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.
- Affordable premiums for coverage
- Wide acceptance of providers
- Comprehensive coverage options
- Frequent billing errors reported
- Long wait times for customer support
- Limited coverage for specialists
Florida Blue Reviews
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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.
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.
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!!!
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.
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.
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!
Updated review: Jan. 27, 2018
fixed right away
Original Review: Jan. 26, 2018
Very Unhappy with my experience with them. I have been a loyal customer for many years, even paying for it when I really qualify for assistance. I got conned by a salesman and decided to try a different Ins. Well I decided real quick I made a mistake. I paid for Dec. then Jan. would start the new ins. which I kindly cancelled by the 20th. When I called Blue Cross and Apologized for making a mistake and I want my old Ins. back they would not help me at all. They kept sending me from dept. to dept. Finally one said if I paid for Jan. (even though I didn't use it, had the other ins) I could just keep my plan. So after thinking about that, nearly 1,000 payment on top of what I paid to the bad ins. (I can’t get back.)
I called and asked if I could pay my bill and the billing Dept. said I cannot because I cancelled my ins at the end of Dec. So thanks for treating your LONG Time Customers like trash! I have No ins. for the year now. I was willing to pay for January, even though we are still in JANUARY!!! They would not let me continue my plan. There would have been NO GAP! IT’S STILL JANUARY!!! Florida Blue you should be held accountable...
Reviewed Jan. 23, 2018
I called Florida Blue to get a new primary care. I had talked to Watson Clinic about a primary care that was taking new patients and they gave me a name. I tried to get Florida Blue to assign me him, but they would not. Something needs to be done to them.
Reviewed Jan. 23, 2018
I have gone through my first back surgery, results or not good, my pain level is now through the roof, my second surgery was scheduled which has been denied from an insurance company I pay a premium to with a very high deductible. They want me to stay on pain management which does not work. I have a wife and children and being on pain medication does not fix me. All it does is push me farther away from the people I love. My doctor has told me this surgery will fix me and you guys have declined it, there's an ** epidemic and the United States of America and you folks, are taking my Wheel of Life Away From Me.
Please reconsider. All I want is to be out of pain and be able to love my children and my wife and not be miserable. I have paid you folks and expect you folks to help me, this will probably never be read by them and all I'm doing is venting, I wish to be normal again. I have a seven-year-old that Council me and right now I can't even be a father due to you folks. Someone needs to change these policies, it's the American way to help each other and for a multi-billion-dollar company you should see that. From a loving family men I'm tired of hurting and want my life back.
Reviewed Jan. 22, 2018
Horrible! Horrible! The most Horrible experience to talk and to deal with! Stay away from this one! The web page is back to the 90s! They need 3 days to fix your log in issues! They telling you that the plan they sold you is not a plan!!! It's just VMDH piece of nothing and doesn't accept by good doctors! You need to pay for everything yourself and still can't explain what for they charge you 650$ every month! If you are going out of Florida Nobody even wants to hear about this kind plan! And MARK my world nothing is gonna change!
Reviewed Jan. 18, 2018
Daughter went to Dentist first time in year. She has cavity but dentist can't do anything. Child too scared so sends to Specialists. Insurance refuses specialist charge because exam all ready done by other dentist. Have to wait six months for them to pay for her to have another exam to take care of tooth. So basically let my child tooth get bad before I do anything or pay for it myself. Why pay for insurance then.
Reviewed Jan. 14, 2018
I had an issue with the marketplace, Florida Blue agents went above and beyond to help me solve the problem. They do listen to their customers. My experience was very positive. I had insurance with Florida Blue in 2017. I will be happy to do business with them again. I think overall their insurance had a good value. Thanks Florida Blue!
Reviewed Jan. 6, 2018
So, I recently moved to FL and had to sign up for new insurance. In my home state, I was covered under Medicaid but as FL never expanded their Medicaid program, I fell into the coverage gap where I make too much, and too little at the same time -- a situation that many have found themselves in, in the state of Florida or any other states that chose not to expand. Therefore, I pay 265 a month which is technically more than I make since I am a full-time student. This plan has not been accepted anywhere I have tried to receive care. Their customer service is terrible, and there are major discrepancies between the care providers that will accept me according to the website, and then following through contacting these doctors -- low and behold, they do not accept MyBlue. On the website itself, I have been assigned a primary care doctor--but only a name and number are listed.
Upon further investigation, the number is to an insurance agency, and not a primary care office. No address, and when I called that number, someone who spoke broken English answered my call, with no greeting. It sounds like this plan is only good for backdoor quality, shady care. I can't fathom how this even qualifies as insurance. Sure, my prescriptions will be $35 a month, and doctor visits are $65... But how good can coverage be if it is not accepted anywhere? So, I have next to useless insurance at an astronomical cost to me personally. It's outrageous that this company can gladly accept consumers money, and then do little to nothing for them. I would not recommend this plan to anyone. I either will cancel it, or pay more for a better plan that will actually be accepted.
Please, if you have the option--make sure you do research before signing up for an insurance plan. Where Blue Cross Blue Shield provides decent plans, they also provide inadequate plans that are literally not worth the money. All I need are a couple of prescriptions covered a month, no hospital visits, nothing extra... And this MyBlue plan cannot even deliver the most basic of needs. If you are able to speak to someone about finding insurance, please do, as perhaps with an advocate this process would be easier. Consumers must be informed before wasting time and money, and I do not wish this experience upon anyone.
With how difficult the site has been to navigate, compounded by the poor customer service -- I would think the average user would share the same stresses and issues dealing with this company. I feel like I have reached a dead end here. I had an extremely basic plan in my home state which I had no problems using, and my plan was accepted at reputable primary care doctors, as well as basic care facilities like walk in clinics, and Planned Parenthood. MyBlue is not accepted at even PP, which strikes me as absurd.
Reviewed Dec. 27, 2017
I don't know where to begin, no one knows what they’re doing, I requested a simple claim information sent to be my mail and it's been over 2 months and have yet to receive anything. Called about 15 times and none of so their so called agents speak English, had to spell out every word and be their English teacher to communicate. Just horrible, they also lie to you to get you off the phone. Seems like Blue Cross enjoys making their customer's life miserable.
Reviewed Dec. 26, 2017
This company is horrible. None speaks or understands English well and we get different answers every time we call. My husband was sent to emergency while we were out of state and had to stay in hospital for 5 days. Florida Blue will not cover anything. $58,000. They claim my husband was denied because the hospital did not notify them within 3 days of the accident. How were we to know this? We are appealing. Not sure where this will end up. Why are the self employed given such poor choices for health coverage?
Reviewed Dec. 4, 2017
I have had to call this company several times. On all 3 occasions I got transferred 5 times or more. They are too big for their own good and their agents are not empowered to solve simple and common account issues. What should take minutes takes hours or days.
Reviewed Nov. 24, 2017
Takes forever to speak to someone who can't understand or even speak English. They changed my provider to someone 20 mile away-then when I called to complain and gave my current provider they told me no such person in system. Asked then, "Who the hell have you been paying over the past year?" They couldn't tell me. Took 20 min to find her and put me back to the provider I have been seeing for 5 years. Don't try going online to view your acct. What a joke.
Reviewed Nov. 17, 2017
I got this insurance through healthcare.gov. It has been totally useless the year that I have had. Thought I was getting insurance for help with cancer treatments and now have no help and thousands in bills.
Reviewed Nov. 16, 2017
I had Florida Blue with my job. After leaving my job was offered cobra, my deductible of 5000 was paid. After being assured if I took the cobra my plan just carriers on and deductible was paid after paying 513.24 month I got EOB telling my deductible is not paid. They went back to see how much of the 5000 was from me and put 2500 deductible on me because my wife did not stay on plan. There was no notification of this change along with being told everything stays as is. This is very deceitful. I am a veteran and kept the insurance because deductible was paid for the year. I could of went to VA free if I was not lied to. Now I have paid 513.24 a month and have to pay my doctor bills on top of it. I could understand if my plan was a $2500 per person but it was not. It was $5000 before a dollar was paid for any bills between my wife and I.
Reviewed Nov. 14, 2017
Let me start by saying I work in the insurance industry. So generally I would like to think I know what I am doing to get my claims handled. I have had FL BCBS as my primary insurance since September of 2016. Recently in the last two months they started denying my claims on the basis that I have other insurance and they aren't my primary payer. This is absolutely RIDICULOUS. I thought a simple call to let them know this would fix the issue. But two months later and I am still fighting with them to pay my doctor for a preventative care visit that should be paid at 100%.
Additionally they're withholding my 60% reimbursement for an out-of-network claim under the same basis of requesting "additional information/EOBs from my secondary payer." Well, FL Blue, my secondary won't process the claim unit YOU do as my PRIMARY insurance. At this point I have filed an OIR complaint because even my secondary payer said FL Blue should know they are primary and have been for over a year without issue. What's worse is I still pay them premium every month even though they're acting as if I'm not even their insured.
Reviewed Nov. 10, 2017
Now in YOUR enrollment you cannot trust this insurance. This insurance does not have reliable doctors and when you pay the bill for this insurance always charge more. They remember in past months when people placed the invoice in automatic payment and this company took out large amounts of money from the accounts... so I feel frustrated that I pay two months November and December now with the accounts of which is that they say that I have to pay again. WITH THIS INSURANCE YOU CANNOT TRUST ANY SERVICE THAT PRESENTS.
Reviewed Oct. 5, 2017
I have not only paid my premium monthly but on time and in full whenever due. I have been with them since February of 2017. Since then I've had them take my money and cancel my policy, change my PCP without my knowledge and give me another PCP without my knowledge and when I found out about it and called to make an appointment that Dr. Doesn't see new patient for just under 2 years from now. Then when all that gets fixed, my pain management Dr sends me a bill stating from 04-17 till now 10-17 they have refused paying my Dr because the paperwork states my insurance was not available at those times. YET meanwhile, I'm still paying my premiums. How the hell is that legal for one and 2 we even have period that it's still being paid!
Now with this being said I tried calling their online listed 24 hour customer service number only to be told in those calls that they are closed in all departments!!! False advertising as well! Not to mention if I want to see my pain management Dr next week (mind you, I just received that letter today) I have to pay over 2000 to get in. This is a need basis not want, first off and second I can't afford that, I'm disabled and thirdly it's most likely going to take over a week to get this fixed and in the meantime I'm supposed to get injections for my crumbling and leaking discs. How insane in Florida blue!? I'm at my wit's end with them but rest assured, they still keep taking my money and denying my claims. **!
Reviewed Sept. 26, 2017
The FL BCBS website is undoubtedly the worst site I have ever used. On the occasions I can actually access the site, it stops and I get the message that it is unresponsive. This has been going on for a year. I have called on several occasions and am told they are aware of the problem and "working on it". I have attempted to use the site from other servers, computers, and internet providers. Nothing works. Please investigate!!!
Updated on 05/14/2018: I am traveling out of the country and trying to access the Blue Cross of FL website. After MANY calls, no follow-up, MORE calls and another call, I reached someone who finally gave answers. Unfortunately, the answer is that I can't access my account while out of the country. Ridiculous! My banks, other insurance companies, and every other website you can think of all work just fine. Ironic...I am required to carry insurance even though I am out of the country or pay a penalty, BUT I can't use my insurance or even access my account because I am out of the country. President Trump, please fix this mess!!!
Reviewed Sept. 22, 2017
Buyer Beware. FL Blue deceptive and incompetent. I was approved in 11/9/2016 for both eyelid and brow surgery. Dr ** mother died. Appointment changed till 12/28/16. I was recovering from bad cold. Anesthesiologist suggest postponed till January. On 1/6/17 told not covered for brow surgery. No reason given. Normal procedure are approved for 90 day window.
Dr and I have filed a written appeal twice. April they asked for me to have pictures taken with eyes taped open etc. We did that and then called about results after months they set up phone consult with Dr. I was present. He said they were denying the claim. It was not in parameters. When we asked about viewing the pictures taken he said he saw no pictures. None were in file! He was denied based on old 11/9/16 information! Dr ** asked, "Why have us do this and not use info?" He did not respond nor would he address as to who and why approved 1st time. Upon me writing the CFO I got a call from conflict resolution. They are even more inept than the others I have called.
They agreed to communicate either call or write me promised several time yet failed and failed again. They apologize thanks for my being so patient after speaking and getting them to research the case and the facts. They appalled saying saw problem and word take corrective action... After long delays they called and said they could do nothing. I asked for Manager to call me. They said would forward and this would be done. Now they are not responding again. I am looking for a class action lawsuit to make this company become responsive. It seems that is only true way to get them to listen. This will go in the file as evidence of grievance. Maybe someday they will change the way they do business.
Reviewed Sept. 18, 2017
Last year I changed from FL BLUE PPO to an HMO as it was too costly for me. Since January 2017 I have been trying to get an appointment with the chosen primary Dr. Everytime I called appointments are for 2 months later. I changed Dr. in May for which I never received my new card. Now in late September I tried AGAIN to secure a new primary Dr, so that I can go in, as I have important health issues.
I checked their website for a new Dr. and chose one that is SUPPOSE to be receiving NEW PATIENTS. Called the CSR and requested the change. Made the appointment and then someone in the new office tells me the Dr I chose does not have an appointment for more than months later. This is a SCAM from FL BLUE or the Drs in their panels. They misrepresent the availability of their doctors blatantly, and they figure the patients have to take it. I will drop them and tell you, if you want a decent and considered Dr. who REALLY cares for their patients, DO NOT CHOOSE FL BLUE or any of the Doctors they offer.
Reviewed Sept. 15, 2017
I signed up for BCBS FL through healthcare.gov as there weren't any other options available to me. I paid the first month and signed up for autopay. I was never sent a notice via snail mail, e-mail or phone (though BCBS has all) but my insurance was canceled due to non-payment. I was notified by doctors who received a notice I was terminated (BCBS let THEM know but not me...). 3 hours later, I was re-instated with apologies for my inconvenience at their mistake.
I verified my checking account number, routing number and additional credit card information were all on file. 2 weeks later, and then they did it again. This time, they are fighting reinstating me as their policy only allows for reinstatement 1 time a year, be it their fault or not. I have hours and pages of notes trying to find help and ended up at a local office. Unfortunately Irma hit, but I still have not heard back from them after 2 messages. The whole experience is tragically surreal, and I tried to keep things brief as my experience is so similar to others. WHY ISN'T THERE ANYONE HELPING US?!?
Reviewed Aug. 30, 2017
I have Florida Blue HMO, I was put in a plan with a $7000 deductible. I pay full price when I go to the doctors, not copayment. It really sucks. Now I can't change till next year when the open enrollment is available again. I go to the doctor 2X/year. I will never make this deductible. My prescriptions are now $5 from $1. My advice is make sure that the person completely explains what all the health care terminology means & what it entails.
Reviewed Aug. 8, 2017
I signed up for Florida Blue though healthcare.gov and was happy with the service. I had an affordable payment for my son and I for good health coverage. A problem when my auto payment was stopped by Florida Blue and they subsequently kicked me out of my plan. I called and they agreed to reinstate me if I paid the 2-3 months that had lapsed from auto pay. I did pay them over $500 for the past months that they did not collect my payment through auto pay to reinstate my plan. I received a letter within a week stating that I was dropped form Florida Blue due to non-payment. The problem began when Florida Blue updated their system and accidentally kicked out everyone in auto pay.
When I realized they were not collecting their payment I resolved it by paying them for the months that had lapsed plus the current month of coverage. They had sent a letter about this problem, however it was to an old address of mine that I had previously corrected with a customer service representative over the phone, however the change was never made... so I did not get the notice. I still felt that it was their fault for not correcting my address and not informing me of the mistake that dropped me from auto pay. When I did correct this and paid them in full, I expected to regain my service, however that did not happen.
I called back and finally spoke to a supervisor named Karen who proceeded to yell at me and tell me that I never had auto pay and I was dropped for nonpayment. I tried to explain to her that I was informed of the mistake and resolved the issue and she proceeded to yell statements like "Oh my God" and "What is your problem" to me. It was not productive and honestly, from the information I had gotten from other customer service agent prior to talking to her, knew more about the issue than she did - she just tried to bully me off the phone and lied to me that there was no problem and I was making this all up.
I spoke to her supervisor, John **, who did that because a lot of companies dropped out of the affordable care act, Florida Blue had to deal with the influx of new customers and things had lapsed. He agreed that Karen should not have yelled and bullied me and said she would call me back to resolve our discussion but she never did. And unfortunately, my problem still persisted. I had paid for the months that Florida Blue had kicked me out of auto pay including the next month and still had no health coverage. This really seemed unfair and was extremely stressful as my coverage included not only me but my child. Now, even though I had paid them in full for a mistake that they made, they still denied me insurance. Karen stated that they would refund me when I tried to tell her of the mistake but this never happened either.
The lack of understanding of customer problems and inability to listen to the individual problem that I had was extremely disappointing and her attacking reaction was extremely disappointing. I never thought I would call customer service to be bullied and yelled at, but Karen changed that perception that day. John had promised to look into my issue and call me back later in the week but never did. I called again and got similar promises with no calls at the end of the week. I finally talked to a Rafael that tried to resolve my problem, however I still did not get a callback - he was at least sympathetic and helpful, something that I thought did not exist at Florida Blue.
I finally talked to a Christopher that patched me into a three-way call with healthcare.gov customer service to finally resolve the issue. This was several months from the beginning of this issue where I spoke on the phone for hours a day, I think 5 was the most in one day, trying to resolve an issue that occurred with a system update error that they never corrected.
I started a journal of my interactions with Florida Blue customer service because there were so many calls and conversations and no resolutions that actually came to fruition. I finally had to pay another $500+ to Chris to reinstate the plan when he resolved the issue even though I had already paid for those months before (when the issue was supposed to be resolved the first time). It was an absolute nightmare that no one should have to go through but my story does prove that if you call enough, you will finally find that one person that can make everything right... even if you had to pay double.
Reviewed Aug. 5, 2017
This insurance was picked for me via the market place because my previous insurance Coventry One dropped out of Obama Care... The monthly premiums is definitely higher. I searched for a cheaper insurance but they were all off brand companies, I was afraid to trust them. So I kept FLORIDA BLUE HEALTH. Wednesday 8/2/2017 was my first time using the insurance. They picked the doctor from their FLORIDA BLUE CLINICS. I made an appt. Was surprised that the wait was not long at all. The staff and doctor were super nice. Went back for labs on 8/5/2017--the wait was less than an hour. The lab technician was super nice.
I didn't have any CO-PAYMENT at either appt. So far I'm satisfied with the insurance. Think I will keep it. My prescription was only $11.99. I highly recommend FLORIDA BLUE HEALTH to anyone that wants to try it (mainly because I previously had BLUE CROSS/BLUE SHIELD) with a previous employment and I was completely satisfied with them. To those that's looking for health insurance, FLORIDA BLUE HEALTH is the BEST CHOICE.
Reviewed Aug. 1, 2017
I had to sign up for the Affordable Healthcare Insurance. The only insurance available to me was Florida Blue. I signed for the health package and also created an autopay for the $813/month payment. After the first month, nothing was paid from my bank account. After numerous calls to Florida Blue, I was told over and over that the system was having issues and the amounts would be withdrawn the following month with no penalty or fees. When trying to visit a walk-in clinic, I found out my account was canceled two months prior.
I called the help line again and was told that it was canceled for non-payment and the support person said she was not responsible for what others had told me before. If I wanted to get reinstated, I'd have to make a manual payment for those two months and she would submit my account for approval to be activated. For some, there is no other choice but this travesty of a healthcare insurance plan. I refused and am currently uninsured rather than deal with this debacle that this company creates and runs. Please run from them as fast as you can.
Reviewed July 21, 2017
I had a Florida Blue plan through my employer (a health insurance agency ironically) and regretted every second of it. This plan totally screwed my affairs. I've had my medications denied - after verifying the formulary, my doctor wasn't covered and I ended up having to pay out of pocket even though he was a covered physician in their directory. If you like hidden deductibles, stopping your medication for a couple days each month, and stress - this plan is for you...
Reviewed July 14, 2017
I had Florida Blue through Healthcare Marketplace. Unfortunately my tax credit was removed for May & June because we are self employed & it took us a little longer to get our taxes turned in. I paid the ridiculous premium amount in May of nearly $1400 - thanks to help from a friend. I could not afford to do it again for June. Thankfully, Healthcare Marketplace reinstated our tax credit for June - I enrolled in a NEW policy which just so happened to be with Fla Blue & was same type of policy I had before. I called them & explained my situation. The woman was very nice & took my July premium payment & assured me it would be applied for July since it was a NEW enrollment from the Marketplace plus since I was appealing the tax credit being taken away that I had 3 months (now 2 months since June was over) to pay the June premium. She actually placed me on hold for a while so she could verify this information.
So everything was fine - I went to Dr no problems, got a few prescriptions filled with no issues. Then yesterday my pharmacy said one of my prescriptions wouldn't go through. I called Fla Blue & the guy told me because the Healthcare Marketplace did not identify me as a new enrollment - which was BS because the lady who took my payment knew I was a special new enrollment. Anyway he told me I needed to have the Marketplace send over a document saying I was a new enrollee. And since I wasn't a new enrollee they took the $ I paid for my July bill & put it towards my June bill. They were different policies!
So I call the Marketplace today along with Fla Blue who informs me that my coverage ended on May 31 but my special new enrollment began July 1. But since the computer filed me under the same member number I was still liable for the June payment even though they have me cancelled as of May 31??? That makes NO sense at all. And if I would've picked a different plan instead of the same plan this prob wouldn't have happened. So now my choices are: pay Fla Blue the almost $1400 for the June payment for which I'm not even enrolled or have no coverage for June or July & get Marketplace coverage with another company. And they're blaming this whole thing on the computer for randomly assigning me the same member # as before. Such BS.
Reviewed July 14, 2017
I have Florida Blue's premier PPO plan but I still cannot get through to a human being. Twice my insurance has been canceled through no fault of my own. The first time I send a payment that was about.14 cents too much. Florida Blue deposited the payment but canceled my insurance and it took me about 40 hours on the phone to get my insurance reinstated during which many of my prescriptions were unavailable. The second time they canceled my insurance was because I sent my payment in early. Again, they deposited the check but canceled my insurance.
When I finally got through to someone to ask them to reinstate my insurance they told me to email them proof that the check was deposited which I had to get from my bank. After I did this, they claimed they never got the email and gave me another email address, so I sent the documentation again and again they never found it. So then finally they gave me a FAX number (2 weeks have gone by now) and they apparently received the FAX showing that I paid my June payment on May 17, 2017 and that they deposited this payment immediately. But here it is July 13 (almost 60 days later) and they still have not recognized the payment because now they say it takes them 7-10 working days to review the documents I sent them. Open enrollment in December was such a nightmare. There are not enough words to describe the chaos.
Reviewed July 13, 2017
What A Mess At Blue Cross. At the end of October 2016 I turned 65 so I went on Medicare. Called to cancel just my part of the plan. The telephone operator cancelled me and my wife. She wouldn't reinstate just my wife. My wife had no medical coverage for Oct, Nov & Dec 2016. I applied for 2017 during open enrollment in Nov. 2016 for 2017. Paid every payment for 7 months. One month my wife has insurance. Next month no insurance. This is a nightmare. Now they are saying we owe money. I have every receipt for every premium for the last 7 months. No claims during that period. When will this nightmare end???
