costs. I have called multiple multiple customer service agents each with a different response. “Oh, that should be paid”. Or no, we can’t pay that… Now in addition to physically being hurt, now it’s emotionally affecting me. In conclusion, they are now affecting my credit by not paying COVERED claims, these Dr's, emergency room and imaging are getting ready to send to creditors. My attorney has also tried multiple multiple times. Shame on Florida Blue Cross. Stay far away.

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsStaffBillingTransparencyHonesty & Transparency

    Reviewed Sept. 13, 2021

    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.

    Every month I call them with another bill that I’ve received after they’ve taken their money back, with blatant lies, like I didn’t pay my bill that month or, their last excuse was the practice asked the patient to update coordination of benefits with other insurance company? I have spent numerous hours on the phone talking to various agents, having my doctors resubmit the claim. My endocrinologist had three claims paid and then reverse the following year later. When they rebilled my Florida Blue options, they only paid one of them but not the other two. When I called back and asked why did they not pay all of them they couldn’t even give me a reason.

    This company, there are no words. I’ve never experienced anything like this in my life. They should all go to prison. That what they are doing is outright fraud. I will never use Blue Cross Blue Shield again. If anybody’s reading this don’t do it, you’ll be sorry when they take their money back a year later and you start getting all these bills in the mail from every single doctor you saw the previous year saying you now owe them the full amount. It’s not funny!!! I’m just one person and I don’t know how to handle this anymore. It is so sad and pathetic.

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    CoverageSales & MarketingPricePunctuality & SpeedStaff

    Reviewed Aug. 27, 2021

    Easy to understand and most doctor offices accept it unlike other insurances that only give you a discount. I am looking forward to getting an appointment for my cleaning and X-rays all included and at no charge.

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    Customer Service

    Reviewed July 6, 2021

    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.

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    Customer ServiceCoverageStaff

    Reviewed March 25, 2021

    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.

    The doctor filled out the form, faxed it back and then we were told. "So sorry, it needs to be faxed elsewhere." It was faxed then again to that number. Then the appeals department denied it. Yesterday, We were told it is because they never received the form and that second number was not correct either and to fax it to another number. BCBS Incompetence and interference with the health care of my daughter should be crime and they should be held accountable. Instead, the CEO's and company make billions at the expense of their consumer health.

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    Punctuality & Speed

    Reviewed Jan. 22, 2021

    I never have to pay a co-pay. Checkout is a quick. They just look at my card or already have it on file, and say I am done. Couldn't be better.

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    Staff

    Reviewed Sept. 4, 2020

    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.

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    Customer ServiceCoverageSales & MarketingPunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed Sept. 1, 2020

    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!

    For some reason, when the calendar flipped from 2019 to 2020, it all went down the toilet!! All of a sudden, I'm getting bills for bloodwork that my copay has ALWAYS covered. I thought it was maybe just an glitch or something, and it was only $8.00 so I paid it. That was in February. Now, these bills are coming in at $60.00! My hours were cut when everybody was sent home in March! My company lets us work from home, but at cut hours, so I don't have the money I used to have. I've used up what little savings I had, because my utilities went WAY up since working from home.

    I've contacted BCBS several times on at least three of these bills I keep getting, and all I get from them is "I don't know" or "Look at your benefits"....which tells me NOTHING! That is, IF they respond to me at all! Not only are they sending me bills for bloodwork that is standard with my diabetes care and covered by my co-pay, there is some other doctor's name on my bill! The last time I contacted them, over a month ago now, I asked WHO this doctor was, because he's not MY doctor, and I've never even heard of him! I have yet to get a response.

    I think I'm being shystered here! Bills I'm not supposed to be paying or receiving, BCBS giving me the "run around" (and now IGNORING ME), and a doctor I've never heard of......this sounds like a scam to me! BCBS has gone from five stars to ZERO stars! They've gone completely corrupt, shady, unethical, and untrustworthy! They are literally the exact OPPOSITE of what they used to be! Don't trust them! And READ YOUR BILLS!!!

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    Customer ServiceCoveragePriceStaffBilling

    Reviewed Aug. 8, 2020

    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.
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    Customer ServiceCoveragePriceStaffRates

    Reviewed Aug. 3, 2020

    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.

    Florida Blue refused to cover my ** that I have been taking and coverage from Cigna for it. Florida Blue demanded my doctor to change the RX immediately to specific drugs they cover (my guess would be they have a financial interest in?) I said NO. I don’t trust a bully Blue customer service person is not my doctor so I paid full price for the **. Meanwhile, I am a retired 64-year-old woman. I have several drug allergies. Don’t sign up for Florida Blue. They are dangerous. They tell you which doctor to go to and drugs no matter what a doctor that treated you for 23 years.

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    Customer ServiceCoverageTechPricePunctuality & SpeedOnline & AppBillingTransparency

    Reviewed May 28, 2020

    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.

    All these folks must have been taught with "Common Core" because it makes no sense and they can provide zero reasoning other than they are ripoff artists. The entire medical industry in the US is so jacked up. Come November during selection, I'm dumping these idiots and trying my luck elsewhere. In my opinion, stay far Away from this OUTfit, Anything with "Anthem and BCBS". Good Luck. Here is their response cut from the email I received:

    "I hope you are Safe & Well! I wanted to reach out to you after having 4/24/2020 date of service reviewed thoroughly and then going thru all of the Policy and benefits updates related to Telemedicine Visits, I realized that I did not provide you with complete information regarding the way this claim is going to process. This was a telemedicine Visit and they are covered, The only provider that is Covered at 100% is TelaDoc(Only) all other Online/Telephonic Providers* Medical Telemedicine visits (any diagnosis):which are Normally Brick and mortar in-network or out-of-network provider – coverage based on plan benefits. And based on this, and being on the High Deductible Plan, this visit would process towards your deductible.

    Your Member Responsibility will be $101.21. This claim does not qualify for an adjustment, as the claims department states it already processed Correctly. *I also tried calling, but there was no message center that allowed for me to leave a voicemail. I truly apologize for any inconvenience this caused, if there is any other questions I can answer for you, please feel free to reach out to me at any time."

