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Starting in September 2016 my orthopedist gave me the Synvisc series of 3 injections after pre approval from Blue Shield of Ca. Now, 5 months later I received a letter from Blue Shield that the coverage for this claim has been rejected so I am getting ready to fight...
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#1010866
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I enrolled with blueshield CA only because I met the age requirements on my parents insurance and was kicked off. I called to buy insurance with blueshield and they told me to go online. Note I am a high risk pregnancy and need to see a doctor in 4 weeks for a surgery...
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Anonymous
Lori King

When you apply after the 15th day of the month, your insurance will start on the 1st day of the 2nd month. This requirement applies to all qualified insurance plans - it is n...

1.0
#959665
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I am a medical doctor, a hematologist, saw patient on an emergency request by the patient's hospital primary care MD. B.S. refused to pay on the basis of lack of prior authorization and I was not a contract provider, but where to get prior authorization at night? ...
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5.0
I didn't like
  • Lack of services covered
#950525
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Blue Shield Of California Claim Review

Blue Shield Of California
#975053
1.0
The company will not process my claims correctly. First they said receipts were not submitted. Then they don't process them. I call and they say they will do it. They never do. I am going to file class action lawsuit
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Blue Shield Of California Health Insurance Review

Blue Shield Of California
#816470
1.0
I called BS twice this morning regarding non payment of claims for 2015, after deductible had been met. On both occasions I was put on hold and after about 20 minutes on each call the line was disconnected. I am extremely frustrated and disgusted with their apparent disrespect of subscribers time and concerns.
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Blue Shield Of California Health Insurance Review

Blue Shield Of California
#754742
Sent BS money order for 881$ 11/27/15 they say they got MO for 1$ on 12/01 why would I send a MO for 1$ REALLY I have receipt and have sent for tracing and photo copy of MO which western union says was cashed meanwhile had to pay again for Dec so as not to be cancelled have used MO for years only time have ever had problem is with Blue shield and united health I am so thinking they will screw me
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Other Product Review

Blue Shield Of California
#497472
Worst company of all time nothing more to say
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More than 2 years later, the same is still occurring. I have been on the phone 6 hours of my day checking on 10 claims that have been past due for almost a year. They have no answer so they send the claim back for reprocessing. Now their new excuse is due to a system...
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Anonymous
Judy Beaver

Same thing....HOURS on hold....THEN I get the Phillipines, I asked to be transferred, what did I get, disconnected. I have had a claim for months, I pay over $500.00 a month,...

Anonymous
Anonymous

Yes, I agree completely. They are at the bottom of the heap and there is no one to complain to because when you hold for a worthless supervisor, you listen to their ridiculou...

1.0
I didn't like
  • Not upholding what they say
  • Nonpayment of claims
  • Difficulty contacting a knowledgeable rep
#943165
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I'm moving out of the country for 1 year and I needed a vacation override to take as much prescription as they'd allow me to ahead of time. They said they could do a vacation override for 3 months but I'd have to pay out-of-pocket for the generic brand I needed....
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Anonymous
Anonymous

Also, if I'm a customer RIGHT NOW....why should it matter if you think I'm going to cancel in the future. I'm paying for services RIGHT NOW and I deserve to be given what I'm ...

2.3
I didn't like
  • Not upholding what they say
  • Value for my money
#926516
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After 15 years of insurance for our kids we were told today that they do not have health insurance and never have, and that the money we pay has been for dental - although they have been to the doctor and benefits have been taken and adjusted - a complete lie; they...
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#924061
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I'm paying $236 per months and I also spent $2000 from my pocket. Now I need a surgery and I have to pay another $12K from my pocket until I qualify for the rest. My total maximum out of pocket supposed to be 6K total. I called them 6 times and they hang up at me after...
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1.0
I didn't like
  • Are runing a scame insurnece
#921693
Reply to reviews
For nearly a year now I've had some claims that I've still not received reimbursement for and I've been fighting with them to take care of this matter for way too long. They are terrible at processing claims and no one bothers to follow up enough though I've had the...
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Anonymous
Anonymous

I am filing a class action against Blue Shield for not paying preventive care claims promptly and properly. You should join in.

My husband and I recently was scammed into buying healthcare on eHealth due to loss of job & health insurance. The rep. failed to inform us that buying plans individually or family plans are not treated the same as employer issued health plans. We chose Blue Shield...
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I didn't like
  • Lack of doctors covered
  • Lack of services covered
  • Customer service refuses to let you talk to a manager
#891492
Reply to reviews
We lost the doctors we would see for the past 15 years due to the lousy reimbursement policy of Blue Shield. It doesn't pay them what they are worth. Single working Mother, small business owner, self-employed. Purchased PPO gold plan through BS only to have it lumped...
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#853083
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