Reviewed July 4, 2017
Florida Blue has done nothing but drag me around the dirt and back through it again. They are so very unprofessional. I have had them for 3 years or more. Up until this last year they were great. This year Fl Blue has messed up my account since February all of which was their fault. They couldn't accept payments due to their system, customer service wasn't communicating with my case and much more ALL OF WHICH WAS THEIR FAULT. I tried to get to the bottom of it and pay my bill but every time they had messed things up. Finally when I fixed it they made me pay $250 for their mistake. I then canceled my account weeks ago and what happens... I get a call saying I haven't paid. NEVER GET FL BLUE OR USE MARKETPLACE.
Reviewed July 4, 2017
First problem with this company is I have advised them of my email 5 times and yet nothing fixed or added so I can get the information I need about my account especially if anything changes. Second they feel they can debit any amount of money as they did yesterday without my knowledge. I didn't approve $441 when my monthly bill is supposed to be $276. It takes hours before you can get to a rep that never has any answers. Third they can't seem to get my address correct which is the one I signed up with. They are in violation of HIPA law sending my explanation of benefits to an address I had three years ago that they have in their system from when I had Blue Cross with my ex-husband. One policy has nothing to do with the other and the old address should have been taken out which I've called about three times told it was fixed to be lied to again. I can't even go on to view my bill because they haven't sent me a security code.
This has been going on for six months. Nothing is ever corrected and they blame everything on the marketplace but wow they are quick to take money out of your account and when it's the wrong amount unauthorized that's illegal. This company should be shut down. I'm also making a complaint with the insurance commissioner. After 6 months they can't correct anything. Nobody knows what they're doing and they take the wrong amount out of my checking account. I have no other option than to cancel. They are money hungry crooks!
Reviewed June 28, 2017
Called BCBS spoke to customer service & provided CPT CODES for a procedure. Was informed by BCBS representative procedure covered and responsible for $50 copay. Getting bills from doctor as stating non covered... BCBS states now that it is not covered in my policy. This BS with these Insurance Companies needs to stop. They increase our policy by HUGE AMOUNTS every year. BCBS needs to train people that work for them to give accurate information to clients of BCBS. I am tired of calling BCBS and receiving incorrect information. My husband & I started with BCBS Fl almost 6 yrs ago. Our policy was $500 month for both of us 6 years ago and is now $1300+ a month for both of us... This is BS. I have been on hold for 40 minutes with BCBS as I asked for the name of the person I spoke to previously that provided incorrect information.
Reviewed June 21, 2017
I have read through many of the review here and our story is very similar. They refuse coverage for various reasons and every time we contact them we either can't understand them or they say they will resolve the problem within "X" amount of days and nothing ever gets resolved. The situation just keeps getting worse and worse. They take our premium payment each month but refuse to cover our expenses. We just had a baby in Dec. 2016 and ever since then, everything with FL Blue has been a mess! I am so fed up with the amount of time and stress this has placed on our family! We need to group together and do something people!!
They are taking our money and giving us nothing but stress, grief and negligence in return. I swear I can hear them laughing sometimes after I call for answers before they hang up on me. I cannot fathom how the hell they have gotten away with this for so long! For those of you who have sought legal counsel, how do we get this class action lawsuit started?
Reviewed June 20, 2017
I have been struggling with FL Blue customer service support dept to settle two claims for my children's wellness visits in Oct-Nov 2016 since Jan 2017 when I was notified by my provider that claims were not settled and if I could talk to FL Blue to help with settlement. Since then I contacted them 8 times without success. While the initial reasons for denial were fixed within one call, they kept dodging settling the claims. I have written proof from customer support dept about their lies and self-contradictions about how the case is being handled. I have finally filed complaints about my claims with state of FL. Will it help? Is it worth pursuing a lawsuit as they have repeatedly lied to me about the progress of the claims. I have lost all trust in them.
Reviewed June 16, 2017
I'm not one to complain, but I am so shocked at how this company operates. I have had FL Blue for years and everything was fine. Recently, I switched from freelancing to a job with benefits. Since my new job offers benefits I need to cancel my FL Blue plan. I called (simply seeking information about the cancellation process). The women on the line wouldn't even let me finish a sentence before interrupting me and telling me to call back during business hours. (I asked her what those hours were and she "didn't know"). When I asked her name she hung up on me.
Next I tried the chat customer service feature (hoping that maybe that woman was just having a bad day). Nope, "Maurice" told me to just "not pay my bills" to cancel [see screenshots for proof]. Ummm I'm sorry what?!? My last insurance company needed a formal written letter in order to cancel. How does a "reputable" business not have a cancellation policy?! After a lot of back and forth Maurice finally admitted they do have a cancellation policy and that I would need to call back between 8-6.
I'm not unreasonable, I totally understand there is a process for these types of things. All I was looking for was information in advance so I could follow their rules and cancel correctly. Instead I was treated with a rude interrupting customer service rep who hung up on me, and an incompetent agent recommending I stop paying my bills?!? I've never even paid a bill late in my life! ABSOLUTELY SHOCKED. I always spoke very highly of FL Blue but I will NEVER be a client ever again! Disclaimer: I used to work in customer service so I always go out of my way to try and be polite to support reps but this is 100% not okay! I would have been fired if I treated people so badly!
Reviewed June 13, 2017
Paid premiums and my insurance was not active. Called over 10 times to fix the problem and customer service rep said I did not make a payment. I had to show my bank statement to prove that I paid all premiums due.. Management is a joke. I hope United Health and/or Aetna will come back to the individual health market...
Reviewed June 13, 2017
I can't imagine if I had to place a claim with this company as it has been 6 months and I have been dealing with numerous calls to keep my policy instated as they have constant problems receiving my payment and debiting my bank account, due to their auto pay system having issues. No one calls back and to get a supervisor on the phone is a miracle. As I have waiting on the phone for over an hour every time I call. No one seems to know what is going on and has no information to be provided. I am just trying to make a payment and keep my policy current.
Reviewed June 6, 2017
This insurance company is an absolute joke. My family member pays over $1000 a month on coverage and required knee injections as an alternative to surgery. She got the injections for years without an issue. All of a sudden Florida Blue decides to stop covering these medications altogether. Meanwhile, we never got a phone call. We didn't hear that anything was denied until WE called. Such poor customer service to not even let the customer know, on top of the fact that there is no reason this medication should be denied when it was paid for in the past. What is the point of paying insurance companies if they won't pay for what you NEED? Again, absolute joke of a company.
Reviewed May 31, 2017
My daughter has been on the phone with BCBS for two weeks or longer with no satisfaction. They should be ashamed of themselves. The bank sent electronic payments to them and they claim they never received. BCBS will not talk directly with the bank so the bank sent several faxed copies of the electronic transfer of payments. BCBS claimed they did not receive the fax, so my daughter went to the bank and got a copy of the payment and faxed it herself. They still claim it will be another 7 to 10 days to process the fax. Two electronic payments sent and they want to drop her insurance. Is this because she is ready to deliver my baby grandson. Shame on them and their no service customer service.
Reviewed May 16, 2017
I was sold this plan for the current year. I did check to see that my doctors were under the plan. Now I am in an emergency situation and find that they are NOT covered by this plan. And to make it worse, my 2 choices within 30 miles are planned parenthood. I live in an urban area. I pay around $500 a month and have terrible coverage. They are trying to blame the government for this. They cannot upgrade my insurance plan. So I am stuck for a year. Paying $500 a month. I will need to go to the walk in clinic and pay the absorbent fee there.
Reviewed May 15, 2017
I was fortunate enough to be picked up Florida Blue health insurance by my employment effective May 1, 2017. I called Florida Blue to cancel my mandatory individual out of pocket insurance on May 1, 2017, explaining that effective May 1 I was now covered under my employer which also was Florida Blue and to stop automatic withdrawals from my bank account and cancel the policy.
Florida Blue continued withdrawing the funds from my account on May 5th and notified me after calling them and being on hold for 33 minutes that I could not seize the individual coverage until May 31, 2017. This was a withdrawal of almost 600.00 for individual coverage that I don't need. When I asked for the supervisor's name all he could tell me was David and that he was not authorized to give me his full name. Funny that you are not allowed to go without coverage, but you cannot activate and cancel a policy on the same day. Absolute scam to a taxpayer trying to do the right thing.
Reviewed May 9, 2017
Go online to this website and file a complaint with the state. It's not guaranteed, but it's one more step you can take. ** I decided to do this after never getting my overbilling issues taken care of by repeated calls to BCBS. So far, BCBS has not terminated me for nonpayment of bogus billing, but I can see it coming, based on what I have read here on this website. The phone agents say my account looks fine - I am paid up, and acknowledge the online billing is totally whack, and they assure me I won't be terminated for the bogus billing, but guess what, I don't feel reassured!!! I am getting the jump on this before they do. I have already received a one month overdue notice on bogus billing. I guess I have a couple more to go before they will terminate me for nonpayment of bogus bills. Wish me luck.
Reviewed May 8, 2017
I had contacted the Marketplace where they cancelled my insurance with BCBS for a April 1st effective date. After speaking with Florida BCBS, they disrespected, harassed and refused to cancel this policy stating Marketplace did not send them the application. After getting Marketplace and a BCBS rep on the phone, we had him read he notes and in the notes on March 14, 2017 it specifically stated cancel policy as of April 1st. Marketplace stated numerous time they submitted the escalated request but they continued to state they never received the notice.
I had spoke with a supervisor named Jason at BCBS who was so rude he was talking over me and stated I owe him an apology. Then continued to be extremely rude to me. I had spoke with a Kevin ** today from BCBS who finally assisted me to get this issue resolved. Being a cancer patient, I truly did not need this added stress nor hassle from BCBS especially since I had insurance from my employer, which I was pay monthly payments on.
Reviewed May 5, 2017
I've been told by healthcare providers that BlueCare is a nightmare. I'm wondering if the money I pay to Blue Cross is doing anything but upsetting the doctors. Also, I seem to be paying more in general for BlueCare as compared to straight Medicare. I would like someone to let me know. I was given a form from a doctor that had a list of medications on it that I was to research and find out what was covered. I didn't know the names of most of the drugs let alone the various dosages which are prescribed. I had a real struggle trying to get copay amounts from the Bluecare rep. She wanted the dosage to drugs that I had zero idea of what would be a normal dose. I had to struggle with the lady on the line to get her to give me examples of doses. Any response would be appreciated.
Reviewed May 2, 2017
Florida Blue has not sent me an invoice for the correct amount since January 2017 despite numerous phone calls, being on hold forever, transferred to different departments where nobody could solve the problem, and 2 visits in person to a local office to have this matter resolved. To top it off, they just debited my bank account $35,000 by charging me 80, yes eighty, times for my May premium!!! I will never do business with this company in the future.
Reviewed May 1, 2017
Once I had to actually start using my insurance, I have had nothing but problems. I had my daughter last year. I called to add her to my policy the day she was born. I should have waited. Part of the blame goes to the Marketplace, but most of the problems I have had I believe are firmly the fault of FL Blue. According to my Marketplace account she was officially on the policy, but FL Blue did not have any record of her. They don't tell you that in order to add a dependent they will be cancelling your policy and starting a new one. I tried to use my insurance for follow-up care after the delivery and kept getting it rejected. She had to be admitted to the NICU and then transferred to the NICU at the children's hospital about an hour away.
The Marketplace sent FL Blue the info about adding my daughter multiple times, but when I would call FL Blue they could never find it. The issue had to be "escalated" at least 3 times and my policy was cancelled and restarted twice. I cannot tell you how stressful this was to deal with while I had my newborn in the NICU and then needing extra services once she was released from the hospital. It took 3 months to get that straightened out and her officially added to my policy.
I selected my new plan and made my initial payment in Dec. The payment was credited to my old policy. I have been calling since Jan to try to get it straightened out. I keep receiving calls and letters stating that my policy is delinquent. I have called about 8 times trying to get it fixed. Sometimes I had to give up before talking to a person. It is not at all unusual for hold times for a representative to be more than an hour. If it was more than two hours I would hang up and try again later. It wasn't until about the 5th call that I was given a call reference number. I think this is supposed to be standard procedure, but it rarely happens. I got a representative last month who I actually believed would help me. She seemed much more motivated to get the problem straightened out than anyone I had talked to previously.
She promised to work on it and call me back by the next Fri. I was very disappointed when I did not receive a call and was still getting delinquent notices. When I have called the past 2 times they say the issue is resolved, but I am still getting delinquent calls and letters and it does not show fixed on my online payment history. The call center reps will not tell you where they are located and will only give you a first name. Most of them are very difficult to understand and it is obvious that English is not their first language. There is no way to get the same person that you have talked to before and there is no accountability for them to follow through with what they say they will do. You ask for the Billing department, but they cannot actually help you with your billing issue. All they can do is "send a message" to whoever.
I received the bill from the children's hospital last week. It is insanely high. How they can be non-participating in one of the only insurance company choices network is unconscionable, but that is another issue. I called FL Blue to find out why this bill was much much more than my out of pocket maximum (even for out of network). The first rep I talked to was completely unhelpful. I asked to speak to a supervisor. After a very long hold time (I was offered a call back, but declined, I just don't believe they will actually call me). I got someone whose name I could not understand, but he claimed to be a supervisor. I asked him why my out of pocket maximum was not applied to this bill. His reply was that the hospital was nonparticipating. I said I understand that they are not in my network, they are out of network, but the out of network out of pocket maximum should apply.
He said he did not understand. How are you a supervisor of customer service of an insurance company and don't know the difference between in-network and out of network! I asked if he could get someone for me who did understand my question. He said someone would call me. I called again on Fri, but the hold times were between 2 and 4 hours so I hung up. No call back yet. I will keep trying.
Reviewed April 24, 2017
I am astounded by the amount of complaints against Florida Blue health insurance and so relieved I am not the only one dealing with it. What they are doing is illegal by accepting premium payments they agreed to and not insuring people with any coverage and making people look like criminals by not paying the doctors who perform their service. I have been dealing with a lot of the same issues that other people are having - premium amount is not the same as what I signed up for. Cancelling my plan because I did not pay my premium which I did. Cancelling my 5 year old daughter off because she MIGHT be eligible for KID Care which she is not nor did I sign her up for it. Denied claims for not being covered when told you were. Being registered under 2 plans when I did not sign up for 2 plans.
Spending countless hours talking to people overseas who have no clue what they are doing or saying. Told my coverage started on a certain date but being held hostage to a premium payment I was told not to pay because I was not covered for that month. Yet no one will get the issues resolved, only issue an escalation report. It is unbelievable that a company like this is so unorganized and someone needs to be held responsible.
Reviewed April 21, 2017
Blue Cross has had my account screwed up since August/September of 2016. My husband was placed on Medicare and we were informed to cancel insurance and for me to re-apply for myself. Unfortunately it was incorrect information and it sent the ball rolling in the wrong direction. I have since tried to remedy this with Blue Cross and it hasn't worked! I have approximately 10 confirmation numbers and have probably spent over 40 hours on the phone with these people trying to get my insurance sorted out. They have me down as having 3 different policies, I paid my money over the phone for January and February of 2017 yet they have denied payment to Drs. Now the Drs are billing me and Blue Cross won't stop billing me. It's a different story every time you talk to someone.
I was so stressed over this I cancelled through marketplace and also called Blue Cross to cover my bases February 28th 2017 and lo and behold they keep billing me. They have me down as owing them over $2600. We need to see if we can do a class action lawsuit against this company especially after reading all the complaints against them!
Reviewed April 17, 2017
Member services is a JOKE!!! Spent an hour and a half, most of it on hold while they look for information. They are ALL Spanish speaking with poor English skills. They are unable to access the claims in question and keep telling ME to contact my last employer for the information. I gave them all of the information needed, member number, claim number, I was able to pull it up on my computer but they say they don't have access. How can they help with questions about claims to which they are not given access??? WTH??? Such BS!!!
Reviewed April 13, 2017
This company, which has a damn monopoly on the horrible mess that is Obamacare, is miserable. I set up autodraft which worked in Jan. It did not work in Feb due to their incompetence. They canceled my account. I had to reactivate it. I was hung up on several time from their foreign answering service. They said, "I see. You have autodraft set up, however, it did not work"??? What the hell does that mean? Now they took 3 months payment at once, last week. I get a call today saying I owe money? When I told them they took my money, they hung up on me again. I want to strangle someone. Rude P.O.S. This company sucks. If I could give 0 stars I would. How is it a marketplace when you only have one choice?
Reviewed April 12, 2017
Prescription coverage - I see I'm not the only one to have problems with Florida Blue and Prime Therapeutics. I'll be short and to the point. They are giving me the runaround with nothing getting done. They never get the info that me or the doctor sends even though we can prove we sent it with a code or receipt. Short of going to the media and filing a complaint. I guess that's all I can do. What a joke they are. I have rights.
Reviewed April 3, 2017
I noticed while reconciling my accounts in early December 2016 that there had not been a dental premium charge for the months of September and October 2016. I have auto payment set up for this plan. In November 2016 the charges began applying again however they were for the amt $65.37 (previously the premium had been $73.26). So I called on 12-8-16 to find out what was going on and the guy told me that my account had been cancelled in Sept. He said something about a new computer systems and that they sent out letters. I told him I didn't receive any letters. He replied that the mailing was imperfect and I was not the first person that had this problem and that he would reinstate my plan.
Ok. BUT - I told him I had been charged in Nov and Dec for $65.37. He said he had no record of that and that I would have to fax over documentation to prove it. Fast forward to end of call and he gave me a ticket #. He said to call back in 5 days to make sure that the account was reinstated. I never did. I was so frustrated I couldn't deal with it at the time. Next time I'm reconciling I see that now my premium (charged on 1-2-17) is $96.11. Rather than calling FL Blue I called my dental office to see if they could see my plan from their side. They told me that my member number is inactive. At this point I have the following questions: Confirm that I have coverage and that the plan is the same as I had, understand why they charged me in Nov and Dec when my plan was cancelled. Why can't they see the charges in Nov and Dec? Why my premium has gone up? Why my account still shows inactive?
1-24-17 - called FL Blue again and spoke to Katie in Billing. She tried to get me on the phone with a supervisor but ended up putting in a request to have one call me back. She said that the guy who reinstated my policy put an end date of Dec 31, 2016 so the policy is now cancelled again. I told her that I was charged in Jan for the 96 dollars. She said she can't see it. The charge comes through as an ACH. I asked if the charge was going through on the old system and she said only a supervisor would be able to see.
1-31-17 - held for 1 1/2 hours. Spoke to Supervisor Britney **. Britney is putting request in to have policy cancelled as of Aug 31, 2016. Emailed proof of charges to cxc@bcbsfl.com. Meanwhile I contacted my bank to ask them to block the charges. 2/6/17 - Called FL Blue back and Spoke to Latoya who had left me a msg from last Thursday. She was just a random supervisor from previous request. She looked at the ticket and reached out to Britney to see if she had received the documents. Britney had not so I forwarded the email to Latoya. She told me she is sending the documents to the Finance Dept. and said she will get back in touch with me in 48-72 hours (or that's how long it takes the finance dept to turn this around.)
2-13-17 - called Latoya to follow up. Could not get through so sent email follow up. 2-13-17 - Latoya called back and said that Finance is still working on locating the charges. I gave her the last 4 numbers of the checking account to help the research. 2-20-17 - Sent an email follow up to Latoya. 2-27-17 - Sent an email follow up to Latoya. 3-6-17 - spoke to Latoya and she said they were about to locate the payments and correct the error. They will be crediting me $$. I should receive the payment via check by the 15th. Latoya will call on the 16th to ensure receipt. 3/28/17 - email regarding Ticket # and that I have not received payment. This is where I'm at now. RUN AWAY FROM THIS COMPANY WHILE YOU STILL HAVE YOUR SANITY.
Reviewed April 2, 2017
Paid my premium for January then they cancelled my coverage without telling me. When I called no one could tell me what was going on. Talked to 20 reps and 2 supervisors. Some said they would send it to the appropriate department to get fixed. This went on for 3 months, no coverage, no reason, no one seemed to know or care what's was going on. Spoke with the marketplace 5 times which they send notices to Florida Blue for results. Then last week I received membership cards and they said I was effective January 1st and they wanted money for Feb and March after they told me I wasn't covered. This is so stressful and will effect my taxes unfairly. This is not over.
Reviewed April 1, 2017
MY reason for this review is that I have been suffering the terrible business of Fl Combined Life. I had FL Blue both for medical and dental last year and had almost no problems. They covered my expenses. The only real problem I had is that they did not want to pre-approve the chiro, they wanted me to go first and then see if I was approved and I simply cannot afford that on the beans I make. I never used the dental plan but paid all year.
Dec. 2016 rolls around and I figure it's time to update my plan as allowed by law and the open enrollment time period. I switched my plan to a similar plan. From 1603B to 1604C. I had received a letter from Fl. Blue indicating that I could keep my same plan by doing nothing and just continue to pay my premiums, but that the premiums would be going up for that plan. My dental would be the same payment. Ok. So I go into the HCMKTPLC and switch my coverage to a similar plan w/ Fl Blue, but a lower premium and a few differences in policy. I do my research before switching. I had originally decided to switch dental companies.
Jan 2017 rolls around and I want to make a payment. They had not switched my plan. I talked to a representative who simply said that he saw no change in plans and that there was nothing he could do, I needed to call the Marketplace. That night I talked to 2 different reps because they first hung up on me. Anyhow, I went into the Marketplace and canceled my plan and started all over again, as I have the right to do before Jan 31st as it is still open enrollment. I signed up again for the new plan and just opted to keep the dental with them after all. Ok, I do all that and call them back up. I have to speak to several reps just to get them to admit they see the plan change. There is so much here. I am not going to go into complete detail, trust me when I say I have a thick folder of documents and documentation.
Finally after 2 months of dealing with them and the marketplace they correct my plan, subsidy amount, and premium payment. I pay my premiums all the way current for both med and dent. March 2017. I emergency go to dentist March 6th and say, "Go ahead and do a complete oral exam and work up a plan to get my teeth taken care of." The dentist submits my emergency claim, and also the pre-authorization claims for my dental work up to be taken care over the year.
I scheduled my covered cleaning that I get each 6 months and have that done on the 14th. I ask the dental office if they have heard anything from my insurance and they say no. I receive a dental claim from FL blue covering my emergency visit. I think everything is fine. March 23rd, 2017 I receive a denial letter from FL Blue stating that the reason for denial is that I canceled my plan before date of coverage. WHAT! I call the Marketplace as FL blue closes by 5 pm. I describe to them my dilemma and they assure me that I show active back to Jan. I have to wait until the 26th which was earlier this week and call them up to see why they canceled my plan without notice, and asked them why they sent my a refund check for the amount of my health care dated the 14th. They tell me that the Marketplace sent them notice to cancel my plan as if it never existed.
I called them out on it. I said why would I pay my premium? After much deliberation a supervisor is kind enough to help me resolve my issue. We call the Marketplace together. At this point Fl Blue is reinstating my dental insurance back to Jan of 2017, and is mandated to cover my claims from Jan until current. I have had to do a lot of phone calls. One thing I want to mention is that it is not the reps fault. Though not all reps are good to deal with. I got lucky with mine, and the Marketplace has been a gem in aiding me with my coverage and my rights.
As of today I am waiting for my coverage to be reinstated, I have to repay all of my dental premiums they shouldn't have refunded which 3 months worth ended up being the same price as one month of medical, so that cleared up the confusion there. I still have more phone calls to make and still have to make sure that they cover my claims, The dates they have for canceling and termination and rejection are all screwing and smell of fishy backdating, but again I have a thick folder of documentation as I was already having issues with them since the beginning of the year. I'm not sure what the outcome will be and I have mixed feelings about the customer service.
