Blue Shield Of California

Blue Shield is unable to track payments. They are unable to ever figure things out on the accounting end, even when you can show them receipts of payment.

They cannot track such simple details—no notes that any company should be able to keep about an issue—especially financial information.

It takes several hours and many different support folks, and they still cannot figure it out. My son absolutely has to have this insurance, so it's not like I have an option to go to someone who can at least keep accounting records.

I am trying to disenroll in blue shield because it does not have UCLA in their plans? Can someone please tell me what to do?

Im traveling out of California I am in New York. I need to see someone in urgent care because I have a rash on my body, I needed to know where can I go in New York? The city is Rochester.

I have been taking Levothyroxine sodium 112 Mcg Tab for about a year, each month I would refill at Costco pharmacy #00778 4**** Pacific commons blvd Fremont CA , the copay has been $3, but when I refill today ( 10/9/2021), the copay raise up to $15, I didn't take the drug, and want to know the reason.

appreciate your early reply

i have copd and high blood pressure every month is a hastle i need my inhaler cvs says one thing doctors office another wait wait wait twice i needed a puff on the weekend had to call paramedics they ivd me and all i needed was a puff of albuterol my doctor refuses to refill i dont want to see him now as i might catch virus somebody please help me thank you

HAVE A MEDICINE ISSUE AND UNABLE TO TALK TO SOMEONE TO SOLVE THE PROBLEM

I have 3 medications, water pill, hormone, cholesterol. I can get only a 30 day supply.

I want 90 days. I'm 65 and I can't go in month after month with this virus. I call and can't understand the person on the phone, Still on hold, and no one picks up. I call insurances all day and can understand hardly any of the people on the other side.

If you can speak proper English why do you have all these high paying jobs and I can't get one. Right now I want 90 days and still on hole after being there for 30 min

Customer service is HORRIBLE! Sent to Philippines and people can barely speak English so they repeat every statement you make (very annoying).

It takes 20-30 minutes to get someone; if you aren't disconnected when they pick up, which happens often and then you start all over. Once you get through it is always the wrong department so they transfer you for another 20 minute wait. I've often been disconnected again or sent to the SAME department for another 20 minute wait. Right now I'm on my second call and a total of just over two hours to talk to a claim representative to correct a mistake THEY made.

A supervisor? None available. Every representative just wants to pass you onto someone else. Oh, and the entire time you listen to an endless loop REALLY horrible quality (in this digital age?) of the song California Dreaming for TWO HOURS now.

ONE song? Seriously? Can't shut it off. The representative couldn't even shut it off and we were yelling at each other over the music.

So lame. I used to like that song, now I hate it.

So I'm mad at Blue Shield for that too. Btw, occasionally you are transferred to the US station and no matter who you reach they take care of you immediately without delay.

Run from this company! No support, takes 3 years to fix problems and you will never get back what you were overbilled.

waste your time, technical support incompetent.

disconnect you instead of fix problem, must be paid by how quickly they fix things or something

I am so shocked do not send me any rubbish calendars. Its hard enough to pay your bill and you send this calendar and stickers.

Cross me off your mailing list IMMEDIATELY.... DO NOT WANT, never asked for.

PLUS ITS SO UGLY WHO Would EVEN WANT TO USE IT!

I actually got a bill for $10 for a technician to look at my x-ray I have no idea why that would be charged extra My dr is the one who looks at it and tells me what’s on it any way Blue Shield of ca has a tricky billing system I have been on it for almost a year and I’m getting off of it ASAP before they ruin my credit because the bills for that one x-ray just keep coming 3 so far plus the cost at the radiologist Plus you can only get generic meds and only 30 day scripts I don’t think there is (good health ins) not any more but at least at Kaiser they only rob you of what they say they’re going to rob you of

I don't normally write reviews, let alone negative ones, but I have tried everything in my power to talk to this company directly about my issues and they don't seem to care. I have written grievances, talked (even cried) on the phone countless times, written letters. I am honestly shocked this company treats people because I feel like they treat their customers more like animals.

I unfortunately had blue shield for over a year with two separate plans. The first plan they started to *** me off when they made me pay a preposterous amount out of pocket for my ambulance AND ER visit because I never actually went to the ER. At the scene of the accident they drove me to the ER and I payed 1000 out of pocket (after going through state farm and blue shield) for the ambulance but then they tried to charge me the same for the ER I informed them that I never left the waiting room and shouldn't be charged for "use of room" (only thing on the bill) They disagreed.

