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.
Visit www.floridablue.com- 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 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.

Reviewed April 6, 2016
I have had Florida Blue through my previous employer and recently through Cobra. With a $405 premium they refused to pay for a $50 per month generic medicine. I even filed a complaint with the insurance board which was absolutely useless. They go out of their way to not pay claims, and most of the time I paid more than they did. This is by far the worst insurance company I have ever had. They just take your money and stick it to you. Last time ever I would have any Blue Cross coverage. In fact, I chose to be uninsured since they are one of the few in the "Marketplace". I hope people start reading these reviews so they don't get stuck like I did.
Reviewed April 6, 2016
BCBS of Florida HMO customer service is horrible. They are very rude, incompetent and just downright NASTY. They have hired a bunch of NON-educated baboons! I have seizures and I was showing inactive from their incompetency and couldn't retrieve my seizure medicine from the pharmacy for two weeks! I would like to get out of this contract and go back to UHC. I will seek attorney if need be. Please respond! My mother has the same insurance and she is now inactive for no reason. She needs her heart meds. Guess what? 2 weeks waiting period!
Reviewed April 4, 2016
This company is manipulative. It took part in Government Marketplace in 2016 presenting several plans "hunting" for government money and presenting network size for each as network for entire BCBS. When you finally come to the doctor in 2016, you discovered that doctor that was in network upon your signing to the plan actually is not included. I live in Lakeland, Fl. It has major clinic in city, actually only one clinic with full complex of medical services, but that clinic is NOT in the plan they assigned upon signing for the plan. So they offer a bunch of Walk-in clinics with specialist who know how qualified for Primary care... Collecting $800.00 a month for such plan. Specialist - somewhere in 20-30 miles away again in medical facilities without any reputation and questionable liability.
Customer service representatives are extremely rude, incapable to give you any sensible information, have no manners, talk over customers and their supervisors are even worse. I am going to file official complain to Florida Commissioner as such kind of business shouldn't even exist with its abusive attitude and robber's manners. I will recommend never to choose this pseudo-insurance of doubtful reputation. We can't trust our health these criminals! My reference # for last act of communication is # **, the name of Supervisor - Kristine. I will do as much as I can this person to be in charge for the attitude and manners she demonstrated in our communication. Why should my money to go to paychecks of such nasty people? Do NEVER go with this insurance. Ever!
Reviewed March 23, 2016
I received a USB flash drive in the mail from Florida Blue with a letter advising that if I want a paper copy of my Benefits Booklet instead of an electronic one, they will send it upon request. So I called to request it and had to first navigate through that voice mail prompting crap then wait on hold for over 15 minutes for a rep, then the lady I finally spoke with said I could get it online. Duh, that's the purpose of my call. I don't want to get it online. I explained I was promised a paper copy upon request if I called. Don't they train their people? After much back and forth, she told me her computer was down but promised she'd order it and send it. Well, what I received was two more ID cards that I didn't need and no booklet. I'm just one person, why do I need three ID cards?
By this time, nearly a month had passed waiting for that booklet, so I called again. Another 15 minutes on hold. This time I talked with "Gabby" and she too told me I could get it online. I don't want to get it online. That's why I'm calling a second time, because I want the paper copy I was promised. I shouldn't even have given them a reason because it feels like I'm having to argue over my right for it, but I did.
I don't have a working printer and I don't like reading things online because I get seasick from having to scroll back and forth, up and down. I also like to hold paper in my hands and curl up with it the old-fashioned way, as in reading a book, and more importantly because this gives me a hard-copy from them, an unalterable permanent record that doesn't suddenly change electronically, something that I know won't suddenly get edited and disappear in the blink of an eye and turn into a my word against yours type of thing if or when they decide to deny a claim.
I explained each time that I just want them to follow through with their promise in their original letter that I would receive a paper copy upon request. It's a really simple request. Well, it's been another three weeks and still nothing. So here I am still waiting and this morning I get a call from a Florida Blue telemarketer wanting to go over my personal information and plan and I pretty much bit his head off. Go over my plan when I haven't gotten my copy yet? For all I know he could have been a scammer calling me out of the Blue like that (oh wasn't that cute, but please ignore the pun). So I asked this "Gary" where my paper copy was and he went into the same old you can read it online thing and proceeded to offer solutions, apparently to avoid the work of sending me the paper copy. Ahhh! I pretty much overreacted, but you know I hadn't had my coffee yet and then when he suggested I call customer service again I went nuts.
It takes a whole lot of energy and ANXIETY just to call Florida Blue. For a former account executive like me who has spent her life in sales with a phone hanging out her ear, having to hold for several minutes time after time, then have to argue my case, only to come up empty again and again is very frustrating. Don't these folks know that you don't argue with the customer? I asked for Gary's last name and he wouldn't give it and I asked why not, he has my last name, why can't I have his? I mean, we're doing business together, right? I told him there was something seriously wrong with THAT.
Well, before I hung up I asked him never to call me again. So now it's time I pull myself together to consider my next move. I guess I should try harder to show some restraint, but the bottom line is why am already anticipating another argument and having to once again beg for this paper copy for a 4th time? I won't settle for having anybody but Florida Blue print it for me. Now I'm working off of principle; Florida Blue needs to follow through on their promise and send the printed copy. Thank you for listening. I feel better after sharing my frustration about Florida Blue with the world.
Reviewed March 23, 2016
On November 28, 2014 I was taken to the St. Joseph's Hospital Emergency room for cardiac arrest by the City of Tampa Fire Rescue Services. I presented my Florida Blue Select card upon admission to the ER. Later it was determined that I would need a heart stent installed by a Bay Care Group surgeon. Florida Blue Select has refused to pay St. Joseph's Hospital citing they were a out of network provider. At no time was I informed of this information while I was in the ER care nor the procedures which followed. Even if I had been informed I would have been in no condition to make a change in locations or the surgery in the condition I was in.
I have recently met with the St. Joseph's Hospital financial department to review the matter and I was informed that they had dropped Florida Blue Select due to payment/non-payment issues with them. I also learned that when Florida Blue was issuing the policies that they were informing the new policy customers that St. Joseph's Hospital was in fact an in-network provided. St. Joseph's Hospital has turned the bill over to a collections agency and I have refused to pay the bill until such time I can have the State Agency investigate the unprofessional and wrong doings of Florida Blue Select. It appears there is a lot of complaints regarding the sale, payment and history for non-payment/complaints etc. concerning the Florida Blue Select policies that they don't even offer the policy any longer.
Reviewed March 18, 2016
I canceled my policy through Florida Blue and the Marketplace but I am still receiving bills Florida Blue says I am delinquent on. Florida Blue is the scourge of the insurance industry. FIND ANY OTHER PROVIDER for your own sake and and peace of mind. Thanks Mr. Obama for letting corporate america ** its citizens. I will no longer call him Pres. Take a hike Florida Blue and Mr Obama.
Reviewed March 14, 2016
I cannot describe how frustrated and upset I am due to the lack of common sense people in the Health Marketplace system has. Marketplace neglected to cancel my previous policy. I got a new insurance for 2016 and had requested cancellation of my old policy for 2015 and now I have two active policies. Florida Blue still sending bills for the previous policy I cancelled. I have spoken to Marketplace twice and they say it will take 30 days to close my previous policy. Besides that the providers are billing the wrong policy even though I updated my insurance information and Florida Blue says I am delinquent with my premium.
This is a Headache I do not need and I am not guilty of. How absurd is that in order for me to cancel my insurance policy I have to request permission from Marketplace. I strongly believe Florida Blue is doing business with the Obama Care as they continue to receive the subsidy for every policy the common citizen cancels. Please solve my situation, it is a matter of logic and common sense!
Reviewed Feb. 24, 2016
I started having issues with my health insurance with Blue Cross of Florida since 12/21/2015. They assigned me to an HMO when in fact I wanted to continue with the PPO that I had carried all year long. In January my account started showing that I had 3 policies in effect. I have spent over 65 hrs on the phone for the past 2.5 months trying to fix these issues, spoken to the Marketplace, Blue Cross billing Department, customer service, Supervisors, and still nothing has been done. As a result I couldn't see a Dr during the month of January (paying for a service that I never got).
Finally starting February it was briefly fixed and was able to see a Dr. Now all my claims are denied. The pharmacy is billing me for my prescriptions and Blue Cross just says "we are sorry" but nothing improves. Now I cannot even make my policy payment online. NIGHTMARE. I wish I knew where to send my complaints to have something done. This Company needs to be regulated, reported. They need staff that knows what they are doing, need to be re-trained or take out of the marketplace as an option. Their negligence and inefficiency goes beyond comprehension. How can Our government allow these situations to take place? They are using our hard earned tax dollars after all. Instead of providing a much-needed service they are creating problems, teaches and unnecessary stress, and we, the consumer have no place to turn. Let's unite and report companies and situations like this so that things can change.
Reviewed Feb. 18, 2016
The company I retired from had Blue Cross ins. They were out of Maryland. I never had any problems with them if I needed insurance. I moved to Florida three years ago and kept the same ins. When the affordable care act came out my ins dropped me and told me to go to the open market and purchase what I want. I decided to stay with what I had (or so I thought). About two years ago, while I was on my old ins, I had a back injury. The pain was horrible and I tried everything under the sun to help it. After almost two months the doctors finally told me that I would have to have an epidural injection. I wasn't crazy about the idea but I was willing to try anything at that point.
It took three injections to do the trick but it worked and I was pain free for about two years. Now it's back and the pain is just as bad. I tried conventional methods first of course, pain pills and all the other things they tell you to do. No luck, the doctor says I will need more injections. When they tried to get the pre-approval from Florida Blue, they denied it. Said it was not medically necessary. I'm lucky to be able to sleep 3 hours a night. I can't do anything that requires me to bend or twist, can't ride in a car very long, have to be very careful not to step off a curb with my right foot. Sometimes the pain is so intense that it almost makes me vomit. Yet it is not medically necessary. They don't care about anything except money.
