Highmark Reviews

I am in a financial bind because of information that multiple representatives at Highmark Medicare and or Express Scripts regarding my medications. Before I committed to an additional recommended drug in January, I contacted Express Scripts (mail order co. for Highmark) who handles the pharmacy claims etc. to discuss the new $2000. out of pocket for Medicare members in 2025. I repeatedly called and spoke to reps or supervisors confirming each time what I had been told. Based upon what one supervisor told me in January that the total included what I paid for a covered drug and what my part D plan paid. He directed me to

In my 23 years of adult life, I have never had such horrifically bad service from ANY company. Their website works randomly or not at all, and when I can actually get to their login screen my login creds never work. I try to reset the password using the info they request, member ID #, first name and birthdate and the site tells me it's wrong. I spend 45 minutes on the phone with someone who gives me a temp password, which works, then I create a new one, which then doesn't work. Rinse and repeat this scenario over and over again. I can access my claims, benefit info or search for covered doctors or services. I can't wait until next year when I can switch from this god-awful insurance company.

They "accidentally" dropped our renewal in Jan 2024 despite being active on Jan 1 and COBRA being paid. They had to reinstate. Then in Feb of 2025 while COBRA was still active, they somehow expired both myself and husband. Then after being denied an MRI on Mar 2 due to "coverage expired", I spent over 6 hours March 3 on on the phone getting it reinstated only to find out they forgot to reinstate Rx as well. Had to call back.

Absolutely terrible! I was on Wegovy for 5 months, lost 20 lbs and my high blood pressure was under control and then they changed the criteria. Denied for Wegovy and Zepbound by a pediatric doctor that reviewed my case and I'm a disabled adult limited on how I can exercise. Why do they go against my doctor's advice on drugs that ARE covered? The premiums that I pay are absurd, but if I had Medicaid it wouldn't be an issue. They don't even deserve one star. I was on Wegovy for almost 6 months and they covered it but because I lost 20 lbs but I wasn't anorexic looking they won't cover it and my blood pressure is all messed up and they don't care.

Took 6 months and 5 or more phone calls and sitting on hold for 40 mins at a time to finally get refunded for health insurance payments I paid and then was told my insurance was cancelled. They refunded me $177 after I paid $290 that they need to fully refund. Now I try to login and I can’t access my login. Of course.

A sad excuse of a disaster for an insurance company. Worst insurance company. I had in 35 years and they just don’t seem to care. More denial more confusing answers. Even when they deny something, they just tell you to reach out to your doctor cause they don’t have a clue. Wish the government would investigate them or they would get sued. Unfortunately, I am stuck with them.

I have been a type 1, juvenile onset diabetic since I was seven years old. Within the last year Highmark Blue Shield has started refusing my insulin prescription every time I try to fill it stating they need the dosage information even though the dosage has never changed under my current physician. This has forced me to ration insulin for months, to which Highmark has zero concern. Their customer service seems to exclusively be based outside the US and they have zero information about your plan when you call.

WORST HEALTH INSURANCE I HAVE EVER HAD. Their website NEVER LOADS. How can I find coverage if I CAN NEVER ACCESS THE WEBSITE. Their phone tree is also complete trash. Utter trash. TRASH. TRASH. TRASH.

Very frustrating website that is not customer friendly. Can tell it was designed by programmers FOR programmers, and not for consumers. Some of the problems I ran into: a) no easy way to print a temporary ID card for people who buy individual coverage; b) if I lived across the road (in another county) my premium would drop by a lot and I would have access to a much better plan; and c) my doctor listed as “not covered” even though his claims go through every time I see him. Exchange plan members seem to be second class citizens to Highmark, and they make no bones about it. They act like we’re pariahs. No other choices here though.

I have engaged with the Highmark customer service staff on 5 occasions in the last 3 weeks. Each call promised a follow up within 1 to 5 business days. No follow up occurred. Each call was handled by a polite well-intentioned person that was not capable of clear communications in English. I do not fault the people. They seem to be trying their best. But when my effort is to confirm that we actually have coverage in place this is very frustrating. When I log into to the web site, and it says we do not have coverage and yet the calls to the service center say that we do have coverage this is not very reassuring.