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My partner signed up for this insurance during open enrollment last year because it looked like it had sufficient scope in terms of coverage and doctors. Unfortunately he was then diagnosed with cancer. Then, thankfully we thought, the insurance had an oncologist nearby. After a few sessions, we started to get large bills and the doctor's office stated that the insurance was claiming they were out of network. As it turns out, many of the listed doctors on their site, and the ones their agents tell you are in network, are actually out of network. Now we are without an oncologist. With a deadly disease. They cannot seem to be able to join a call to resolve the issue, and now after reading the other comments here, it appears that this is some sort of very large and deadly scam. We pay over $1,300 a month for this. And there is no doctor that he can use that is in network.
How do we create a claim to have this insurance reviewed and either cleaned up or shut down? Who should we contact? At this point we are going to have to figure out how to pay hundreds of thousands of dollars out of pocket, just to stay alive. What other insurance will take us now? With a preexisting condition? No one please ever use this insurance. Save your money, your time and your life. Because they will take it all otherwise.
This place is a giant SCAM. Do not do business with these people. I've been getting my medicine which is 4 pills for 10 years now and they reduce it to 3. They offered to me to pay out of pocket. I tried and the pharmacy said I can't. Expensive insurance that I pay every week and now when it's their turn to pay they want to deny me my medicine which I need to survive. Agents don't do anything to help the cause, they put you on hold and tell you the same runaround which never leads to solving the problem at hand. I have had it with the little man always getting screwed by these insurance companies. I wish I could give it a 0 rating cause 1 is way too good.
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Totally useless information and customer service. Listen. If I've submitted the same claim four times, denying for four different reasons (and I had to call and email multiple times EVERY TIME just to get a little information about what I was doing wrong, and there are no instructions anywhere), but it's only on the last claim that you tell me I won't be reimbursed because the provider is NOW out of network (although when originally choosing the provider I was told he WAS in network, but, "Oh, sorry, that must have been a mistake")... Your company is unethical. Your customer service is inconsistent and unreliable. And you don't provide the necessary accurate information in order for the insured to make informed decisions. Worst of all, you are costing yourselves MORE money by only paying for expensive things instead of making it easier to get less expensive care and prevention. This is a great example of what's wrong with the system.
LOOK, My humble opinion and I believe the following thoughts: I WILL NEVERRRRRRR**** GET EMPIRE AGAIN. January 16, 2018 MRI and left Empire January 18, 2018. They refuse to pay. After dealing with from October 2018 to now. Now I will file complaints with NYS and US Attorney General's office, NYS Governor's office, Health Bureau, FTC, many government entities and websites. They also violated HIPPA regulations I believe. 518-367-4737 Bridget ** management and supervisor Ayanna ** at extension ** reference number ** – ** . It's disgusting they kept jerking me around for months saying it was in appeals and then appeals didn't review all doctor's documents for some reason. I think I was denied because my insurance ended couple days later like it feels to me malicious. I also filed reviews on Twitter and Facebook. Empire Blue Cross Blue Shield health insurance. I wish there was a way to give zero stars.
We were covered by this company for a little more than 20 years. They handled every claim promptly and fully. In all, our family had 14 surgeries during this time. Our out of pocket expenses were minimal and there were never any "hassles."
If I could give this company 0 stars, I would. They denied my ER claim because they deemed my massive internal infection in which I was hooked up to IVs for 7 days not a “medical necessity.” Finally, the ER doctor called them and said I would’ve died without treatment. I got a letter afterward from them afterward saying, although they don’t agree with the doctor, they will pay my claim, but it’s a one time thing. What???
I am a Medicaid patient and I always have hypercalcemia while the doctor ask me to hospitalize and have IV. I have CKD and my old primary doctor prescribed me vitamin D and ** while not realizing my high calcium level. I went to my kidney doctor and asked me to hospitalized urgently to lower my calcium level. On the next day, I received a letter from them that my hospitalization was not approved and have to file an appeal. My kidney doctor is helping me filing it. I would say good luck for those who have this insurances. They don’t work based on fact and evidence at all.
Called up to ask about why I was unable to update something on their system for my account. Was told that "Jews like me needed to be more patient and stop pushing". Complained and never heard back from company.
Always something they not cover. Customer service helpless and I wish company will change it. It was Aetna before Obamacare started and company must gave up Cadillac plan. Switched to BCBS which is real BS.
My hip replacement surgery was denied as not medically necessary, and my surgery was cancelled, last minute. I have severe arthritis. My doctor was baffled and appealed, and the appeal was denied. I also sent an expedited appeal, and did not receive a response. My family has had the same Empire Blue Cross Blue Shield policy since 1992 through my husband’s union, Metal Trades Local 638. I believe BCBS has not followed their contract.
Empire Blue Cross Blue Shield of New York Company Information
- Company Name:
- Empire Blue Cross Blue Shield of New York
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