    Anthem, Inc.

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    Customer ServiceCoveragePriceRefunds & Payouts

    Reviewed May 9, 2020

    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.

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    TechPriceStaffBillingRates

    Reviewed April 7, 2020

    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.

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    Customer ServiceStaff

    Reviewed April 6, 2020

    Florida Blue neither follow HIPAA guidelines nor do US Department of Health and Human Services guidelines, they have some crap policies of their own which are against law. When you request supervisor either rep disconnects calls or supervisor will disconnect call, also they do not want you to record calls as you can clearly file complaint against them. Worst ever contact center for BCBS group. Rude agents and rude supervisors. They do not respect callers at all. They are just tarnishing name of a good company. Never take plans from Florida Blue, rest all BCBS groups are good and provide very good service.

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    Customer ServiceCoverageMaintenanceStaffBillingHonesty & Transparency

    Reviewed March 5, 2020

    These incompetence ** have caused me so much pain since purchasing my plan almost 2 years ago. I have called monthly to check on my plans (dental/medical). I understand you can't employee quality employees or have the competence to fix the problems at hand; unacceptable for 2 years. My family owns an insurance company in a different state; if this was the case we would have cleared house and hired competent employees, and supervisors...

    I have spent over 200 hours fixing y'alls derelict problems and set up automatic draft payments from both my debit account and checking account. I have even gone as far to contact the insurance commissioner of Florida and filed a complaint, which they lied to save their **. Then they blame me for an error they made over 9cents; and pushed it off on me again. Then called them to complain again just to be transferred to a ** Chinese restaurant.... incompetence **. I have full detailed recordings of the level incompetence, both video and written details with names, confirmation numbers, emails, letters of threats to cancel my insurance.... dont mess with the bear....

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    Customer ServiceCoverageBilling

    Reviewed March 4, 2020

    I'm going to try to keep this short and to the point. Back in October, I had foot surgery to repair a bad bunion. My doctor chose to do it in a hospital rather than an outpatient facility because that's where he performs surgery. Weeks prior to surgery, I checked with Blue Cross of Florida to determine what my co-pays and any other financial responsibilities would be. They told me the facility fee would be my co-pay, the doctor's fee would be my co-pay and the anesthesia would be covered by insurance as long as the anesthesiologists were in my network and their work was done in a network facility (which the facility was in-network). I asked if there were any other fees and they said no. Back in June, I had sinus surgery done in an outpatient facility and these fees were the same so it all seemed to make sense. Fine. The facility also confirmed my co-pay a few days prior to surgery and when I asked if there would be any further fees, they told me no.

    So, imagine my surprise a couple of months after surgery when I receive a bill from the hospital for approximately $4,500. I called Blue Cross of Florida right away and asked them what this was about. It turns out this is my 30% responsibility for surgical implements, tools, etc. used during surgery (including band-aids!). Long story short, I appealed the claim, explaining I did my due diligence and called them and the facility and was never told of this supposed 30% responsibility. They said they looked into it and denied my appeal. They say they told me on the tape recording, but they never offered to let me hear it. And I know they never told me it. Now, I am stuck with this $4500 bill, which I cannot afford to pay. I am disgusted with Blue Cross of Florida and insurance in general.

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    CoverageSales & MarketingStaff

    Reviewed Feb. 25, 2020

    This insurance company is a scam. They do not cover any claims. Went to see my primary care physician twice and would not cover the claims. If you are looking for quality health insurance do not choose this company.

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    PriceRefunds & PayoutsStaff

    Reviewed Feb. 24, 2020

    I’ve been with Blue Cross of Florida over 10 years with very few claims and now when I need their help with an expensive prescription I need, they give me the most incredible run around. They are only willing to pay for literally a small fraction of what my dr has prescribed. There has to be a better company out there.

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    Customer ServiceCoverage

    Reviewed Feb. 21, 2020

    Florida Blue is the worst insurance company! You get different answers when you call. They don't cover anything! My biggest regret was choosing this insurance. I asked if they covered weight loss surgery and was told yes. However, after I was signed up, told the cover a gym.

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsBillingRates

    Reviewed Jan. 17, 2020

    I obtained Florida Blue insurance and then had to cancel it due to lack of doctors in my area and a long wait for an appointment elsewhere. Not only was the signup process ridiculous as I received emails with discrepancies about my autopay, bill due and login information...I was told it would take 3 days to "see" my cancellation before they could issue a refund. I have called in repeatedly, sat on hold, and have now been told it would take up to 15 days to see the confirmation of my cancellation before they could issue a refund - which will then take 30 days to process. This is unacceptable policy from a corporate conglomerate! They sure waste no time in TAKING money. I wonder how much interest they make off keeping our money for 45 days before they make an effort to refund it!

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    Customer ServiceCoverage

    Reviewed Jan. 9, 2020

    Been calling for 3 weeks now to get my insurance renewed since they didn’t process it. I have yet to receive a call back and no one can tell me what happened to my insurance. No one ever gives a direct answer and you just get transferred from department to department.

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    Customer ServiceCoverageOnline & AppStaff

    Reviewed Jan. 6, 2020

    I needed interim health insurance coverage between COBRA and Medicare. Got coverage from Florida Blue through the health care exchange. Their customer service is substandard; you get conflicting answers when you call. Links in their emails often don't work. The website is poorly designed and frequently down. I'd never consider Florida Blue for a Medicare Advantage plan and will be happy to end this coverage.

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    Customer ServiceCoverageRates

    Reviewed Jan. 4, 2020

    I have read many of these reviews and at least feel better about not being the only one being treated so bad. Florida Blue is the equivalent of a Ponzi And/or Pyramid Scheme. One group, customer service, the number on all our membership cards, says do This and then when claim is filed, the claims group says the Service Team had no authority to authorize this action. Net result, Florida Blue pays nothing. Never returns calls and only seems interested in you during the enrollment period. Advice to all: AVOID THIS INSURANCE COMPANY. They add no value.