All in all I have been assured by the Marketplace the fl blue will be held accountable for their misdeeds with my insurance and my covered claims. I hope that you all out there having similar problems will find resolution. Date and time your calls, log names and reference numbers. Write summaries of your dealings with both FL blue and Marketplace, and don't give up, take them to arbitration and be aware that you have rights as long as you are paying your premiums. Nonpayment is another issue and is not compliant in both the eyes of FL blue and the Marketplace. I will try to update my review at the end of my issue. I am not looking for ConsumerAffairs to meddle in my dealings as I am taking care of it just fine on my own, I simply wanted to relate my experience.
Reviewed March 31, 2017
Florida Blue used to be a good company now it sucks. Phone calls to them go out of the US and those people just don't care. I tried asking for someone that could help me in the US but they just sent me back to the call center. On top of that I pay double what I was paying.
Reviewed March 31, 2017
I changed my plan through the marketplace in Dec 2016. Florida Blue as of the 3rd week of January had the old plan with much higher copays. I was told by a Florida Blue rep that the plan would be changed effective 02/01/2017 and since I didn't use the insurance in January because of Florida Blue mistake... I would not have to pay the January premium. My paperwork still shows that the new plan is effective 02/01/2017 but Florida Blue has now backdated the plan to January 1 and wants me to pay the premium. The reps from Florida Blue admit their mistake but say I have to pay for insurance I did not use. I canceled all healthcare appts in month of January because of what I was told.
Reviewed March 27, 2017
Jan 3rd, my insurance premium was taken out of my account twice, I discovered the matter immediately and called to follow up. The issue being they claimed, when Market Place sent the info over to them they sent the wrong info so there was a problem with setting up the account... Which also initially caused issues with coverage the beginning week of Jan. After talking to 4 people in January I was able to get the coverage issues straightened out. However, I have been unable to get my refund. As of today's date I am sitting on hold with Florida Blue still trying to get my refund for the duplicate premium that they withdrew from my account in January. Mind you the premium is the amount of a house payment, so if it is withdrawn twice that is an issue.
I have talked with seven people, received 4 confirmation numbers advising that the duplicate premium is being refunded, two people have advised that the refund was sent to the wrong place and sorry for the delay. Well here I am this morning I have been on the phone with FL Blue, and no refund processed... Of course a supervisor is not willing to take the call from an upset member, they refuse to give out direct lines and there is absolutely no accountability with this company.
After over an hour on the phone reciting names of people I have talked to and reference numbers, as well as referring to the fact that many of the online reviews seem to say the same thing in terms of how Fl Blue has taken money from members and then refused to refund... The CSR that I talked to claims her supervisor will send me an email stating they will take the duplicate payment and apply to my April premium and then resume automatic withdrawal again in May. They also assure me this should not cause any issues with my coverage... Again after reading the reviews I have concerns as to whether this will work out and that is why I did request email documentation. As of yet I have not received any emails from Fl Blue. My hope is that I do and I can put this matter to rest, however after three months of dealing with this vacuum of customer service and billing I do not think the matter will be resolved.
This is the fault of the leadership of this company. The leadership sits in a sheltered spot, not facing and/or trying to resolve the issues of the company. Members are a faceless group (to the leadership and call center) and there is no compassion or empathy for how the callousness, lack of responsiveness and accountability impacts daily lives and there are real consequences to people resulting from this companies carelessness, lack of professionalism, and complete lack of concern. The bottom line there is no excuse for the issues I have been going through...or any of the others out there.
Reviewed March 24, 2017
Initially, experience was good. Then, at some point, billing or management arrangements within Florida Blue changed. Quarterly invoices for my individual dental plan would arrive after the due date. So, I would call and pay the premium over the phone. The January 2017 quarterly invoice never came (& I never noticed that I did not get it). Today, March 23, 2017, I received the invoice for the quarterly premium due on April 1, 2017, with the amount due as $0.
Puzzled, as I did not expect a gift from Florida Blue, I phoned to ask them to send a corrected invoice. After much time on hold, the representative told me my policy was canceled for failure to pay the January 2017 premium, the invoice for which I never received. Nor did I receive a prior notice of cancellation for nonpayment of premium as required by Florida law - Section 627.6043, Fla. Stats.
Figuring that Florida Blue would admit their mistake and simply reinstate the policy (with payment, of course), I stayed on the line for an hour or so while I was sent to this department and then that department, finally getting someone in the billing department for the dental policies. She seemed clueless. Her response to the failure of Florida Blue to invoice me for the January quarterly premium was that I was just supposed to pay it anyway (which, of course, I thought I had). Requests to be transferred to supervisory personnel were not acted upon.
Reviewed March 22, 2017
We submitted our original claim to Florida Blue (with a return receipt, thankfully) signed for by them December 2016. This claim is still not processed and we need the disposition letter from Florida Blue in order to submit this claim to our travel insurance (CSA). Florida Blue has 1) asked us to re-submit the original packet; 2) passed the claim on to their Global World division (it was established during a FL Blue conference call that this claim is not covered by Global); 3) asked us to re-submit other materials; 4) sent us emails with attachments that we cannot read; 5) has today passed this claim on to their SIU division (special investigating unit) because the claim is more than $500.
We feel royally jerked around by Florida Blue. We need the disposition or Florida Blue will prevent us from collecting the $9,000 from CSA that we have already paid for shipboard medical services. Florida Blue is well aware that we are under a time limit to submit this claim to CSA, because we have stated this every time we have contacted them and/or sent them requested materials.
Reviewed March 21, 2017
Had to switch to Florida Blue in January of 2017 since it is the only company on the Florida exchange. I was in the middle of having a shot procedure done for stenosis of the neck when my insurance had to change. I've been waiting since January to get authorization from Florida Blue to continue the treatment which would result in my no longer needing opioid drugs for pain. They have yet to approve the treatment, so I'm still on opioids which they seem fine with (what about the opioid epidemic that is sweeping America??). I finally reached out myself since my doctor's office can't seem to get anywhere with them and was told that they could not discuss the reason for the delay with ME!! THE PATIENT!! THE PERSON PAYING THE PREMIUMS!! ONLY WITH MY DOCTOR.
I was flabbergasted. They refused at first to give me the phone number to the central office. I had to threaten them with a lawyer to get this little bit of info. They simply said the same thing. I told them that if I didn't have an answer in 48 hours I was filing a lawsuit against them for turning me into a junkie. I will repost with the results.
Reviewed March 21, 2017
My husband & I spoke with an attorney today about suing FL BCBS for nonpayment of 15k in hospital bills. We knew we were trying to have a child in 2016 so we purchased the best insurance coverage possible and were set up on autopay. In September my husband noticed a debit had not been made so he called and made payment over the phone along with paying the remaining premium for the year because the baby was due in December & we didn't want to run the risk of running into any trouble.
Without our knowledge we were dropped from our policy for "nonpayment" (this is illegal before 90 days passes) & never reinstated even after they received full payment through 2017 within the appropriate time frame. Numerous phone calls & in office visits have gotten us nowhere. The marketplace blames BCBS & vice versa. Meanwhile the bill collectors are calling & threatening bad debt collections. We see this is happening to so many other people & want to fight back.
Reviewed March 16, 2017
In 2015 we had FB 1 month and they canceled us for not paying our premium. We paid what they told us to and then they raised the rate and told us we should have checked online to see if there was a status change. We were never able to access the online service and was never able to see anything at all for the first 2 mos. 3 mos we called them and thought we were filing a complaint to be reinstated, but at the end of the 3 mos they told us we never filed the complaint. They told us we had to do it online. Online said we had to do it by phone. We lost our ins and had to get ins thru another company. We paid 2000.00 extra on our taxes for not have ins coverage for 2 mos. In 2016 the 1st mo they canceled our ins again, didn't tell us they had changed our card number. All doctors were denied payment. This time we watched the online notification closely and found they no longer had that coverage and we had to choose another from them.
No one called us just a letter in the mail saying we were canceled, and they send you junk mail 3 to 5 times a week about nonsense, so you will overlook the calculation notices. Again during that year our card ID number change for no reason. We had to contact all Drs to get them to update their billing. 2017 here we go again, new card ID number at the beginning of the year, nothing had changed on our end why do we need a new ID cards several times a year? In Feb my husband went on to Medicare, instead of talking to the Market Place or FB we went to a local agent hoping things would go smoother. My husband was taken off the ins, I was to be left on. At that time we asked if there would be a new ID number, the agent said no. I go to my therapy and they say I have no ins. We call FB and the agent and find I have a new ID number. Tried to go to therapy again no coverage.
We call and find out we need to pay the premium, which we did for that month but it went to the old account ID number. Hours and hours on the phone they say we applied the money to the new account. Next day my therapy says the account is still not active, we call again and find they don't have any info of the money being transferred to the new account ID number and don't know where it is. Now we have to pay for this month that was already paid for and we have to wait for them to send us back a refund from the old account. Their stories keep changing with each person we talk to. Keep in mind we don't have access to the new account online because it's too soon, so we can't see what is going on, but they want us to go there to make the payment. So we call back and get them to take a credit card payment over the phone.
All the while we have been hung up on 4 times and have had to talk to people in foreign countries who can't understand English and have little knowledge of FB system for 4 times now. Has FB forgot how to link an account and use their phone to notify people of a change. Every year we get canceled 3 times, have to call several times (3 hour calls), hung up on, and new ID cards that don't come for a month but their cancellation notices come far too often. So right now I can't access my old account to see what has been paid out and I can't access my new account to see if it is active. I thought they were personally trying to get rid of us because we use our ins to often, but people on here who don't have an illness are getting screwed around too! I think FB is trying to give the ACA a bad name so people will be so disgusted and will want to have something else and apparently it has worked. This is not ACA problem it is FB doing this.
We tried 3 different ways to fix these problems (Market place, FB, and a local FB INS company) and every year it happens again and again. I noticed down below there is a survey and they ask for your INS ID number. Which one do they want, I have had 7 ID cards in 3 years. Perhaps that is exactly why they keep giving us new numbers, so there is not a trail that can be followed or linked together that shows what FB has been doing to us the last 3 years, they are avoiding any way for us to make a case against them.
Whatever health care we get out Idiot Trump I'm sure I will not be able to afford and will have no coverage once again. The health ins is as corrupt as our president and elected officials, and their hands are in each other's back pockets. We no longer have any help from our government especially with a crooked tyrant like Trump in office. At least Obama tried, but the Republicans and the insurance companies killed that for everyone.
Reviewed March 15, 2017
I attempted to cancel my policy in Dec of 2016 as I was getting new insurance with AvMed. I noticed in Feb that FL Blue had charged my account for two months premiums for my son and I ($2382.44). After multiple online chats and phone calls they are telling me they are unable to process a premium refund although I have proof of new insurance and no claims were made against my policy. They mysteriously have no record of my cancellation in December. Florida Blue does not care about their customers or their well-being and they have lost a customer for life.
Reviewed March 15, 2017
Started in September 2016 when new child was born. We attempted to add newborn to his mothers plan and could not. For what reason I don't know and can't remember as there was so much BS being said by Florida Blue at the time such as "Our system is changing over and we can't find your account." So much time had gone by I decided to enroll in my own insurance plan through healthcare.gov and add our kids to my plan. After completing the application and selecting plans for the whole family excluding wife (has her own plan) we totaled up a premium of $847/month. After 2 months of waiting to be 'allowed' to pay our binder payment we get a bill for $1400+. By this time 2017 enrollment period was opening up and decided to just put myself and leave kids on FL Healthy Kids. I informed Florida Blue to cancel the old plan since we did not make the binder payment anyway.
So in December 2016 I enrolled in a plan for $197/m for me only to be covered in 2017. I paid the first binder payment and 5 days later get a cancellation notice for nonpayment? They have my money still to this day (4 months later). Fine now I call healthcare.gov and they escalate the situation with Florida Blue and now I get a notice that I am on a totally different plan with a higher premium. Again I call Healthcare.gov. They escalate and now I call Florida Blue who already has a payment on their books. Well they still have this made-up old plan. Call healthcare.gov again. They escalate. Florida blue cancels again! WTF. Now they finally switched my plan. Well actually they reestablished that $1400 a month family plan we canceled back in October! They charge my card $197 and cancel again for nonpayment. I felt like I am in a third world country! Is this is a joke. I mean a company this big so backwards.
Reviewed March 14, 2017
When Florida Blue and Florida Combined life (health company-dental company) changed their billing system they messed up a lot of people's payments. They cancelled my coverage even though I OVERPAID by a month. Now they won't cover the 2 claims I had early in December. My bank sent PROOF OF PAYMENT in January and, after 14 phone calls, they are saying the proof was "illegible" so they won't fix the policy dates!!! Basically, they want to keep my money and NOT GIVE ME SERVICE!! Calling the legal department right now.
Reviewed March 14, 2017
This insurance company has got to be the worst organized company that is not a criminal organization. There is NO customer service whatsoever. I have been trying to pay for a policy they knocked me off of since November of 2016. As of now, March 13, 2017 I have been unable to make a payment due to the inability of Florida Blue to accept it. No one there can help. The company is a shambles.
Reviewed March 11, 2017
I spent 3.5 hours on the phone today with Florida Blue. I had Medicare D prescription coverage with them in 2016 which they cancelled on 12/31/16 as "no longer offered". I obtained new insurance through my partner's employment, also through Florida Blue, but not through Medicare. Because they failed to deactivate my old insurance plan number, I cannot log in or use my new plan number. They advised me that I had to cancel my old insurance. They told me to contact Medicare. I did. Medicare confirmed the old policy was cancelled and offered to conference in. Florida Blue refused to conference in. They initially refused to let me speak to a supervisor. When I finally got through to a supervisor after nearly 30 minutes on hold, he refused to give me his name.
To make a long story short, he finally conceded that it was an IT issue and that he would have to file a report and send it over to the other department and it would take 3 to 5 business days to be processed. I told him that that was unacceptable and they needed to reset my membership number immediately so I could order medications. He said there was nothing he could do. I asked him how to file a complaint. He said only he could take the information. I did finally get a P. O. Box address where I will send a written complaint. There was no explanation of why they had no record that they had cancelled my 2016 coverage, other than "that's another department." In the meantime, I am unable to get prescriptions ordered and filled. Clearly, they have a problem processing policy maintenance and a major gap in customer service.
Reviewed March 8, 2017
My first month of coverage with Florida Blue, they removed duplicate auto payments from my checking account the first day of the month, and 10 weeks later they have not resolved this. It took me 4 or 6 hours of phone work, and 2 trips to one of their offices totaling 50 miles in the car, for them to admit they had taken my money twice. This is technically theft, since it was unauthorized by me. Since then they have given me 30 or 40 different stories. To stay in good standing, I mailed them a personal check for my second month of coverage, because they refused to use the duplicate payment for the next month. Now they say that although they rec'd my check, it was never applied to my account. Again, this is MY PROBLEM to solve, not theirs.
Adding to the stress is the unconscionable wait time on the phone, with occasional disconnects after 45 minutes of hold. Since the theft of the duplicate withdrawal in January, they have never acknowledged that the mistaken withdrawal money is MINE not theirs. Now they say they DID apply it to February, and that my check to them for February was used by them but not applied to my account, and that I still owe for March. Their inconsistency and lack of records is terrifying. Thank God I don't have a serious illness, with all their confusion and lack of customer care. This is absolutely the worst company I have ever dealt with. By now I have used over 12 hours of phone time with Florida Blue and nothing is solved. And it's not that complicated!
Reviewed March 6, 2017
Had Florida Blue through ACA in 2016. Three months into coverage I was told my account was on "hold" for lack of payment. They somehow lost my automatic payment information. I kept the same coverage/plan trough Healthcare.gov for 2017. I received a new card from Florida Blue end of Dec./beginning of Jan. Went to go use my insurance on March 3 and was told it wouldn't go through. I then spent 2 1/2 hours on the phone till I reached someone. Twice, I was on "hold" for around 45 minutes when mysteriously the phone/line disconnects. 3rd time I got through, and I was told my plan was terminated for failure to pay, that I needed to contact Healthcare.gov to find out why. Contacted Healthcare.gov and was told they have nothing to do with payments or termination of anyone's plans.
So, I have been sitting on hold now for 33 minutes trying to get someone on the phone from Florida Blue to find out why they told me it was Healthcare fault and where/what happened to my automatic payments. I also want to know why I have been contacted about non-payment. No email, No letter, no phone call. The Healthcare.gov assistant said they have been getting numerous calls with people in my same situation. This seems like a clear deliberate attempt to deny people of Health Insurance. The deadline has passed, and I probably won't have insurance this year and will have to pay a penalty too. Florida Blue is the only insurance company Florida has for ACA. I am at a loss for words and don't know what I am going to do to get my medications.
Reviewed March 6, 2017
The company agreed to process a hospital bill related claim within thirty days. Urged me to wait 30 days. The 30 days passed and the hospital sent the bill to the collections because Florida Blue never processed it. When I attempt to call the Florida Blue, I chose the callback option. The callback option called me back and before even being connected to someone hung up! Then I called again and the next callback wait time was 2 hours! It sounds to be like unfair practice and fraudulent activity. I am paying premiums through the roof and claims aren't being processed.
Reviewed March 2, 2017
I thought things were bad when they lost me in the system update that they did back in July of 2017... I actually thought things couldn't get any worse. But of course they did! It took them about 4 months to actually fix the problem and I was "asked" not to use my insurance during that period of time. I had kept making my payments for a few months but then was asked to stop because they couldn't figure out where to apply them. At the end of October I was informed that I should start paying my payments again, and that "BTW you owe for the 4 months that we didn't cover you, because otherwise you'll have a lapse in coverage and that's a no no." So I paid everything I owed and then some and for a few months all was right in the insurance world.
Then at the end of December I started getting notices that I owed $455... and my premiums were only $180 a month and I hadn't missed a payment. So I called and was told, by the barely understandable customer rep that he would take care of the "mistake" and not to worry. A few days later it was still messed up online so I called again, was told "don't worry"... Well to condense this novel into a few lines... that's when the nightmare of having to call every other day and being told they would fix the mess began. Then I received a cancellation letter dated 2/16/17 telling me that if my payment of $455 wasn't received by 2/1/17 (???) that I would be cancelled. I then got the escalations department working on it and they found that I only actually owed $3! (Imagine that). I was told not to worry, that I wasn't being cancelled. Well, as I'm sure you can guess... today I woke up to find that I was cancelled!
Now, after spending the day in Florida Blue hell, I have once again been told "not to worry"... ROFLMAO! So I've come to the conclusion that it's going to take a lot more action than calling and holding my breath hoping that I still have insurance. That is why I'm asking anyone who reads this that lives in the Tampa area to contact me at **. I would love to get some sort of demonstration going in front of their offices on Westshore and Kennedy, since it's impossible to reach Patrick ** who is the head monkey in the Florida Blue circus. Maybe they will stand up and take notice then, nothing else seems effective. Just because they are about the only provider left in the marketplace in Florida shouldn't give them the right to give us horrible service for our hard earned dollars! So if you've read this far I take it you're feeling the same way as I do, so please contact me! Thanks.
Reviewed March 2, 2017
I suffered an injury that required a physician's appointment to get a referral for an MRI and appointment with an Orthopedic doctor. The process takes months, literally. Florida Blue did not approve the MRI. Referring physician had to intervene. After 3 months I had the MRI with a co-pay of $450.00! By the time I was able to get an appointment to see an Orthopedic doctor, Florida Blue cancelled my insurance even though I paid 3 months in advance. Going on 4 months now with no care for a condition that prevents me from walking and doing normal activities. This company should be SHUT DOWN!
Reviewed March 2, 2017
After finding out that I was not able to renew my insurance through my job for 2017, I was thankful that I was able to still get insurance with ACA. Spent whole day looking at plans that not only were accepted by my current doctors but that would cover pain management, Florida Blue did have a plan that had both. I had a MRI late last year and was referred to pain management to try epidural steroid injections for disc herniation and pinched nerve. Everything went fine on ACA side, signed up for plan, insurance started 02/01 and my doctor's appointment was on the 9th. That is when the hell began!! It started innocent enough, I called to make my first payment and the lady said that my plan was not in the system yet and to give it a few days to transfer over from ACA website. That made sense, so that is what I did and a few days later tried again.
Different lady said the same thing, I let her know that I had an appointment on the 9th and really wanted to make the payment before the 1st, she said it would be expedited and that I would receive a call from someone. Of course no one called and now it's 02/06, so I call again. Third time, no policy yet and no payment due, best part that there is no record that someone was supposed to call me. I am really freaking out at this point so I ask to speak to her supervisor. He finally comes on after waiting on hold forever and tells me that he was able to find my policy after searching by my name. Apparently when I entered my social and birthday at beginning of the calls it was pulling up a cancelled policy that I had many years ago. Yet these idiots never thought it was strange and to look for it like he did by my name. Finally someone is taking my money!!
I explained again that I have an appointment on the 9th and need to make sure I am covered, he said payment takes 48 hours to process but yes my effective date is 02/01 and everything would be fine by the day of appointment. I go to the doctor's and give the lady at check in the information the supervisor told me, NO POLICY FOUND! She keeps looking different ways, I am trying to call them and she finally said that it is getting past appointment time so I will have to come back another day. Well it took me 2 months to get this appointment so I just offered to pay in cash since I can't spend another 2 months in severe pain. After my appointment I try again to call, yet another long hold time until I speak to someone that confirms yes payment has posted but the account needs to be uploaded, only a supervisor can do this and they are all in a meeting.
She told me that I can make the cash payment to the doctor and that I would be reimbursed, she speaks to the lady at check out and makes sure that I have the information I need to fax. She then gave me the BIN numbers to give to Walgreens so I can get my prescriptions. I go to Walgreens, everything goes fine and I think my troubles are over. It had been a week so I go to log into my online account and it is still only showing my policy from years ago so I call them, on hold for over 30 mins. This employee tells me that it looks like there was an error with the account uploading but to try to log in again tomorrow and to wait to fax information in for reimbursement.
I make a joke that the ONLY thing they have done right was take my money and that still took over two weeks. JOKE IS ON ME, because when I go get the mail later that day, there is a letter saying I did not pay the full amount, my plan has been canceled and they are sending a refund check in 15 days. The best part that the letter is dated the 9th, the same day as doctor's appointment and the day they said all I needed was to have it uploaded by supervisor. I am beyond pissed, especially since I had just spoken to them and as far as they knew everything was fine. Call again, more waiting. Tell girl that I will only talk to supervisor, wait another 45 min. She comes back on to ask my phone number in case we are disconnected, go back on hold and call is disconnected! You guessed it, of course I never get a callback.
Call again first thing in the morning the next day and at this point I'm just in tears, thank goodness I finally speak to someone helpful this time. She tells me the truth, no I am not doing something wrong, no I am not the only one, they have been having huge problems with the system and it is happening to many people. Finally an honest person! She explains that the policy would not be effective in Feb, I would get the full amount back and that I would be covered starting in March. She said I would not get the money back that I paid at the doctor's but since the appointment cost less than my monthly payment, I was fine with that. All I needed to do was wait for the check and make my March payment, she even said that she would call me herself on the 24th to take the payment.