Reviewed Feb. 12, 2016
We purchased Florida Blue through the Marketplace. Before buying the benefits it said "35 chiropractic services". Once we got FL BLUE again they confirmed (more than one rep) that we get 35 services. Our chiropractor (and many others in network) are only able to give us 5 adjustments because ASH (the company FL Blue uses for dealing with the claims) denies us after 5 visits. Our chiropractor has 71 other patients with Blue that get denied after 5 as well. When I or my provider try to contact Blue they say, "You've got 35", BUT if you contact ASH because they deny anything over 5 adjustments they will give no reason and say they will only disclose info with Blue on the line too! Call Blue and guess what? They won't call ASH with me on the phone or at all. They say it's between ASH and my provider. Sickening.
Reviewed Feb. 1, 2016
How can I complain and get help regarding the terrible service of Florida Blue (BC/BS) health insurance. Since healthcare marketplace has suggested a BCBS plan for us we are struggling. Had to change to a family doctor that we don't want (don't know). All doctors that we had in 12 years are not in network. Even if they state on their website (99% the website doesn't work due to technical error), that a doctor is in their network, when you call to make an appointment it is not true.
Reviewed Feb. 1, 2016
I have been terminated by mistake and have spent the last 6 weeks trying to get someone to resolve this issue. I have made my payments on time and have actually paid more than I should have because of bad information from the marketplace. So here I sit with no insurance after paying literally thousands of dollars, can't pick up much needed prescriptions and am getting invoiced for procedures I had done while I should have been covered. No apology from them even though they admit to mistakenly terminating my coverage. Ready to lawyer up and take these jerks to court. DO NOT GET ON BCBS INSURANCE!!!! I WOULD NOT EVEN GIVE THEM ONE STAR.
Reviewed Jan. 28, 2016
I have tried to use my Blue Cross 3 times and 2 of them are worth telling the public about. The first time was in 2015, I read my plan and saw that I am entitled to 1 physical per year paid by Blue Cross so long as I go to an in network provider. My experience at the doctor was quick and impersonal. About a month later I received a bill from the doctors office saying I need to pay or I will be taken to collections. I immediately payed the $250 then called Blue Cross.
Over the course of 1 year I continued to follow up with Blue Cross. Each time I became more frustrated as they gave me the run around, I have stopped trying and am looking forward to soon canceling my plan with them. It's not worth my time to speak with these people who can do nothing for me even though they admitted it was a covered doctor and service. I have records of these conversations and after about 6 months of trying they finally broke and told me what was going on.
After they admitted that I should not have been responsible for the payment they proceeded to tell me the doctor was not supposed to charge me for the coverage and the contract Blue Cross has with that doctor is the doctor is supposed to cover that 1 time physical. I explained to them that I pay $658/mo to Blue Cross for Blue Cross to cover this, your dispute with the doctor should not leave me paying the bill. The reps for Blue Cross have agreed with me 100% but they are clearly under poor leadership who does not give them the authority to take care of a customer.
The other complaint is currently happening. I actually was injured and I need an MRI. My doctor ordered the MRI. I scheduled the MRI 10 days in advance and took time off work for the appointment tomorrow. My MRI doctor just called and said Blue Cross has not released the approval so they will need to cancel my appointment.
My premium has just been raised from $658 to $750. Last year I paid this company $7,896, I had to make over 10 K to pay them and what did I get??? I wasted my time on hours of phone calls trying to get them to pay for my 1 physical!! Follow the money and I am sure it will point to Greed and corruption. Look around and you will see them spending 10's of Millions on new fancy office building and for what? The computer stations in those office buildings are as nice as top Private Equity companies in New York. Who are these people and when are the American people going to stop pointing fingers at politicians and confront the real crooks?
I can't wait to cancel my policy with them and feel sorry for anyone who is required to pay for this garbage. Never once have they given me a call to see how my health is or remind me to get to a doctor. My car sales man showed more value, manners and service not to mention he gave me a car for my $10 K that I gave him.
Reviewed Jan. 26, 2016
Signed up for Myblue through Florida Blue to have coverage Feb. 2016. Got coverage, paid my first premium BUT... to my surprise... closest doctor is 25 miles away, and the number of doctors is so limited (5) that accept the plan. A class Action lawsuit is being filed, but in the meantime... no doctors. We all know all insurance, especially health insurance is a total scam and this is what you get when the insurance companies write Obamacare.
Reviewed Jan. 22, 2016
I spent over an hour on the phone with BCBS of Florida in an attempt to cancel my policy. I have spoken to 7 different people and have been given and sent to extensions that are not active multiple times. I am an in-network provider for them and their provider services and personal services are clearly designed to either not pay you or annoy you so much when trying to cancel that you give up trying. Their customer service is subpar and I am quite disappointed. I am glad as of today my money will no longer be lost on them.
Reviewed Jan. 22, 2016
I hurt my spine doing something at home. I was bedridden in complete agony and needed to have a Nerve root block (spinal injection). It has been a week of lying in bed in blinding pain waiting for the preauthorization to go through and I am losing a week's or more of pay from work since I am in too much pain to walk. This is an emergency. I am in bed crying all day from the pain. ERs all refuse to treat back pain because they believe that 100% of people with back pain are drug seekers, therefore the spine doctor is the only option but my insurance will not let me see them.
I called and complained to supervisors that it was an emergency and I could lose my job and have been suffering in agony for a week. They all said they cannot do anything about it unless my doctor called the insurance company themselves and spent an hour on hold to possibly never speak to somebody. Good luck getting any doctor on the planet to do that. If you have a non-life threatening emergency with this insurance, you cannot receive treatment until a week later.
Reviewed Jan. 15, 2016
Wife broke her foot and went to the ER. According to our policy we pay a copayment and ER physicians are covered in full. In the end I had to pay a copayment of 200 and an additional 775 to the hospital that FL blue did not cover. Basically their policy is an outright lie.They paid part of the ER bill but they say the hospital can and did bill separately and that is not covered. So why does their policy claim you pay a copayment and that is all when this is clearly not the case. Their policy makes it seem like you are covered for an emergency but they paid very little of the bill. Obamacare forces us to have BS insurance that pays nearly nothing. I would have been better off to to ask for financial aid from the hospital and received a cheaper price.
Reviewed Jan. 14, 2016
I have had IBS-D for many years and in the past 3 years has been more severe. I have Florida Blue insurance through my employer. My prescription plan covers the drug but required prior authorization and limited quantities. My GI doctor provided two prior authorizations as well as limited quantities. 42 pills - Xifaxan (which is an antibiotic).
The prescription was denied and without getting into a lot of detail, they indicated that I needed to have been prescribed 'tricyclic antidepressants' and failed before they would approve the drug. OK - my doctor indicated no need for the antidepressants - as the thought is the antibiotic (only one of its kind) takes out the bad bacteria in your colon. I filed an 'internal appeal' and was again denied. I am continuing to move forward with an External Appeal. My question is how can an insurance company know more than my doctor?
Reviewed Jan. 14, 2016
Not sure if it is Florida Blue or their providers in their network. I've been charged at every appointment & should not have been. No sure FB or their providers know what they are doing. Patient is stuck in the middle of fixing mistakes. Get IT TOGETHER!
Reviewed Jan. 12, 2016
I paid my first premium under ObamaCare so I would be covered on Jan 1, 2016. Florida Blue took my money and I still as of today Jan 12, 2016 have no coverage. I am out of my medication that I need and can't get my blood work done and can't go to the doctor appointment I have. The medication I use for my illness I am now having withdrawal from. I am puking, dizzy, hurt all over having anxiety attacks panic and attacks and I'm sure my cholesterol is going up as well as my blood pressure. All they can say is wait while they try to figure this out. Or go and pay and then send in a form for reimbursement. Haha sure I'm gonna go and pay 900 dollars and hope you send me back my money. You stink.
Reviewed Jan. 12, 2016
I have been on certain meds for GERD and other conditions for a long time. My NECESSARY medications are excluded Florida Blue! Before getting coverage we checked on physicians, labs, imaging facilities, etc. However, after becoming Blue, we are BLUED. My main meds are excluded. It is time for National Healthcare and eliminate this unnecessary middleman that charges money in exchange for nothing but aggravation. Our hard earned money will not even go toward the out of pocket or deductible. What benefits? Shame on YOU Florida BLUE!
Reviewed Jan. 3, 2016
Cannot get a human on the phone - username and password (written down so I know they're correct) do NOT work on their site. NO ONE available at CS - at ANY phone number. No way to reset either without Member number which THEY HAVE NOT SENT. But they sure as hell took my payment. THIS IS THE WORST COMPANY AND SHOULD NOT BE ALLOWED TO BE IN BUSINESS. They will make you sick.
Reviewed Dec. 30, 2015
Wow, wish I had read this before I signed up. I call it OBAMA CRAP. I had no problems with Humana but too many high deducts. I called the office on Park Blvd. They say they will call back. Never did. So I go there. They waited on others that had no appointments & I think because I bought online (they probably don't get a commission). All people in waiting room had bottled water or was offered it right in front of me! We never had it offered. I told her they have no manners/upbringing. They finally see me & not in the computer. I am now on hold 1 1/2 hours (number they gave to call), listening to music that keeps breaking up & very annoying. Now 1 hr 45 min. DO NOT VOTE DEMS!! Or anyone that wants single payor insurance. Thanks Obama & all dems.
Reviewed Dec. 23, 2015
In the last few weeks, I have had a problem going to any Doctor or Specialist. When they check my benefits, they are told that I am not making my premiums and that my benefits are inactive. When I call and sit on phone for hours, they say that all my payments are up to date and nothing wrong with my benefits. I had to pay today a self-pay payment because no one would give them a definite answer on my copayment which has always been 20.00 a visit. I called, they put me on hold and never picked up the phone. This is ridiculous. I pay my premium, I deserve fair treatment. They owe me 110.00 out of my pocket that I shouldnt had to pay.
Reviewed Dec. 22, 2015
I am literally going to any review site that I can to let the world know this is the most outrageous customer service I have ever had in my LIFE!!! 30 minute hold times to go with the 7 different transfer per phone call that I have with them! I still haven't gotten ahold of anyone yet and I am ready to raise hell!!!