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    Reviewed Dec. 31, 2019

    They stalled on my medications to run out the clock on 2019. The doctors' offices are limited to The Physician's Group. The waiting time for a basic appointment was up to 1 1/2 hours. For a flu shot! I avoided going to my GP because of waiting times. I would. recommend ANY company over Florida Blue. They said I was paid in full, then said I 23.05 short on a payment from months ago. I paid immediately! Still no meds. Horrible company!

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    Customer ServiceStaff

    Reviewed Dec. 21, 2019

    The sales lady requested our adjusted gross income to determine if we were eligible for a discount in our monthly premium payments. We took that information from our 2018 1040 line 7 adjusted gross income and confirmed it with her that the line item was correct. Yes confirmed it. I made the first payment to start coverage. Several weeks later I spoke to my CPA friend and he said she was incorrect. They must ask for your modified adjusted gross income which in our case includes my wife's social security annual payments since we file a joint tax return.

    So I call Florida Blue and was dispatched to 5 different people over 3 hours and finally reached a man who put me through the application process a second time. I questioned him about that and explained I had submitted an application and simply wanted to correct my MODIFIED Adjusted gross Income figure which was given in error due to the sales lady's mistake. He said, "Well we have to ask all the questions again." Not to worry! After I got off the phone I received an email saying I am now enrolled and need to select my policy which I had selected in November 2019 and had paid the January premium. Another mistake????

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    Customer ServiceCoveragePrice

    Reviewed Dec. 20, 2019

    I thought I was doing my son a big favor by upgrading from United Health Care Golden Rule (Med. health care plan, that paid 100 dollars on a 6400 overpriced hospital visit that was 40 minutes long), United did not cover any of Dr. visit a few days later, and none of the blood tests, (another 1200 out of pocket). So I upgraded because, I thought since Florida Blue Select cost more and covered more and way less deductibles it showed online plus I was told over the phone also.

    I have been on the phone nearly 3 hours calling Doctor's offices I found online within a 50 mile radius of my home that say ONLINE THEY ACCEPT FLORIDA BLUE SELECT. HOWEVER, when I call thinking yes, yay, they accept Florida Blue Select 1835, I get told, "OH NO ma'am. We do not accept Florida Blue SELECT." I said, "Really? Your website says ya'll do and the insurance cost me nearly 1,000 a mo." What in the world is going on with health insurance nowadays???? So so so so so so so frustrating, to say the least. I always had health insurance with my employer and never had issues like I have now. Man, if I could go back to those days, I would do cartwheels down my street, if I was able. I always had coverage and always had solid great coverage on my son.

    Now, I am older, unemployed, due to health (not bad but not great), and a divorce left me needing to get my own insurance and also for my son. Make too much for Medicaid, not old enough for Medicare, can't work like I used to be able to, so I am left in the hands of Florida Blue Select, which I thought was accepted and good insurance. I mean, it's not cheap after all. I just don't understand it. What do people like me and my son do for health insurance???? When I can not even find decent doctors in my area or within 50 miles that will even accepts it, die younger or what????

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    Reviewed Dec. 16, 2019

    Throughout 2019 we paid almost 20,000 in premiums for an insurance that was rejected by all NYU medical center doctors, rejected by all Cleveland Clinic doctors and at least 4 other specialists. Finally we tried seeing the doctors they accepted and gave up as the quality was awful and we ended paying all appointments out of pocket.

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    Customer ServiceStaff

    Reviewed Dec. 12, 2019

    I called FL Blue because I had a question about my benefits, in regards to the Flu shot. The person I spoke with gave me the wrong information. She told me to pay out of pocket and submit the form for reimbursement. She specifically told me to go to the pharmacist and I would be reimbursed for the total costs. That turned out to be wrong information. I called and spoke with several people at FL Blue, who basically said, "We can use your case for a case study and provide additional coaching to our staff." Seriously? FL Blue gives out bad information and I am left paying more out of pocket cost than I needed to and that's all they have to say.

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    Price

    Reviewed Dec. 11, 2019

    Dealing with Blue Cross Blue Shield claims department for 11 years. In 2009, claims became mostly patients' responsibility to pay doctors when processed. 2017 to today, claims department denying claims with office notes and all required information stating “partially illegible” when everything typed, or they conveniently lose an important page when remittances are sent. The claims are always sent the same, their BS excuse is inexcusable. I hope doctors get together to file a class action lawsuit so payments actually come in the way they used to without the COMPLETE nonsense they offer. This behavior shows they are hoarding patients' premiums in big banks to earn interest for their pockets and will only distribute a certain dollar amount per calendar year. Also, Medicare advantage plans deny claims, then they file the claims with Medicare and keep the change. This is horrible and why isn’t it illegal???

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    Customer ServiceCoverageStaffProcess

    Reviewed Dec. 5, 2019

    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.

    I resubmitted all 3 claims using the correct form and sent in the same envelope. One claim was processed 2 weeks ago. The other 2 have not yet been processed. When I asked for info on the 2 other claims I was told it can take up to 35 days to process claims. When I responded to that message asking if it was 35 business days or calendar days, the next customer service person told me it could take 30 to 60 days. THAT WASN'T WHAT I ASKED. Guess I'll just wait a while longer then plan to spend some time sitting on hold so I can hopefully talk to a person that really cares about customer service.

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    Coverage

    Reviewed Dec. 4, 2019

    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.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 2, 2019

    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.

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    Reviewed Nov. 27, 2019

    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.

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    Customer ServiceStaff

    Reviewed Nov. 12, 2019

    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!!!!

    Dealing with BCBS is an absolute nightmare and a joke. Why are they in a business to make people suffer? I and other patients are the ones who suffer and they don't care. A technician is the one who denied my care that Mayo Clinic. Are you kidding me. An hourly paid computer call center is in charge of our health? ARE YOU KIDDING ME???? They are questioning the Mayo Clinic on the validity of a drug. Good Lord we are in trouble.

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    Customer ServiceCoverageProcess

    Reviewed Oct. 27, 2019

    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.