In the meantime I get a letter saying coverage will start in March and a bill for a negative amount, both dated after the letter saying I was getting a refund but no check. The 24th comes and goes without a call from her to take the payment. I figured that since bill was negative amount and I had not got the refund that she did not call because they just applied my Feb payment to March, hopefully... Since common sense does not seem to apply to this company, I went ahead and called them yesterday since today is the 1st and I can not have this happen again. After a nice 45 min hold I talk to someone that has no clue what is going on and has zero customer service skills. I ask about the negative bill and not getting the check, she said that "Yes amount was just applied to March payment." I ask her if I definitely will have coverage starting March, and she said yes.
For some strange reason I do not trust a word they say so I logged onto my account online today. Still only has my policy from years ago, so who knows if this month will be different than last month. I just did not have the strength to sit on hold another hour today so I guess I will try tomorrow. All I know is that THIS IS THE WORST COMPANY AND I CANNOT WAIT TO GET AWAY FROM THEM! I also will be looking to see if mental health care is covered because I am going to need it after all of this, assuming the coverage starts one day.
Reviewed March 1, 2017
I have waited over 3 hours to get a simple answer to a simple question, I.E. Does my current plan cover me during international travel. I was passed through to orthopedics, hung up on twice!!!! What is happening? This is the worst company ever!!!!!! Are customer service representatives not trained well enough? I even called their international travel dept. Global corp who informed me I was covered but need to contact normal customer service to find out what reimbursement rate was. No, stupids on the other line didn't know how to answer so they hung up. Great service BC of Florida.
Reviewed Feb. 28, 2017
As a facility there have been a number of times the local plan will not forward claims to the home plan. WHY, when a follow up call(s) is made, claim has denied for a number of reason depending on the rep, most common, no NPI (Box 56 on UB) claims are sent as paper, there is no excuse for the local plan to hold claims. In turn I advise the patient to call, and when the patient calls back: 'NO claim on file'. In all this is POOR customer service for the patient (subscriber) and the facility. Question? what is Blue Cross going to do...
Reviewed Feb. 28, 2017
I was notified in January that my service had been discontinued due to lack of payment. In the previous November I had called customer service stating that I could not pay my bill online and wanted to pay over the phone. They said it showed that I owed nothing. I thought this was awesome but knew it was a mistake so insisted to the rep that this was wrong and wanted to make a payment. They then stated that my account showed that I owed nothing and could not make a payment. I called by the following month to the same information and go around. I then get the notice that my policy was cancelled due to lack of payment. I immediately called on January 20th and explained the whole situation. They stated that I need to wait 24 to 48 hours to see if they would reinstate me.
After that time had passed, I called back. They stated that it was reinstated, that it was in the company's database and that they had to put it in the provider's database. That still has yet to happen. I have spent over a total of 15 hours on the phone with them trying to get some sort of answer on when this would happen. I just called back today, Feb. 28th and got the same incompetent answer. "Please wait another 72 hours for it to clear our supervisory committee". The rep have all been nice and polite and have done their best to keep me calm and to be as helpful as they can, but this has nothing to do with them. They are just saying what they have been told to say by someone else. Every time I call I have asked what next. Every time I was told there wouldn't be a next, that it was going to be resolved. I asked that same question today of where is the accountability. They never have an answer.
I really wish I had a job where there was no deadline. No one to be held accountable for their actions. It is such a joke every time I get on the phone with them. I ask for a supervisor and then ask for the next supervisor and they say they don't have one. I have no other person to talk to? Really?? What do I do when I have been told 6 different times it will happen in 24 to 48 hours or 10 business days and nothing happens? At what point do they get held accountable for not doing their job. This has been going on for 39 days. I have reached out to the state insurance commissioner for help. Hopefully he can make this happen. To just recap this all, Florida Blue is the worst insurance, company, retailer that I have ever had to deal with.
Reviewed Feb. 27, 2017
I have called at least 10 times waiting on hold for at least an hour. I have been calling since the first week in January. I am trying to get my account straight and have been told every time that the problem would be fixed in 72 hours. I received many useless reference numbers. Every time I called them back the payment problem was not fixed. I spoke to many reps who didn't speak English well. I was told many times that they were going to fix my problem with my payment. The payment was posted to an old health insurance policy. Meanwhile I have no coverage. I spoke to a supervisor twice and told me that the payment was transferred. When my husband went to the doctors Feb. 27, 2017, they called Florida Blue to confirm coverage and there was none. I'm still trying to get coverage...
Reviewed Feb. 27, 2017
They have not been able to send me a bill since October. But I keep making my payments. There are no doctors in the area that accept the plan I had in 2016. I have since changed plans (from Blue Select to Blue Options) but have yet to get new cards, policy or a bill. But they seem to be able send send lots of junk mail okay. They lost the application, then said they had 2 applications, then cancelled the wrong application. Just when I think they have it straight, they tell me otherwise. Once I called twice (waiting 45 mins each time) and got two different stories. Still No cards or policy as of 2/27/2017. It has gone way beyond a few simple mistakes.
At this point it has to be a deliberate act to postpone paying out for any medical services. Without ID cards and the new policy I can't see a doctor. If I did get cards at this point there is no guarantee that anyone in the area will accept them. In 2016 there was no one that I could find that would accept it. I had $19,000 in bills--not one cent was paid by FL Blue. AND FL Blue is the only plan thru Obamacare that is supposed to be accepted at my local hospital (so they tell me. I have no proof). But I would not be surprised if the new plan does not pay out either. My husband wants us to have insurance. He wants to keep trying. Me not so much... I'm ready to cancel, get my money back (like that would happen!) and get enrolled in a medishare type plan. Or just pay the fine and go without. But many doctors around here will not even see you if you want to self pay!
I had more than 1 doctor ask me to leave last year because I had FL Blue. When I told them I would pay cash, they still wanted me to leave! I tried to get insurance outside Obamacare, but there were no other options. I can't get insurance thru my job. It used to be relatively easy to get insurance thru a club or organization like AIGA, AARP or a Cooperative. But they no longer offer plans because of Obamacare. So now I have no options. FL Blue will probably never be charged with any wrongdoing. I feel like the whole world has gone stupid and GREEDY-it is a huge problem. I guess if I get sick I'll have to suffer thru it on my own. PLEASE, SOMEONE FIX THIS!
Reviewed Feb. 27, 2017
Ever since I got Florida Blue thru the marketplace, they've given me nothing but trouble and headaches. It seems their internal communication is nonexistent. Last year I was sent to the hospital on an appendicitis scare, and they refused to cover it because I didn't *actually* have appendicitis. So, I guess I was supposed to have just waited it out and possibly died, instead of going in to make sure.
Around halfway thru last year they changed their website, deleted my automatic payment information, and NEVER contacted me to let me know about it - not an e-mail, not a letter, nothing. Then put me on a grace period due to nonpayment, and sent me a letter two months later saying they were cancelling my plan. Then refused to let me pay online or through the phone - I was forced to go to a public library to print out a page with a barcode, to then take to a CVS in order to pay my past premiums there. No apologies for the huge inconvenience and me almost losing my coverage due to their inability to communicate with their clients.
This year, I was forced to renew through them because all other plans are outside of my budget. They LOST the paperwork the Health Care Marketplace sent them, and inactivated my plan. I had to call the Marketplace and request they send my enrollment paperwork again, which they did. I was on and off the phone with Florida Blue representatives, telling me I was inactive and they had no idea why. A month ago I paid two months' worth of premiums to them, and today, a month later, I am STILL inactive in their system. I missed doctor's appointments and was unable to pick up prescribed medication at my pharmacy because Florida Blue claims I am inactive.
I am currently typing this while on hold on the phone trying to reach them, and have been for the past half hour. I've been trying to get an IUD covered by them since November of last year. My first doctor submitted paperwork to them to see if they'd cover it and NEVER heard back from them. At this point, they have simply taken my money and terminated my health care for NO REASON.
I am so sick of Florida Blue - the moment I am able, I will drop them like it's hot and tell EVERYONE I can that they are the absolute, most disgusting, incapable, incompetent, irresponsible company I have EVER dealt with. I'm going to end up with a brain tumor solely due to the stress they've caused me - which they will most likely not cover, either.
Reviewed Feb. 25, 2017
I discovered in December, on the BCBS website message center, that my policy had been canceled due to non payment. This was a complete surprise to me as I had no notification of this issue and had been on the auto debit system for almost 2 years prior. Further research revealed that BCBS claimed the email address I had on file was incorrect, it was not incorrect, it was the same address I always had. Their internal system somehow apparently lost my email address? Same issue with my telephone number, they said that they were unable to contact me by telephone. My telephone number never changed! Thirdly they screwed up a change of address I had sent in almost 1 year ago, Jan 2016. They initially had the mailing address correct because I did get flat mail from them in March 2016. But somehow they reverted all flat mail back to the old address, even though my online house address was correct since Feb 2016.
So what happened and alerted me to the problem was in early December the USPS delivered about 10, back mailed to the old address, post card size notifications that my on file email address was incorrect. Then I went to their website and saw their internal messages to me. What a nightmare! I didn't even try to contact them, I signed a new policy with Molina. PS. This type of service provider related incompetence is not just limited to BCBS, it is slowly becoming a widespread problem throughout our country. We the consumers really need to stand up and cry foul before we become so far backwards that we cannot recover.
Reviewed Feb. 24, 2017
I have had billing and coverage issues with my Florida Blue policy since September, 2016. Like everyone else I see complaints from, they are not posting payments. I resorted to mailing in checks so I have proof of my payments and because they have my billing so screwed up I cannot make a payment online. I have been receiving "robocalls" about my payments being past due. I have spent over 15 hours on the phone with them and have numerous reference numbers that I finally took the time to send a letter explaining all circumstances and have received no reply.
This has been a very frustrating situation. NO company should be allowed to operate in this manner... especially a company that is making a profit off of your business. I did go through Marketplace for this coverage, but that should be irrelevant. I am still purchasing and paying for a policy. Will make sure that next time enrollment comes around I will choose another company.
Reviewed Feb. 23, 2017
My husband and I did our enrollment for our 2017 healthcare insurance through our insurance agent on Dec. 6, 2016 and were confirmed on that date. As of this date, Feb. 23, 2017, we still do not have active coverage. Florida Blue has three months premiums. They say it stems from numerous problems. In 2016, their system kicked out automatic payments for many of its customers (ours included). We received no notification of the problems they were having. We received a statement for two months worth of premiums. We chose to pay our 9th month of insurance and let the policy lapse; and pick up insurance for 2017. This according to the Marketplace, was perfectly fine. When I received an email that my bill was available to view and pay I went on the website and attempted to pay it. When I couldn't, I called customer service and was told that the systems online and her office were updating and could not help.
She gave me the address and instructions where to send my premium. (Mailed 12-27-16, check cashed.) They applied it to the 2016 policy that they had already cancelled. I was assured numerous times that that payment was being reimbursed. They still have it. Since the 1st of the year I have called Florida Blue approximately 13 times, spent hours on the phone, had three escalations started, had 1 escalation confirmation letter, and been told that this would be resolved in a matter of days, a matter of hours, etc. I received insurance cards with the correct policy in the beginning, and have been receiving emails about statements and my bill being ready to view and pay all along. How can this be? At one point FLBlue blamed the Marketplace because they cancelled our application. The Marketplace did not and could not without our consent.
The application has been active since Dec. 6th, 16. It wasn't until the 9th call that any rep or supervisor asked for my husband. They were suppose to do that in the very beginning. I found out at one point that this was held up because everything was sent over in my name instead of his. We are extremely disappointed in the quality of service and at this point feel that we have been lied to. It has been extremely stressful. We have also put off doctor appointments that need to be made.
Reviewed Feb. 23, 2017
I bought the policy through healthcare.gov in Dec. Paid my first premium in Jan and had no trouble picking up my Rxs. All of a sudden in Feb, I have no coverage and I can't pick up my Rxs. I've called and called. They admit it is their fault and that it will be fixed in 24 hours. Sure enough 24 hours pass and I still can't get my Rx. I called, the recording said there is a 3-hour wait!!
Reviewed Feb. 22, 2017
We've had Florida Blue (The Insurance Company from Hell) for 5 months now and it has been one of the most incredible experiences of my life. The fact that a company that is this dysfunctional and incompetent can exist just proves how insanely profitable the healthcare industry is. I have paid every premium on time, usually by driving 15 miles to their office because the amount it says I owe on their website is always wrong, and still can't make an appointment or get a prescription filled half the time. BTW, I'm paying $1,224.00 per month for medical my wife and I, so we're being ripped off to the tune of $42 per day while these clowns try to figure it out.
I had to print out my payment history from THEIR OWN WEBSITE and fax it to them to along with my bank statement to prove that I've paid, and every time I call it's like starting over from the beginning as if they have no records of any of our previous interactions. As I sit waiting in their beautifully furnished office showroom awaiting my turn to meet again with my polite yet incompetent agent, I can overhear one after another irate customer expressing similar complaints to the unfortunate young guy manning the reception desk. This is insanity! I will be supporting single payer healthcare at every level in the future.
Reviewed Feb. 21, 2017
Florida Blue has the worst telephone customer service of anyone. Hours on hold only to not be able to help me or transfer me to someone who could help me. Customer Service is in Dominican Republic and there is an understanding barrier. I had to go Blue Florida office to get customer service and there was an hour wait there. Management should be ashamed at the quality of service they have in place. I have been with BCBS for years and am appalled at the service they provide. I don't know who is responsible for their customer "NO SERVICE" BUT SHAME ON ALL YOU who is responsible. I would love to discuss with someone in management but have not been able to reach anyone or transferred to someone responsible. Management has a concrete wall surrounding them to prevent hearing how terrible it is. SMH.
Reviewed Feb. 20, 2017
I am writing this review for my husband who has been a Florida Blue policy holder for many years. This year we purchased his policy through the exchange instead of renewing the 2016 policy. On the exchange however, the policy purchase was the same exact policy that was purchased off the exchange the previous year. Premium payments were made in 2016 by electronic debit from our checking account. After purchasing and paying the first premium purchased through the exchange for coverage to start on Jan. 1, 2016, I tried to call Florida Blue to make sure that there would be no confusion with the policies since they were the same policy, just purchased through the exchange. Well good luck getting anyone to answer their phones. When they do, no one knows how to help you because they can't comprehend the issue.
So, to be double sure that I would not get charged for the previous year policy as a renew in January, I removed the authorization for automatic payments on the website in my husband's account. I have written proof of doing that on 12/16/16. On Jan. 3, 2017, I was shocked to see an auto debit from our checking account for $1,780.50!!! They took the money without authorization and now will not return it!!! We have spent countless hours on the phone with "customer service" and lied to each and every time that it was being taken care of and to wait 10-12 business days for the refund. After waiting a full month we made an appointment to go to a Florida Blue Center in person. The customer service person there was very helpful and pretty much assured us it would be taken care of, but again to give it some time.
Today I called that customer service person and she told me that we were DENIED the refund!!! She is now getting a supervisor to try to get it through. In the meantime, I am now reporting this to the Florida Attorney General's office (filed a complaint form online. I would suggest others do the same). Next I will file a complaint with the Dept. of Financial Services as well as the Florida Insurance Commissioner. I will not give up until we are returned this money. They committed a fraud by taking this money UNAUTHORIZED. In reading some of the other complaints about Florida Blue I am seeing that we are not alone with this happening.
Reviewed Feb. 20, 2017
We registered for open enrollment in Nov 2016. And they have still not registered us in their system. We have spent countless hours with them on the phone and still no resolution. This past weekend, we went to the local retail store and we were given a letter that should have covered everything. My pharmacist called me this morning stating the Branch Manager declined our letter with her name on the signature page.
Reviewed Feb. 20, 2017
By far the worst customer service ever. I've spent about hmmm, 20 hours on the phone with these people, most of the time on hold, the other part of the time saying "what" because it's impossible to understand them. For about 7 months they failed to send me the bill, cancelled my insurance, and then proceeded to tell me it's my fault and I have to pay 2k before it's reinstated. Nevermind that I had lifesaving medication running out. Customer service was so bad I finally had to go into my local office, made friends with the girl there and because of that, we figured out a less expensive way to handle it. BUT the actual helpline is terrible. I almost want to cancel my insurance based on that alone. And coming this year, I probably will. These people are awful. Awful. 10/10 DO NOT RECOMMEND.
Reviewed Feb. 19, 2017
It took 13 phone calls between the dates of December 13, 2016 and February 15th of 2017 to find a person who speaks English as their 1st language. They ran my credit card for 2x what they were supposed to, most calls took 44 minutes on hold or longer, they never corrected the error and at the end, told me to (basically) suck it up. They fired the lady who made the mistake and said she didn't understand me (she spoke Spanish) and that was their final answer, the refund check could not be processed. What a joke. Horrible business and customer service.
Reviewed Feb. 17, 2017
I am very disappointed in Florida Blue. We are going on the second year of family coverage. The first year (2016) I had no problems. This year is another story. My son is in the need of taking a new medicine, but the doctor needed to review labs before he could start. I have been waiting 2 weeks because Florida Blue has my son's name misspelled and no one can bill correctly. All of his doctor visits are being coded to his twin sister's member number, and the labs were put under my husband's. I have sent requests through the online claim page, and called and spoken to various reps who promise to flag this high priority. All they need to do is fix the spelling of his last name. (We all have the same last name) only his is spelled wrong. 3 weeks and counting...
Reviewed Feb. 16, 2017
I've spent numerous hours on the phone trying to correct a serious situation I have with Florida Blue. On February 6, 2017 I had my first appointment with my primary doctor, at which time he prescribed refills for my 4 medications. When I checked out, the receptionist told me they will send the prescription directly to Walgreens. Well, they never did send it and a week later I started calling the main number to find out why my prescriptions were not sent.
I had to call 3 different times since I was put on hold and then disconnected and when I finally find a person who was willing to listen to my situation she transferred me to other departments who put me on hold for long periods of time. When someone will finally answer they were rude and unwilling to help. After many attempts I finally got by fax a copy of the prescriptions and walked into Walgreens to have them filled. The so-called doctors that they have are ARNP ("Advanced Registered Nurse Practitioners"), they have one doctor for all their clinics that qualifies for the entire company. At the end of this year I will change insurance companies, I can't wait.
Reviewed Feb. 14, 2017
I have been calling since the first week in January to get my account straight and have been told every time that the problem would be fixed and to call back in 3 days then when I call back it is still not fixed. I spoke to a supposed supervisor on the 02/08/17 and was told she would call and have it fixed and call me back that day still no call. I have also posted on their Facebook page and was told to email them and I did. Was sent an email stating it would be taken care of and someone would let me know and still nothing am currently on hold again. The last call I was on hold for literally over an hour.
Reviewed Feb. 14, 2017
I am reading these reviews and apparently this is very big problem with the company. Their payment system seems to be out of order completely and the customer service department is the most apathetic and unprofessional ever. I had auto pay established where they would draft the amount automatically. Everything went well until October when they said that their systems had changed. I have proof and confirmation numbers that this money was drafted from my account and now state that I owe them 3 months. Yet, they took out the same amount twice in a month.
I called them, spend hours on the phone and then the call fails (disconnects, or they simply hang up, who knows.) I call again and get disconnected again. This is the worst service that I have ever seen. Needless to say, the most appalling and unprofessional company I have ever dealt with. And they made 407 million profit this year. I believe it, misapplying people's money and having them pay twice or maybe three times for premiums we have already paid. Unbelievable, pathetic and irresponsible.
Reviewed Feb. 13, 2017
4 months ago we needed to add our newborn to our policy, which means old policy had to be canceled and application for new one had to be filed through HealthMarket. By mistake we created two applications, and quickly canceled the wrong one. It's been haunting us ever since. First Fl Blue tried to retrospectively cancel our policy 2 months after it was updated, because they were only seeing the canceled application and didn't see the final one. So they were trying to say that we didn't have insurance and hadn't had it for 2 months since the baby was born. By the way, we paid premiums for both months and they happily took the money. We could also access our account online and there was no indication of any problem. I spent 40 minutes on the phone with them, constantly being put on hold, and eventually they restored our policy.
Couple of months later the same situation happened again. All of a sudden our policy became inactive for no reason. Same explanation - they got confused because of our two applications. They just fixated on the wrong one and refused to see the right one, and the solution every time is to just cancel our paid for policy, preferably retrospectively. After another hour on the phone with them, they promised to fix it within two days. 5 days later our policy is still inactive. Calling again and this time they are saying that the request to fix it was only submitted the day before, not 5 days ago like it was supposed to, and now we have to wait for another 5 days.
Meanwhile, we have a newborn who has regular pediatrician visits and scheduled vaccinations, and our pediatrician office is giving us hard time, calling to inform us that they can't file claims. We pay over $1,000 a month in premiums for 3 of us, and in return we get insurance that is randomly canceled every couple of months. You would think once they were informed that one application was wrong and got canceled, they would delete it from their system and stop tripping over it, but apparently it's impossible.
Customer service is pathetic. They don't act like competent representatives of this company, but rather like a bunch of clueless random people who are not connected, don't know anything and are not responsible for anything. They tell me they don't know what the problem is and why it occurred, inform me that their computer is slow, that they are new here and don't know how things work, contradict each other, promise to submit requests and then don't do it, then can't explain why they didn't make good on their promises. Many of them don't speak good english either.
Bottom line, we pay huge premiums. They never pay a dime for anything because of our high deductible. They try to cancel our policy again and again because of some confusion in paperwork that has already been resolved and yet they can't get over it. Customer service representatives are clueless, incompetent and irresponsible.
Reviewed Feb. 13, 2017
Florida Blue have not paid claims for bills sent to them over 6 months ago. Excuse after excuse, computers fault, wrong code, not insured, to name a few. All premiums paid on auto pay, Florida Ins Commission involved, Florida Blue lied to them saying the matter was sorted. Now cannot get blood tests from Quest, and now collection agents involved. Promises and more promises, really in essence just a bunch of liars. Used to be with Aetna. Never a problem but moved to Florida and landed with this joke of a company. How can you as a company train your employees to lie on a consistent basis. Do not go with these people. $1700 per month for this aggravation.
Reviewed Feb. 10, 2017
I have been a client of Florida Blue for some time and as of Sept 2016 everything has gone South! I have spent better than 200 hours on the phone with Florida Blue - documenting every call, who I talked to, reference numbers for the calls, people I spoke to, if managers got involved - the whole event. It has been MADDENING! It started in Sept when they separated the bills from medical and dental together to separating them. When I paid for the medical and dental - they were not applying the dental portion to dental. In Oct 2016 I was told I owed 3 months of dental, that I already paid every month along with the medical, but yet CONVENIENTLY the medical did not show a credit for the dental payments applied to medical?!? So the money was missing. Once they discovered this - they credited my medical and I had to pay 3 months to make up for my dental.
The following month my medical billing online was ridiculously high. Come to find out they reinstated my son, who was taken off my account (documented) back in April 2016 and made back payments for him - meaning they said I needed to pay for him from April until current?!? I did not add him back on. Then my daughter turned 19 and no longer was covered for dental under our medical insurance so they removed her without letting me know. Then when I called to see why she was not added to our family dental account no one knew how to do it. We spent 2 months trying to add her to our family dental policy. When they did so they also decided to add my son back on as well who is 26 and has insurance through his work and we removed him April 2016. This happened in Sept 2016 and NOW the dental is still messed up...
Not being billed correct amounts each month and they are not correcting the amounts online for payments. Also, the billing statements do not arrive to my house until the 14th of the month FOR THAT MONTH and the online amounts do NOT match the mailed in statements that come too late seeing they want the payment made on the first of each month. My medical online amount is too much each month by $1,750.50 - I have called and spoken to people several times to have this removed. They have sent in requests 7 times in 2 months - still not removed.
