Skip to content
  • Login
Anthem Inc

Anthem Inc

www.antheminc.com
What is your customer experience with Anthem Inc?

Anthem Inc Overview

The aggregated data is based on reviews and questionnaires provided by PissedConsumer.com users.

  • Anthem Inc has 1.8 star rating based on 1 customer review. Consumers are mostly dissatisfied.

  • Rating Distribution
  • Recent recommendations regarding this business are as follows: "DO NOT BUY ANTHEM OR YOU WILL REGRET YOUR DECISION WHEN YOU MEET CARELON , Anthems junkyard dog protects them from having to pay claims that should be covered or it takes MONTHS to battle them. We should not have to. SENIORS BEWARE- DON’T BUY THIS".

  • Review authors value the most Website and Insurance Plans Acceptance. Consumers are not pleased with Billing Practices and Customer service. The price level of this organization is medium according to consumer reviews.

View full overview ›
Melissa K Ust

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Anthem and Carelon , the Dynamic Duo of Claim Denial

stars-rating-full stars-rating-full stars-rating-full stars-rating-full stars-rating-full
Updated by user Dec 17, 2024

After Medicare contacted Anthem concerning the complaint filed on my behalf by the Ohio Department of Insurance , I was contacted in less than 24 hours by an Anthem Complaint Resolution Representative. At this point , they are suddenly and quickly doing the work that SHOULD have happened beginning with the initial claim denial and my subsequent call and appeal thereof.

It is costly, infuriating, and just plain ridiculous what a large insurance company will try to get away with but ONLY if you LET THEM. Don’t, please, don’t give up, even if they make you feel foolish or stupid. The only foolish or stupid there is here is not pushing when you KNOW you are right and coverage should not be denied. We need to STOP letting heartless insurance entities dictate our treatment, our very HEALTH!

At any rate, I should have some decision either today 12/16 or tomorrow, 12/17, so we’ll see how it goes.

Shouldn’t have had to go this far in the first place and I think of ALL others walked on this way without the knowledge I have to fight with. Sad.

Original review Dec 13, 2024
All Anthem Prior Authorization requests are handled by Carelon, whom Anthem presents as an independent, outside team of medical experts. Nothing could be further from the truth!

They are owned by Anthem, biased toward Anthem in denying almost every first request for medical services requiring their permission. Carelon makes mistakes repeatedly, resulting in unnecessary phone calls. It is then that a member (yes, remember us? The ones paying you for the service) find out that Carelon doesn't speak to members.

What?! (That's my logical brain exploding.) Carelon is controlling my medical care, my very health and I cannot even talk to them? I am told to have my provider call; they did, got only an answering machine and left a message for a return call. This did not happen.

Even Anthem Customer Service can't get an open line to them. What could and would have been straightened out had I been able to speak to these shadow people, with their shadow doctors making anonymous decisions they assume no responsibility for, nor will you ever be told their name, credentials, specialty, education, or practice experience. They make life destroying decisions callously every minute of every day. They don't care because they don't speak to you; you are just a case number, a series of codes to them, so they can easily deny based on code technicalities alone.

Matters not if it's surgery we are talking about or not. Please warn all consumers, particularly Medicare recipients, to run, not walk, from Anthem plans or risk dealing with Carelon. Do not let anyone tell you differently; Carelon counts on us seniors just laying down like a doormat and letting them walk right over us without consideration for our right to medical care. I, ladies and gentlemen, am not a doormat.

The process has begun, with the help of the Ohio Department of Insurance filing a formal complaint on my behalf to Medicare itself. Please stop letting the Anthem/Carelon companies, or for that matter all health insurers, get away with infringing on our rights, denying claims that should be covered and using divisions like Carelon to do their dirty work. Appeal, appeal, appeal, and file grievances. If your state has a Department of Insurance, file a complaint there and with Medicare.

Contact and file with the BBB. To summarize, keep fighting, and don’t give up until you have exhausted all options and resources. I assure you that if you do, and even if they attempt to dismiss you, let them know beyond a shadow of doubt that you will not be pushed around.

It would take more than Carelon and Anthem’s shady use of this division, (and a bulldozer, perhaps?) to repress me. Carelon is a snake that needs its head cut off, and Anthem needs to stop lying to people about their pet snake.
View full review
Cons:
  • Inaccurate notes and information
  • Long hold times too many transfers
  • Claim denials

Preferred solution: Can you drop Carelon into a Blackhole, that’s the resolution I want. I want Anthem to do a better job of chaining their junkyard dog,

User's recommendation: DO NOT BUY ANTHEM OR YOU WILL REGRET YOUR DECISION WHEN YOU MEET CARELON , Anthems junkyard dog protects them from having to pay claims that should be covered or it takes MONTHS to battle them. We should not have to. SENIORS BEWARE- DON’T BUY THIS

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

Exposed: Types of Insurance Scams and Fails

Mar 7, 2021

In this video interview, Charles R. Gallagher, an attorney, explains what sort of insurance fraud happens with consumers. Find out more about insurance fraud, the worst cases discovered, and how to protect yourself from insurance scam.

Read full article
Charles
Charles

Charles R. Gallagher, an attorney and managing partner with Gallagher & Associates. His practice focuses on insurance litigation, foreclosure defense and consumer law.

Why Trust Reviews on PissedConsumer?

  • Professional auto and live moderation
  • 100% user-generated content
  • Equal opportunity and protection
  • Zero tolerance for fake reviews
  • Verified content
  • PissedConsumer is on the Inc. 5000 list

For more information read Blog article