    So a few months go by, and again the auto-payment just stops working through some failure on Blue Cross's end. No calls, no emails, just letters to the wrong address. They still had not updated my address. I AGAIN went in and re-added the automatic payments. I received an email stating that the automatic payment (including pay for the months it had missed) was being processed. One month later, I receive a letter TO THE SAME WRONG PHYSICAL ADDRESS letting me know that my plan was being terminated for lack of payment. No calls. And the emails I received CONFIRMED THE PAYMENT WAS GOING THROUGH.

    I am flabbergasted by this. Honestly how do you screw this up? It's autopay. You have my bank account information. You told me the payment was going to be processed. Then you didn't process it. And you didn't call me. You didn't email me. You sent a termination letter to the same old physical address that you PURPORTEDLY CANNOT CHANGE IN YOUR OWN SYSTEM. This level of incompetence is maddening. I would rather be insured by a mountain goat than Florida Blue ever again.

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    Reviewed Oct. 2, 2019

    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.

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    Customer ServiceCoverage

    Reviewed Oct. 2, 2019

    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.

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    Reviewed Oct. 1, 2019

    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.

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    Coverage

    Reviewed Sept. 30, 2019

    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.

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    Reviewed Sept. 19, 2019

    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.

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    Customer ServiceCoverageSales & MarketingStaff

    Reviewed Aug. 14, 2019

    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!!!!

    Not worth calling because their customer care is horrible!! I implore you not to use this shady company!! I’m absolutely disgusted with the whole set up from sales, customer care and complaint department!! Someone needs to be looking for a new job as this comes from the top! It’s obvious that the leaders of this organization do not know what’s happening at lower levels!

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    CoveragePrice

    Reviewed Aug. 7, 2019

    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.

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    Customer ServicePrice

    Reviewed Aug. 2, 2019

    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?

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    Customer ServiceContract & TermsStaff

    Reviewed July 30, 2019

    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 applied-- and was denied. So you see what they are doing? They tell you that you can see out-of network providers but the PPO plan chooses even which "out-of-network" doctors you are allowed to see! Is this de facto in-network? So I make the case out of personal experience that those people searching for a plan who want the flexibility of going out-of network, should read the fine print. Do your research!!

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    Reviewed July 29, 2019

    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!

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    Coverage

    Reviewed July 21, 2019

    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.

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    Customer ServiceCoverage

    Reviewed July 19, 2019

    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 gave up after 7 months of fighting and am not allowed to register for another insurance company because I don't have a life change (like having a child). I tried contacting the State Insurance to fight this, but they indicated that they could "advocate" for me, but it doesn't mean that the insurance company would give in and cover the medication. I decided to not go through all of the hoops with them because a fight of 7 months was enough.

    This is the biggest piece of crap insurance company I have ever worked with and they play you against other departments stating this isn't our approval process, it's so and so's. I will NEVER go with this insurance again, and will continue to speak poorly to all of my family and friends about my horrible experience. If there is a medication listed on your site that needs approval prior to being approved for a patient, then the site should depict that so this could be a red flag for a person applying for the insurance to not go that insurance company.

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    Customer ServiceStaff

    Reviewed July 17, 2019

    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.

    These are pretty significant problems and ones that COULD have been easily fixed - but NO, they have made every step as painful as possible.. I absolutely hate them! I will NEVER NEVER NEVER renew and hope this warning helps someone else NOT get into their plan. They even lied about a letter they sent to my physician about getting a "tier" exception for a drug I use - they said the doctor never responded - a HUGE LIE! They, it seems, can't even keep track of their own processes. Humana was as big as Florida Blue - and they were not perfect, but I could at least get anything wrong corrected with just one phone call.

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    Punctuality & SpeedStaff

    Reviewed July 11, 2019

    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.

    I returned to the doctor and he immediately admitted me to the emergency room. I had emergency surgery that day. When I was coherent two days later, I called the insurance. Yay- they had approved my surgery. Now a month later they are refusing to pay because I had the surgery two days before they had approved. I still suffer from the loss of feeling in my leg that occurred while I waited the two days for approval that did not come till much later. Medicare for ALL!! These insurance companies are ripping off the USA.

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    Customer ServiceStaff

    Reviewed June 5, 2019

    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 **.

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    Customer ServiceStaff

    Reviewed June 5, 2019

    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.

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    Reviewed June 4, 2019

    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)?

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    Customer ServiceOnline & AppReliability

    Reviewed May 23, 2019

    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.

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    Reviewed April 27, 2019

    Video thumbnail
    Hi, I’m calling to review Florida Blue. My husband has Parkinson’s. He has difficulty swallowing and he also has difficulty talking. His doctor, a neurologist, suggested that we get electrotherapy which is VitalStim. VitalStim is controversial. It’s not offered everywhere. We live in the Florida Keys. So, we finally, after looking for several times down here could not find anything, so we found something in Miami. However, they were out-of-network. But because we couldn’t find something, several supervisors and customer service reps told me, “No problem. You’ll get a GAAP exemption. You can go in their network and get the service,” which we did everything they asked. We got letters and necessity referrals, we did everything they asked. And they kept saying, “No, no, no.” Even though they would say, “Yes, do this. You’ve gotta do this now. You’ve gotta do that.” We jumped through several hoops and three months later, we got nowhere, and my husband started losing weight due to the fact he could not swallow. I've taken them to the Better Business Bureau. You know, I can’t pay out of cash because they say that’s illegal with Medicare. So, we’re stuck. And finally, I took them to the Better Business Bureau and they said, “Oh, we’ll resolve this. We’ll resolve this. You just go ahead and do it because you couldn’t find anywhere in-network, we’ll let you go out-of-network and treat it as in-network.” We set up with a mom-and-pop place that does VitalStim and we’ve had 11 visits and they have paid $7. Seven dollars. This family depends on their income for their business and Florida Blue won’t even answer our phone calls. It’s disorganized, it’s criminal, they’re negligent. They should be out of business. And they are in business to think that they’re gonna make us go away. We’re not.
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    CoverageEase of Use

    Reviewed April 27, 2019

    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.