Reviewed Dec. 22, 2015
After numerous phone calls and hours on hold trying to figure out what forms on contraceptives I'm covered for, I finally thought, hmm... Maybe this time they got it right this time. Nope. Couldn't be farther from the truth. I was told on TWO diff accounts I was covered for an implant contraceptive. Come to find out after waiting for 2 weeks they rejected my request. After more phone calls, additional hours on hold, three "let me forward you to so and so's", I finally found out that no, I was not covered for my preferred type of contraceptive.
Okay, what am I covered for? An entirely different list was given to me. I ended up getting an IUD (I was really looking for an arm implant, I was excited to hear I was covered). So now I'm trying to find out if the required ultrasound is covered by my insurance. No, they can't find the code, and no, they can't look it up any other way. Called my provider for the code. Was given the code by two different people. Florida Blue still can't find the ** code. They won't help you at all. I will NEVER refer them to ANYONE!
Reviewed Dec. 11, 2015
My wife's pension system, OPERS, of Ohio, stopped paying for medical care and instead registered us with Florida Blue. After reading reviews here, we changed our coverage to Humana, who we have had for years. Their premium for Medicare Advantage was $0 and Florida Blue was to be $450 per month. When we called to cancel the Florida Blue plan, they transferred us to an 800 number for DISH network. We tried again and were able to cancel. Including reimbursement for our Part A and B, we will save nearly $10,000 a year. Nice work for an afternoon.
Reviewed Dec. 4, 2015
Blue Select is a joke. Blue Cross just wants you to sign up that's it. The "provider lists" that their own representative give are out of date. When you call the doctors on the list many of the doctors claim they do not accept Blue Select! Months go by and the lists don't get updated even when you call to complain. What anyone other industry would call false and misleading. If the provider lists are so limited then simply say so and don't tell members the "lists" are up to date. At least consumers can make an informed decision.
Reviewed Nov. 11, 2015
Buyers beware. Nobody takes this insurance first off. Second, my son broke his arm and they offered no pediatric orthopedic. This is a pretty common injury for a child! I called to get information 3 times before they gave me a short list of NON pediatric orthopedic offices! I since had my son removed and it's now taking me 5 calls and three weeks to get him removed off this bogus plan! I called today to get a list of ob-gyns since nobody takes Florida Blue and the agent rushed me off the phone saying she emailed me the list. I have no email from Florida blue and the office closed at 6!! Now I have to call them again! It's ridiculous. They don't want to pay a dime and they are stealing everyone's premium!
Reviewed Nov. 1, 2015
I was denied health insurance by the corrupt corporate monopoly that passes for 'health insurance' in this country, due to a pre-existing condition. Then, as a result of Obamacare, I was able to get coverage with Florida Blue who then spent the next two years denying coverage (appeals and all) for treatment of the same pre-existing condition that I still have and that should have been cured by now! What is it the French say? "The more things change, the more they remain the same." Maybe the U.S. will take a page from the more evolved Europeans and move to a public option, because the capitalist greed of health care providers (a proven misnomer) prevents the patient from attaining needed treatment, and at sky-high premiums nonetheless! Stay away from the whores at Florida Blue!
Reviewed Oct. 31, 2015
My pediatric patient with an elbow fracture had to be seen through the ER instead of in an orthopedic clinic as no pediatric orthopedists are covered by Florida Blue Select within a 50 mile radius of Tampa Bay!! What a waste of resources (using the ER for a splint placement). I have no idea where this patient will be seen next week for placement of a permanent cast.
Reviewed Oct. 31, 2015
I had Florida Blue for 2.5 years through marketplace for $600 a month (female over 50) plus I wanted the best coverage with little to no deductibles since I had just divorced and money especially extra money is a commodity. For 2 years no complaints. Coincidentally no procedures either. I received notice 11/2014 that they no longer were offering my plan and the one replacing it just happen to cost approx $150 more a month. I really saw no other differences in the plan except the hospital I use was no longer in network, nice.
At the end of 01/2015 I woke up and could barely walk. My legs would give out without notice causing some painful falls and assistance from others to be lifted to a seat somewhere. Before this I just started a new job, full time that would provide insurance in 90 days, yay. To make a very long story short I had to have very extensive spinal surgery. Any step could be my last, missing 8 weeks of work without pay since I was just hired. Very grateful they kept me. I did receive in writing prior approval for this surgery from Florida Blue. Although my surgeon was in network therefore covered 100%, out of network was to be covered at 80% with a $2000 max. Florida Blue paid all claims no problems.
My no job insurance started 3/2015. I kept FB until 07/15 then I cancelled. I need that $600 a month. I tried to cancel through FB. They told me I had to call marketplace since that was were I signed up, which I did. This week I started getting multiple calls and letters because FB reassessed all my claims for the year of 2015 and took every penny back saying claims were paid incorrectly. It did not matter if the claim was related to the surgery or not. This translates to Florida Blue paid absolutely nothing on any claim filed in the 6 months I paid them this year.
They took all monies back from doctors, labs, x-rays, hospital, physical therapy etc. 6 months after paying these claims, with prior approval!!! I now owe a tad over $600,000.00. FB says I never cancelled or made payments after June payment. No I cancelled through MP like FB told me to. So I also owe them. I NEED AN ATTORNEY BAD. PLEASE ANYONE THAT CAN HELP, PLEASE TELL ME WHAT I NEED TO DO. Please.
Reviewed Oct. 21, 2015
As Florida Blue Member since 09 prior to ACA it was just Go Blue for emergencies. Then the ACA came into effect in October 2013. By Nov. 25, 2013 I had a plan. They have cancelled me 8 times in 2 years. If I had a job I would have been fired by now for how many hours I have spent on the phone with Florida Blue and Health Market Place. They receive my premium 4 days before due date, nothing has changed in my life except in August, had a birthday and am 60. The thought of fighting this battle for the next 5 years is beyond mind boggling.
Reviewed Oct. 2, 2015
I have had major surgery. Florida Blue would not coordinate at ALL with the hospitals and doctors/surgeons to estimate what my payments should be. They were well aware of all of the procedures in advance, but insisted that WE work with the different providers to ensure that we did not overpay. (It was obvious that our out of pocket maximum was going to be met). They will not coordinate with the pharmacies either - they are constantly telling US to call Caremark if there are questions. I will NEVER use Florida Blue again if I have another choice.
Reviewed Oct. 2, 2015
DO NOT PAY FOR THIS INSURANCE!!! I called to cancel my insurance EFFECTIVE TODAY, OCTOBER 2. I was informed that I "should have" called 9/30 because now I "unfortunately" have coverage until 10/31... and BTW, they are KEEPING my $644 premium despite my NOT WANTING this insurance to the end of the month. I also cancelled Dental- no problem there getting my ENTIRE premium back! By the way, I didn't have a new job until October 1, so I couldn't call them on 9/30! I instructed my bank to REFUSE the charge since the charge was UNAUTHORIZED and also I will be writing to my Congressional reps to seek their assistance in getting back my $644 and also ensure that the TV stations in my area broadcasts. What a bunch of rip-off artists this company is. I will also blast out what a bunch of crooks they are on Facebook and all other social media. Have a nice day.
Reviewed Sept. 21, 2015
My husband and I were customers of Blue Cross and Blue Shield for over 20 years. Then I had a GoBlue card for over 5 years and was upgrading to and HSA under Florida Blue in April 2015. I mailed payment to address in phone message, but did not get service until July 2015 at payments of 249 a month. I had place in under online for automatic deduction, but was mailed statements for $249 a month, then increase to $689 a month. On my birthday in September, I received a termination letter, then a check. I rather want my insurance. Why the increase in monthly statements? The original quote for deductions was $4000, but on statements, deductions was now $6000 in network, without an explanation. Was it due to my age or fact I had a stroke?
Reviewed Sept. 10, 2015
I had outpatient surgery on 7/9/2014. After paying over $2,000 out of pocket for the different doctors, assistants, anesthesia, supplies, etc. I received a bill from the hospital for $23,000+. I contact BCBS about the bill and found that BCBS denied the claim for 'lack of medical records' on 8/9/14. An EOB was generated on 8/21/14. The same claim was adjusted for payment on 8/26/14. Another EOB was generated on 9/11/14. The same claim was adjusted on 11/24/14 but there was no change in payment so no EOB was issued. The claim was again adjusted on 4/14/15 but again no change in payment so no EOB. The claim was adjusted again on 7/7/15 which reduced the payment BCBS paid from $2795 to $1988.
Even though there was a change in payment, NO EOB was generated. This entire time BCBS kept advising me to pay my copay of $45 which I promptly did. BCBS specifically told me not to pay the hospital any other amount. Because of this nightmare the hospital sent my bill to a collections agency. Not once did BCBS contact me to advise of their mistakes when processing the claim. I only found out about this when I began receiving calls up to 6 times a day from the collection agency. The hospital was tired of waiting for my insurance to straighten out their errors so they sent the original bill from 7/9/2014 to collections.
Now my credit rating has been affected and I am constantly receiving calls and letters for a claim that has been adjusted numerous times. I don't even know where to start. I have begun the process of filing executive complaints against the insurance company and the hospital for failing to process the adjusted claims. I have also submitted a verification of debt and request for all correspondence in writing letter to the collections agency. I have also initiated complaints through the Consumer Financial Protection Bureau, the Florida State Attorney General and the local Better Business Bureau.
This company is ripping off consumers and hoping that people get fed up with the complicated processes and just give up and pay an incorrect bill. Disgusting. I want BCBS to admit their error, contact the hospital to pull back the debt from the collections agency and correct the claim at the hospital so that I can receive a correct bill for my surgery performed over a year ago. Pay the bill and be done with this nightmare.