Today I tried to make my dental payment and there is a credit on the account?!? I did not pay this month's yet as the amount was not correct. So SOMEONE ELSE'S payment was posted to my account. I was told after 1 hour on the phone that since there was a credit on the account - they could not accept my payment. I called right back, 20 minutes wait once again to even reach anyone, and this time the guy ran the payment and turned in, once again, a request to change the wrong amounts and find out whose payment was under my dental. I have been lied to many times. They told me they would call me back - they never did. They told me supervisors were not available but then when I called back the next person said supervisors did not even come into the office until 10 am, so they put me on hold for 30 minutes to wait for a supervisor and there wasn't even one available.
One department has no idea what the other one is doing. I do not get the mailed statements in time to pay from the statement, I look online to make the payment and every month it is wrong, and each month something else is not right. In January they did not even post a payment for me to make on my account, so there was no way to make the payment. They told me to go to CVS to make the payment?!? I told them no, if they cannot post it with me on the phone how would CVS make any difference? So they had to write to the department to GENERATE an invoice for us to even pay.
I have had nothing but trouble... Over 220 hours put into the phone and going to a local office to try to get things fixed - but NO ONE has the answer. As of today, 5 months later, my Medical account is showing $1,750.50 too much on my account (asking me to pay it and has been on there for 2 months) and my dental is showing double what I am supposed to pay each month (for the last 2 months). I have brought it to their attention several times and nothing fixed yet. Horrible experience with BILLING.
Reviewed Feb. 8, 2017
I have had so many problems with Florida Blue since last year. They don't bill properly. I don't make enough money for assistance, so I only have a 1 month grace period. In April, I had brain surgery. They had not billed me properly and didn't process my payment in time so they dropped me days after my surgery. I've had to make multiple payments for it to actually go through. My premium went up an extra $100 without warning for this year.
I went to the local office, where when we changed the policy and tried to pay, we were told that I didn't have to pay for January. I am still recovering from the brain surgery and have problems remembering things. I was never billed for January, never told there was a problem, never billed for February. When I called the office, they claimed I had misunderstood what they said. I made the payment January 31 and got confirmation February 1. I was dropped while they take their time processing it. Received an email last night, February 7, that there was a problem with my payment. Last time they dropped me, people in the office laughed at me. The many people I've spoken with over the phone don't know what they're doing and have poor customer service skills. The people I've worked with in person also don't know what they're doing.
Reviewed Feb. 7, 2017
I paid for coverage through the marketplace (which is a HUGE government scam). Trying to make a doctor appointment and they tell me I have no coverage. I call BCBSFL who states I didn't pay my invoice. I was on auto-pay but their system had a 'burp' and kicked out 250,000 Floridians without letting us know. I send them a copy of the email confirmation showing paid and call again (on hold each time over 30 minutes) and a friendly woman tells me they messed up on their end and added numbers wrong which is why I have no coverage. She tells me she fixed everything and I ask for a reference number.
One week later I still have no coverage so I call again. BCBSFL farms out to a call center in another country and I am not comfortable giving out my personal info including SS# but I do it anyway because I am on hold for so long. I ask the woman what country she is located in and she tells me company policy that she is not allowed to give out that info. Over three hours on hold and still no health insurance coverage. I should run for public office so I can get off the not affordable health care.
Reviewed Feb. 6, 2017
This company has no idea what is going on. They do not communicate between departments, they are terribly trained, usually unprofessional, and clearly understaffed. I've spent nearly 15 hours on the phone with them in just the last three weeks. Most of this is on hold but I've been hung up on, incorrectly transferred, and had to start every process request over again with each new rep.
In a nutshell, I chose a new plan via the marketplace. Everything is green lights on their end. Application was forwarded to Florida Blue and they were happy to take my premium payment money but evidently they have not been able to "upload" my application for it to be "processed" so that the insurance will be active, I can be issued a member ID, and have access to the new plan. The request to resolve has been submitted by different agents three times now (with two promises of escalation) and six weeks later... I am still cancelling doctor's appointments that I cannot pay for out of pocket and running out of medicine because there is no price reduction.
If I had known about LAST year's issue before I signed up for a different FB plan, I'd have gone with a different company. However, I didn't know until the end of December that their billing system had "accidentally" cancelled my and thousands of other customers' autopay setup, which resulted in a lapse. They supposedly retroactively applied the policy since it was their error, however, I still have an outstanding claim (had my doctor resubmit after reinstatement). So basically this company is the worst ever.
Reviewed Feb. 4, 2017
Monthly premium charged two months after cancellation. I was notified of cancellation on 2-02-17 via email at 10:32 pm. The payment for Feb. went through my bank that day. Florida Blue representative told me my policy terminated on 1-01-17. Jan. payment also was paid. Money wasn't returned. I had to call the Marketplace myself and was told a case manager will work on this and it could take up to 30 days. I have paid 2 months for insurance I don't have.
Reviewed Feb. 3, 2017
I purchased a health insurance policy for me and my son in 2016 through the marketplace with Florida Blue. My experience in 2016 was a smooth deal and with very little hiccups. In November 2016 I received a letter from Florida Blue directly stating that if I wanted to continue with the same coverage, that I didn't need to do anything that my policy will renew automatically. Even though my new monthly fee had increase by $75.00, I still decided to stay with Florida Blue because of my experience until this point had been satisfactory. So I put the letter away and having the issue of renewal handled (at least so I thought).
At the end of December, I got sick and went to the doctor on January 3rd, 2017. I got a prescription for antibiotics. Dropped my prescription at the pharmacy and when I went back to pick it up is when I found out that I had no insurance coverage. I called Florida Blue as soon as I left and waited for 45 minutes to speak to someone. When a customer agent came on the phone and after an extensive search of their system, the letter that Florida Blue had sent to me was finally located. After said letter was found, I was still told that they couldn't renew my policy because the marketplace had failed to send a passive renewal letter to them. I reiterated the fact that Florida Blue had already renew my coverage at least on paper and following their letter to the tee, I had done what they had requested.
So after going back and forth for over an hour, I asked to see how much it will be to purchase insurance directly with Florida Blue (this was more for my son who is 18 months old then for myself). So I was transferred to the sales department and the sales agent pretty much didn't want to do anything so feeling all frustrated and like I had wasted the better part of an afternoon, I decided to give up and purchased insurance somewhere else. I did get a new coverage with a different provider and got all the documents and payment settled with them.
At the end of January 2017, lo and behold, I received new membership cards from Florida Blue (which I didn't request), and my bank account was drafted out of $549.00 (which I didn't approve) and without any notification from Florida Blue. I have been trying to cancel this unwanted policy for the last two days without any success. I have called their customer number, whenever I asked to cancel, their system routes my call to the sales department. I have been put on hold indefinitely and people have been right down rude. I am appalled at the way this company treats people.
Reviewed Feb. 3, 2017
I cancelled my policy 3 weeks before the following month, received confirmation number and spoke to two different people to verify policy is cancelled and to stop automatic payments and was told there will be no money withdraws. Well they lied, mislead me, blew smoke up my **. They took the monthly payment after hours on the phone to verify. I was a customer for many many years and will never use this company again.
Reviewed Feb. 2, 2017
I paid on Dec 23 2016 for Jan 2017 month. I have been trying to obtain prescriptions during Jan and been told by Walgreens I am Not recognized. I spoke to a lady called Ursula who confirmed I was paid but their two Systems did and have not talked to each other. She was third person who said they would send communications to get me available for meds. This had been going on for nearly 3 weeks!!!
I have made numerous calls. Each time holding for 30 minutes then the call failed. I finally got a name from my call today, Mark, who refused to tell me where he was located. I was only asking to establish if that's why the lines kept failing. Regardless they NEVER PHONE YOU BACK!! I have now paid for a complete month of January without ANY BENEFITS. I was told by Ursula that they would move my payment towards February. If anyone has another contact number besides 1.800.352.2583, please let me know. I am desperate meds! Thank you.
Reviewed Feb. 2, 2017
So this is what happened, I included myself and my 2 kids to the policy and had to wait almost a month to start using the insurance. When I called to find a dental surgeon for myself (I mentioned this when I was signing up) I was told I had a 6 month waiting period!!! And in the meantime I could use their discount program for 6 months!!! So basically they only cover cleaning, x-rays (every dentist does) and check-ups or "monitoring". LOL. So if you have a cavity or something needs to be fixed before 6 months you pay a discounted rate, and get his kids under 19 don't need a waiting period, however none of mine were included on the policy!!! This is a scam and I am cancelling!
Reviewed Feb. 2, 2017
This insurance company should be banned. Early January Florida Blue called to ask me if I have paid. They said that they merged computer systems and not all information was updated. Finally my payments were up to date. I received the invoice for payment due on February 1 on January 30th. It is as if they want to cancel you for nonpayment by sending invoices out late. I made an electronic payment on January 26th. Funds cleared my bank of January 27 and payment still has not been applied to my account as of February 2nd. When I called Florida Blue, they said call back in 5 business days. Again they should be banned.
Reviewed Feb. 2, 2017
FloridaBlue failed to provide me with ID card, with an invoice, with any assistance throughout the last few months. Their failure to produce a bill, to provide (ID), failure to reinstate cancellation due to their error in billing, intentionally refusing to return phone calls as promised, Then, I read an article searching for FlBlue website. I read an article from 1-9th, 2017 edition of the Sun Sentinel (East coast West Palm Beach paper) as told by a brave FlBlue member whose child was denied access to Dr and had to pay Dr due to incorrectly losing the coverage.
I realized I was not alone. This was an Incredible article, with denial from FloridaBlue spokesperson who stated the billing issues were corrected. Compared to the tens of thousands of ongoing issues in this article mine was resolved. With documentation, patience, and, finally, the Insurance Commissioners website, I received my ID. I have not, however, received a bill. My situation was simple. Send Bill. Send ID. Help me pay my bill without disconnecting my phone call, and credit my file as having paid. I am awaiting my actual policy and plan to keep calling back until I receive it. Do I have coverage? Who knows?
Reviewed Feb. 1, 2017
I regret so much renewing my Blue Medicare plan in 2017. But, it was the only plan accepted by my primary doctor. My low satisfaction with Florida Blue is due to the following: (1) Website not responding. (2) Waiting time of 39 mins to get a dropped call once a customer rep answers. (3) Excess Paper mail... including a 2017 Calendar! OMG I'm on Medicare but an online "junkie" since the First Apple phone & iPad. (4) Prescriptions are more expensive in their preferred pharmacies. (5) Medical providers options keeps on shrinking while cost increases. Those are the main reasons I will not give them another chance for 2018. I rather switch primary doctor than continue with Florida Blue...
Reviewed Feb. 1, 2017
I became a new member this year with Florida Blue. I recently scheduled a visit, made my blood work and CT scan appointments. My complaint so far and I really shouldn't have one this early in the game is that their website sucks. I've tried to login using different browsers and it's all the same. A little blue circle going around and around and around. Not good.
Reviewed Feb. 1, 2017
I waste a whole day at their office several times a year. All the same issues as the other complaints. Not the fault of the employees at the office. They really try but every time it goes to the main office the problems reoccur. Been with Blue Shield for 15+ years in Ca and now Fl. My most recent issues are price bait and switch. This has happens 2 times now in the last 2 months. Always done by their employees and always claimed as a computer glitch!
Last month I was quoted a monthly payment of $512 after the $723 ACA credit. That is $1,235 a month for a bronze plan. I paid and started the new policy during open enrollment. Paid the $512 with a card. Just received my bill. The price is now $2,067. My monthly payment is now $1,344 not $512 and they charged my card as verified by the bank but put the money somewhere else as there is no credit for the money they took. It's a whole new day to waste at their office again. This will be at least the 5th time in a year. Going there now. At least they have an office 1 hour away. I honestly think we need a class action lawsuit against this company.
Reviewed Jan. 30, 2017
We have had an active Florida Blue policy for six years. As business owners, our payments are made through the business via automatic deductions (EFT) on the 1st of each month. In the summer of 2016, I received a letter from Florida Blue stating that they were switching payment systems and our payment for September would need to be made manually as opposed to EFT or auto-deduction. So, I dug out my checkbook from under a pile of dust and mailed a check which was received.
Two months later, my husband went to the pharmacy to fill a script and was informed our policy was cancelled. We could not fathom why but we are also medical providers so I was able to look up our policy through Availity (providers online source for Florida Blue policy details) and see it was in fact cancelled with a date of 2014. I cannot explain the 2014 date as we've had coverage until Sept. 2016 but after speaking with multiple customer service representatives, most of which are in the Philippines which makes communication challenging, we learned that our policy was cancelled for lack of payment. We received no letter nor email (except for billing statements which indicated we were current) regarding this cancellation. True, they failed to deduct our auto payment the previous two months for reasons which are still unclear.
We offered to make a phone payment or draft an EFT. We were told that we could not make payment until our policy was re-instated. We were instructed to call back in ten days for an update. Meanwhile, we have no insurance, but wait the 10 business days and call back. This time we were told our policy was not reinstated because we failed to make payment at the time of the request 10 days earlier. As I attempt to provide our payment details this time, the representative tells me I only need to confirm the last four digits of our account as he has all the banking details needed to process payment. I verify it is correct.
So we are left wondering why the auto-payment did not occur the previous months as it did for the previous six years as they clearly had the banking information as well as the authorization to draft payment. I suspect it has something to do with their new system. We wait another 10 business days and call back as instructed. We learn the policy is still not activated but our payment was drafted immediately and they have record of receiving it. At my insistence and after 45 minutes on the phone (no, I'm not busy at all...), the Representative was able to expedite reactivation for the next day. She also suggested I make the next months payment now and re-enroll in auto-payments, which I did. I received a confirmation email of my re-enrollment along with language that "it can take up to four weeks" to activate so I also made that months payment manually. I wanted to make sure I did not have to endure this painful process again.
Six weeks later I decided to check the status of our policy as I had a gut feeling that this may not have gone well. I was not surprised to learn that our account was once again cancelled for lack of payment. It cancelled prior to the 30 days grace period (since we do not receive a subsidy for our healthcare, we only receive a 30 day grace period).
I call again, speak to two reps. (one helpful and one not) and with no good explanation other than "I failed to make payment". I explained that I re-enrolled in auto draft and made a manual payment to ensure I had coverage until auto-draft took effect "up to 30 days later.". I was told by the unhelpful rep. that "it takes at least 45 days for auto-enrollment to activate. Okay, so the email is incorrect, but we are sitting at 60 days and my payment still has not been drafted. I suggest they update their email confirmation but that was not received well. I was told to wait 10 business days and call back and my account should be active. I am now a pro and know the drill. I will call back in 10 days and I suspect only to learn that for some unexplained reason, my policy did not reinstate.
Reviewed Jan. 26, 2017
When Florida Blue quit offering their HMO plan here in Pinellas County Fl. as of Dec. 31, 2016, I talked to their salesman who told me that their PPO plan would take its place. That the coverage was nearly the same. I only took it based on what he told me and the fact that my primary care MD was included and I was told the that this new plan, with other than a few minor changes, remained virtually the same as the 2016 HMO contract. At the beginning of the year 2017 I received THE insurance card. Good, wonderful except, that it was for their HMO, the now nonexistent plan. I notified them of their mistake. I was told to just tear up that card, they would issue me the PPO card and I also told them that I was still waiting for some books describing whatever they offered via the PPO plan.
In the middle of January I got the NEW card. It was again an HMO card. I went to my primary care doctor. I sat in the waiting room for a little over an hour while his office talked to Florida Blue. Guess what. His office gave up so I went home. Once again I called Florida Blue, "where's my PPO card." (Who's on first base, no, he's on second). Here it is, the 26th of January, 2017. Guess what!! No card, no books. Nothing!! And I'm stuck with this horrible Florida Blue.
Today, TODAY I received a huge envelope from ** Blue. I was so excited that my hands trembled, beads of sweat ran down my forehead, I almost peed in my pants. At last everything was going to be taken care of by my ** Blue insurance company. I forgave them. Insurance companies liked people make mistakes. So forget and forgive > that's my motto. There was no card, no catalogues. But they were really thinking about me. They sent me a beautiful calendar for 2017. Each month filled with a most beautiful scenic photo. Thank you ** Blue.
Reviewed Jan. 26, 2017
I too am having so many problems with Blue Cross. I had Blue Cross in my younger years and they use to be a great company. Fast forward to today and it's now a nightmare. My insurance company that I had in 2016 sent me a letter stating they would no longer be operating in Florida and I needed to find another Insurance Co. The only one that is available to me is Blue Cross so I went with them. Well, I signed up for a plan and paid for the first month. The paperwork stated I had 30 days and if I didn't like it I could change plans. After looking it over I realized it wasn't my best choice so I switched right away to another one.
Without making this a long story, I called Florida Blue and asked that the money I put on the first plan be applied towards the new plan. You would think one call in today's world with today's technology would be enough, but no. I had made more calls to try to straighten this out but still... nothing. So I then went to an office to speak to someone, thinking this for sure would rectify my problems. After sitting there for an hour, I was waited on. This person told me to wait for a week and everything should be straightened out. Well I checked on my computer and it did show the new plan but I was delinquent and I now owe $1300.00 dollars. It did not show that I paid the first month's payment, and were not even in Feb yet. I am a senior and never imagined that things would end up like this. Very uncertain times indeed.
Updated on 02/09/2017: I have received conflicting letters from the company stating I now had coverage, then another one stating my account was closed due to nonpayment. I then made another appointment to meet in person with an agent to see what was happening. The agent called into the main office and spoke to a woman there. She said my account now shows active. The agent then told me to go ahead and make my next months payment, that I was all set.
I then went home and tried to pay on-line but couldn't. I paid over the phone and waited a couple of days and then I called in to speak with a rep and asked them to see if my payment went through, she said my account was in good standing. So it looks like I am now covered. I have to say it was the most stressful experience but I believe now that the company was just overwhelmed with the volume of people trying to sign up for insurance. Going forward, I expect everything to go smoothly now and want to give Florida Blue a chance.
Reviewed Jan. 26, 2017
I called ghetto company this afternoon to schedule an apt 4 times. Each time their automated service looked up and verified my account and then when I requested an apt I was disconnected. In my frustration went into the office to make an apt was told it would only be a few moments to see an associate so I waited on with only two people ahead of me and after one hour had not been addressed nor had one of the people ahead of me. Witnessed 7 BCBS employees in their glass offices not one helping a customer. Customer service in this company does not exist. My reason for wanting an appointment is because we do not receive our bills cannot get them online and actually get dunning letters because we haven't paid when we don't know what to pay. My insurance alone is over $1400.00 per month and they cannot even provide us a bill. God help us if I get sick.
Reviewed Jan. 24, 2017
Let me first inform everyone I have been with BCBS in another state since 2003 (for 13 years) with no complaints. I also work in the health care system that raved on this insurance and recommended it to my very own patients. As of August of 2016, and moving to a different state with two changes of address later, I received a letter from BCBS of Florida. They would be experiencing a "system upgrade". Since that system upgrade you can no longer view your bill online, make payments or view any past history of payments (which was nice to refer back to which in the past you could).
Now if you have any questions on your bill you must go through customer service and if it's more of a pending issue you can't get past the representative to speak to a supervisor. You will play this game. They will inform you it has been flagged as "status of escalation" meaning it's out of the representatives' hand. They cannot make any decisions and it's in another department somewhere in BCBS's world. They will tell you, "You should receive a phone call in 24-48 hours." Have I ever gotten one of those calls, NO! They will never call you back so I'm in this cycle of constantly calling as of this day and I refuse to give up. My suggestion is to keep a log on the date, amount of time you've spent on the phone, disconnections, transferring rep to rep, names and or possible agent number as I'm doing now.
This is a short version of my personal experience. First, I will start with something minor, I've moved and made numerous phone calls to change my address and of course every rep stated they've updated my info and every time I've logged online it still had the wrong address. Well it was finally resolved keep in mind it took about 5 calls and several hours of wasted time on the phone.
Second, in August I received a letter that my current premium would increase to an amount I could no longer afford for Jan 2017. With that since I moved and was unemployed I cancelled my plan for the last 2 months of last year understanding I would not have insurance. I called and spoke with a customer service and we found a lower premium plan I agreed on to start in Jan. She sent the email contract and signed up for automatic draft. Guess what? They did NOT cancel my old premium las. It was still left active with the old premium increase even though I purchased a new plan with a lower premium. Get this, they tried to draft me double ALMOST 3,000.00 (old premium plus new premium) by automatic draft. Thankfully I caught it early enough through my bank email notification before it happened and was able to stop that transaction payment.
Third, I've received 4 insurance cards since August. Fourth, still when I log into my account it has my old plan info. This should have changed from the day I switched and that was from November, they keep telling me it's pending (let me remind you it's been pending for several months). Trying to get this resolved results in being transferred to different representative and having to reexplain everything because nothing has been changed in the system for them to see it. I've spent so many hours many of times I've been disconnected when in transfer from one person to the next.
Florida Blue needs to get it together. I truly hope enough complaints will change for a better company. Maybe with Trump in house and now that we will have competitive prices the behind the scenes of customer service and getting things done the right way and in a timely manner will be the push in the right direction for the business.
Reviewed Jan. 24, 2017
I cannot begin to list every problem I've had with Florida Blue--it would take pages. Suffice it to say they are just like the others I read on this page. Here's a brief summary: I've been charged retroactively for health care during the time I had no health care (The government subsidy was undoubtedly paid for this too, so think fraud against the govt). When I receive threats to cancel my policy if I don't send in something I've already sent, I'm told in person "Just ignore it." So they will have paper proof while I just have verbal non-proof when they cancel! I've been lied to many times. My policy has been cancelled for nonpayment, then my payment refunded. The price goes up.
I get several letters a week with conflicting info on prices and actions. One of my "favorites" was the one I got yesterday, 1/23/17, dated 1/17/17 saying that I must take action by 12/15/17 or... bla bla bla. I've spent hours at their centers, and never yet managed to resolve all the issues. They blame the Marketplace for everything---until we do a three way phone call and they have to admit it's their fault.
A report to the health insurance commissioner helped with one issue, but three more popped up to replace it. I have been wrestling with them, trying to get coverage (as it seems they are the only ones left in ObamaCare for FL, if I'm not mistaken,) for three months now, and have yet to see a doctor. I'm looking into doing a class action lawsuit, now that I see they are not just cheating me, but are cheating many many others. They need to be stopped, and the only way to stop them is in the pocketbook. Since ObamaCare is involved as well, that means they are also charging the US government for health care services we've not received. Please, if you've had these problems, begin to document them. Write down the details, who you talk to, the date, time, etc.
Reviewed Jan. 24, 2017
I'm not sure where to start. Long ago, I discovered that if Florida Blue (FB) got your $ through an error in their processing, you would have to follow up and follow up and follow up to get them to do their job and make the appropriate adjustment. But this year, they've overdone themselves in their ability to pass the responsibility for resolving THEIR problems to their insurers!!
In November 2016, I took advantage of open enrollment and went to the marketplace to choose a new policy for 1/1/17. I chose a new FB policy because the one I had was pretty useless. That's a whole other story. On December 19, I called Florida Blue to set up an auto pay arrangement for the new policy and to make sure that the other FB policy and auto pay arrangement cancelled. I was specifically told that the other policy would cancel as my new one took effect. Lo and behold, FB messed that simple task up and I have been suffering ever since. I've been on the phone with FB for 30-90 minutes on 1/9, 1/16, 1/18, and 1/20. I've cancelled 4 routine annual medical appointments for my family and now have a billing mess for an ER visit and a wellness visit with my GP that have taken place since 1/1.
