Highmark

I have been waiting on approval for an MRI for over a week (last Friday). Now going into the holiday weekend (it's Friday before Memorial Day now) I still have nothing. The best anyone can tell me is it is pending a medical director's review. I am walking around on a possible fully torn ACL!!! This is absolutely unacceptable! I have called every single day since Tuesday, sometimes even twice a day! So now I won't get the approval until the earliest Tuesday of next week and then I still have to get on the schedule to have the MRI! WE HAVE TO DO BETTER THAN THIS! For what I pay for this insurance, I shouldn't need to wait on someone else's opinion. My MEDICAL DOCTOR'S OPINION IS THE ONLY ONE THAT SHOULD MATTER!

Unfortunately, since Blue Cross Blue Shield of WNY has become Highmark BCBS of WNY, the service across the board has become downright awful. They've cut a ton of medications from their dispensary, shifted a number of them to tiers 2 and 3 (higher copays), removed the cap on total out-of-pocket expenses, fail to cover basic bloodwork panels claiming they are out of network (I got them done locally at Quest Diagnostics), cut all out of network coverage (even partial coverage) and make it near impossible to reach their customer support. When I did reach their customer support (on my 3rd half-hour phone call) they told me nothing could or would be done about my issue. Run from this health insurance company as quickly as you can.

The company has changed ID cards and accounts; nothing works. Change was effective 1/1/2021; it is now 1/27, Cannot use wellness card or get scripts that were previously covered. We are being told to pay out of pocket and submit forms and that they are having issues because of the changeover. Have contacted customer service numerous times. Holds are from 45 minutes to an hour or more. When you finally connect to a person, they transfer you to somebody else and the wait time starts all over again. Sent emails, no response. We were not told the company was changing during open enrollment during November and December and that there would be coverage changes with the name change. We would have left the company. We want the service we are paying for.

We Highmark BCBS in PA & I've only had to call customer service twice, with an average of one call per year. This is due to their well laid out, easy to use webpage & app. Most info I am able to easily find online. Some company web pages are messy and answers hard to find. Highmark has done an outstanding job making the interface easy for anyone. It is well laid out, non confusing and pleasing to look at. I didn't feel overwhelmed with the immense amount of information I was able to find online to fully answer all of my questions.

Highmark has been awful to work with. There is no communication between representatives. When you call you always reach someone different. I put a call into my care navigator on Dec. 22 and still have no resolution. I am in need of IV home infusion services for a kidney disability and so far they have denied care. No one returns phone calls. We have spoken to at least six different people and all have inaccurate information. Some of their medical coverage may be good but their representatives either do not document or read records. There is no communication. It is extremely frustrating. It has been many days since the original call and no resolution. Continuing to deny care can be life-threatening.

We paid LESS for our medical bills WITHOUT ANY INSURANCE from the hospitals and doctors' offices running our bills through their assistance programs for people without insurance than we pay now that they send our bills out to Highmark now! Switching insurances asap! No help at all!

I love it. They're very professional and personable. Everyone is very friendly. They're very easy to get appointments. It's nice because in the same building there is a lab downstairs. They have a place where they can do X-rays and also physical therapy.

This insurance is terrible, reps are not knowledgeable, they are off shore reps, even the supervisor kept me on the phone for close to an hour giving me the runaround. It took FOUR HOURS to get simple eligibility and benefits.

Obviously starting with the horrible price I pay monthly which is absurdly high for a family of 3, my deductible is 7500 which is outrageous, all my co-pays and my blood pressure meds pricing are too much. Only thing holding us back from having a second child is the ridiculous out of pocket cost we would have to pay, so thanks a lot for the horrible healthcare I pay for while people who do not work have it made.

I switched to Highmark in 2020 as they had a lower rate than the plan I had. I picked a Highmark Lehigh Valley plan as I live in the area of PA known as the Lehigh Valley. I go to my normal PCP and they cover nothing, I pay the full price of the visit. I call to ask why. Out of network coverage is ZERO. It seems the Lehigh Valley plan is "Lehigh Valley Health Network" only. So I switch to a LVHN doctor, go for my next check up and get a $200 bill. My $0 PCP visit copay does not apply. I have to reach my deductible first. Misleading in every way, they could have named it "Highmark LVHN" but why be accurate? BTW, my LVHN doctor double billed me for a new patient visit and a wellness visit for the same visit.