Reviewed Sept. 7, 2015
Florida Blue has automatic payments deducted from my checking account. Out of the blue, they sent me a letter threatening me with cancellation for premium nonpayment unless I immediately sent them the sum of $0.01. That's right, one penny. They thoughtfully scheduled my payment to be deducted on the last day of the month. For many, this could be a real inconvenience. Who wouldn't realize that when implementing it? They owe me for two payments they took out of my account in error. After numerous complaints, instead of refunding the money, they send me a letter saying they will send it via some adjustments next year. Comes next year, they tell me my plan is no longer available. And of course, I never see the refund.
They routinely billed me the wrong amount and wrong date and then sent me to the government healthcare site. The government healthcare official said the system was never designed, and never operated the way Florida Blue described and they should fully know this. Wait times are obscene. I once was told, during a weekday, my wait time was 2.5 hours. I wonder what the wait time is for non-ACA customers. They say one should never attribute to malice that which can be explained by incompetence. But, at some point, a quantitative tipping point becomes a qualitative level.
Does terrible, seemingly deliberate disservice to customers, especially a targeted class of customers, rise from simply staggeringly high incidents to a conspiracy? Perhaps if enough Florida Blue customers were to make their specific complaints known here, some enterprising class action attorney might look into the issue. Since customer complaints are useless, this appears really the only recourse for Florida Blue customers.
Reviewed Aug. 31, 2015
It is apparent what Florida Blue is doing to cope with the federal mandate of accepting people with pre-existing conditions that they would not have accepted before. They are deliberately minimizing support to an unacceptable level then burying you in delays and paperwork when you appeal. Practically every person dealt with has been incompetent. This is why corporations need to be regulated.
Reviewed Aug. 22, 2015
There is no place to pay my bill on the entire website. When there are discrepancies and miscommunications with my policy, which happens at least twice a month, it is an hour+ ordeal to get a human being with a brain on the phone, and they are usually not at all helpful. I really like my plan, but they keep making changes to it, varying my copay and coverage greatly with no notice. The website though, a flashy, totally useless waste of space.
Reviewed July 30, 2015
I am so disappointed with Florida Blue blue select. I have filed numerous complaints trying to resolve the many issues I have with this plan. It looked great in December 2014 when I chose it and paid for it. I have never been treated this bad by any company or person for that matter in my life. I am expected now to travel 150 miles to see Dr's they want me to see. Did I mention they shortened their provider list by 95%?
Reviewed July 21, 2015
On December the 31st, 2014 I went online as usual to make my payment. I was unable to do so since the policy that was supposed to start on 1-1-15 had a cancellation of 12-31-2014. It took more than two months to sort this issue out. Florida Blue contacted The Market Place on a conference call to find out which cancellation date The MP had and were able to confirm that in effect the cancellation date was for 12-31-2015 making it a "typo" error on FB side. From that moment forward my insurance cancels twice a month every month. I send payments. They keep being refunded back to me. I am told constantly to wait two more days and by now we are in the middle of July and still have the same issue. One employee once told me that "the Obamacare has many issues and we knew it would not work." I was appalled because I found it to be a highly political comment.
I had the opportunity to meet Heather ** (or **), manager from the sales department, who kept trying to deal with the issue for two months but with no luck. On February the 15th she called me and told me that the situation I was having was due to the fact that I never filled out an application with The Market Place. I was very surprised because the first response I got from Florida Blue was that BECAUSE I got the insurance through The MP was precisely why I was struggling so much. She nonetheless insisted I had not done so and asked I filled out an application for the new term. I expressed to her my concern: I would be assigned to another insurance because the one I had originally chosen was no longer available for purchase. Her response was that she personally would resolve the situation once I filled out another application with The Market Place.
After this Heather has not answered any phone calls or emails. Not one. That is very disrespectful not just to me but to the company and herself as well -- lack of professionalism. If you are to leave, leave your files for someone else to work them. Now the problem is even worse because the communication with The Market Place and Florida Blue is terrible and Florida Blue has no interest on solving the issue out with customer service. FB keeps cancelling either or, or both. You do not understand that the problem relies with your own selves on something that is being overlooked.
Every single time I call I am now being told that having the delinquent account causes the cancellation. I have to tell the representative to look over the payment history and notes so he or she can more or less understand my own confusion. This is what happened with Alberto ** which I will explain further on. This should not be necessary. I should not have to tell a representative to inform herself or himself before explaining anything to me.
On May I was being denied coverage for the purchase of medications. A girl told me I was past due, as well as that I had been sent three refunds that totaled more than the amount due. If I am past due, why do I keep receiving refunds? On April I spoke to a specialist whom I do not remember her name. She said that she had worked the whole issue and it was solved: "Wait for your next bill." Next bill is a credit and following months I get over 250 dollars in refunds and are cancelled again.
Last week I spoke to Luis and Sylvia. Both promised a phone call but never did. I was following up today with my phone calls since my daughter was at the emergency room and spoke to Alberto **. When I cut him off after hearing the same response over and over again from him and the previous representatives he told me that I was disrespectful and to let him finish. I do not call Florida Blue to be lectured on manners. The customer at some point after 7 months of trying to deal with the insurance will become frustrated. Both Sylvia and Luis were respectful, very much so especially Sylvia and very patient too.
Alberto nonetheless repeated again that I was disrespectful. I decided to be the bigger person and let him through his rant. As customer service agent when we fail we have to take the client's frustration unless that client becomes violent or verbally abusive which was not my case. I simply interrupted him to let him know that the very same 165.61 payment had already been made with a representative. I do not see him fit for this role of supervisor he says he was for it is difficult for him to deal with client that have endured what I have had to endure with your insurance.
I am a 3rd and 4th degree burns patient. I never have received treatment for my wounds other than that at the emergency room. Never saw a dermatologist or a burn doctor. No follow-up treatment. As a result I dislocated a shoulder for trying to walk without the medical equipment that the insurance refused to pay for like the crutches. I had to pay out of pocket for all medical supplies to treat myself. If he can not find the empathy for the patients maybe he should be in a position in which he does not have to deal with people.
Every month I am sent refunds and are cancelled. I currently feel mocked by the company. I understand that Florida Blue would have preferred to have me with a more expensive insurance with higher deductibles and co-pays like I was suggested again, to buy another one at The Market Place and get this over with. Some resolution -- have the customer pay more.
Reviewed July 15, 2015
Terrible insurance with policy! I feel like I got duped into paying for a policy with no real benefits - however since it was forced on the America people via Obamacare I decided to try and get something for my money instead of paying an ever increasing penalty for not having insurance. Most of the urgent care places in my network locally are MINUTE CLINICS at Walgreens.
Great, so I am paying a 1,000 a month for myself and 2 girls and I get MINUTE CLINICS. Sacred Heart is one of the few hospitals that take the insurance and yet their urgent care facility does not take it. I have been trying to find a primary care giver via their site and many of the doctors and most of the phone numbers are incorrect. When I am fortunate enough to get a physician in the network they are weeks and some many months out. Insanity. As soon as the sign up period was over a lot of the chiropractors cancelled their contracts because Florida Blue got an outside facilitator that cut the rates to nothing. Bait and switch.
Reviewed June 16, 2015
I cancelled an account after paying two months. They told me I would get a refund. I opened another account and was paying it without any problem. After months asking for my refund they told me they applied part of the amount to my new policy. I said I never authorized that or ask for it. They said they would refund me the whole amount. I waited the 10 days they said it would take and when I called back they said they cannot refund me the whole money because they used it to pay my next month, which is not due yet! The service rep I spoke to made a mistake and asks the refund from the old account and because it was closed and the money was transferred to my new account, they did nothing! Now they say they cannot refund me all the money, but that's fine, I'm already paid a month in advance. The thing is that I'm paying for her employee mistake. I know the money is there, but I need it with me. They don't know my finances.
Reviewed June 11, 2015
I got a new health insurance policy. FL Blue asked me to fax proof of the new policy effective date in order to get a refund for the month I had paid for two policies. I did that 3x over the course of 2 months. Each time they told me it needed 7-10 days to process. Finally, they told me I could only get a refund if I were deceased or if I had faxed proof of the new policy 15 days before my account was debited on the 1st (I didn't have proof of the new policy until AFTER my account was debited). I still have not received a refund. I am now disputing the charge through my bank. The amount is $998.
Reviewed June 6, 2015
I had an approved operation, went through 6 weeks of recovery, and when in for second operation, and found out that they did not cover the first!! My operation was authorized and when I went to get my second done after 6 weeks, they denied it... but they also said that the first operation was denied after it was done!!! How in the hell gives the insurance company the right to play God??? They can't... I have now been talking to a woman that has been in the billing for insurance coding for the last 31 years, and she is so pissed off that Blue Cross in doing this to us!!! This is against the law and just because Blue Cross is so ** behind, does not mean that we (the patient) have to pay. You have to call the state insurance board or the state attorney's office and complain!! The # for the insurance board is ** and file your complaint, so the more complaints we have against Blue Cross, the faster we will get this resolved.
I hope that this gets out to everyone that is getting shafted by blue cross!!! The more complaints the better chance or sooner we have to get Blue Cross to pay!!! I have 4 months left before my disability runs out and I should have been done with both my operations and back to work, so please call the insurance board at the number I provided and report your case... This the only way we can. The more the more powerful we are!!! If you have any questions and would like more info please call me at ** and leave a message.. My name is ** and I will do everything I can to help you.. You just don't know how bad Blue Cross is taking advantage on people like us but I know now and I want to share this info with anybody and everybody!!! They are ** you!!!
Reviewed June 5, 2015
I received Florida Blue Feb 1st for cataract surgery. I called and verified that Tyson Eye was a verified/listed provider, that they accepted my 250 co-pay twice (2 eyes) with a zero deductible, and that this was a 'covered' service. FB explained that, sadly, the surgery center were Doc T did the cataract surgery was, unfortunately, not a listed provider, in spite of Tyson Eye owning it? Then they said, "Maybe they screwed up their Fed ID number... and, we're sorry". Meanwhile this PPO has cost me more out-of-pocket than paying cash without coverage? Loopholes, verifications, authorizations --- and even then it is a crap shoot whether they pay or play. Florida Blue is utter hubris bordering on malfeasance. I wasn't planning a documentary on HMO/PPO loophole health plans, nor any interest in becoming a benefits expert and health plan advisor --- but exposing utter incompetence lowers my blood pressure. If this is the ACA, I want to leave the USA.