Each rep seems so nice yet none of them do what they say they are going to do. What the idiots did was fail to activate my new policy because they auto paid for the old policy (which was twice as much as my new policy) and kept it active. All they have to do is credit my new policy with the premiums they already withdrew!! Yet they can't seem to pull that off!! They didn't have the right to auto debit the bank account they did (I'd arranged on 12/19/16 for another one to be used) but I can't throw that request to reimburse me into the situation because I'm likely to die before they could figure out how to do that!! I was able to help each FB Rep, on each phone encounter, understand their screw up. Each understood and led me to believe that the problem was being escalated or resolved.
As of today 1/23, it's still being processed. It seems to now be in a continual state of "being processed"!!! In the meantime, they've withdrawn over two-times the amount of my new monthly premiums from an account they were no longer authorized to use and they refuse to activate my new policy until they receive payment!!! It is insane. I can't do anything to resolve this. I'm sick and tired of FB's problems being my problem. My doctors office staff should not have to deal with this nonsense either. I feel their billing operations are extremely illegitimate at this point!! Who gives them the right to take my money then claim they didn't receive payment then take forever to make the freaking adjustment when they know where they made the mistake? They should be paying me for the ridiculous amount of time I have had to spend in helping them figure out their problems.
It is not fair. I really do detest them and wish I had an option!! I am being held hostage by their inept operation. They don't deserve to be in business. Many years ago, I was a director of finance at a major NY medical center. The insights that gave me into the healthcare system will last a lifetime. Heads should be rolling at Florida Blue. They are exceeding ridiculous. I haven't even begun to talk about the meaningless correspondence they've sent me this month which their reps don't seem to understand. One was about a changed email address (apparently that one was a mistake and it was sent out to all insureds. What???). Five others had to do with me recently adding people to my policy, including me, which I had not. Of course, their website remains useless to me because they haven't activated my new policy!!! There isn't even a hint of it anywhere. It doesn't even show as pending. I'm tired of explaining.
Reviewed Jan. 23, 2017
Blue Cross canceled my policy in August (they said it was per my request) - it wasn't. They sent me a new policy and card and said that I had to make a binder payment. I did. The following month they said it was an error to use my old policy and card. Since September they are saying I am delinquent in my payments (they can't figure out how to put the payment from one account to the other). I have been on the phone many many times with all different responses (each time at least an hour). Some tell me "ok we will fix it" and it never is. I am at my wits end and don't know what to do.
Reviewed Jan. 21, 2017
I cancelled my plan in December before the beginning of the new year... on January third they charged me the full premium about as if I continued with this insurance. Do upon speak with the customer service person they told me I cancelled in January... total lie 1. Then they told me that they would have to send me a check as a refund within ten days. I have now waited over two weeks and two phone calls and they say it's in process... why do I feel like they will charge me again in February and blame me... The big problem is this. It comes out of my business account and if I deposit said check it looks like income so now I have to pay tax on it again. I could go on forever about detail of care with medication for the past two years but hey I guess they don't really care.
Reviewed Jan. 21, 2017
I tried the automatic answers to questions and asked for a rep. He took many hold times to answer simple questions and told me he was in another country looking up my information. This is not ok with me.
Reviewed Jan. 19, 2017
My family has had insurance through Marketplace with Florida Blue the last two years. No big deal - rates were ok, coverage was decent, we had insurance. The plan changed year to year which was a pain - but still no big deal. My husband is a cancer survivor so insurance of course is very important to us. For 2017 I was lucky enough to get a new job that had insurance coverage - awesome. So I went ahead and went through all the channels to make sure Marketplace wasn't renewed, called to confirm cancellation of account with Florida Blue 3 times - all saying yes all set. January 3rd - they take an automatic unauthorized deduction of $1356 out of our bank account. I have NO policy with them! I have cancelled 3 times to make sure! I call immediately - it take 4 different agents to stop transferring me automatically to Marketplace to start to get a resolution to this. I don't know about anyone else but $1356 out of the bank is huge!
Well it's January 18th now and I still have no resolution in my eyes. I have called almost daily to get an update. The update is different every single time. I can hardly understand the agent usually - and when I ask for a supervisor none are every available. When I ask for a Supervisor to call me back - they never do. I am TIRED of talking to agents that give me a different story and a different answer every time. I have recorded name and confirmation numbers but STILL I do not have my money back. There is no one to escalate an issue to, no phone number you can call, no website, email - NOTHING!! I am about to get a lawyer involved at this point. I am so dissatisfied with my experience with them. I am calling the state to formally complain as well. And I even have an agent to help and they can't get answers from their own company. VERY UNHAPPY CUSTOMER!!!
Reviewed Jan. 18, 2017
Signed up through marketplace to start insurance January 1, 2017. Made payment on time but can't access any services simply because they can't find my account!?! They found it when I had to make a payment. Cannot access web portal, it says information I entered is incorrect. Have not received any mail or information from them, it is already January 18 and nothing. I called customer service at least 6 times to solve the problem and to be able to use the service I PAID FOR, and nothing. They say they're going to update something and they never do anything. Two different calls, one person said I hadn't made the payment, the other person said they see my payment!?!? They took my money, don't let me use the service and don't care about resolving the issue. Sounds like a SCAM to me. Anyone know of any government agencies that can protect us from that? Maybe the police?
Reviewed Jan. 18, 2017
Florida Blue has been putting my payment on someone else accounts and then telling me I owe more money and they won't fix the issues. Since Obamacare they are the only insurance company I can go to in my area, so I am a disabled, senior and have no health insurance, cause they will not do their job.
Reviewed Jan. 17, 2017
Anything that can go wrong will. I've been double billed, had my automatic bill payments stop working and then unexpectedly lost coverage, had my plan suddenly disappear and they assigned me to another one not of my choice, etc. They're a perfect example of the insurance companies being shameless thieves who don't care about you. The worst. Prepare to discover their non-stop screwups and to spend hours on the phone on hold, only to resolve nothing.
Reviewed Jan. 16, 2017
We updated our policy and got a real good deal. Now we paid the first amount of 200 some dollars, but they still took 600 some dollars out for the old plan even though it was cancelled on December 16th. Took my wife approximately 6 hours on the phone!!! to get a refund approved. First they said they wouldn't refund us. Are you kidding me they made an error and I have to pay over 600$ for it? So now it will take about a month to get the refund??? What the heck?! It doesn't take a month to take my money but it takes a month to refund it?
So we are considering to put a class action lawsuit together since we been told by the market place that Florida Blue did that to a lot of people. They have to reimburse for the hassle and time spend on the phone and for the time I'm unwillingly go without over six hundred dollars that are mine and that I need. That was an unauthorized payment and illegal. Please comment here if you have the same problem and we created a Facebook group to plan the lawsuit, find a law firm etc...
Reviewed Jan. 14, 2017
I am disgusted by the performance of this company. I have been having health issues for months but had to cancel my previous insurance through the marketplace because I just could not afford a $14,500 deductible. I did this in June of 2016. Over a month ago I realized that my family has to have the coverage so I applied through the marketplace again, chose a plan and made my payment. I then went ahead and scheduled needed dr appointments for this month when I "thought" I should have coverage. I am still not covered and have been on the phone with various people for weeks and nobody seems to be able to tell me what the problem is. In the meantime the health of myself and my family is deteriorating. I am unable to get coverage after hours of holding on the phone, of being lied to that things will be fixed within a week... It's now the 14th and I still have no coverage and no answers as to why.
I try to get my family covered by another insurance company but there are NO OTHER CHOICES!!! This is the absolute worst company I have ever dealt with and I see why there are so many terrible things such as drug abuse in this state! NOBODY can get help! I had gone into the hospitals in the area with severe problems and was sent away without explanation. I cannot get any help and it's just making me worse with all of the stress and waiting. My daughter has been sick and unless I pay a dr for the appt. I can't help her. Yet so many other children are covered and helped. She is a straight A student and can't even get helped. So messed up.
Reviewed Jan. 12, 2017
These customer service representatives are taught to lie to customers. Have to be in the line for hours to reach a customer representatives then they lie continuously. Each representatives has their own explanation to the cause and answer as well. I would suggest everyone get together and do a class action lawsuit against them.
Reviewed Jan. 11, 2017
Experience 1/6/17 spoke to this guy - think accent. Difficult to understand. Couldn't help me. Kept talking in circles. Found out later he didn't properly code my account correctly. Experience 1/9/17 took about 30 minutes before anyone picked up. Difficult to understand this person. I even went into the location in Pinellas Park. Spoke face to face with an employee there. Cassandra, she was kind and helpful. At the end of our encounter, I mentioned I will be following up with the company since it's regarding my insurance. Issue is still the same. Nothing changed.
I am extremely disappointed in Florida Blue as a company. The company should be reading these review and try on improving their company. NOT FUDGING IT UP! #1 Create a more user-friendly site. #2 Train the employees. There are more, however, these are just some to start with. In reviewing Florida Blue guidelines, "Please note that not all reviews or images are published. Our Moderation Team will evaluate your review and image to make sure it fulfills our guidelines. Remember, you are responsible for what you write and upload so please be fair and honest."
Reviewed Jan. 11, 2017
Florida Blue changed billing systems in October. Thus, they stopped sending bills via mail and online. Therefore, countless customers inadvertently didn't pay their bills. Florida Blue used it as a way to cancel their insurance renewals. I spent tens of hours trying to rectify the situation. I finally passed the phone to a healthcare attorney and was able to get the issue resolved. WHAT ABOUT THE ELDERLY? THE DISABLED? THE MARGINALIZED? The person who doesn't have tens of hours to spend on the phone? How will they get justice? A class action lawsuit is in order. They are in violation of countless healthcare laws.
Reviewed Jan. 10, 2017
My son, Ethan, was born at 34 weeks with an extremely rare syndrome called Treacher Collins. It's a craniofacial disorder where the bones in his face essentially stopped forming in utero. He has complex medical needs. He was born with no ears, no jaw joint, no cheekbones, choanal atresia (bone is blocking his nose holes), cleft palate and a severe recessed jaw. He was born without the ability to breathe at all and has a tracheostomy as well as a G-tube since he cannot eat or swallow. Florida Blue has denied my son to have pediatric nursing in our home as well as a medical crib so we can bathe him, perform his daily trach care and resuscitate him if need be. He came home for a few days before Christmas and was Bayflited back to the hospital on Christmas Day due to becoming unresponsive. He had trouble breathing and my husband and I had to bag him with oxygen over his crib rails while calling 911.
Florida Blue peer to peer review department interviewed with Ethan's neonatologist for an appeal and denied her, as well. They did not care that this crib could allow my husband and I to respond quicker and save his life faster as the side rails come down. Standard cribs sold in stores do not have rails that come down. Florida Blue has also denied his RSV prevention shot. They said it's not medically necessary for him. We are currently going through the appeal process for that, as well. I even had to send proof of making our insurance payments to the hospital billing department, as Florida Blue stated to them they do not have records of our payments.
This tedious stuff takes time away from my son and I shouldn't have to be proving payment when they clearly have a system for that. If I had another choice in my county to choose another provider for my son other than Florida Blue, I would. Every move we make with Ethan is vital and would like to not have to be burdened down with denials for things that are absolutely necessary for him to thrive.
Reviewed Jan. 7, 2017
You can read any review below and it should be fairly similar to this one. I signed up through the marketplace and followed all steps. Through an error on Florida Blue I paid for two plans. I have received 4 different answers ranging from "you'll have coverage in 24-48 hrs all the way to Feb 1st". WOW! 7 days later I still have no coverage therefore no medications. I've run out of one that's pretty serious. They don't care. It seems I'm not the only one to experience this and in the future will find a new company even if I have to pay more to avoid this company. It's a joke and is causing serious problems because they can't do their jobs!
Reviewed Jan. 5, 2017
I had the opportunity, unpleasant opportunity to speak with a handful of "Customer Service" Reps of this company. Customer Service is an oxymoron with this company. I heard a dozen times. "I understand" and "I apologize" for the error they made; but NOT ONE person who had the authority to fix it. The INCOMPETENCE was amazing. If it was not so frustrating, it would be funny and make a great SNL skit. Anyone who uses this company for their health insurance is crazy. After hours of speaking to these people, it is clear their employees, are unskilled, untrained or simply do not care. They acknowledge their problem and do not know how to fix it. AVOID THIS COMPANY AT ALL COSTS. This was the WORST EXPERIENCE I have had with an insurance company in my life!!
Reviewed Jan. 5, 2017
I received an overpayment for Dental surgery for my daughter. I called them numerous times to get an understanding of why it was rejected and to try and set up payments with them. I waited for a return phone call I was promised and when I called back for a status, they already sent it to a collection agency. Why should I have to pay for their mistake?
Reviewed Jan. 4, 2017
We were asked to submit our backing details again in October as FB informed us that their bank had changed. My wife completed the form and sent a check for the payment along with a cancelled check. In December we were advised that a previously approved procedure had been denied. FB told us we never paid the premium, although funds were available. We also tried to pay by credit card which they would not accept. FB really has customer no-service. In December we enrolled in a lower cost plan for January as our plan premium increased by $300 per month. FB has cashed our check for the first month's premium but we do not have any access to the online plan details or insurance cards to show as proof of insurance. My insurance agent informed us that we are 1 of 10,000 individuals in the same situation. Seems like FB is really in a mess.
Reviewed Jan. 4, 2017
Had Florida Blue in 2016 purchased through the Marketplace for $89 a month. Everything went smoothly. In October of 2016 I received a notice stating that I would have the same plan in 2017. They sent a new benefit package and new cards. When I completed my marketplace app for 2017 my plan was not listed. I called BC who advised that my plan (1490B) was no longer offered but the same plan listed as 1490 was available but now the premium was $404. While very unhappy for the 400% increase, I have to have coverage so I agreed. Go to a doctor's appointment on 1/3/2017 and was charged $50 co-pay, up from $3 in 2016.
Come home and look online at Florida Blue and see that the whole benefits package has been changed! Primary Physicians now have $50 co-pay, Specialty Physicians now have a $100 co-pay. The new plan also added a $5900 deductible for each of us (myself and my wife) as well as a $7000 out of pocket threshold (last year it was $4000). Could not afford the new premium and definitely cannot afford the new benefits.
Reviewed Jan. 2, 2017
My son and I have had repeated problems with billing since August. They switched billing systems and credited our health policy payments to our dental plans. I have just switched over to United and am trying to do the same for my son. Also, even though we are paid up, they accidentally cancelled his insurance as of January 1 and cannot fix the problem for at least 5 days. Meanwhile he has asthma and a cold and needs to see a doctor and they told me to pay it myself. I have been on the phone with them every week for about an hour trying to resolve this. Buyer beware.
Reviewed Jan. 2, 2017
Help. I don't know how to fight Florida Blue Billing. My husband aged into Medicare so we changed coverage to just me. We had insurance through the Marketplace. Paid the binder by credit card. The insurance was to go into effect Oct 1st, 2016. Kept getting letters to pay binder. By the middle of November still no new medical card, Florida Blue blaming Marketplace. Marketplace blaming Florida Blue. Had 2 agents trying to help me. Got billing letters with 3 different amounts and still no medical card until Nov 30, with my insurance retroactive to Oct 1. I couldn't go to the doctor retroactively. I paid 1 month in advance, and didn't get to use my insurance until Dec 1st, so I figured we were good. NO I'm being billed for the 2 months I had no coverage and threatened with cancellation. Many hours on the phone with customer service and cannot speak to a supervisor. Have start at the beginning with each call.
Sent 28 page complaint and documentation to fax number provided by customer service only to receive a letter back that they don't understand what my complaint is. I have since changed plans, made my binder payment, printed a temp card but the previous 2 months premiums are still on my account as past due. I don't know what to do. I can't pay for services I don't receive. I had No medical coverage for those 2 months & someone backdated everything to Oct 1. Where do I go from here. Any suggestions before I get cancelled?
Reviewed Dec. 29, 2016
I have a corporate plan and have been attempting to log onto the Blue Cross Blue Shield website to review claims for days. The website will not recognize the information printed on my card after multiple attempts. When calling there is the usual attempt to have you hang up by making you pass through multiple menus. When finally connecting I was told that I had a 40 minute wait. This company along with others in the medical insurance field seem to have policies in place to minimize their cost to serve their customers and maximize profits and CEO pay. More regulation is needed to ensure that they provide the minimum of service.
Reviewed Dec. 28, 2016
I tried using the online website. It had incorrect information and said I had no bill due and has said that for 30 days so I was unable to make an online payment. I have made multiple phone calls to customer service. Only one person of the 5 actually listened long enough to understand the website information, their mailings, and the amount stated for me to pay via the mailing was indeed NOT correct. The other 4 representatives merely gave rote answers and said not to worry I was covered. When I stressed that it was unfortunately an underpayment that I knew was incorrect Brittany was smart enough to know she better take a closer look.
She stated they had been told about incorrect mailing going out and it was nothing to worry about. She didn't seem to grasp the website issues reflecting I did not owe anything at all. She did not have the knowledge or capability to fix the errors and did not seem to have a pathway to get it straightened out. After putting me on hold for a while, she came up with 2 different amounts that I may possibly owe and asked which one I thought it was. I asked for someone who could look at all my information and the website with me - all in Florida Blue's best interest! If this is happening to me, I am sure other are experiencing similar errors. I wanted to get straightened out completely. Any well trained employee would have seen an opportunity to turn around a company mistake into a resolved issue.
She said we would start with a 3 way call with healthcare.gov. to clarify the plan and price. (She couldn't see what they were billing me for and initially told me she did NOT see I was covered.) We connected to healthcare.gov. She said hello to the healthcare.gov person. I relayed my information. The information on his end was perfectly clear and it backed up what I had told Brittany, Carly, Manuel, and one I forget the name from Florida Blue. He gave the correct amount, there were no issues at all - but she was gone! She had left the call without following through to fix their problem. He said any issues were clearly on the Florida Blue side and apologized for them, Florida Blue is wasting a lot of operational money as well as clients time on incompetent services.
I am paying out of pocket $616.00 a month for service worse than notoriously bad cable companies. I pray I don't get sick and actually have to use the insurance. I will say a prayer for those struggling through health issues and having to deal with Florida Blue's incompetence and lack of interest in serving their customers. So sad.
Reviewed Dec. 24, 2016
I have had a Florida Blue insurance policy through the Marketplace all year for my wife and me. We only pay $17 per month. All of a sudden the company stopped taking my automatic payments three months ago without telling us anything. In December, I tried going to my doctor because I was in a lot of pain, and my insurance got denied.
I called Florida Blue and they told me that my plan was in a grace period because of non-payment. When I told them to take my payment, they told me that they cannot accept my payment and would investigate why. They then told me their SYSTEM doesn't allow them to take credit cards. WHAT BULL! It's almost a whole month later and I'm still sick, and I can't see a doctor because this company purposefully has screwed my out of my benefits and has locked me out of my policy. They never canceled my policy, but won't take a measly 53 dollar payment in order to reinstate my policy. I'm definitely down for a class action lawsuit against this SCAM ARTIST of a company!!!
Reviewed Dec. 24, 2016
I have contacted Florida Blue more than 20 times by phone, chat, email, or registered mail over the past 4 months requesting a timely monthly billing statement. I learned today for the first time on my own after reading relevant parts of my new 2017 144-page policy that premiums are due by the due date whether or not a billing statement is received. I also receive a grace period of up to one month following the due date. I have been very fortunate to be able to afford my premiums and also not meet my deductible having no serious medical problems.
I was moved to write this review after reading about other Florida Blue customers not as fortunate. Healthcare is just that caring about patients or customers. No doubt these are difficult times in the industry but as a customer frankly I feel Florida Blue does not care about me. I especially sympathize with those who are sick because I can't imagine having to deal with such poor customer service and a serious illness at the same time. I know Florida Blue is aware and I suspect if things do not improve in 2017 there will be a significant call to action by consumers.
Reviewed Dec. 22, 2016
I tried to pay my premium on multiple occasions online and was not able to successfully log in. I called and they said their system was having problems this week. So I asked to pay by phone, which they were glad to do. I authorized a payment of $735. I checked my bank account the next day and they took more than $1,500! They just decided on their own to take next month's premium too, even though the agent SAID out LOUD I am going to debit your account for $735. I called and they said they would refund it. I should check back to see if the money is there in about a WEEK, and then call back if it isn't. They took my money in 24 hours but can't give it back for more than a week, the week of Christmas!!! Furious. This seems completely intentional. Trying to fluff numbers before year-end perhaps, at the expense of consumers who already pay a king's ransom for crappy coverage. Booo Blue Cross. You stink. Merry Christmas.
Reviewed Dec. 20, 2016
To get questions answered in the Wellness, Preventative Med category - which is the future in medicine, by the way - I want to know what I can utilize this great company's insurance for in my life. My husband and I are both 62, and want to stay well–I am looking for answers with the company - no response from online so I call the 888 #. No one answers. What is up? I love what they have done in the past, but I have more questions? Mediterranean diet and exercise for the basis in maintaining a healthy lifestyle. Health clubs, vitamins and supplements. How does BCBS FED stand in these issues?
Reviewed Dec. 15, 2016
Multiple scams which reviews show are probably purposeful ploys on the part of this monstrous company. I wonder how many Florida Blue members would be interested in a class action suit. I too experienced the scam of their APO payment system flaw and cancellation of insurance without notice and then delay in reinstatement after taking full payment and being told it was active but was not reactivated. Paying for something and not receiving that service or goods is a fraud. The only way we consumers can get action is to stand together and fight these ripoff companies.
Reviewed Dec. 13, 2016
I purchased a health insurance policy from Florida Blue Nov 2016, which I paid $913.49. On December 1, 2016 I cancelled the health insurance and requested the binder money returned to my credit card. I was told I would receive the money within 7-10 days. I have spent numerous times on the phone and in the office, and was finally told that a Blue Cross "contractor" cancelled my policy, but did not issue a refund. Again, I was told that on Friday December 9 that the refund was again approved, but as of today I have not received the refund. There were several excuses offered the contractor, their billing system, but they were quick to take my money.
Reviewed Dec. 9, 2016
This is the worst experience with any company I've ever experienced. I set up automatic pay for a dental plan & my premium was deducted for a couple months then got a late notice. When I called was told they were updating computers & must have been deleted. This happened twice. Then decided to pay monthly on line. But then I couldn't get back on line.
Called again, which is a whole other story, my profile was gone. Had to start over. Calling is an absolute nightmare. My husband sent in an authorization 3 times for me to be able to call on his behalf, yet no one could locate the form. I finally got a letter saying they approved the authorization yet when I called was told that was only for claims. Since I was trying to speak to someone in tech support, I would have to send one for them. You've got to be kidding! Then the communication problem with customer service is another dilemma. English is very very poor & could not answer any of my questions. We plan to cancel the policy if we can figure out how. I can only imagine how it would be dealing with them on a claim. I absolutely would not recommend them for insurance.
Reviewed Dec. 7, 2016
Today is the 2nd time Florida Blue goes into my bank account and retrieve money without my authorization! On December 2, they took $2,221.59 when my plan payments is $38.00 monthly. I called Florida Blue and they said it was a mistake and they returned the money into my account but ALL my checks bounced. Today, December 7, Florida Blue went back into my bank account AGAIN and retrieve the same amount $2,221.59. I know it's going to be resolve but why do I need to go thru this again? Florida Blue is going to provoke on me an heart attack!!! DO NOT TRUST FLORIDA BLUE. DON’T GIVE THEM YOUR BANK ACCOUNT INFORMATION!!! I am going to file a formal report against this company. The sad thing is that my doctor does not find me and I have to pay out of my pocket! I am attaching pics from my bank account.
