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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!
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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.
This is the only insurance company I've ever dealt with that actually gave a damn about the clients, and demonstrates integrity in their actions. I was very surprised, but they have been consistent in being honest and honorable in the 3 years I've had them. Before this, I would have told you that health insurance executives are grouped with the lowest human slime to be found. I sincerely hope there is no change in their management and company ethics.
Getting worse! I'm in a Hoveround for the last 10 years, first hoveround, no charge, second hoveround, 700 dollars, it's time for a third one, Hoveround don't deal with Highmark no more! So no new hoveround unless it's out of pocket!
This health insurance company is grossly mismanaged, morally bankrupt, and predatory. My health insurance through BCBS was dropped without my knowledge. However, they still took near $600 dollars from me after my drop, but refused coverage for my medical needs. After my insurance did not respond when a hospital ran my information, I called to see what the problem was. I was told I had been dropped months ago, and that I was outside my appeal period. However, it was IMPOSSIBLE for me to appeal, as I was not made aware that I had been dropped.
After several hang ups and empty "we'll get back to you" phone calls through customer service, I visited their offices in person. I sat in front of a representative, openly weeping, after I was told to wait until November to enroll for 2021. I am sick, and have gone under anesthesia 3 times in 2019 for various issues and tests. The precise nature of my illness is still undetermined, and a full year without medical insurance puts my health in extreme danger. The dispassionate representative told me in monotone to "take a deep breath". Additionally, I was told that I had been dropped due to "unemployment", despite being privately insured and employed for over 2 years at the same business.
Highmark BCBS has stolen from me and cited false information for an insurance drop, and then neglected their obligation to inform me of the drop. This company is more interested in saving themselves money (by dropping a high cost patient) than the life of a human being. Disgusting business ethics, and a shameful display of prioritizing profit over people.
Blood work at a in network provider is not actually covered. Upon trying to review my benefits booklet online I'VE come to find it's currently unavailable. While still logged into my account I decide to search for other plans when I come upon my plan with full explanation of benefits. In there it states that blood work is covered if the deductible is met or not. After speaking to a customer service rep who informed me that it falls under the new year deductible of $800, I told her about what I found. She said sometimes they make adjustments when the new year begins! Yet it does not say anywhere about this so called adjustment, besides the fact I would think anyone with this plan should be notified! THIS IS FALSE ADVERTISING about health plan coverage!!! BEWARE!! I don't believe this is legal and intend on pursuing this further!!!
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