Reviewed May 27, 2015
I have never had as much trouble with an insurance company before. They don't cover anything, they're impossible to get in touch with, their website hasn't been updated in years (at least) and I can't find a doctor in the nearest three states that'll accept them. What's crazy is we had Blue Cross Blue Shield before, just plain old Blue Cross Blue Shield. We had great insurance. In four years I never had to call customer service once. But in the past nine months I've gotten more medical bills than I have in the past five years combined - and we're actually going to the doctor less! If you can possibly avoid it, pick another company. If you can't avoid it, apply for Obamacare. Otherwise, expect to pay huge monthly premiums and see 80% of your medical bills kicked back.
Reviewed May 15, 2015
I pay 135 bucks a month. I haven't been able to find a primary care doctor. I called Florida Blue and was told I had to go online and find one. And if I needed a specialist, that I had to meet an 11000 dollar out of pocket before they would pay. I'm afraid I have something serious and can't find a doctor who takes my plan.
Reviewed May 2, 2015
I upgraded my insurance plan at the beginning of the year to get the best coverage possible. They told me my new (upgraded) coverage would start Feb 1st of 2015 and to start paying the $618 premium on that day. Feb 1st rolls around and I get my bill for my old amount due ($425). I called FLBCBS and the rep told me it was an error in their system and that she was going to request it to be fixed, but to definitely pay the $618 so I wouldn't lose the coverage. March 1st rolls around and I go online to pay. I see the same thing, except this time it shows I have a credit because in their system it looks like I overpaid the previous month. So I call again, get a different rep who says the exact same thing. I go ahead and pay the $618.
April 1st rolls around, and same problem again. So I get my bill in late April for May 1st and this time it says I owe way more than $618, which doesn't make sense at all. If anything, I should have a credit in their system if they are still billing me for the wrong amount. I call and speak to a rep, she goes through my payments (she is looking at the history on her end and I'm looking at my bank statements) and she ASSURES me that I am up to date with my payments and that on May 1st, I would only owe $618.
Today I went to pay and it wouldn't let me log in. I checked my email and realized they sent me an email earlier this morning saying my coverage has been cancelled because of an outstanding balance!! It's a SATURDAY and of course they aren't open until Monday, so my family has ZERO COVERAGE until Monday when I can call and fight them over their stupidity. I just wish for once, people could do their jobs correctly and take into consideration that they are jeopardizing other people's lives. Without coverage, if something happens to one of us this weekend, we could be left with tons of medical bills to fight. As soon as this year is up, I'm switching to another insurance carrier. Get it together FLBCBS. You are AWFUL!
Reviewed May 2, 2015
When I applied for a health insurance at Blue Cross Florida in March 2013 the rate was at $218. Now 2 years later Blue Cross will increase the rate to $347 in July 2015. This is an increase of 60% in two years!!! I went only one time to a doctor in this time and they had to pay only 400 Dollars for this doctor's visit in two years. The application took me 9 months because I was too healthy and I never went to a doctor the last 15 years. I had to do a pre-examination and the company they work with did it wrong. I proofed it twice that they did it wrong, but the bureaucrats weren't able to read letters.
Reviewed May 1, 2015
Florida Blue (FB) has twice denied coverage for a specialty drug prescribed by my doctor. I have been diagnosed with severe osteoporosis of my spine and right hip. The "usual" and "cheaper" medications will not work on my bones due to the severity of the osteoporosis. The medication prescribed is **, which, with a 2 year course of therapy will restore and rebuild my bones. FB has a contract with the CVS Specialty Pharmacy which has inflated the cost of ** more than twice the average cost of $1700.00/month. CVS charges $3600.00/month. Legalized highway robbery! Since I am paying out of pocket I can use any pharmacy I choose.
I will drop FB as soon as I am able and will find an insurance company that cares about the quality of a post menopausal woman. Interesting that FB covers Erectile Dysfunction medications. Never heard of anyone breaking bones if they could not get their **. Bad, bad, bad FB!!
Reviewed April 23, 2015
I have had this health insurance through Florida Blue for about a year and everything was fine until I decided to seek a lower premium and purchase another policy when the renewal came up. I purchased an HMO. Well here is where it gets tricky. I received a letter from them which stated that since I never picked a physician, they would assign me one that was closest to my home Pensacola Florida. I live in Akron Ohio.
When I contacted them I was advised that you cannot purchase a HMO outside of Florida. This was after I had the policy for a month and paid the premium thinking I was insured when in fact I wasn't. They are refusing to return my premium and wanted proof that I had another policy. I sent it to them and they said it was not good enough. I am giving my employer a few more days to get them to pay before I file a lawsuit against them. The BBB of Florida has been notified and so has an attorney in Florida who is going to represent me.
Reviewed April 21, 2015
I signed up for a HMO Florida Blue plan through the federal marketplace effective Jan. 1 2014. In early February 2015, I called Florida Blue to change to a PPO effective March 1st and on Feb. 15th, I sent in a payment for the new plan. I told the Florida Blue sales rep. to cancel my old plan as of the end of February. In mid March, I received an email stating that I had not paid my March premium. I called Florida Blue and was told they credited my March payment to my old account which was never cancelled. They told me to call the federal exchange which I did and they cancelled my account but only after a two week waiting period which made the cancellation effective April 3rd.
Now I am getting notices from Florida Blue that I haven't paid my premium for April which I paid on March 20th. They say that since the federal marketplace only cancelled my account as of April 3rd, I have to pay for both plans for the month of March, even though it is not possible to have two plans paying claims at the same time. I have spent hours on the phone with the most ignorant, insulting ** I have ever spoken to at both the federal marketplace and Florida Blue to no avail. They say there is nothing they can do.
The federal exchange is a perfect example of why the Republicans message about smaller government resonates with the public because the exchange is mired in bureaucracy and incompetence and there is no way to cut through it all. Florida Blue on the other hand is a deliberate rip off. I have never spoken to even one person there with a grain of common sense or intelligence. They leave you on hold, transfer you to someone else who puts you on hold and they never call back. They are taking advantage of a situation because it pads their bottom line. They are sub-human and something needs to be done about them. I have already posted my complaint online and next I am contacting the Florida insurance commissioner. After that, it will be my representative in congress and Bill Nelson. If it comes down to it, I will hire a lawyer. It is now the principle of the thing…
Reviewed April 17, 2015
I was a somewhat satisfied Florida Blue member so when mandated to, I figured I should get a better plan for me and my family. I spoke with an agent and decided on a plan with the assumption my son would qualify for Healthy Kids according to their records. The problem was it would be full price due to our income and we would be better off adding him to our current policy. I called healthcare.gov to add my son and in error they changed my plan, however it was realized by me and corrected the same day. However Florida Blue claims to have received notice for the crap plan change but not the plan change the same day this was submitted back on January 26th 2015 - all happened same day. I called when I received the wrong card in the mail and was told I had to call healthcare.gov to fix it. I did. They escalated the issue and told me to give it at least a week but as much as 30 days.
So I called back once a week for the 30 days. I was told to wait then after 30 days, we never received it - have them escalate it again, to wait another up to 30 days. However when I call healthcare.gov they say the case has been closed, they resolved it. To which I said no they have not, so they created a new case with another story of up to 30 days. Calling weekly again. Those 30 days approach, I call and after wasting a good hour, they say they found it. Wait 3 to 5 business days. I do, only to be told when I call 8 business days later it's in review and could be there for awhile. To call back the following week to be told they never got it and they don't understand why I was told that. They told me to call healthcare.gov and get a escalation number. Do that and call back 10 minutes later to be told they can do nothing with it.
I am beyond fed up but had called last week to escalate it yet again. Healthcare.gov shows they received it on the 8th but supposedly they don't see it. When asking for a supervisor you just waste time and get nowhere. I had someone who was very helpful from the healthcare.gov site trying to correct this issue, spent another hour on the phone today for nothing. I have wasted 21 hours of my life on the phone to be fed one line after another. I have started recording all my calls as supposedly they do for proof of the incompetent and careless behavior I am dealing with. Everyone says they are sorry on the phone but that does not change the fact my insurance sucks and NO ONE has fixed it. I even asked on more than one occasion what does it take? Can I just pay out of pocket and get my own subsidy and be done with it? Every time they assure me it will be fixed.
If anyone can help me, I am on escalation 3 almost 3 months later. They want me to pay but can't provide the service I pay for. Anywhere else I would have just grounds to terminate, in this case they roped me in past the 15th of Feb so I am screwed. If you can help me in anyway fix this, I am all ears. If you are considering Florida Blue get it right from the start or you may never get it right. This has been my experience. Help!
Reviewed April 2, 2015
Does anyone really do anything with all these complaints against them? In error the marketplace and BCBS opened two accounts for us in January and we have been trying to fix it ever since. They applied the payments we made every month on our premiums to the wrong account and now have cancelled our insurance and claim they are very sorry for the mix-up, however it will take at least 30 days to fix their mistake (which they have told me for over 60 days already). And now they have cancelled our insurance and refuse to pay for my prescriptions even though we paid our premiums and would not send me proof of our payments. I have my bank records showing we paid our insurance. I would like to sue them.
Reviewed March 20, 2015
In April 2014 and May 2104 I did 16 sessions of outpatient therapy. In June I realized the insurance claim was for an inpatient for 41 sessions. Bcbs refused to change the coding and the rehab co said they have never had an issue like this before. I think part of the problem was that it was out of state. I did have preauthorization and my copay costs given to me before therapy. However, that ended up not being the case.
On Aug 1, 2014, BCBS did write me a letter recognizing that I had 16 treatments and not the 41 which screwed up my accumulator for the rest of the year. BCBS as of today March 20, 2015 have still not corrected my accumulator and not paid my claims after May, 2014. They claim they are still working on it and give me dates of which it will be corrected and they NEVER follow through.