Reviewed Dec. 7, 2016
I have never come across such an incompetent insurance company. My boyfriend and I signed up for health and dental in Florida on February, 2016. After paying the monthly premiums via automatic payment online from our checking account and going to numerous doctors in September, I get a letter from my doctor today, December 6, 2016, stating that Florida Blue was requesting a refund of payment made to my doctor because at the time I went, I was an inactive client and that my doctor was going to send me to collections unless I made payment arrangements with them. I had no idea what they were talking about so I went on my Florida Blue account and it was inactive.
After spending 2 hours on the phone trying to reach someone, I almost flipped out. Apparently, Florida Blue had a software/system update which required all online customers to reinput their information for automatic bill pay. We did not receive one letter regarding this and we have not received one letter regarding cancellation of our policy due to nonpayment. When I went to check the claims history online, Florida Blue did not pay a single medical claim and now we are being chased for the full amount on medical bills. I checked the alleged letters sent to us via pdf online and Florida Blue sent these notices to our old address, even though they were able to send other letters to our current address!
So even though we went to doctor visits from September-December and the doctor's office verified our insurance with them for every single procedure, Florida Blue is now trying to claim we have no coverage because they decided to just stop our automatic bill pay. When I told them I'd pay the full amount of all the months missed right now, they stated they had to place a "reinstatement request". When I asked whether or not all those visits which we believed were covered would be covered after paying the $2,618 to reinstate, Florida Blue said there was no guarantee and that I had to wait 10 business days for the reinstatement request to go through. Are you kidding me?!
Reviewed Dec. 4, 2016
I have been dealing with Florida Blue and their incompetence since I had surgery in June. They have misplaced premium payments for July and August. With that same problem they were telling me that since I had received my insurance through the Affordable Care Act, that my tax credit had been cancelled and it was no longer active. I spoke with a representative at the Marketplace and I was told that my tax credit was still active and the information Florida Blue had given me was incorrect. Florida Blue has horrible customer service. Every time you call them the representative always says that the system that they use has not been updated with the system that actually processes the payment of your premiums.
In June I had surgery for my Epilepsy and since then it has been downhill with getting anything accomplished with them. When last I understood from a customer service representative, the payment issue had been fixed and my account was current. Well obviously that is not correct, I just had to pay the full price for my prescriptions that are supposed to be covered by Florida Blue.
At this rate I am starting to think Florida Blue is giving me trouble with my insurance because of my race and the simple fact that I received my insurance through the Affordable Care Act. I have been with Blue Cross Blue Shield since living in Maryland from 2011, when I was diagnosed with Epilepsy, upon moving to Florida three years ago, Blue Cross Blue Shield has been horrible.
Reviewed Dec. 4, 2016
I went online to see their rates for health insurance. In the meanwhile I already have health insurance. I was just doing a comparison. They have not stop calling me. They call me all hours. I told him I already have insurance and I'm very happy with my health insurance and they're still calling me. It is Sunday at 10 o'clock in the morning. They called me seven, eight o'clock at night. They call me all hours. They will not stop.
Reviewed Nov. 25, 2016
I moved from California to Florida, and as most health care providers have pulled out of this and other states due to their manipulation of the Affordable Care Act, I was stuck with Florida Blue. We all know how legendary Blue is at terrible customer service, but Florida Blue took it to a new level. As a consumer you only have one option. To talk to the customer service center in the Dominican Republic. My experience has nothing to do with prejudice, or "keep the jobs in america". I am socially liberal and if the call center was competent I wouldn't have a problem with it. The problem is that Florida Blue, along with the other "Each state has it's own independent Blue - to again manipulate the system" has a brutally incompetent customer service model which is, again, based on how they make money, and how bad they are for patients and the U.S. healthcare system.
First, call HealthCare.gov to see how excellent and professional customer service is, then call Florida Blue and speak to a Dominican who is usually impossible to understand. Gets most of the information wrong. Can't be trusted with ANY numbers (they put them in wrong), and the supervisors are still in the same location and even the supervisors are hard, if not impossible to understand. Florida Blue makes it's money the way the rest of the insurance companies, make their money - by denying services. Their call center is no exception, they found "almost" English speakers and coupled that to an I.T. model which serves their basic charter "Find a way to deny service".
I moved here from CA which qualifies as a "life event". Even though I moved here on Oct 20th, Healthcare.gov started my plan from 12/1/16, not 11/1/16. When I called them to fix it to 11/1/16 as Covered CA was canceled, they understood that my wife and I could not be without health coverage as well as my heart pills. They contacted Florida Blue on 10/21 and on 10/22 Florida Blue gave them a "YES" on starting my health care on 11/1/16. They even sent me a letter saying "Please pay your first month's premium and your health care will start on 11/1." This letter came on 11/1... again no problem! Problem is that when Florida Blue screws up (many times intentionally, as again their model for making money is to deny coverage), your only option is talking to the terrible customer service in the Dominican Republic.
I tried to pay on the phone, and was transferred to the call center. They had no record of me. They couldn't tell me why they couldn't find me, but always the same (try it yourself), "Can I place you on hold for 3-5 minutes." This goes on every couple of minutes while you are on the phone. This is standard practice because I have had to call Florida blue no fewer than 14 times since 11/1. Eventually they find me in the system (always takes at least 15 minutes with most of the time being on hold, to then find out that they show my health care starting on 12/1. And they won't take a payment for it. After another 1/2-1 hour, after sometimes I get a supervisor, they claim that it takes up to 30 days for anything to process in their computer system and they can't help me until the system updates itself.
So here I am with no healthcare coverage. When I call the marketplace, or call them and they connect me on a three way call same deal. Blue says, "Call the marketplace", the marketplace says they have the paperwork from Blue showing my healthcare starts on 11/1, but Blue (EVEN WITH THE LETTER FROM THEM AND THE ** SHOWING THEIR DECISION TO GIVE ME HEALTH CARE ON 11/1) says "Sorry we can't help you, our systems don't update from that department, you have to wait... Oh yeah, pay out of pocket and we will reimburse you..." (but would you be comfortable knowing how Blue is as a company? Or have 350$ x 2 for just 2 of my medications?). Anyway it is now 11/25. Still Blue will not fix this. It has been "Escalated 5 times" We have been on three way calls with healthcare.gov. I'm stuck in this loop with possibly the worst company in existence.
So if anyone from Florida Blue reads this: We need a single payer system. We need to put the Health Insurance companies out of business. They take 1 of every 4 dollars from the health care system, return huge profits to their shareholders (the 1%) and on a daily basis find every way possible to deny health care which, again, is the sole purpose for their being. I'm about to call again, it's been almost 4 weeks and this terrible, awful company will use up another precious hour of my time in my quest for decency and fairness. Shame on you Florida Blue, you truly are a danger to decent health care and a poster child for evil and terrible corporate greed.
Reviewed Nov. 16, 2016
My policy was cancelled without notice telling me my insurance terminated on Dec 31 2015. This I found out when I went for my eye appointment on Nov 14 2016. I was at the same Dr Office in October 2016 several times and Fl Blue paid the EOBs each time, including my Internist appointments. Here we are November 16 2016, frustrated. I've paid each monthly payment. Received notice that my dental has a credit over $1,000. I've called plenty of times and CS, CS Supervisor (she hung up on me after I waited over 1 hr on phone), and CS Recovery refuses to credit my health, advising they would have to issue a refund. I was told by Customer Service and Supervisor that they need to re-key all data, due to a computer problems when changing systems, before going any further in reinstating my policy. Therefore, due to their error I'm without health insurance and my dental has a credit of over $1,000.
Reviewed Nov. 16, 2016
How convenient it is that the insurance company would lose my claim (with my original receipts) for reimbursement in the mail. Now I am supposed to fax in my information in with zero confidence that they will A) receive it; B) be able to confirm receipt and C) actually process the claim. They have no incentive to reimburse their customers. Instead they'd rather make it as difficult as possible for us to navigate their claims system than pay for what they are supposed to cover. This is so frustrating. I had to stop seeing this provider because he wouldn't submit the claims himself and I can't keep paying out of pocket without getting reimbursed from BCBS Florida.
Reviewed Nov. 8, 2016
For 2 years I have been trying to get reimbursed for eyeglasses and today after speaking to dozens of representatives I was able to resolve the issue. 2 pieces of information were missing: NPI and provider ID. Miss Joedie ** contacted her supervisor and together they were able to locate to find the problem, input the missing information and resolve the problem. According to the representative (# ref **) the check will be in the mail shortly. I am asking myself at this point of the experience with this insurance company: Who is in charge and hires hundreds of people who cannot figure out a simply problem. Who then does not train them and addresses such issues. How is this company even in existence if 2 simple pieces of information hinder a resolution for 2 years. How does the government allow such business to exist and conduct health related issues?
Reviewed Nov. 7, 2016
I have been trying to obtain my reimbursement for several claims that are outside this horrible FLORIDA BLUE - not only do they say they can't find it, they say they don't have a fax when I call back, and they gave me the fax number. They can't find the claim(s) and then all of sudden "OH" it was in /on another screen. I fax put the reference number and then they still can not find my completed medical claim forms. They all of sudden started asking for more detail, which I am happy to provide such as codes, and diagnosis codes etc.
I receive letters in the mail, not a call but letters over 6 months in trying to obtain $$ my payment outside of network and still no results. OR I am played on hold for an hour only to be disconnected. THIS IS ONE OF THE WORST INSURANCE carriers I have ever had. They sure want our premiums, our co-pays on the spot, but try to get money which is owed back the insurance holder - and I am still trying for almost a year! DON'T USE FLORIDA BLUE.
Reviewed Oct. 31, 2016
Exc Step Mother in Law policy still being billed after two years. I know she doesn't pay it, but they won't cancel the policy and stop sending us bills for her account because they can still collect the $250 per month from the government that covers part of her policy. This should be illegal. I'd report them for it if I knew where. She's a drug addict and she didn't even give us a forwarding address. I've told Florida Blue countless times. I still get the bill. Every month, I throw it in the trash and they collect $250 from the government. ANNOYING.
Reviewed Oct. 20, 2016
I have had Florida Blue insurance for a few years now, not through the Marketplace self-pay. My payments are sent automatically directly from the bank. In July my payment was returned without any notice. I have contacted them numerous times to only be told that a supervisor will need to help, they will call me back, and the company updated their billing system. The information was sent on to the department that can give the approval to reinstate my insurance. Today is October 20, 2016 and I am still waiting on a response from them. The payment was not late and never received any notification from that the policy was being canceled. At this point my only recourse is to get a plan with another company but that means I have to start over again, be certain that my current providers fall within the plans, and probably an increase in already high priced insurance costs.
Reviewed Oct. 15, 2016
I have been a customer for three almost four years and have paid with auto pay since the policy was created for dental insurance. Recently the auto pay process stopped working and changes were made to the auto pay system back in August/2016. I received a letter in August stating my insurance premium dropped in price by two dollars (I thought this was nice) and that their system was in the process of changing. It informed me that I had to sign into my account to update or redo my auto pay status. I setup the auto pay online and ended up processing a payment for the new monthly premium for Sept/2016. This is where the problems start.
1st Problem: A payment was never processed in July but the one in August was completed (now I am confused). After numerous calls to customer service I was finally told no July/2016 payment was ever received. I verified this while on the call with customer service by signing into my bank account online. No debit to my bank account for July. I processed this payment in the beginning of Sept online with the customer service rep still on the phone. Payment accepted.
2nd Problem: In Sept/2016 I receive my email statement and it shows my account is delinquent and the monthly premium is now $29.00 higher than my recent letter. Again back to customer service and was told the payment date and email notifications must have been crossed and she had no idea why the premium amount has changed. She also stated it was not a late fee. The account was sent to a manager for review to correct. I stated to the rep that I have only authorized a payment of what their letter has stated as my new premium and when I set it up it was correct in their system online.
Oct 13, 2016, premium due date is coming up on the 15th and I received an email for the pending auto pay for an amount of $29.00 greater than the agreed amount for the premium. I called again and spoke to Henrietta and told it would go to a manager for review before it could process. Meaning a correction to be made on the amount to be withdrawn. Today I received my email notice that the amount of the premium plus the additional $29.00 is pending. I never agreed to this amount and am on record multiple times to this statement.
I have not mentioned all the calls back and forth with customer service and no responses with management. Maybe I was lied to by customer service or maybe the management doesn't care. Whatever the reason, the surveys they ask you to take should not be taken until the reason for your calls are either satisfied or in a completed status for the policy holders. I can tell you that they talk like they care but actions speak louder than words. I have now cancelled auto pay and called bank to inform them not to process the pending withdrawal. So much time wasted to try to correct the problem, it just seems easier to cancel the policy and move on.
Reviewed Oct. 12, 2016
So today I get my yearly rate increase, $300 more. I do not have a medical condition nor go to doctors that much, but still I get an increase and with less benefits. Yes less benefits except they did add, that if I decide to have a sex change that will be FREE, but if I get hit from an uninsured motorist I am on my own. Amazing work Florida Blue.
Reviewed Oct. 11, 2016
At the time of the manual August payment request done by Florida Blue, I re-checked and activated the automatic option. At that time, I also requested a Billing History from January 2016 through August 2016. I was told it would arrive in 7-10 working days. Waited two weeks the document did not arrive. To make the long story short, this has happened 6 more times since, have talked to 6 client representatives and 2 Supervisors, the last one I talked to (for slightly more than 1.5 hours) Reginald told me he would personally take care of requesting this information and that he would make sure it would arrive this time. Well, it did not arrive. And even though Reginald failed miserably in following up on the case and did not honor his word, or followed up on what is supposed to be his due diligence, I am more concerned with the fact that FB is not interested in solving what is not happening with their new administrative setup.
Requesting a billing history for a client is a very simple and straightforward request. What's (not) happening within the system is really perplexing and points to the fact that outside of getting my money every month, they really do not care if they address or not the current fluke in their system so that I do get my document. Really shameful. I none of the conversations I have had with FB, have I felt their desire to solve the situation, mine of theirs! Even though I clearly indicate that requesting the billing history again the same way it had been done before will NOT solve the problem, that's exactly what they do!!! And I am still waiting for my Billing History or for someone to contact me! These are new people, it is not the same Florida Blue I used to know! Worth checking other plan options!
Reviewed Oct. 4, 2016
I have had problem after problem with this insurance since January. Everything from mistakes in billing, coverage, and their customer service is terrible every time I call. They do not care about your health and they make it impossible for you to get treatment. I have wasted so much time getting in contact with them so they can fix their billing mistakes is ridiculous. They have had me waiting on the phone for long periods of time, and some reps just hang up when they do not want to search for the answer to your questions. Stay away from this insurance.
Reviewed Oct. 3, 2016
I have had ongoing horrific experiences with BCBS of Florida since the Healthcare Marketplace Started. I have been "Canceled" twice in one year so far. Supposedly because I "didn't send in payments correctly" that I set up through their auto billing. I fell for this the first time, and then recently, guess what? It happened again! I get so many letters weekly from them that a consumer gets completely fatigued at opening them and if you miss one letter and don't catch all of their "announcements" you could be cancelled for multiple of reasons- and trust me they are pro's at "Losing emails" and "no account info". I reinstated my policy AGAIN in February and made sure that I set up auto draft for my monthly premium amount. I supplied my banking routing number and account number. The CSR said it was all set up and I assumed I was all good.
6 months later (after going to doctor's visits and having all my billed covered from BCSFL) I get a bill saying I owe 400$? For non missed payments? I called and was on hold for over 56 min before an incompetent employee said she had to put me BACK ON HOLD for another 40 min to see what was up. She verified I still had coverage but COULDN'T SEE ANY EVIDENCE I HAD EVER MADE A PAYMENT, here we are again!...
When she returned, she said she wasn't about to "view that part of my account" from her computer and had to put me on another hold to get me to the "Correct Person" and that I should call the Healthcare Marketplace to see where the ball was dropped. So I did, and the HCMP said they had no idea. So far, now I am here with no Healthcare AGAIN, and no one knows what's going on. Listen people, YOU'RE BETTER OFF PAYING YOUR OWN MEDICAL BILLS OUT OF YOUR POCKET, than dealing with this horrifically incompetent company.
Reviewed Sept. 30, 2016
I signed up for coverage with the Marketplace in August, for coverage to begin in September. Florida Blue was my only option. I paid my first premium, received a letter on Sept. 1 saying my application was being processed and that I owed $0.00. They finally cashed my check on Sept. 15. I still had no coverage. They told me it was because of a glitch with the new payment system. I was told I would be moved to a high priority category, and my insurance would be activated within 72 hours. It was not. In fact, the next time I called, they claimed I had never even made a payment, and that I just enrolled in the program on September 21, even though I had a letter from them dated Sept. 1 saying they had my application. That is actually what their records were showing!
I was required to "prove" I had paid, so I was told to email them my bank statement and the cancelled check. And then I was assured it would be corrected within 72 hours. It has not been corrected. I have paid hundreds of dollars out of pocket in September, even though I have paid for my coverage, and have proof they have my payment. I've called Florida Blue numerous times and they continue to lie and give me different stories each time I contact them. I am never permitted to speak with a supervisor. They always say there are none available. I have also been hung up on 3 times. I don't think those were accidents. This is absolutely the worst company I have ever dealt with. If possible, please avoid this company at all costs!
UPDATED ON 10/05/2016: This is the second review I have written about Florida Blue. Like the rest of you, it's been a nightmare for me. Calling their customer service reps is useless--please don't waste your time. They will hang up on you. I may have found a solution though. Yesterday I visited a Florida Blue Center in Ft. Myers. Here you can speak in person with trained, professionals who seem to want to help. And they cannot hang up on you! There are several centers throughout the state. I got my questions answered and I believe my specific issue will be resolved this time. I spoke with a service rep who literally said he was now my advocate regarding my situation. I have his direct email address, and know exactly where to find him. I learned most of the people we call at Florida Blue are new hires with little to no experience. They have no idea how to help us. I guess that's why they keep hanging up on us.
I know everyone can't find the time to travel to one of the Florida Blue Centers, but if you can you should. Best to go first thing in the morning, as they get very busy. They are open Monday thru Saturday, 9am-7pm. The staff there truly seemed concerned. I also suggest contacting WFLA Channel 8 in Tampa. If enough of us write in they might be able to help. The station already did a story about BCBS incompetence earlier this year. Now that open enrollment season is approaching, I think the media should get involved. If my suggestion ends up not working, I'll provide an update. Good luck everyone!
Reviewed Sept. 27, 2016
The company where I worked used to provide Florida Blue insurance. For almost 3 years I paid their services and the ONLY time I needed to use it, they never confirm my identity with the clinic so I have to pay out my pocket and submit the claim to Florida Blue. Well let me tell you this was a nightmare. I submitted the claim around June 2015 and I waited 3 month for them to process my request just for them to tell me I forgot a signature on the claim, then I submitted again. 3-4 month later they told me I was missing a tax id from the clinic, I submitted AGAIN... It was already 2016 and because they suck my company decided to go with another provider.
So I called again to check on my claim and they don't have anything on the system. They kept transferring my calls all the time so last person I talked to told me because I no longer have insurance with Florida Blue they can't pay my claim. They are just thieves. How is this even possible? Customer service is just non-existing. If you fax anything just forget about it... I rather not to have insurance than to pay for this crap.
Reviewed Sept. 26, 2016
I am beyond frustrated. It started out that I was given the incorrect effective date and I was being charged a premium higher than the plan I signed up for. Every time I would call I would get a different story. My insurance was cancelled even though I was promised it would not be while the issues were being corrected. I made a payment by MoneyGram to get it there fast; I was given specific instructions that I followed and it was rejected. Whenever I would call, no one could tell me anything. I sent another payment by Express Mail. Again, I was given specific instructions. I spent $25 and the payment should have been applied within 48 to 72 hours. It was lost; found 3 weeks later and finally applied to my account. I was with a different company through the Marketplace last year and did not have any problems. I switched over because BCBS has a good reputation and is supposed to be the best in the business.
On top of all of this, there was a spot found on my lung that I should have followed up on 3 months ago and I have not been able to because of ongoing insurance issues with Florida Blue. I am saddened by this. I don't like to bad mouth anybody but this has been a horrible experience. I'm just trying to get through the rest of the year without any more issues.
Reviewed Sept. 21, 2016
It appears it is taking over a month for Florida Blue to fix their computer system for payments. First we are told auto pay is being changed so you must pay your next bill, so I did. Then I get an email stating I'm past due. I spent a great deal of time holding on the phone to be told it was a computer glitch and I'm paid up to date. I still wasn't able to set up auto pay for my Oct bill. I just went into the system again today 9/21 to reset the auto pay, which they say you can, only to find that my current Oct bill is showing 2 months are being billed. On the phone again to be told I can give this rep my billing info to pay the bill and I can set up auto pay after Oct 1. I want my payment taken from my account Sept 30, but they can't do that. I'll have to call back on Sept 30 to make the payment then.
I used to work in the tech industry and if it took us over a month to get something right we would have been out of business very quickly. What bothered me the most is it appears the problem I had today they don't even know about. All they say is it's due to the inconvenience of the changing website. I don't know who they hire, but I certainly hope they do a better job with claims.
Reviewed Sept. 12, 2016
I have worked several years in the medical industry and I am disgusted at the service of Florida Blue. THEY will deny anything and everything even with Certified Medical Necessity signed by an active registered physician. Even when they DO pay it is below their fee schedule. They cannot even meet the UCR, Usual, Customary and Reasonable... a standard by which Medicare/Medicare sets and regulates. I am dumbfounded at the MANY times I have called and have been transferred to OUTSOURCED jobs in Jamaica, Indonesia, and The Philippines. It's not only a language barrier but then their Customer Service Representatives have NO idea what they are talking about and are basically reading a script.
I end up knowing more about the member's policy than the CSR and I feel that's disturbing. I have not only had many years of experience but I also have a degree specifically for Billing and Coding and have to maintain a TON of Medicare/Medicaid certificates that are done yearly. There is NO way that the CSRs I speak to with Florida Blue have these qualifications. IF I HAVE TO EXPLAIN what UCR is to their people then there is a problem. I suggest that if you are one of their members you look into OTHER health care. You are paying for a benefit that though it is covered, they are not paying and to me that's FRAUD.
Reviewed Sept. 8, 2016
I recently reported a "update life change" to the Market Place as required by law. Immediately this resulted in Florida Blue cancelling my [paid up to date policy] on August 26, 2016. My Florida Blue online account was also terminated, so I had no access to my past or present medical records. All of my physicians were told I have no coverage. My pharmacy called me that I could not pick up medications ordered due to cancelation of my health policy. I called Florida Blue. I had not been made aware of the termination {no letter was ever sent to me} so I wanted to find out what happened. Florida Blue stated to me there was a glitch internally they called a "business error." I was up to date on payments they stated. This took 2 hours to discuss. I was hung up on twice, waiting 25 minutes each time to have a new representative speak with me. I was promised this termination would be corrected the same day.
