CareFirst Reviews

4,890,778reviews on ConsumerAffairs are verified
  • We require contact information to ensure our reviewers are real.
  • Our moderators read all reviews to verify quality and helpfulness.
  • We use intelligent software that helps us maintain the integrity of reviews.

About CareFirst

This profile has not been claimed by the company. See reviews below to learn more or submit your own review.

CareFirst delivers health insurance and related services such as individual and family health plans, Medicare coverage and employer health benefits. It integrates health and wellness programs to support preventive care and manage chronic conditions, serving members throughout the Mid-Atlantic region.

Pros
  • Affordable insurance options
  • Wide network of providers
  • Comprehensive coverage plans
  • Straightforward claims process
Cons
  • Poor customer service experience
  • Frequent billing issues

Shop with confidence

Compare with top companies

CareFirst Reviews

Filter by Rating

  • (2)
  • (3)
  • (1)
  • (3)
  • (108)

Popular Mentions

    How do I know I can trust these reviews about Carefirst?
    • 4,890,778 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Recent
    • Recent
    • Oldest
    • Most helpful

    A link has directed you to this review. Its location on this page may change next time you visit.

    How do I know I can trust these reviews about Carefirst?
    • 4,890,778 reviews on ConsumerAffairs are verified.
    • We require contact information to ensure our reviewers are real.
    • We use intelligent software that helps us maintain the integrity of reviews.
    • Our moderators read all reviews to verify quality and helpfulness.
    Page 1 Reviews 0 - 10

    Reviewed June 3, 2026

    I have been a member of CareFirst Community Health Plan Maryland for a few years now. My experience the first two years was fine. My experience the last 6 months (from January 2026 to present) has been atrocious. CareFirst Community Health Plan issued new cards to members in January 2026 and got a new client portal (and possibly a new system for processing claims) soon after.

    From January 2026 to present, many of my claims have been denied for covered services including: annual exams (with primary care provider, eye doctor, and gynecologist), urgent care visits, medical nutrition therapy, an MRI, and durable medical equipment and supplies (including CPAP machine and supplies, custom made orthotics, and urinary Incontinence pads). It also looks like my claims for routine blood work and physical therapy will be denied in the near future. Also, when I log into the client portal, all of my claims have "CareFirst Medicare Advantage" listed on the letterhead (instead of "CareFirst Community Health Plan.")

    I am very careful to make sure that all of my providers accept CareFirst Community Health Plan and I believe that all of these claims should be covered (as they were in 2024 and 2025). I have been in regular contact with the Member Services Department since late March 2026 and my case was escalated to a supervisor in late April 2026. I feel like the staff at CareFirst are quick to say that the providers are making mistakes when submitting claims and are quick to defend CareFirst's system for processing claims.

    While I am sure that providers do occasionally make mistakes when submitting claims, the errors are widespread and I think that CareFirst's system for processing claims is causing most of these errors to happen. As I have asked on multiple occasions, I am hoping that a staff member (or team of staff members) at CareFirst will be doing a deep dive into my profile (account) to see why so many of these claims are being denied in error instead of simply asking all of my providers to call provider services to try to remedy the problem. I hope to see all of these denied claims covered at some point in the near future. CareFirst, I have been a satisfied customer in the past and I know that you can do better. Your members deserve better.

    Thanks for your vote!
    Profile pic of the author.
    Punctuality & SpeedStaff

    Reviewed May 7, 2026

    Currently on hold for 2.5+ hours with no rep yet. They haven’t approved a pre authorization that was submitted months ago. I’ve been waiting for this appointment for over a year and it had to be moved.

    Thanks for your vote!

    Not sure how to choose?

    Get buying tips about Health Insurance delivered to your inbox.

      By entering your email, you agree to sign up for consumer news, tips and giveaways from ConsumerAffairs. Unsubscribe at any time.

      Thanks for subscribing.

      You have successfully subscribed to our newsletter! Enjoy reading our tips and recommendations.

      CoveragePrice

      Reviewed April 28, 2026

      This is the most expensive insurance and the worst service. It takes over 5 months to process one claim, after 20 years time to get different insurance, SMH!!!

      Thanks for your vote!
      Profile pic of the author.
      Customer ServicePunctuality & SpeedStaff

      Reviewed April 21, 2026

      Worst ever customer service. Waiting for hours without anyone to talk to. Stay away from them as far as you can. I cannot understand how they still exist.

      Thanks for your vote!
      CoveragePunctuality & SpeedStaff

      Reviewed April 21, 2026

      Trying to obtain an authorization or check status of a request takes a minimum of a 2+ hour wait time just to talk to a rep for about 5 minutes. This is the only insurance company that takes an extreme amount of time to speak with.