I am so sick and tired of working on this. Pretty pathetic when they should be thinking of my well-being and why I needed the therapy. Instead I have had this added stress and aggravation of them not correcting what needed corrected last year. Pick other insurance. They will not pay their claims.
Reviewed March 3, 2015
Bought coverage and they can't process to provide insurance. SO although insurance is allegedly effective 3/1/15 I can't go to the doctor or get medicine. I would pick an ethical company in the future - not this one.
Reviewed Feb. 28, 2015
Refused to cover my daughter's doctor visits while student out of state. Received letter stating to call person direct if questions. Called number to be informed that department did not take direct calls. All calls to them for any reason took multiple transfers had 2 instances where was on phone for over an hour. Had prescription written 5 weeks ago that I finally received rejection letter today that they will not cover at all. My insurance last year covered 100%. Fortunately I got in before the deadline and dumped them effective March 1st. If you are stuck with them I feel sorry for you. In my opinion they are the most greedy, incompetent company on the face of planet Earth and should be shut down.
Reviewed Feb. 28, 2015
Blue Cross refused to refund my paid Premium even though I provided them a certificate that I purchased other Health insurance. They stated my requested needed to be made within 45 days. I called Blue Cross to cancel my Blue Cross health policy approximately 4 weeks after I received proof of my new policy. They never told me this had to be completed within 45 days. This is a scam which I am now out of $1,300. Do I have any legal recourse? I live in south Florida.
Reviewed Feb. 12, 2015
I am a diabetic but am in very good health and have always (since I was 5) taken good care of my diabetes so that I would remain healthy. This horrible company makes it very difficult to manage my health. Every time I get a prescription filled, it is a fight. I have had to go two weeks without test strips - which I am supposed to use at least 4 times per day - all because they delayed processing and required me to switch brands. Now I have had to go without insulin pump supplies for approximately a week while they delay processing of that order. I should point out that they were ordered over a month ago! This is by far the worst insurance I have ever had! The only reason I give them 1 star is because 0 is not an option. Avoid this company like the plague! I am actually accepting a new job so that I can have a better health insurance company.
Reviewed Feb. 12, 2015
After ins doubled, we cancelled our ins with blue care network!!! Went to doc and they said No ins, please pay cash (they checked), took prescription in, they checked, said No ins. Pay cash!!! The payment usually comes out the first week of the month!!! The second week - the ins co takes out the $372.00 of my account!!! There's no money in that acct so now I owe the payment plus a bounce fee!!! They refuse to pay back the money and say I will have ins for the rest of the month and turn in all bills for doctor and scrips!!! I say bull!! I don't want your ins. We switched to a cheaper co!!! They say nothing they can do!!! I want a lawyer to sue them!!!
Reviewed Feb. 3, 2015
I have been with Florida Blue for more than a year. During my first year I had found out that I would need medical care for health issues I wasn't aware of previously, including surgery. Since I had a crappy plan that covered very little I was routing from hospitals to outpatient facilities to more outpatients, to Doctor's offices looking for the Dr. services that could match coverage + facility in order to have the surgery under coverage. The result was that the year went by and already in November I decided to wait until the end of the plan so I could purchase a plan with more coverage. On December 26 I went personally to the Florida Blue's office in Hialeah and purchased an All Co-pay 1565 plan for 509.76 a month. I assumed that I finally got to resolve the surgery and medical care needed since the new plan has a larger coverage.
Since my Dr. was available on January 2nd he wanted to operate that day. To start, the plan they sold me was supposed to be active on January 1st 2015, it wasn't the case. Florida Blue would be closed on the 1st and no one would be available to release an authorization on time for my surgery on the morning of the 2nd (I had to be at the hospital at 6 am), they said that the authorization department was starting to work around 9-9:30am and no authorization could be release on a previous working day because it was still December and the policy wouldn't start until January 1st. When I questioned the coverage starting the 1st, they said I would be covered if I needed emergency treatment. So I had to postpone the surgery once more until February 9th which was when my Dr. was available again.
During the month of January I called several times since I found out when I received the wrong set of cards and policy paperwork at home that Florida Blue enrolled me automatically, (without my authorization) in a plan related to my old plan. After several calls and back and forth, the Marketplace told me that they had enrolled me in 3 different policies/ accounts. I asked the Marketplace to remove me from the other 2 accounts and to just leave me on my 1565 plan. The Marketplace processed the cancellation and today 2/3/2015 I got a call from the hospital stating that my insurance is inactive. I called back to Florida Blue and they said my insurance was cancelled on 1/31/2015 as per my request through the Marketplace. I called back the Marketplace and my insurance is perfectly fine on their end. The consequences are that I don't have coverage for my Doctor's appointment this afternoon and no coverage for my surgery next Monday.
The Marketplace takes up to 30 days to escalate the issue and even though is Florida Blue's mistake, they are the ones who have to send the escalation to Florida Blue in order for the policy to be reinstated. I called back to Florida Blue to question them and they say it wasn't their fault, that they don't understand why the Market Place told me that the Insurance is still active. Bottom line, they can't reinstate in less than 7 days. I'm extremely dissatisfy, upset, overwhelmed, stressed out about this. I consider this is disrespectful and outrageous. And not to mention the long minutes on hold over the phone every time I call them. Can anyone do something???
Reviewed Jan. 4, 2015
My policy for over 10 years was good but they raised the rate to $1000 a month so I went to their web site and found another policy for $686. This was a Blue Select policy and I checked the site to see if my DR was included and he was. Note there is NO way to check Hospitals on the purchase site. Only after you buy does it allow to search for other providers. I had a biopsy at my usual Hospital, gave them my card and all went well until I was billed $9000 for out of network charges. Not a peep out of the hospital by the way in reference to being out of network. So now I'm checking each hospital to see who is in or out. Bad news folks, Blue Select is NOT covered by many hospitals. Looking for a new plan now on Jan 4th. I have chemo on Jan 5th so this may not end well. By the way I had called Blue to ask questions before I bought and had the worst customer service (none) I have ever had.
Reviewed Dec. 29, 2014
I have had health insurance through FL Blue for the past 10 years. In the summer of 2014, my premiums almost tripled. With that, I contacted the direct sales number, which was enclosed with the increase in premium notice. The representative was very helpful. I submitted an application for a new plan (1416P) and paid for the first month premium (using VISA) on 7/28/14. The policy was to take effect 9/1/14 and my old policy was to terminate on 8/31/14. I was told my new membership cards would be arriving in a couple of weeks pending my application approval. I did receive an email notifying me of my approval but no membership cards.
I made a call to the sales representative the last week in August and was told to wait a few more days. September rolled around with no membership cards. I called many times, was transferred and put on hold many times and was always told to wait "2 - 5 business days" and my membership cards would arrive. September came and went and I spent over 20 hours calling, being put on hold, and always told that I should "give it 2 - 5 business days". I called and posted my October premium auto draft from my bank account so that I would keep the coverage of which I had no proof of.
The first week in October I was ordered to have some tests done by a general practitioner before an elective surgery scheduled 10/24/14 (fixing a broken nose is not covered). I was unable to get an appointment without proof of insurance. I called a few times a week, spent hours on the phone with the same result: "2 - 5 business days" blah, blah, blah. On October 12th, I received my cards followed by a premium bill due of over $3,000. Again, I called to membership & billing and was told that amount was my "new" premium (vs. the $989.51 I was quoted). I called again and again. No one could give me an answer and I was then being told "a supervisor will have to take a look and call me back." No call was ever returned. I then received a SECOND set of membership cards with a different membership number! I called many times, put on hold, etc., etc., "supervisor will call back" blah.
I paid my premiums through the end of 2014, now carrying both cards to the pharmacy and continued to call about the very large balance on my account. Always the same answer "supervisor will call back..." with no resolution whatsoever. On 12/9/14, I received an email stating that my policy has been terminated. I called in on that day and spent 5 hours on the phone, transferred, on hold, speaking with operators who did not know what they were doing at all. Both of the membership numbers I had showed cancelled and it was confirmed at the pharmacy. Finally a supervisor reinstated my policy, which took over a week. Today, 12/29/14, I have yet again had a huge balance, which makes no sense at all. "Due to high call volumes please try the website" and a hang up is what I get when I call today 12/19/14. When I go to the website I get "unable to access records at this time".
I HAVE NEVER DEALT WITH SUCH A LEVEL OF INCOMPETENCE AS I HAVE WITH FLORIDA BLUE. THERE IS A LACK OF SKILL, COMMUNICATION, FOLLOW THROUGH, ACCOUNTABILITY, TEAMWORK, EFFORT, AND INTEGRITY. I CAN'T IMAGINE A BUSINESS SUCCEEDING WHEN THEIR FORTE IS BRUSHING PROBLEMS UNDER THE RUG WITH THE HOPE THAT THE PROBLEM WILL DISAPPEAR. THEY GET AN F MINUS IN ALL DEPARTMENTS!!!
Reviewed Dec. 29, 2014
I have been with Blue Cross Blue Shield for 30 years-across the nation. FLORIDA BLUE should not be licensed here. I have been paying over $10K per year, not even including my giant deductible and out of pocket expenses. I have literally been attempting (incessantly) unsuccessfully to get through to cancel my insurance with them--via website; phone numbers; and more. Even the website has been "having technical difficulties" since late October.
In desperation, I quickly joined another health provider before the December deadline. However, there is NO WAY TO CANCEL with this government sanctioned enterprise led by obviously very INEPT, CEO PATRICK GERAGHTY and "his" BOARD. What is America coming to if this is what Obama is doing to Americans who need and overpaying for sub-healthcare?
Reviewed Dec. 12, 2014
Mistreated by management in the Florida Blue Sanford location. I was lied to, bullied, controlled and played games with. Very unprofessional horrible environment. After they bullied me, lied to me, I wasn't able to sell because the manager chad ** mislead me about information. He gets people to trust him so he can screw them over. He also took customers from me and tried to control sales. The managers are in competition with the agents there and will screw them over and even ruin their career if they want. After they screwed me over then they stole all my leads and customers and were rude to me on the phone treating me like dirt. One of the worst places to work. Beware...
