Highmark Reviews

So Highmark in its infinite wisdom has dropped weight loss meds from coverage. Why? Cost. Plain and simple. They chose a blanket answer to a problem that is dealt with individually every month when you have to contact your physician to get it refilled. They document your weight, BP and side effects. I am sure there are people who aren't using it as prescribed but that falls back on the individual case to deny not block everyone. I hope someone sues the daylights out of them and it's a class action one that costs them millions.

I am dealing with retiree benefits. The segment of the company I deal with has no email or website. I have to call or mail everything. They are waiting for this small group of customers to die-they simply do not care AT ALL if you get any help or ever get paid. I hate this company with every ounce of my being. DO NOT use this insurance if you EVER want even a mediocre experience. ABSOLUTELY AWFUL. 0/10. When the class action lawsuit gets filed, I hope I get a call from an attorney.

Husband's work switched from UPMC which never had a problem with, never ever had to call customer service all around no worries. Well they switched to this insurance and all I got to say is I and others are demanding we go back to UPMC for we are the ones paying!

If I could give Highmark negative stars, I would. Their handling of weight loss medication coverage is not only disheartening but downright unethical. I was approved for weight loss medication when I was considered “morbidly obese,” and with the help of that medication, dedication, and support from my doctor, I was able to drop into the “obese” category. You’d think this would be a success story. But instead of supporting continued progress, Highmark decided I wasn’t “fat enough” to keep the medication covered. Yes, you read that right—still obese, still at-risk, still under medical care—but not fat enough anymore.

Had two calls this morning from two different Matrix reps trying to schedule in home appointment and saying that Sunday May 11th which is Mother’s Day was their only available time. They were quite pushy! Of course we said no. As an aside, I just lost my mother. Not impressed with this group!

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.