Highmark Reviews

Horrible insurance company. While they continue to cut costs, support, and coverage for their clients and cut staff, the corporate company continues to experience record profits (so their strategy is working, but at a cost to the client!). Meanwhile, there is ZERO service anymore - you can’t even get help via the online chat, let alone ask a person a question anymore; the website continues to fail - it’s cumbersome, is often down, and has too many disconnected sites. Wait times for a live online rep are 30 minutes and the CUSTOMER has to reach back out (ever hear of Jira?) and 6+ hour wait times for phone calls. But hey - as long as the execs and board are happy, who cares, right? I’m self employed, so forced to get my coverage through this provider. It’s shameful I don’t have more choices. Competition would be an asset to this industry to improve things for the people who are actually paying for the products.

Highmark by Blue Cross Blue Shield is great if you prefer the most limited choice of providers and hospitals? Rush Orthopedics - No, Advocate - No, Duly Health and Care - No. If you want to drive the maximum distance in an emergency so you are covered. 15 miles/ 20 min no traffic. Employers choose the High performance network instead of giving you a pay cut the give you a healthcare cut. This plan is the absolute worst and should be illegal in Illinois. Thank you, RENTOKIL! formally Terminex. You really know how to mistreat your employees.

I have been attempting to have a claim that was incorrectly processed corrected for months. The MD office is now threatening collections when the error is on the part of Highmark. I have called 3 times now and am waiting for a call for the 4th time. I pay an absurd amount yearly for the best plan my company offers. I refuse to pay another cent because of incompetence. So far I have been told it was an error in Highmark's end processing the claim and it would be repossessed, then I was sent a check and told not to cash it as this was sent in error to me instead of the MD, the third time I was told it was being reprocessed again. I have a difficult time understanding the representatives and now I believe they are not understanding me. This is beyond absurd and extremely frustrating. They have no problem calling me multiple times to schedule their unwanted in home visit despite my requests to stop calling as we aren't interested. Highmark do better.

My experience with Blue Cross Blue Shield’s claims review process perfectly illustrates what is wrong with the American health insurance system. My provider ordered lab work to meet their requirement that testosterone levels be drawn before 11:00 AM. The labs were drawn at 07:35 and 07:58. These times are clearly documented on the report. Blue Cross Blue Shield denied the claim because the lab report used 24-hour (military) time and did not explicitly say “AM.” Let that sink in. The insurer responsible for reviewing medical documentation apparently cannot interpret the most basic time format used across healthcare, hospitals, laboratories, and the military. Anyone who has ever worked in healthcare knows 07:35 and 07:58 are morning times.

Needs shut down. I’ve never had such a horrible plan. They are completely full of lies.🚩 I’m filing a complaint with the state. I advise others to do so we can come together to put a stop to this horrible mismanagement #. Us the people need to put a stop how people health are being mismanaged!!

Healthcare coverage is just getting worst and worst every year. I have Highmark Blue Shield and standard coverage on a routine checkup for bloodwork that was usually covered. Now was not. I called to ask why and the person on the phone only could say, "It's not covered". I asked why and again "It's not covered". "Why was it covered last year, exact same annual visit and bloodwork?", response: "It's not covered". Had the doctor re-issue with another more standard code thinking that this might be the cause... Doctor acknowledged that another code was used last year, then reissued with new code. Month goes by, "claim denied with new code".

I have Highmark BCBS for my medicare Advantage provider... Called in about buying a CPAP machine. Was told they paid 60%, I pay 40%... I said fine... Paid the full price, submitted the claim.... 45 days later they rejected it. Called CS... Asked them why, they said I had to rent it? Asked them to look at the transcript of my call and rep told me that they did quote me exactly what I said... Now they have 60 days to look at the "grievance" over $300??? A multibillion dollar company can just say "yeah, we screwed up" and eat $300??? I can see why only 50% recommend this to family or friends.

Pay $1000 a month and can’t even get a knee replaced that won’t allow me to walk. Had surgery scheduled in 24 hours and they just denied my surgery. I guess they’d rather me be addicted to pain pills. Will be getting my insurance else where what a joke. Laugh will be on you when your kid or loved one is in the same spot. Greedy greedy insurance company will take your money but not help. 12,000 for a year to get denied what a joke. Wish someone was face to face so I could spit on them.

Highmark Wholecare is the worst..! I changed from Aetna Advantage to these liars, after one of their representatives called me and told me that they match Aetna Advantage Care card, item for item. Well, that's a total lie..! They will only pay for certain foods, OTC birth control, (I'm 65, that time has been long gone) and OTC meds that I'm not allowed to use.

I had Highmark over 20 years ago and they were great. I went to a new job and had UPMC insurance and they were great. My job changed two years ago and I have Highmark again. They refuse to use my current information provided by my new employer. They have my cell phone number, my address, my social security number but will not change my email address from 25 years ago from my old employer. I have made an attempt to change my email address 5 times and once again, I call today and they say they cannot validate my information because I cannot firm by email that goes to my old employer. However, I have been through this process before 4 other times, and the change has still not been made so I cannot access my Highmark Account to get the information that I need.