Reviewed Dec. 9, 2014
I signed up for a BCBSFL HMO in March 2014 through HealthCare.gov. BCBSFL assigned a primary care physician that was located 90 miles away. At the end of July 2014, I tried to make an appointment where I live and the doctor's office would not make an appointment until I changed my primary care physician. I got online and did that, but it was taking too long, so I called BCBSFL customer service and they did it for me. I called the doctor's office and let them know and once they checked, they called me back and made an appointment for August 2014. They paid the claim for August 2014.
I had a second visit in September 2014 and they won't pay the claim because they say I never changed my primary care physician from the guy they assigned in March. What? Why did they pay August's claim for the primary care physician I assigned in July 2014? I was on the phone with them for 45 minutes and it still has not been paid. I sent BCBSFL a message through my online account and they replied that my policy had been canceled in June 2014.
Neat trick, considering they are receiving close to $800 in premiums. Will call again this afternoon and ask to speak to a supervisor. Then, if that doesn't work, I am writing a certified letter to BCBSFL and copying the agency in Florida responsible for insurance coverage, HealthCare.gov and my doctor. Funny, the claim is only about a seventh of my monthly premium.
Reviewed Nov. 20, 2014
Terrible neck pain, numbness in back of head, pins and needles down to both forearms, severe headaches, can't sleep for more than 2-3 hours at a time. I went to a neurosurgeon, he said MRI is necessary. Ok. Florida Blue covers it. Great. Next he says a nerve is pinched in neck near the top. He says an epidural shot will fix this. Everything is set up and I'm to go to the doctor's outpatient center for the procedure. The night before I get phone call from the center telling me that they can't do the procedure because Florida Blue has deemed it "non necessary medical" and won't cover the procedure. WHAT? I called doctor and they said to file a pre-surgery appeal. I did and nothing to this date has changed anything. Now, three months later, I'm still hurting, not sleeping, have all the same symptoms, and headaches are more frequent and more intense. What can I do?
Reviewed Nov. 14, 2014
I called them to ask about reducing my premiums which were over $2,500/month. During the conversation I discovered that they had put my wife in a different county than we lived in. I asked and was told that being in that different county was an $88/month difference. Once I convinced them that my wife did not live 500 miles away from me and that we had never visited the other county. They admitted their error and corrected it. I asked about a refund for the past eleven years at $88/month and was told that they were only by policy allowed to credit the past 90-day period. I told my neighbor about the incident and he (being an insurance executive) told me that was bogus and I should write the Florida Insurance folks a letter. I did and received $11,000 in checks over the next couple months. These people are thoroughly confused. I don't know whether they lie as a matter of policy or are just uninformed. Be careful with them. They couldn't care less about your health.
Reviewed Oct. 27, 2014
I ordered my husband's supplies as usual through Edgepark Medical Supplies who handles the ostomy supplies I use for my husband on October 6th, 2014. I had ordered same supplies with no problem earlier in the year. After about 10 days, I realized something was wrong and checked with Edgepark who explained the order had been sent to FL Blue for approval and was still pending. I normally receive the order within 3-5 days. I had to hunt down an area ostomy supply store that does not accept Medicare or insurance and buy out of pocket a tube of adhesive paste.
I then called FL Blue to find out what was happening with the order. At first they tried to say Edgepark never sent a request but later found it was being held up because they needed a prescription....I asked how long were they going to wait to call me and explain this new requirement. Medicare B handles the ostomy supplies and I have never had a prescription. They wanted me to go back to a surgeon from six year ago to have them write a prescription. A week later we are still arguing but my surgeons office calls and asked me exactly what I needed so they could write a prescription for FL Blue...How screwed up is that? I gave them a detailed list of supplies I use and the surgeon signed off?
My last complaint is during the third week of phone calls, I received a call from FL Blue. I realized a third party was on the phone listening and when I asked for a name they refused to give me their name....Even after speaking directly with them, I again asked for their name and they refused.... I lost it and told them I was reporting them to the Fl Insurance Commission, Medicare and maybe the TV and Newspaper. My order finally came after Edgepark required one more signature and my DO signed the paper needed. So two diff doctors who had never treated my husbands stoma signed off on a prescription I more or less gave them. How messed up is that. I called Medicare and filed a complaint on Friday, Oct 24th and received a call from FL Blue on Monday, October 27th...That was the fastest FL Blue has been in three weeks. I also filed with the FL Insurance Commission, waiting to hear from them. Fired FL Blue as of Dec. 31 and will have new provider Jan 2015.
Reviewed Oct. 24, 2014
The instances are too numerous, after only 10 months with them. There is ZERO Customer Service. Some facts: Called for assist, 6 different times... I hung up after 30 minute wait times. I learned. I stopped calling. I sent 4 e-mails to Customer Care (remember I'm a member)... and they did not return ONE. NOT One. I invested over 12 hours on the phone and e-mails trying to get assist. ZIP! Today, I needed an ENT. Nearest in-network was 1 hour 45 minutes round trip, and this is after actually reaching a FB agent to look inside their network. However, the "in-network" MD on the list they provided now refuses to take it... because the Hospital has privileges and no longer takes it if a procedure is needed. I'm SOL unless I want to fly somewhere.
I allow for molasses in large bureaucracies, as long as I get assist and resolution. Blue Cross of Florida is simply a poorly run company, whose care about client service & satisfaction needs major overhaul. Speak to your current MDs about dealing with them, and they all tell the same: "there is no company more difficult for me and my staff". My gratitude here is that I will cancel on 12/31/14, and move on to a better service & network (Humana). It's my fault for choosing them in the first place.
Reviewed Oct. 23, 2014
Florida Blue claims that a late payment caused my cancellation of the policy. They also claim that they sent a cancellation notice. Yes, my payment was 3 weeks late to arrive to them. Florida Blue did cash the check and continue to pay claims all the way up to October 13th. They also continued to send billing statements which were paid again. On October 15th they decided to cancel the policy dated back to August 1 and returned my payment. I have never received any other correspondence from them other than proper billing statements. No notice of cancellation was ever received. I called them promptly after receiving the check and they said, "Too bad but we mailed the warning cancellation to you and we only have to say we mail it and if you don't receive it, this is not our problem." The rep's attitude was very poor and I felt like she was calling me a liar.
I asked about another previous check sent and she said, "We will cash it and return the money," and then immediately said she could transfer my call to sales to see if they can sell you another product! Now, my doctor is being requested to return claim money paid by Florida Blue and requesting payment from me. The whole situation and how they conduct business is very questionable in my opinion. I'm a business owner and if I ever treated my clients in this manner, I would be out of business. Hopefully someone from Florida Blue will read this and make the necessary corrections to this unfair handling of a client.
Reviewed Oct. 12, 2014
I was involved in an accident - rear ended, injuring my knee and back. I cannot find a Doctor who will work with my lawsuit. I get to opt out this month but need an operation now. I'm very displeased with this coverage. Even Publix cannot bill FB for a flu shot I received today. Just what good is FB? Does opting out allow me to revert to Medicare now, allowing me to get help?
Reviewed Sept. 30, 2014
No communication between MP and Fl Bl Fla Blue says they do nothing without it being done through MP... MP states opposite... wrong effective dates 3 months add my child she was never added then they back charge me as if she was... Hours hours on the phone talking to people that didn't care less about you and just tried to finish the call by the least they needed to do. Overbilled me. Would never get back to you after 10 internet messages. Wow. It was easier to quit than continue after 5 months of crazy.
Reviewed Aug. 13, 2014
Florida Blue Medicare is a scam. When I was forced to switch Medicare programs, Florida Blue was an easy decision since my doctor excepted them. Prior to, Coventry was a piece of cake to work with. Suffice it to say that I have stopped taking most of my meds including my diabetes meds, because even though when I filled out my application I listed meticulously all of my meds, I have had every single claim denied, except for two. These are all claims that had never been questioned, challenged or denied by Coventry. 90% of them are generic.
Finally I had had enough. I called him and I spoke, gave them a piece of my mind and told him that I was going to pursue every avenue possible to get out from under them. A supervisor got on the phone with me then a director got on the phone with me and they all said no, no, we will take care of you. They were emphatic, that they were there to help me. They assured me I would have no more problems. That too was a load of BS. And I don't mean Blue Shield.
Well this month I figured what the heck, I'm a trooper. So once again, I went through the ordeal of getting all my meds refilled. Well not to my surprise, once again we're in decline hell. We're talking about simple basic medications. I didn't even try to get my insulin prescriptions taken care of. It would've really PO'd to me if I'd gone through that and then have them decline that, as my endocrinologist is 90 miles away and I would have to go see him. They have declined two thirds of the scripts. The ones they didn't decline they would only fill 30 days worth. My co-pay expense has tripled and I'm talking to all these bureaucratic baboons, Sybill being the most recent addition, who are nothing more than idiots sitting behind a desk.
Anyone reading this who has Florida Blue Medicare, do yourself a favor. If you hurt your hand, cut it off. If you hurt your eye, pop it out. If you develop cancer, step in front of a freight train. My primary care physician, my endocrinologist and myself are fed up and done with these people. Whatever you do, do not sign up with Florida Medicare Blue. The aggravation, the grief and the failure to take care of your medical conditions is not worth it. And it doesn't matter if you list all your meds when your first fill out the form. They will still declined coverage when it comes down to it. After all, they're incentivized to limit the number of claims that they pay. And don't let them tell you that they're not because they are.
I guess that the Tea Party and the GOP have taken over Florida Blue. So as the motto goes "let them die". In the words of Country Joe McDonald "woo hoo, we're all going to die". Of course he was referring to the Vietnam war. I don't think even he imagined that the right wing would take over our healthcare. But let's praise the mighty profit God. Florida Blue's executives certainly do. I would like them to prove to me that they don't subscribe to a different carrier themselves. They know the fraud they're perpetrating. I am contacting my senator and looking for a way to get away from these mongrels.