Then, oh here is when it gets good.

I gave up that fight and I moved so I had to get coverage through a new plan. I told them my city and I figured they would assign me a doctor near me right? noooo nothing is that easy with BS (by the way I believe BS stands for bull *** not blue shield). They assign me to a doctor in flipping chino, not near me at all but no big deal you can just call and have them change it right? hahaha if it was only that easy. I did call to have it changed, 8 times to be exact. 8 times I would call, tell them my doctor, they would eventually assure me no problem they would change it in the system and the new card would be in the mail. Sometimes I would have to wait many weeks and call to make sure they actually sent it (twice they didn't) But, each time I would receive the card and see that it still is a bloody doctor in chino. Sometime the doctor's name changed but it was never to my doctor. Each time I would complain to the representative that the former representative assured me they solved the problem but it clearly wasn't and maybe there was an issue with the system. Each time the representative would be "shocked" this kept happening and assuring me they know how to fix it. I was honestly ready to march in there and input it myself. Thing is, I couldn't see my doctor until the name was fixed on the card. I had a lot of issues I really needed to see a doctor for and for 8 months I couldn't! The entire time I had BS I paid every single month and could not use the benefits. One time I called and asked to speak to supervisor. After them hanging up on me twice and me having to repeat my story over and over I finally did. She seemed decent and actually did send me a card in the mail. Didn't have the doctor I wanted but she said that doctor won't work anymore. Something to do with them changing what health insurances they accept. 8 months ago I would've been able to. I gave up on that battle and accepted a new doctor. At least she wasn't an hour away. She apologized for the inconvenience and literally promised to call me tomorrow. That was 3 months ago and tomorrow has never come. But I had a doctor finally! I called so thrilled to make an appointment. It was November. The doctor told me next available appointment was end of January and my heart dropped. She advised me I picked a new doctor and how do I do that? Simply she said. Just call and have your insurance change it. I literally started to cry on the phone when she said that, I mean I lost it. I explained to the lady making the appointments what has been happening and she felt so bad for me that she found a way to book me an appointment for December, bless her heart. December rolls around and I can't go to my appointment because BS drops me (with zero notice) when MediCal picks me up because at this point I'm so poor I now qualify for it. I have explained all of this to BS stating that I deserve my money back as I have been paying nearly 80 dollars a month for nothing. Their response letter back to my grievance had this odd way of not owning anything and making it my fault. Pretty sure it was never read or they just didn't want to admit they are a fraud. Now, I have the option of having blue shield at a decent price but I instead am paying nearly 300 out of pocket a month (only for myself) so that I can receive actual care. I was extremely disappointed with my experience with BS and how inhumane I felt treated. I will never recommend it to anyone and I will always tell people they have the worst values and service of any company unless they prove me otherwise.

I’m 18. Just got out of the hospital I need my medication. Please help me before I go to the media

I have Platinum 90 PPO individual plan, and it says in the contract it cover 90% Durable Medical Equipment when it is in network. When I order my diabetes pump supply, my provider told me that the insurance can only cover 80%.

I don't know what is going on. When I called the customer service of the insurance, they told me that I need an authorization for that. I just don't get it. Those people are not willing to or able to help.

What they only care about is if they get money from the customers or not. When you really need help.

They deny EVERYTHING. The way they do business is so unethical.

I have sent claims to Blue Shield of CA via fax and also snail mail and the department that handles out of network provider claims is highly incompetent. They either claim to lose the superbill/claim or if received, they process the claim incorrectly.

For instance, they'll state it is missing a diagnosis or procedure code but when I sent the claim with the bill, it states the info they are seeking right on the superbill. On average, for every family member's claim, I will have to follow up with them on multiple occassions to have it paid according to my PPO plan. One time, they hugely overpaid by $2,000! As an honest person, I called them to thank them for finally paying out the claim but it was incorrect.

They tried once again. It takes on average 9 months from the time you submit a claim, multiple half hour to one hour conversations with the claims department intermittently throughout a few seasons before claims are paid accordingly. Most of the representatives I've spoken to are out of this country- possibly the Phillipines.

When you ask for a supervisor, they will place you on a 20 minute hold, just to come back to the line and advise that no supervisors are available. I would avoid doing business with this inept company at all costs!!