      Thanks for your vote!
      Customer ServiceCoverageRefunds & PayoutsStaffBilling

      Reviewed April 20, 2026

      The absolute worst insurance company! I have been on hold for hours at a time since August 2025 trying to get a few claims reprocessed, as the bills were incorrect. Still awaiting confirmation that a claim they promised to rerate IN WRITING TO ME in January has been done. Rude, ignorant and unhelpful customer service, and they NEVER call back. Calls are dropped more often than not. These are people who don’t want to pay for care, and will go to great lengths to avoid it. Horrible!!!

      Thanks for your vote!
      Customer ServiceSales & MarketingPunctuality & SpeedStaffBilling

      Reviewed April 14, 2026

      Zero if I could. Signed my mother up in December for 2026. Sales helpful, upfront, until policy starts, then virtually zero help from CS. Will move her next renewal. Avg. 30-60+ minutes each time we call and then no answers on issues. Even with all of the info on their system, Autopay not active now for over four months, so I have to keep going in to see if payment took, call on autopay status or I have to manual pay late. All I get is excuses on why they haven't activated and could take a few more months. Only company I have dealt with that makes it difficult to pay or takes months to set up autopay. Buyer Beware.

      Thanks for your vote!
      Profile pic of the author.
      Customer ServicePunctuality & SpeedStaff

      Reviewed March 20, 2026

      I have been waiting on the phone for and hr and 10 min as of now. After a half hr wait the lady took my info and said she was sorry but she only handled the smaller companies and my employer was not her dept. She said she would switch me over to the proper people. Well 45 more min and I am still listening to classical music on my speaker phone. I called a week or so ago and had to wait about 30 min. Why does this company so blatantly not care about customer's time? There should be a law about this. When I have a choice of ins companies I will remember this.

      Thanks for your vote!
      Profile pic of the author.
      Customer ServiceCoverageTechPunctuality & SpeedStaffBilling

      Reviewed March 16, 2026

      I am a provider in Maryland. I have waited hours and hours for weeks trying to get through to customer service. My billing company had done the same. I need to get paid and need your help to solve problems. In this case re-issuing a check lost in the mail. That $500 feeds my family. That's just of many things that has taken MONTHS to resolve with CareFirst Maryland. Now after multiple calls to get help I have to make a formal complaint to the Maryland Insurance Commission. You had no business cutting your workforce. You can't provide the service to us providers that are the backbone of your company. You should be ashamed of the betrayal of us and all of these dissatisfied patients. I'm still on hold for 1:30 hour and a half listening to the same snippet of Mozart burned into my brain. You are an immoral corporation of pure greed. We deserve better.

      Thanks for your vote!
      Customer ServiceCoverageTechPunctuality & SpeedStaffTransparency

      Reviewed March 13, 2026

      My family submitted an application for health insurance coverage under my husband’s employer-sponsored CareFirst plan on December 15, 2025. After repeated follow-ups with CareFirst and my husband’s HR department, we were eventually issued insurance cards, which reasonably led us to believe that coverage had been activated.

      However, whenever our medical providers attempt to verify benefits, they are consistently told that we are not active in the system and have no coverage. Since December, we have made more than 10 attempts to resolve this issue with CareFirst. My husband’s HR department has also repeatedly contacted CareFirst on our behalf. Despite these efforts, CareFirst has failed to properly activate our coverage or provide any meaningful resolution.

      As a result of CareFirst’s inaction and administrative failure:
      • Multiple medical claims are now outstanding
      • Our providers are unable to process claims due to CareFirst stating we are not covered
      • We have been left in insurance limbo for months, despite applying and doing everything required of us

      • We have spent an excessive amount of time attempting to correct an issue that should have been resolved long ago

      This situation is unacceptable. CareFirst issued insurance cards suggesting coverage was active, yet providers are repeatedly told we are not enrolled. This inconsistency has created confusion, financial risk, and unnecessary stress for our family.

      We are requesting that CareFirst:
      1. Immediately activate our coverage retroactively to the appropriate effective date
      2. Confirm coverage in writing
      3. Ensure all outstanding claims are processed properly

      4. Provide a clear explanation for how this administrative failure occurred

      It is extremely concerning that a major insurer would allow a family to remain in this situation for months despite repeated follow-ups from both the member and the employer. We expect prompt resolution.

      Thanks for your vote!

      Quick and Easy. Get matched with a Health Insurance partner.

      Compare Insurance Providers

      Loading more reviews...

      CareFirst Company Information

      Company Name:
      Carefirst
      Website:
      individual.carefirst.com