I will post on here when I find an insurance company that is actually honest and is out to fulfill its corporate mission of taking care of people. After all, it's not their money but it is their incentives. They get paid regardless, they get paid more if they decline you. By the way, I don't think this post is ever going to make it because now this site is refusing my post. Obviously, they got in here too. Go Florida Blue Medicare.
Dec. 11, 2014 Update -- I am so glad to be getting away from these crooks. I have not taken my insulin, blood pressure or my statin for a year. Everything that is submitted they decline, they put my Doctor through all kinds of hoops. Today I called them and asked them to tell me exactly how much they have actually paid for my scripts in the last 11 months. First they gave me a song and dance about how they strive to provide great service, then how much they had saved me. After a lot of gobbledygook, they came back with $34.00. That’s about $4.00 per month that they have actually paid. And I am sure they are billing Medicare plenty.
I used to spend total out of pocket under $50 per month and the prior plan reimbursed me $96 per month out of the $104 Medicare premium. Now if I were to take them all it would be over $1,200 and they reimburse nothing. So my blood sugar goes unchecked, as the supplies alone are over $300 per month. Never mind the insulin. My new plan reimburses me $92.00 per month, my total copays will still be higher than in 2013 but still under $150. The idiot wench on the phone started spouting bull crap about Obamacare, raising costs... Then I told her my new costs and told her to stop lying.
Reviewed Aug. 5, 2014
I began coverage in 02/2014 with BCBSFL. Used their website to locate a Dr. who told me, after several visits, that he did not take my insurance, leaving me with several thousand dollars of bills. I made payments for February, March & April and discovered in April, when I went to refill my insulin prescription that my insurance had been cancelled on March 31. I contacted BCBSFL to discover that yes, my policy had been cancelled for non payment in April. I explained that I sent April's payment and they discovered that I had so, they stated that they would send me a refund for that payment.
Several weeks went by and I received no payment, no calls from BCBSFL. Still no letter stating that I had been cancelled. I contacted the marketplace and was advised that I had been terminated wrongly by BCBSFL so they did a review and I was told my insurance would be reinstated. I spoke again to BCBSFL, who was not contacting me mind you, and was advised that yes, my insurance was reinstated. So, back to the website to find a doctor. The address of the office was incorrect on the website and then, when I did locate it, across town from where it was listed, I was advised that my insurance card was inactive.
I contacted BCBSFL and they verified that yes, my insurance was inactive due to bills I owed for the months that they had cancelled my insurance. WHAT??? I was cancelled and had no coverage at all, how can you possibly charge me for a service that you were not providing? Terrible, bad, horrible experience. I will never deal with them again and would strongly recommend others not do business with them either.
Reviewed July 16, 2014
My Florida Blue Policy was effective May 1st. I received a bill for June and logged on to the site and paid it with my checking acct. # and received a confirmation #. About the middle of June I received another bill for June and it looks like they were unable to find the account # that I paid with so I submitted another payment. In the beginning of July I received a letter stating the premium payment still could not be processed and the policy would terminate by July 27, 2014 if it still was not received. I immediately got the payment in the mail and they received it but decided to terminate my policy anyway. Every time I call, there is no supervisor to speak with and no one can help. I am now stuck paying my medical bills and cannot get the procedures done that I need and I am getting worse day by day. How is this fair?
Reviewed June 24, 2014
I signed up for BCBS/Florida Blue to start in January. I made regular payments with a couple being late (up to 45 days on 1) without much worry because of the 90 day grace period. I went to use my plan at the ER last week only to find out I'd been cancelled back in March even though I was still receiving bills, paying them and being thanked for doing so. No cancellation notice received though they said they sent one. I have spoken with 10 representatives and NO supervisors were available when I asked. Only first names were given.
I also contacted the Marketplace and got the same runaround. I also contacted the Insurance Commissioner who said it was a Medicare/Medicaid thing (it is not). So far, I've spent almost $800 out of pocket and have a surgery scheduled next Wednesday that I will have to pay in full out of pocket including future physical therapy. They refuse to reinstate me thus no reimbursement. Will be consulting an Attorney next.
Reviewed May 30, 2014
I have paid for my FL Blue for two months using a Social Security debit card issued by Comerica. Today I was told they no longer took that form of payment. I would have to have a bank account to pay by phone or buy a money order and go to the post office and mail it. People with bank accounts can pay over the phone but those with Social Security debit cards do not now get the same level of customer service. I had paid twice before and the expectation was set with me that the card was a legitimate transaction. I see this as both discriminatory and a breach of ethics.
Reviewed May 21, 2014
I went to a regular doctor's visit at Cleveland Clinic in Weston (largest healthcare provider in the area), in-network facility with in-network doctors. The doctor requested me to do a CT scan. Immediately after I walked out I scheduled the CT scan at the front desk next to the doctor's office and they gave me a date/time. A week after I went and did the CT scan, went back to the doctor, results ok, everything fine so far.
Last week I received a claim statement from Cleveland Clinic asking me to pay them $1200. To make a long story short, Florida Blue and Cleveland Clinic are passing the ball to each other saying that they have processed the claim properly, etc, etc. My plan says that CT scan are covered with a $300 co-payment only, but both Florida and Cleveland say that the Imaging Center which is in the Cleveland Clinic, same building, next to all the doctor's offices is a separate facility and therefore they don't cover the costs under the plan.
NOBODY ever told me, neither the doctor, nor the front desk, that a CT scan would have have such a cost, no advice, notice, nothing. THE BENEFITS AND COVERAGE PAGE OF FLORIDA BLUE WEBSITE CLEARLY INDICATES THAT ADVANCED IMAGING SERVICES INCLUDING CT SCANS ARE COVERED UNDER MY PLAN $200 CO-PAYMENT WITH AN INDEPENDENT FACILITY $0.00 DEDUCTIBLE, member pays $0.00 with an independent lab or.. 0% members pay with an outpatient hospital service. I'm sure in some little word somewhere in the Florida Blue booklet there is something about this cost. In addition, if that was the case, what formula do they apply to calculate what they pay to Cleveland Clinic and what is the remaining to be paid by the patient. THIS IS A SCAM.
Reviewed April 29, 2014
Like the rest of the lemmings we've become since Barak-Who's-Sane Baloney became dictator... I rushed to get my health care before this fictitious deadline landed us all in liberal hell! I paid the initial $600.00 which they had absolutely no problem processing. Then I waited and waited... and waited!!! The only thing I got from these thieves, are notices that they had not received my payment. So, like everyone else here, I decided to burn up as many hours of my rapidly vanishing life as I could by calling these charlatans! From there, it was a series of transfers and hang ups! After an hour of their lovely, static-laden hold music, having been transferred around like beach ball at a Jimmy Buffett concert, I got to this joker in "BILLING" who was apparently raised by Parrots... because all he could say is… AWK! - "YOU OWE X-$". And... AWK! - "My supervisor will tell you the same thing I did".
When I had finally had enough of his corporate regurgitation and said goodbye, this guy actually had the nerve to ask me "Is there anything else I can do to help you?"! Apparently during the first day of training, the instructors have all their new minions line up and they perform a "Soul-ectomy" on these poor saps, whose only crime was to outlive their unemployment insurance! To anyone reading this, the sum total of my advice is... Run!!!
Reviewed April 14, 2014
I signed up with BCBS at the end of December 2013. Paid for January and February 2014. I needed to be seeing a doctor to stay within my Long Term Disability terms. I never could get a membership number even though they said they escalated my service multiple times. I had a stroke in January 2012 and was looking forward to my insurance in January 2014 to stay in compliance. Waited, called, and visited a local BCBS site in Pinellas Park and was assured I would be covered.
Finally after many promises (I have all the emails for documentation), I cancelled in February after them sending me multiple letter stating I was being cancelled for not paying. Contacted Insurance Commission 3/21 and contacted BCBS about refund again and was told again - "Check is in the mail. Probably will take a month". Barry ** would not let my daughter speak with a Supervisor, said there was none there. Would not give last name or employee number. I am now broke and took my last blood pressure medicine last night. Also, have been out of all other medicines. First available appointment I have with Pinellas County Health in May 1st. if I live that long. I didn't think they could take your money and not provide you a service. By the way, I got my "Welcome Letter" and FANCY flash key for my membership today. Still no cards...
Reviewed April 14, 2014
While living in Florida my fiance and I had a happy accident, and I became pregnant. A few months later, I decided to move back to Wisconsin to be with him and closer to my family. I needed to get connected with my OB-GYN immediately because of some possible complications with the baby. So, like everyone else, I spent a lot of time waiting on the phone to speak with someone, several times. I got the green light from two different people that the doctor I wanted to see was in my network and that I had 60 days after I moved up to WI of continued coverage. So I move and begin my doctor's visits.
All of a sudden, I receive a statement in the mail saying that Florida Blue will not cover me because I'm out of state and did not receive special permission. I told the people from customer service that I needed permission and asked them if there was anything I needed to do. Their response was, " You're all set to go". To make a long story short, I now have over $3000 in medical bills I can't afford and all I can do is write an appeal. There is no one I can speak with directly who can help me with this. Not only is there a long wait to speak with anyone but their employees are not well informed about their jobs and/or trained properly. What they don't realize is how much their negligence can really influence a person's life.
Reviewed March 26, 2014
Unfortunately it is impossible to give less rating than ONE star, which is to be considered very generous in Blue Cross Blue Shields case. Unless you have unlimited patients and time on your hand. RUN FOR THE HILL. Personally, I signed up 3 months ago and have already spent 100 ++plus on the phone to solve all the problems they seem to create. Can't wait for my year to be up so I can take my business elsewhere. Hope those reviews are read by the headquarter so they can improve themselves.... and by the way... Don't expect waiting time less than 30 minute if you call for assistance. Most likely you will end up talking to 3-4 people and 2 hours later you are still left with the same problem. HOW IS THAT EVEN POSSIBLE....?
Florida Blue Company Information
- Company Name:
- Florida Blue
- Website:
- www.floridablue.com