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    Punctuality & SpeedStaff

    Reviewed April 19, 2019

    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.

    Florida Blue has agreed to pay $10,000 and says I am responsible for the rest. They are claiming that since Mayo is not in their network they will not pay. Florida Blue representatives are telling me that I should have gone to an in network hospital. I was in no position to shop around for hospitals, I was dying. Regardless my policy claims in writing that if I go to an in network hospital my maxim out of pocket is my deductible $7900. If I go to an out of network hospital my maxim out of pocket is $15800.

    Florida Blue is not honoring that clearly written claim and standing by their $10,000 payment. I am trying to recover from this life changing medical event and now shouldering what will be a long tiresome battle to make Florida Blue pay my hospital bills. I have always had health insurance Coverage to protect me in case something like this happens. I am 62 years old and have never had a claim. What an eye opener this has been. I never dreamed Blue Cross Blue Shield could be so unethical. I don't know how they live with themselves.

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    Coverage

    Reviewed April 17, 2019

    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.

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    Coverage

    Reviewed April 13, 2019

    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.

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    Reviewed April 12, 2019

    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.

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    Coverage

    Reviewed April 11, 2019

    The coverage of my health plan is very good. It helps me pay very little when it comes to prescriptions for drugs that I take and also when I had to receive procedures like stent implants to save my life from further heart problems. They came through with flying colors. That is why I shall continue to have Blue Cross as my secondary health plan.

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    Coverage

    Reviewed April 10, 2019

    This is a benefit that I retired from work with, fortunately. Good prescription coverage too. It's my secondary health care provider. As far as options, my options are I take what the union negotiated for us.

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    PricePunctuality & Speed

    Reviewed April 8, 2019

    I am able to use my Doctor, no problems getting an appointment. I have no deductible. Most of my prescription medications are very low cost. I have always been able to get the care that I need: specialists, tests, physical therapy. Going to the hospital was easy and not stressful. Low co-pays.

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    CoverageSales & Marketing

    Reviewed April 3, 2019

    Florida BCBS use to be a reputable health insurance until they started hiring third party companies like ASH to micromanage the benefits you pay premiums on which makes them crooks. I would highly recommend you find a true PPO that doesn't scam their clients to make them think they have PPO when they only pay to have it but dont really.

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    CoveragePrice

    Reviewed April 3, 2019

    The deductible is high, the cost is high, and you do not get many benefits for this Affordable Health Care plan. I would not recommend it to others. They offer different levels of plans, Bronze, Silver, and Gold, but I think there must be better coverage out there. I have not found it though.

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    Coverage

    Reviewed March 18, 2019

    I received health care in Hialeah hospital (ER) for head trauma, what was my concern. Dr Jorge ** in charge to review the claim determined that the insurance will not covered the diagnose and treatment. Horrible.

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    Reviewed Feb. 21, 2019

    Around December 2018 BCBSFL processed my outstanding covered in network medical claim of $500 as medicare instead of my blue select of florida ppo policy. In result, claim was not paid and rejected to bill issuer and now bill is over 30 days due and will be sent to collection agency. I have called BCBSFL over a dozen times and spoken to two supervisors who assured me that the claim would be reprocessed. However as of today the claim shows that no department is handling it and is sitting stagnant. In the meantime, I am a cancer survivor and need to followup with several doctors but am reluctant to visit because I was told all claims will be sent to medicare and denied because of BCBSFL system glitch. In the meantime, I am making monthly payments for health insurance since October 2018 until present and have been been unable to use services.

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    Customer ServiceCoveragePrice

    Reviewed Feb. 11, 2019

    I Signed up for coverage ACA end Dec. 2018 to start Jan. 1st, 2019 paid premium stated online same day, also set up autopay for remainder of monthly premiums. Thought I was all set for Jan. 2019, now comes a letter dated Feb. 3rd, "we have closed your coverage because we have not received your first full monthly payment?" When I initially signed up I was stated one amount which they (Florida Blue) immediately withdrew from my account, now they say that was approximately $11 dollars less than the full amount??? Why would I pay an arbitrary amount of $10.79 less than the quoted premium, and why would they withdraw less than the full amount??

    So I call the customer service office today, there is nothing they can do, their autopay system is not working in the month of February either - but that’s not their problem - you should have paid the full amount - and they don’t know where that amount came from??? And here’s the CLOSER for all this FLORIDA BLUE - Florida Blue sends out an email to me dated 1-29-2019. Your Scheduled payment is coming up on 2/1/2019. Autopay: *Your total amount due will be drafted. If your account is past due or changes were made to your plan, your draft for this month will be different from the normal amount... Nothing about cancelling your coverage. THIS IS OUTRAGEOUS - HOW ONE COMPANY HAS SO MUCH POWER OVER ONE'S LIFE/HEALTH... This is why you flip the switch in people and there's road rage, why people go postal...

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    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 5, 2019

    I was hospitalized in May of 2017 for 7 days and was told by the hospital that my insurance (BCBS of FL) would not cover my bill because of an exclusionary waiver. After looking at my BCBS agreement, it was evident that they should cover the claim. I then hired an attorney (for several thousand dollars) and BCBS finally decided to make a one-time business decision to cover the total cost. Over the last year-and-a-half, I've been receiving bills and collections letters and when investigating they keep pushing the claim around or not covering it.

    Now the billing agency let me know that BCBS have changed their mind and do not want to cover the claim. I have tried calling several numbers and get nothing but automated responses with purposeful confusing and frustrating disorganization. Any person I talk to is a customer service rep with no power or answers and they often try to transfer me to someone who is not around. I have no choice but to keep my policy because it is affordable when compared to other companies. Remember, insurance companies are not around to provide healthcare...they are around to make money!

