Highmark Reviews

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.

The worst health insurance provider I have had in my fifty years of life. They have denied services requested by my primary care provider, as if they know what is better for my health than my doctor does. I can't wait to get out of their service at the beginning of the new year. Money hungry insurance providers have ruined our healthcare system, and these fools are at the heart of everything wrong with it.

Highmark now decided routine diagnostic blood work was preventative care and not covered. Same for removal of inflamed skin tags. Denials come frequently while I was just notified of a $200 monthly rate increase. Upon appeal, they have not responded to the appeal. Highmark has made it clear that they don't care about health of their customers. It's a numbers game for them. The more they deny, the more they keep. Try to call customer service and someone from offshore answers after a long wait period and repeats the same sentence over and over. And they won't allow you to talk to someone in the US. And you get disconnected at least once every time you try to reach someone. Highmark is awful and I would find another company who cares.

EVERY year I have a physical Highmark denies payment for part of my lab work. I have to contact a patient advocate and jump through hoops to get them to pay. This year has been HORRIBLE. Every time I call a patient advocate the story changes: It was coded incorrectly, Medical history supporting it must be submitted, it requires a letter of Medical Necessity... My doctor's office has done everything they've asked of them at this point and still... denied. I dread my physical each year knowing I will have to deal with them. I've called for help 5 times now. I HATE dealing with this. Get your act together Highmark BCBS!

My sister called Blue Cross/Blue Shield 1-800-275-2583 twice for information on deductibles and copays for an out of network provider. She was disconnected both times. I called twice and am now on hold for over an hour. When logging into ibx.com/login Notice the Terms and Conditions. The accept check box and submit button are greyed out.

The OTC WEBSITE they have nothing you can buy...Everything is out of stock... It's impossible for me and my wife to spend $80 each a quarter.. Highmark needs to get a new supplier... If I remember correctly 2025 the OTC allowance is even higher..So what good is a benefit if you can't use it.

Their website searches are inconsistent with customer service reps in finding in-network doctors, dentists, etc. Their website will offer contact information in your searches only to find out they aren't accepting new patients. The website will give you results, you see the doctor, then come to find out by a customer service rep they aren't in network???

If I could give -5 stars, I would. I would be better off not having ANY insurance than having this insurance, and I'm not being dramatic or kidding. The "customer service" is horrible, the use of Accredo Speciality Pharmacy is criminal, and the blatant money-saving measures that HighMark has put into place is disgusting. I wonder how many Highmark "customers" have died waiting for their meds to be covered, pre-authorized, denied, refused, lost, etc. I'm so happy that the CEO got a raise this year, because I'm sure he needed that new yacht more than I needed my life-sustaining medication refill which was denied. There is a special place in hell for this company.

Highmark is the WORST insurance that I have ever had. They don't cover anything at all. I pay $500 a month just to pay another 5k before they will consider covering a single claim. I've never heard of such thing. If you're looking for a good insurance I had United Healthcare for 5 years and they were excellent. They covered most everything and were wonderful to communicate with. For reference I had a baby in 2023 with United and paid $930. I have what my employer & highmark said was the same coverage as I did with United and now I'm paying $4,698 to have a baby in 2024. Highmark is legally robbing its customers. I'm sure this company alone is the reasons thousands of Americans die home alone because they can't afford medical care EVEN WITH INSURANCE.