The next day I was still not reinstated to my private policy. I called Florida Blue, asking that they call the Market Place with me still on the phone. The Market Place was contacted and easily navigated with me and Florida Blue online to review that I was still intact on their website as a client and paid in full. The Market Place & the Florida Blue representative discussed this at length, reviewing that the necessary notice by paper exchange of internal documents was sent by Market Place had sent to Florida Blue. I was to continue my Florida Blue policy without loss of coverage time. Florida Blue asked a Market Place document again saying they needed them. [This took four hours on the phone together.] The matter was considered corrected by the Market Place, and Florida Blue apologized to me on the phone for the error. Florida Blue called the next day to my new eye doctor about my same day visit for cataract eye exam. I attended the office call.
Next day I was still terminated by Florida Blue. So I called Florida Blue again. I was on the phone an hour today and they hung up on me. This was scaring me. I am terminated and paying for insurance I do not have intact! At this point I called the Florida Insurance Commission for help 1-877-693-5236. I lodged a formal complaint. I am hoping for the best all is cleared up with this matter. **. email: InsuranceCommissioner@floir.com.
Reviewed Sept. 3, 2016
After hours on the phone dealing with incompetence and bureaucracy I still don't have an answer as to why my prescription was denied. Impossible to find a manager, they are always in meetings. I pay $1500 a month and can't get someone with authority to call me back or on the phone.
Reviewed Sept. 1, 2016
Quite possibly the worst online service I have ever experienced. Try calling? My call is dropped 50% of the time, and when it isn't dropped there is no representative who can produce a positive results. One time payment with a credit card or bank routing is non-existent. Ticket numbers mean nothing.
Reviewed Aug. 26, 2016
I had gone to see a neurologist about a severe back problem. The treatment recommended required me driving 45 minutes away for treatment as local facilities would not take Florida Blue. I went once and after seeing the Ct review they wanted me back ASAP. I went 3 days later. My insurance had been cancelled. The Dr offered to wait while I fixed the problem due to the severity of my problems with my spine. I was on the phone for 3 hours. Florida Blue blamed the marketplace and kept referring me back to the marketplace who in turn kept telling me I still had coverage and there was no gap and payments had all been made on their part. Florida Blue said I had made all MY payments and could not give me a reason why I had been cancelled. The doctor's office closed before I could finish the call. The dr. begged me to get this cleared up ASAP as the situation was precarious (her words).
On to Day 2 because Florida Blue closed. After 3 more hours on the phone demanding supervisors of each of the Insurance company and Marketplace staff. They got on a 3 way call and Florida Blue could no longer blame it on the Marketplace but could still could not say WHY I was cancelled even though I technically had overpaid by one month. They said it would be fixed as it seemed to be a medical emergency by the end of business today.
It is now 9:29 PM EST and my account is still closed as per the internet. I shall continue tomorrow but the Marketplace has called me an hour ago and said to call if it was not done by morning and they would handle it (hope so). I am so frustrated that they are so uncaring. A push of a button can cancel you but they kept saying BEFORE they figured out it was an emergency. It could take 30 days to fix it. I am 61 with a thyroid problem and high blood pressure and this spinal problem. I need RX and health care... NOW!
Reviewed Aug. 25, 2016
I have been a provider of mental health services for thirty five years and have never encountered such degree of incompetence and deliberate disregard for patient welfare and well being. Prior for seeing patients, I called to confirm the benefits for my patients. For the past six months I have sent multiple claims and have been denied payment. I have spent over 20 hrs on the phone with offshore 'representatives' who have no clue.
I have been told that all the information provided on the claims is accurate and I should resubmit for faster processing but the claims keep coming back "DENIED." I am frustrated, disgusted, and having read the horrific reviews, I wonder why a class action suit against BCBS is not warranted. This action has to be initiated by patients who have been unfairly denied service.
Reviewed Aug. 24, 2016
There are many, many stories of nightmares. Don't ever call the marketplace in the middle of your year. Don't do it if you get a raise, lose a job, get a new dependent. Florida Blue will cancel your account. Eventually "move everything over to new account" and charge you more. I have had too many issues with Florida Blue over the past three years. Currently I pay 14000 a year for three people and they can screw up the easiest issue. I stopped dealing with them. When I have a problem I go right to the Florida Insurance commission and file a complaint. That usually fixes things. The trauma and stress they have caused me is negligible. Class action suit??!
Reviewed Aug. 24, 2016
I had to quit my job back in March because of school. So come May I was looking for new insurance. I called BCBS as they were my old insurance company and talked to a representative about all insurance plans. He recommended Blue Select. I told him that I wanted to make sure that I will get to keep all my current doctors that I have now. His exact words were "yes, this is platinum insurance policy and there isn't anyone that doesn't accept it. It's top of the line insurance package." At over a $1,000 policy I would hope so. So come July when I had to go get my clinical shots I find out that my primary doctor doesn't take my new insurance, my pharmacy, the hospital where I will have to get surgery or my neurosurgeon. So has you guessed it I am furious that I was lied too.
I called BCBS today and spoke with two very rude ladies. One named Michelle and the other gave no name. I was told by both "we cannot do anything about it, you will have to find a new doctor that is in your network". They didn't care that I was lied to. When asked for a supervisor from the no name girl I was transferred to Michelle, who was very ** (I hate this word, but it's the best to describe her attitude on the phone with me). I asked Michelle again for a supervisor, she wanted to know why I needed one. I simply told her that poor customer service that I have received and being lied to about the policy I purchased. Her words were "I don't know how a supervisor can help you." I told her to please get a supervisor on the phone before I go off. I was on hold for 30 minutes to be hung up on.
Reviewed Aug. 6, 2016
I would like to know who bears the responsibilities of a commitment from an insurance company? When I call for pre authorization and document everything and later find out the agent didn't know what they were talking about, then getting stuck with a bill. What is my recourse. I am tired of the merry-go-round with Doc and ins companies... I recently sent back a device that aided an injured foot because I was told I would not be covered then found out ins company paid after I returned the device. Now the Doctor has payment for something when there should have been no bill and I returned something I needed... Just aggravated.
Reviewed Aug. 5, 2016
Beware!!! I have spent over 2 years trying to get FL Blue to correct all the incorrect monthly billing statements they have sent. I was first set up for them to withdraw my monthly premium. For some reason, which they could never explain, they started taking out a whole lot more money than the amount due. What a nightmare this started. As of today I am still dealing with incorrect billing. I now get paper statements and they still can't get the amount due correct. I have submitted many, many requests for a review of my account but the department responsible has not performed their duties. They just want more money without explanation.
Also, keep track of your out of pocket costs! Last year I was given different dates for when we met our out of pocket. It kept changing. I again requested a review of the account, and again it was never completed. If you use them, keep track of ALL claims and your monthly statements. Do not trust anything they do. Take detailed notes each time you talk to them. Start a folder and be organized. I would change insurance companies but unfortunately they are the only one I can afford. I guess you get what you pay for, even if you pay too much. I just wish there was someone I could contact who could hold them accountable. If you have any suggestions, please let me know!!! They are taking advantage of people.
Reviewed July 27, 2016
BCBS FL Customer service is a nightmare. This Filipino's worth just a dollar in a month. If you call to fix any issue on your denial claim they will never solve your problem because they don't know how to fix it. Just to check claims status they will take minimum 45 mins. I'm serious. Thank God they have Availity. But once your claim is denying incorrectly I bet you will cry to get it reprocess. Their process knowledge is zero, politeness zero. There is nothing I can give them a positive comments. WORSE WORSE WORSE Customer Service. They need proper training. Right now I'm calling to BCBS FL and have been holding for more than an hour. Wasting time.
Reviewed July 22, 2016
I have been in the medical field for over 30 years now. BCBS of Florida has turned all accounts over to the Philippines or New Mexico, we can't talk to get any patient's benefits or if they need authorizations unless we go through off shore. They are extremely rude. They don't care if they provide us with the incorrect info on our patient's cause what are we going to do. If we ask to speak to someone in Florida, they state they are no longer allowed to transfer us to Florida.
We have called our Provider Relations, Credential Department and they say there is nothing they can do. Ok, wake up, we signed our contracts with BCBS of Florida. You patients did as well and pay your premium to Florida, did you know you are calling a toll-free # but speaking to someone off shore? That is why you are receiving the rudeness and never mind your HIPPA rights. They have all your information to commit identity fraud. So if I was all of you I would call my local Insurance Commissioner as well as the Attorney General.
Reviewed July 20, 2016
I have had MyBlue insurance in 2016. It's the end of July and I have not been yet able to see a primary doctor. Every time I am assigned one, when I try to get an appt. They are no longer accepting this plan. NOT EVEN THE COUNTY HOSPITAL'S Doctors! Last Dr assigned was a nephrologist. Not even a primary! When I got to their office SURPRISE! Customer service is terrible. This company is crooked and a bunch of thieves. Takes premiums and we have NO access to medical care!!! Do not sign up Florida MyBlue!
Reviewed June 27, 2016
Through an unexpected back injury in September, 2015... I was suddenly thrust into the world of Marketplace Insurance, since I was/am no longer able to work. I had NO INCOME, but FL could ONLY offer an exemption on being penalized on my taxes OR purchasing insurance via the Marketplace (based on my 2015 income). I was still hoping to get my injury fixed & chose FL BLUE HMO PLATINUM, thinking I would/could get the BEST medical care (ALL of my doctors were on the HMO list at enrollment in December, 2015 through an insurance AGENT).
They began denying things immediately, although I did not become aware of it for weeks/months later when I got billed. For example: FL BLUE approved a urine sample, but denied the URINE CUP (how is this justified?) Stalled for 2 months on a medication that my doctor sent 3 separate requests for because FL BLUE kept saying they never received them. Then decided it was a specialty RX at $300 Co-pay a month on top of the $600 premium I was paying.
I had NO INCOME & qualified for Medicaid in March, 2016. I had already paid for March & they refused a refund, so I called on 3/23/16 them to cancel as of March 31, 2016... I also contacted my insurance agent to cancel them. As of TODAY (June 27, 2016), FL BLUE refuses to cancel my policy & has gone into every medical record I have to make themselves the PRIMARY insurance. This BLOCKS my Medicaid from helping me.
The Marketplace + Medicaid have attempted to force FL BLUE to get OFF my records...to NO AVAIL. FL BLUE has denied medical appointments, procedures & medications that were ALL made through Medicaid. They have virtually STOPPED all of my medical treatment & NO ONE can stop them. Since when does an insurance company continue coverage after 1 day of NON-PAYMENT...let alone 4 MONTHS of non-payments??
We are forced to get insurance now OR be penalized by the government. WHO IS WATCHING the INSURANCE COMPANIES?? I spent ALL of my savings on medical insurance, out of pocket for denied claims & have LOST 4 months of medical care...by abiding the law. I am being held HOSTAGE by an insurance company that realizes NOTHING was put in place to STOP THEM!!
Reviewed June 25, 2016
My first time with Florida Blue hopefully my last. Since I signed up with Florida Blue/Marketplace 01/2016. I have had nothing but a headache dealing with them. Long wait times, poor, horrible customer service, cancelled in error on numerous occasions, very inconvenienced so therefore I had to wait longer to go to a doctor, because no insurance. The new policy they issued they made it effective January 2016 instead of May 2016, another error so they cancelled the new policy to issue an effective date of May 2016 and charged another binder payment which was very stupid. It's really sad that I have gotten to the point. I do not want to contact them for anything, I rather pay out of pocket. Florida Blue/Marketplace need to get it together. Just horrible!
Reviewed June 24, 2016
I saw your article about Florida Blue Health Insurance coverage. When I first enrolled with MyBlue I thought I was upgrading from Coventry which I had since the beginning of the Government Health Insurance. I checked before the switch to be sure my primary physician and others accepted this plan. Shortly after beginning, my primary physician stopped accepting Florida Blue (MyBlue). When I tried to find a different PCP I found that the only ones that accepted my plan were at the county health clinics, where for the most part is for people with no insurance and the homeless.
Everyone that has the MyBlue Silver plan is being affected. I assure you that is more than they are claiming. How can we get help?
Reviewed June 15, 2016
Customer service is horrible. They treat you as if they don't care because they don't. You can get no help whatsoever and when you want to ask me to a manager there is nobody, only a supervisor who won't do anything but try and get you off the phone. You cannot get an appointment to see any primary doctors because all their appointments are two or three months out and they don't care to help you. I finally got an appointment with a doctor but because their website says they are no longer accepting new patients they would not make them my primary but I still have no doctor's appointment. I call them for help and they tell me to go to an emergency room. One big joke of a company. I will never ever use their services again and canceling insurance immediately.
Reviewed June 6, 2016
FL Blue has now decided to no longer cover my MS specialty drug Copaxone and none of the plans offered to my employer have this coverage. No one has been able to answer my questions, no one calls me back. I have to go through the drug support staff to get results between FL Blue and Caremark, the prescribing pharmacy and it usually takes at least a week. I am on a 40 mg injection drug, taken 3 times a week and it takes 10-12 days to get it refilled. Discovered after 2 months of inquiries and a ton of paperwork, I cannot be on this drug, the best one on the market, anymore. Just in time for re-enrollment in my employer's plan this week.
FL Blue has denied paying 5 claims, back to September, by contacting Caremark, who contacted my neurologist to tell me, some months paid, other denied, and the pharmacy cut me off. It took me 7 weeks to get a refill, and now today, is another delay of 12 days, to get authorization of a monthly refill. Third time. I have a Notice of Action to refill this prescription through 2/10/17 between FL Blue and Caremark but now they tell me they are no longer covering this drug on ANY plan. Florida Blue is the worst, customer service that transfers you to departments that can't help you and you go in circles. After an hour and a half, some girl told me I had to pick a different plan when re-enrollment comes up. Well. it's that time and now I am being told none of the plans are covering this medication.
Reviewed May 24, 2016
Changed my policy in October 2015, without legal authority, which changed benefits from co-pay to co-insurance subject to deductible. Prior to and subsequent to October 2015, my plan was a $20 co-pay. I appealed this beginning in November 2015 by contacting 4 times via email and not once did they reply. In March 2016 I finally got in contact with the supposedly correct person who said he would reprocess the claims and he never did. I called back in late April and was told they would reprocess the claims. They never did. I sent a scathing email with lots of cursing and got a reply stating they would correct the problem within 2 weeks - they didn't. Called today and they are ignorant. Time to send certified letter to CEO.
Can't access online bill pay. Says "page not available". Billing statements show I owe no monthly premium so I called. They said they owe me $900. Really!? So how many months premiums is that? Didn't notify me at all to see if I wanted refund. They have too many ignorant jerks and ** who try to stonewall you because they're too lazy. Called today 5-24-16 to ask who a claim was paid to and repeated told me "the provider" despite my repeated request to know "what provider". Finally she told me but when I asked about another claim, she hung up on me.
Oh, by the way, I have never spoken to an employee who isn't **! Want to know about providers for radiology?! Don't rely on their site! Might be the Radiologist is covered, but not the facility where they're doing the imaging. They don't tell you that! So you show up to the hospital where the Radiologist is thinking you're covered and then find out you have a separate bill from the hospital which is covered by co-insurance, not co-pay. They don't explain (because they don't give a **) that you have to find both a Radiologist and facility that is covered - a task that took me 2 weeks to find when I was out of state.
Reviewed May 20, 2016
I call FB and told them I was turning 65 in May and wanted to know what I needed to do as I was going on medicare and my wife was on my policy. I was told to call back a month before my birthday which I did. I was then told when I signed up for my wife that everything was handled and my wife got a new policy and they contacted healthcare.gov and everything was finished and nothing we needed to do. To my dismay the only thing gone he started a new policy for my wife and did nothing with the 2 policy they were to cancel. After 5 to 6 calls to FB I was informed that my policy was not cancelled and it would take a month. Now I am getting late bills for the policy that was to be cancelled and I am paying for my wife's new policy. I need help!!!
Reviewed May 3, 2016
I live in the Orlando, Florida area where the major hospital here is "Florida Hospital", but it is not on the list of accepted hospitals for Florida Blue. Trying to have surgery is a nightmare! Today I spent 3 hours calling and waiting to speak to people on the Florida Blue customer service line. After several very long, discouraging, and fruitless phone calls, I learned that everyone you speak to is in a "call center" in the Dominican Republic. The place is loud, the people don't help you, and they deliberately put you on hold while they pretend to "check on something". I wanted to throw my phone!!! Florida Blue is the worst company ever.
Reviewed May 2, 2016
This company is beyond bad. I had a problem with my bank account and had to cancel my policy under the impression that I could reinstate my policy back on. Literally one day later I called back and they did not allowed me to reinstate the policy, told me that they have no notes on the account about the agent telling me anything and there was nothing they can do. Rude, short answers, and not willing to help at all. Seems like a company that do not care to keep me as a client or try to help at all. Do not recommend this company at all.
Reviewed May 2, 2016
I signed up for insurance through Healthcare Marketplace. When comparing plans, there was nobody even close. First 2 office visits at no charge. I see a Dr. monthly for a chronic issue. He is a internal medicine specialist. He is a upper-class Dr. so I wasn't surprised he was not on list for in network. I had bronchitis and he wanted to do some test in office. I was reluctant because I thought I would have to pay out of pocket. Staff told me that insurance covers it. Next visit I basically got a physical also with blood work. Dr. office told me they would submit claim and then I would owe the difference. Next month came they told me "Insurance covered everything 100%." I only have 1 negative issue. One of my medications is on a amount limit. I take 2.5 pills a day, they only allow 2. I have to pay out of pocket the 15 pills a month. I am saving a ton money, compared to before I purchased policy. We are on the 5th month of coverage and no issues.
Reviewed April 30, 2016
I have been with Florida Blue for three years and taking the same HIV meds for seven years now. Today Florida Blue is now attempting to tell my doctor what medications I should be taking weather it is a good choice or not. I take my meds and have no major health concerns. When did Florida Blue get in the business of telling doctors what medications will work best.
Reviewed April 27, 2016
On 12/2015 we signed with Florida Blue thru the marketplace because it had all our Specialists and PCP at the University of Miami. My husband has cancer and it's on the list for a multi organ transplant so it's very important that he continues with his Doctors. In April we were assigned of PCP from a clinic by the name of Clinicasanitas. After hundreds of calls and treatments cancel because we needed referrals but they had changed our PCP. They continue to state that UM Doctors had close panels and that's the reason they changed our PCP. I called UM many times and they always stated that all their Doctor's panels are open except Dr. **.
Finally I decided to visit the office by The Falls and was greeted by a Colombian man. When I stated that my husband has terminal cancer and that he needed to see his PCP from UM, he said "That's life. My mother has cancer in Colombia and I cannot do anything." Can you believe the low standard of professionalism of this man? Finally he said that all UM Doctors were not accepting Florida Blue and like it or not we had to pick a PCP from Clinicasanitas because the PCP's of UM were not accepting Florida Blue since March. He claimed a letter was sent to the members informing us of this situation. Letter never arrived.
When I called UM they stated that this was not true that Florida Blue is the one that does permit patients to have a PCP from UM. I ask you if we picked that insurance because the PCP and all the specialist were listed in their booklet how can they change it from one month to another? Aren't they suppose to wait a year and inform you so you are aware of what's going on? Aren't they in some type of violation to the patients and jeopardizing the health of the patients? Stay away from them. They are rude, unprofessional and inhumane.
Updated 5/21/2016: After my precious accident which I reported and finally had no choice but to get a PCP from CliniSanitas. Now yesterday I went to make my monthly premium payment and I was unable to do it. They stated that I needed to contact them, which I did. Well guess what they cancelled my policy for non-payment, no letters received, nothing at all. They claimed I had made my last payment in March which is incorrect. My last payment was made directly to them on 04/28/2016. They are thieves, they don't care about their customers. Please do not get this insurance, it's a piece of **.
Reviewed April 26, 2016
I've been dealing with Blue Cross for almost two months for a refund they promised they'd return to me. First they said it would be in my account 3-5 business, two weeks pass no money. I call them after two weeks. They told me they didn't have an account number and that it would be sent through the mail. A month roughly goes by, and still no check. I called them up today and they said that it hadn't been sent out. And that it just got approved today. Today through the billing company. I call the billing company and they said that they have no clue why it hasn't been sent out yet. And that it had to go through the problem department. When I asked for the problem department's phone number, she couldn't supply one. She as in the phone representative that goes by the name Shelzia. She said that she will call me back and that is what I'm waiting on.
Reviewed April 20, 2016
My family has had medical insurance with Blue Cross and Blue Shield HMO State of Florida since 2014. I have corresponded with them and the Marketplace and in 2014 alone, have spoken to 200 representatives over the phone. By speaking to representatives and supervisors, I was eventually in tears about every time I had to call. Now it is 2016, and we still need medical insurance. My son who has epilepsy since age 15, trying to get the correct medication for him has been really a chore. The insurance of 2016 is quick to approve a generic for him, but in the past, he was been on several generic medications and he has had seizures on those meds. The only medication that works for him is Lamictal XR (extended release), it stays in his system.
They will approve Lamictal only (not XR) if I pay a "Penalty Charge" of $2443.08 for 1 bottle of 180 pills. No one I know of can pay this. The doctor put in an appeal, which was denied and closed because they did approve Lamictal, but at an enormous price that I cannot pay. So I filed a second appeal, and I intend filing a complaint with the State of Florida Insurance Commission. PLEASE, PLEASE, do not get this insurance company with Obamacare. The Marketplace is just as bad, and I have been on hold over the phone with the Marketplace for FOUR hours before. Good luck to you all, but when the rubber meets the road, Florida Blue representatives and supervisors have no empathy for anyone, no matter what your situation is. They are all about policy, policy, and believe me, there is always a way to work it out, just not with Florida Blue Cross and Blue Shield!!!
Reviewed April 12, 2016
They have rejected every claim sent to them saying I am not insured then when I call they state that I am insured and they are not sure WHY it is kicking claims back. They say it will be checked into and they will call back and no one ever calls back. I have called two days in a row and their systems are down and they do not know when they will be back up. In the meantime I have doctor's appointments that they give preauthorization for and then do not pay.
Reviewed April 11, 2016
This is a very bad company. I had an insurance with them in 2015 that I never used. In 2016, I took a new coverage with this same company. They did not cancelled my previous insurance. So, from this previous account, I have a huge delinquent amount of money according to them. They said that for cancelling this account I have to call the Marketplace. I did, I called the Marketplace and they cancelled an account, opened a new one. They did this many times. Now I have more than 3 accounts with Florida Blue. However, any of them is active. So, I actually do not have an insurance right now.
I have been trying to solve this problem for two months now. Every time I call Florida Blue is about 1.30 hours. At the end of the phone call they say I have to wait 8 to 10 business days. Florida Blue does not make the changes. I spoke to a supervisor and she hung out on me. My problem is unsolved. I have more than one account active and none of them is good, if something happened to me I do not have insurance. I DO NOT RECOMMEND THIS COMPANY. As citizens, we need to know that the only way to stop this company is to stop giving them our money. Next year do not select them as your health insurance company. We should place a collective complaint.
Reviewed April 10, 2016
It is now April, and I have been fighting with Florida Blue since January. They signed me up, and sent me an introductory letter and membership cards. I have paid my policy every month, but they say I don't have insurance. I have talked to fifteen people at the company, including five supervisors, and they have given me five "escalations," which means they looked into my situation, but they still can't find my paperwork. I have hired an attorney with a $2,500 retainer to get the thing solved, because my wife and I must have health insurance. We don't have $2,500 to throw around, but we have exhausted our capabilities with this company. They don't care, and we can't sleep because of the worries. What a nightmare, all so we can get health insurance.
Florida Blue Company Information
- Company Name:
- Florida Blue
- Website:
- www.floridablue.com