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    Customer ServiceCoveragePrice

    Reviewed Jan. 15, 2019

    I'm already paying $210/month for my policy. It's the cheapest one with a very high deductible. I am stuck on a medication for the rest of my life and with the insurance deductible it costs me $200/month. I decided instead to use GoodRx coupons which I searched for on Google (only took me a couple of minutes). No membership fee, no signing up, it was just there. My meds were reduced to $100/month. Why am I paying for health insurance when my medicine is cheaper through free online coupons? Customer Service is terrible too. There's a reason why Blue Cross of Florida has 1 star. I hope too they lose business. I'm glad the government canceled the tax for those who don't buy a policy. I'm canceling mine.

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    Customer ServiceSales & Marketing

    Reviewed Jan. 11, 2019

    I initiated my Florida Blue PPO health insurance on November 1, 2018 after coming off of Cobra from my last job. In preparation for the search for new private market coverage my new policy I got many quotes from health insurance companies within a Florida including Florida Blue Cross Blue Shield. After several weeks of research and firm quotes, I finally decided to go with Florida Blue Select PPO based on a quoted monthly premium of $1522.59. I was charged this amount for November and December, 2018. Beginning on January 1, 2019, Florida Blue without any notice increased my premium basically $140 a month for a new monthly premium of $1663.26. This was done without any notification by mail or e-mail.

    My complaint is that after two months under an agreed to premium of $1522.59 per month, Florida Blue without any notice significantly increased my premium. In the initial negotiations in September 2018 with Florida Blue Sales Representatives they clearly made it seem as if my premium would be $1522.59 for at least a year but to my surprise, after only two months, I get this $140 increase per month which I cannot afford. The simple fact that Florida Blue May have misrepresented my monthly premium as a yearly guarantee in order to get my business to unfairly compete with other Insurance providers is totally unprofessional and is a clear misrepresentation.

    No prior communication shows total lack of transparency. I made four attempts to get this resolved with the Florida Blue Billing and Complaint Departments but was either disconnected in transfers to Supervisors or told there is nothing that can be done. I find this business practice by the Florida Blue organization to be an absolute case of misrepresentation and I have already filed formal complaints with the Florida Health Insurance Commissioner and the Better Business Bureau. Stay far away from the company. Total scam...

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    Customer ServiceCoverage

    Reviewed Jan. 11, 2019

    Tried to pay my premium for my 2018 Marketplace plan in December 2018. Florida Blue would not confirm my plan or accept payment. They said they were waiting for finalization from Healathcare.gov. Healthcare.gov said everything was A ok. This explanation plays like a broken record. Dozens of calls to FLblue, many with a Marketplace Rep, on the line/3/way. At least 15 case and reference numbers generated by FLblue, these bogus case numbers would change overnight unannounced to me, so when I called to check on the status of my case, FLblue would have no record of the reference number for my case.

    After 2 and a half months of NO confirmed health insurance and over $1800 in tax credits harvested by FLblue, I received a bill for over $600 from FLblue. They informed me I was covered since the 1st of the year. When I said I had proof their office they denied to confirm coverage and denied to generate a bill for this coverage and denied to accept payment, FLblue said, I have no further information for you. They are breaking the law!!!

    How about we enact a new federal law: Any corporation that puts a "This call may be recorded for quality or training purposes" recording at the opening of their customer service helpline, automatically agrees, by LAW, that they are allowing themselves to be recorded as well. This review is not about warning innocent people about being yo-yo-ed around by insurance companies. This report is about exposing those responsible for stealing money from the US government and its upstanding citizens. Time to put some of these CEOs and upper management in prison. Oh ya, same thing is happening to me again right now in 2019.

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    Customer ServiceCoverage

    Reviewed Dec. 11, 2018

    Paid full premium for 6 months, (nearly $1400 per month), after losing subsidy, didn't hear anything from them till going to our pharmacy, was told we didn't have insurance, they told me after calling I had not made a payment when I did... If you're shopping around, I would suggest going elsewhere - this was not a good way to do business after being with them quite awhile - going elsewhere...

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    Coverage

    Reviewed Dec. 7, 2018

    Aug. 13, 2018, my ACA premium tax credit for Sept. changed based on income documentation I submitted for 2017. However, my income drastically changed between 2017 and 2018. I appealed the decision in early September. Oct. 26th I got notice that that the August decision was overturned and, as instructed, requested that the reversal be retroactive to Sept. 1, 2018. I had also asked for it to be retroactive in my initial appeal. Until my insurance company (BCBS) gets word from American Health Marketplace that the tax credit is retroactive to September 1, there's an additional $600+ showing as owed for my September BCBS payment. BCBS has stopped my health coverage until the $600 is paid. If I had $600, I wouldn't be on food stamps and need the ACA tax credit.

    Based on lab analysis done for a dermatology visit in Oct., my doctor has said that I have an aggressive squamous cancer lesion on my leg that needs surgery ASAP. I can't afford the surgery until my insurance is operable. American Health Marketplace told me today that they have 90 business days to respond to the retroactive request. That date is February 26, 2019. I'M HAVING TO WAIT 4 MONTHS FOR CORRECTION OF A MISTAKE THAT THEY MADE! As I wait, the cancer continues to spread and eat thru my leg!

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    Reviewed Nov. 29, 2018

    Florida Blue has been denying claims with medical records and also pretends they do not receive claims. Also, if a patient has a high deductible, they will process it no problem because the patient will have to pay. If Florida Blue denies claim even with notes and the patient has a PPO plan, the patient will be responsible for the full amount as well.

    We try to accommodate our patients when Blue Cross denies claims. After 10 years in this field, I can see that their plan is to pay on a few claims for a patient, then they begin to deny claims hoping providers will bill the patient because the insurance company knows they will create friction between the office and patients and the patients will feel they should go elsewhere because they don't want to pay for medical costs when they pay a fortune on their insurance. I have been battling the claims department on complete nonsense denials and it is completely frustrating because we are complying with what they request and they are not doing their part. Since 2009, this company has been denying and rejecting claims more and more and they are doing anything possible to not pay.

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    Reviewed Nov. 9, 2018

    I called on September 29 to have BCBS stop my auto payment for October. I was told a bill would be mailed to me and if I didn't pay before November 15 my policy would automatically cancel which I wanted because I have new insurance. However on November the 2nd BCBS withdrew October and November premiums for a total of 1,900 dollars. I have gotten zero help from them to have this issue resolved.

