Highmark Reviews

Aetna Advantage plan was hell-on-earth. I'd heard Highmark Wholecare was "a great plan" by an insurance agent. Sure, their ADS look great but NONE of their propaganda is true. 1st went through a long list of 'in network providers' in my area. 99% had retired, or moved years ago. Spent 2 hours on phone with Highmark & was assigned the ONLY dr that accepted their plan & gave Highmark 2 weeks notice for transportation. Ride NEVER showed up or bothered to call, to cancel. Highmark promised OTC benefits but refuses to send the card, you need to use those so-called-benefits. I've called repeatedly. They say, "Oh, it's just been shipped out".

Nothing short of MADDENING!!! I did learn that Medicare Advantage plan holders are indeed the "red headed step-children" and their policies, web portals and apps are held in a different regard that any of their normal customers. What I don't understand is that when accessing Highmark on the web or app store that they don't seem to have a special site/app for us unimportant Medicare customers. I only see one choice when I go online or to the app store. I am confused by this because I am assured by Highmark reps that because I have Medicare it is a totally different site than what the normal people get and therefore they are unable to help with a web issue, even though they are the web services dept. Unfortunately, 1 star is the lowest choice that you allow me to choose.

Absolutely horrendous. Provider covered one visit, not the next visit. Out of pocket expenses for a routine wellness exam exceeds $350 with zero coverage from Highmark. Trying to find a new provider in my area that accepts new patients is impossible.

This insurance company is a joke! They told me my premium would be one price and they ended up charging me a higher rate. This has been going on since July 2025. They absolutely refuse to refund the difference that is owed to me. Highmark doesn’t care about their customers and their employees have absolutely no clue what is going on. I will never be a Highmark customer again and if I could give a negative star on this review I would!

High premium cost, worst customer services in the planet. Even the information they put on your card is wrong. You hold several hours for the member service phone, you can’t reach a representative. Can’t describe how bad the experience it is with this insurance company.

The customer service is horrible. Endless automated responses, almost impossible to reach an actual person, and if you do that person is just a flunkie who cannot resolve the issue. Don't waste your money on this plan; so many other better options.

This is the worst health insurance provider on the planet. Agents are rude and cannot resolve anything over the phone. Records are stale and not updated for over a year resulting in denial of benefits. The company also use a tactic to deny claim by claiming you already have primary insurance with another provider and therefore will not pay for any services received until you contact the previous insurance company that you have a relationship 2-3 years ago and tell them to send in proof of insurance cancellation.

I work for a billion dollar company and this is the insurance they give us. Absolutely ridiculous. ANSWER THE PHONES!! PEOPLE NEED HELP!!! I have never been more frustrated with an insurance company in my life.

Fully agree with many of the comments before this. Their focus appears to be denying claims or processing them in a manner to put the burden on consumer and making the resolution process so onerous that their hope is that you will eventually just give up. I eventually had to file a formal complaint with the PA Insurance Dept.

There was no in-network doctor qualified to perform my skin cancer surgery, yet they penalized me by charging me the tier two fee for my coverage. I filed a formal appeal to have tier 1 coverage because I had no choice. They denied my appeal. Communication was terrible and I received no up-front warning that would have to pay 500% more in out-of-pocket expenses.