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    Coverage

    Reviewed Nov. 7, 2018

    Even though I checked for doctors on my plan during enrollment, they all dropped my insurance come January effective date. Then after seeing 1 option for Pediatric orthopedics for my son 3X for the same issue with no benefit I tried to get a second opinion. Guess what? After calling 10 specialists in my area, no one accepts my insurance. My prescriptions are often a battle to get covered and I’m over it. Why is there only 1 option in FL? All the doctor offices say FL Blue is the worst for reimbursement. I don’t want them anymore!!!

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    Reviewed Nov. 6, 2018

    Under our Fl Blue policy my husband and I, both diabetics, are entitled to certain lab tests 4 times a year and one diabetic retinal exam, at no cost to us with $0 co-pay. The eye doctor says we owe a $75 co-pay and the lab makes us pay a co-pay (it goes on our credit card they made us give them at the lab) for the A1c test, lipid panel and urinalysis. Those 3 tests and eye exam are $0 co-pay under the Value Based Diabetic Program. Fl Blue keeps denying our reimbursement for services we had to pay after 3 bills and a debt collector calling, saying the eye doctor and lab aren't using the right codes for them to be the $0 co-pay to us.

    Last I checked, both places have not gotten this cleared up, even after they called Fl Blue. We are entitled to these benefits and Fl Blue won't help the eye doctor or lab with the correct codes, what do we do? Now they want to raise our $1,500 a month policy $243 more! This has been going on for 6 months with me calling every month to get my labs etc. paid back to us.

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    Customer ServiceInstallation & Setup

    Reviewed Oct. 21, 2018

    I had no idea when I signed up for BCBS that I would be limited to the experience of Sanitas, the medical facility you must use if you sign up with BCBS in Miami. You cannot call your doctor’s office, all calls go through a call center (the primary language is not English), appointments must be made months in advance and last 10 minutes. You have to go to the doctor to get a referral and referrals take weeks (sometimes months), you cannot use CVS or any other drugstore - just Walgreens. You have to use their urgent care center which is poorly run and not at all convenient.

    If you have any questions for your doctor or their office, you have to call the call center and no one knows what you’re talking about. They have to get in touch with the doctor’s office which can take days. Appointments are cancelled by phone days before when you have been waiting for a month to get in. So inexcusable. If you told people this before they signed up, they would and should go elsewhere.

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    Customer Service

    Reviewed Oct. 17, 2018

    On a weekly basis now I am getting calls from my Primary care Dr. stating my insurance company says I am not compliant and not doing their required test. Today I got a call that I had not picked up one of my medicines. That was a lie. I ordered it on a Monday and did not pick it up until Saturday. HELLO! Maybe I didn't need it Dumb buts. Where are all the attorneys who like to sue places. When insurance companies start controlling your life and what you have to take and test to do then that is not a good thing. Florida Blue is good but not the best. They do not offer anything when it comes to Vision or dental. Time to move on to another insurance company.

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    CoverageStaff

    Reviewed Sept. 17, 2018

    Florida Blue is an insurance company I would NEVER recommend. First, they think they know better than specialist doctors, without doing any exams or reviews of records. They continually deny needed procedures, even when multiple doctors say they are necessary. Secondly, they tell you that if you are out-of-state, just go onto the national website to find in-network doctors. But if your Florida doctor orders a test, they deny coverage for being out-of-network because it's out of state. And even their reps don't know about this, but the lab says it happens all the time.

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    Customer ServiceStaff

    Reviewed Sept. 17, 2018

    They denied a claim from my hospital back in May saying they needed the medical records from my surgeon. My surgeon's office sent them 3 times to the fax numbers provided! I’ve called BC/BS FIVE times about this claim. Two of those times, they said they received the records and they were with the Medical Review department. Today, they tell me they have never received the records and there are no notes in the system from my last two calls where the agents said they were still in review. This agent said she’ll call me back after she speaks with medical records. I’m not holding my breath – and I told her that. EVERY agent has said they will call me back and they never do. This is so frustrating - it's been going on for over FOUR months! And this was a pre-authorized procedure in the first place!

    I'm tired of the completely incompetent customer service agents who have clearly been lying to me every time I call. I was also billed for my estimated portion by the hospital, which I finally paid because they were threatening sending the account to collections, but that amount would have been based on not having met the deductible yet and at this point, most of it has been met, so if/when this claim ever gets paid by BC/BC, I’ll have to fight with the hospital to get money back most likely. I can only hope that my husband's company changes providers this year because I can't fathom dealing with BC/BS much longer. In 20+ years, I've never had such problems with an insurance company!

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    CoveragePunctuality & SpeedStaff

    Reviewed Sept. 14, 2018

    I was dropped by Aetna because Aetna pulled out of the Central Florida market. When I compared replacement plans, none of my providers accepted my insurance except Florida Blue PPO at $867 month plan. The coverage I now have is exactly the same coverage I had previous to OBAMACARE, which I don’t qualify for any subsidies, but my premium prior to the HORRIBLE OBAMACARE HEALTHCARE DISASTER THAT IT IS, was $267.00. I may just self insure and get a catastrophic plan.

    I am being discriminated against because I am a ** woman who chose to work and be self supportive and self employed. By the way, I have worked in the healthcare field for years, I am not a Dr or a nurse, but I spend my days in hospitals for my job. Often ICU and critical patients. I can GUARANTEE YOU THAT THE DOCTORS YOU GET ON THE LESSER PLANS are not equally qualified as the doctors I can only access through self pay via MD VIP practices or plans that are $867/month like I am forced to pay. I am a single mother putting two daughters through college and I can’t afford to save for retirement with ins. coverage like this, but I also can’t afford to have poor healthcare coverage because I have personal first hand knowledge of how quality medical delivery is vastly different based on each individual physician.

    BEFORE OBAMACARE we could at least afford healthcare and the truly needy could not legally be turned away from the hospitals, so we formerly subsidized their care with our tax dollars just as we are now being asked to do today. The difference is now those who are paying the taxes to insure those who rely on the Govt. can no longer afford to pay health insurance themselves. In addition every Doctor I know is trying to leave their practice or retire early and are definitely leaning heavily on their own children NOT to go to Med School themselves.

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    Customer Service

    Reviewed Aug. 28, 2018

    My company contracts with Florida Blue for all our employees in many areas of the United States. Their provider search delivers ZERO results for all the locations where my family and I reside - Southern California, Northern California, and New Jersey. So, we cannot access our care at all. They don't answer their phones. They are closed on Fridays and weekends, so only get sick Monday through Thursday! Basically, this product is useless because they have made it impossible to access. But their CEO makes over $6 million dollars a year. Perhaps collecting everyone’s premiums and then making it impossible to access their service is how he can afford to pay himself so much. Does anyone else think it is immoral for the CEO of a non-profit to earn this much?

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    Customer ServiceStaff

    Reviewed Aug. 26, 2018

    BCBS has tried to deny my child therapy to prevent deformity and tried to deny my wife life-saving medication. Lawyers don't have enough money to fight them and they have purchased the state of Florida politicians. They are the same as the rest of the lawless cartel and there is no doubt in my mind they have an unwritten "deny until they die policy". So here is what always works for me. Never deal with customer service. Call the CEO's office. Get the number from Bloomberg. Write a press release with a title like, BCBS denies Mother of 3 life-saving medication or BCBS drops insurance on child without notice. Make sure you are speaking to a representative from corporate headquarters. They will put you on hold for a minute and come back with those words, "Your claim has been approved." Good luck.

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    Customer ServiceStaff

    Reviewed Aug. 16, 2018

    The company denied claims in July 2017 due to their explanation that their system changed my primary care physician in April 2017. After months of fighting they paid the doctor, then months later charged back the physician with no communication with me. They don't know why any of this happened and are refusing to pay the claims. I have demanded my premiums refunded to me in full or the claims to be paid with no response. They commit insurance fraud and need to be banned from doing business in the state of Florida.

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    Customer Service

    Reviewed Aug. 16, 2018

    They automatically deduct their payment off our checking account. They increased our payment without notification and when I called they said, "We mailed it." Well they didn't mail it to us so I cancelled our insurance. I was one day short of them deducting it so they are making me pay for another month before they will cancel. That is how insurance companies make their money stealing from the elderly.

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    Customer ServiceCoveragePrice

    Reviewed Aug. 12, 2018

    I'm not going to speak about the fact that they almost tripled our insurance from Dec to Jan because "Trump MIGHT take away govt subsidies for Insurance companies". I'm not going to mention that when I signed up I was given a list of doctors none of which ended up taking the insurance. I'm going to say that they are just plain evil! They took off my 5 year old daughter off the insurance without any notice, no email, nothing, She is the ONLY reason I pay for this insane insurance that doesn't care about anything except getting money.

    She keeps throwing up even water for 3 days, we go to the doctor and they tell me we have no insurance. HOW?! I go online, and see that she was removed. Just gone. And you would think that a company that is charging so much money would have a customer service line... Tough luck, In their view people ONLY get sick on Monday through Friday. I truly wish the management and the owners had to go through what all of us have to go through. But they won't, they're making too much money off our families to care! Last time I walked in the entire office was empty!!!

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    Customer ServiceStaff

    Reviewed Aug. 2, 2018

    I signed up for temporary health insurance. The salesperson told me that after 90 day enrollment period, I would be eligible to apply for "regular" insurance. First, they processed my 90 days policy as 30 day policy even though in the contract it stated it's 90 days. After multiple transfers through multiple dept for two days and 5 hr phone time it was sorted out. Blue Cross accepted they were wrong and made a mistake and made necessary corrections. At the end of my 90 day policy I called to switch to new policy and I was told I am not able to do that. I have to continue with my temporary.

    I listened to the customer service individual as I thought she knows more than me as she works for Blue Cross and Blue Shield of Florida and provided her payment information. To my surprise, I received letter to my home stating that I overpaid and that I will get my money back and that my insurance lapsed. People that work at Blue Cross and Blue Shield of Florida Health Insurance are not knowledgeable and are beyond incompetent and they are messing up with people lives and taking advantage of their position in State of Florida. They should be ashamed.

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    Reviewed July 7, 2018

    I have been using AvMed health insurance for 7 years very little problem with my medication. My wife change to Florida Blue this year 2018 and it's been a disaster to get any medication for both of us. Life THREATENING SITUATION. In fact, I might have to go to the E.R. TO SEEK HELP.

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    Customer ServiceCoverage

    Reviewed June 11, 2018

    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.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed June 6, 2018

    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.

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    CoverageStaff

    Reviewed May 30, 2018

    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.

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    Customer ServiceCoverageStaff

    Reviewed May 21, 2018

    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!!!

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    Customer ServiceCoverageStaff

    Reviewed April 23, 2018

    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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    Customer ServiceCoverage

    Reviewed April 11, 2018

    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.

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    Customer ServiceStaff

    Reviewed April 10, 2018

    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.

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    Customer ServiceStaff

    Reviewed April 4, 2018

    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!

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    CoverageSales & Marketing

    Reviewed March 27, 2018

    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!

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    Customer ServicePunctuality & Speed

    Reviewed March 20, 2018

    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.

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    Installation & SetupCoverageSales & MarketingPunctuality & Speed

    Reviewed March 2, 2018

    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.

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    Customer Service

    Reviewed Feb. 20, 2018

    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.

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    Reviewed Feb. 19, 2018

    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.

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    Customer Service

    Reviewed Feb. 8, 2018

    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!!!

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    Reviewed Feb. 7, 2018

    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.

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    Customer Service

    Reviewed Feb. 4, 2018

    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.

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    Customer ServiceContract & TermsCoveragePriceStaff

    Reviewed Jan. 30, 2018

    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!

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    Florida Blue Company Information

    Company Name:
    Florida Blue
    Website:
    www.floridablue.com