Capital Bluecross Reviews

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New Reviewer

Kind of ok

To be honest, all health insurance sucks - but when I had a real unexpected crisis and faced catastrophic bills, they weren't so bad. And there customer service was much nicer to me than with other insurance companies I've been with. So until universal healthcare and no deductibles or coinsurance, I give them a 4.
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#1752719 Review #1752719 is a subjective opinion of poster.

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New Reviewer

Not like you have a choice.

Got a call from CVS saying that they needed more info about my insurance, even though they'd been covering my prescription for the past 6 months. Turns out, CapBlue rejected it. After sitting on hold for an hour, my representative Brian began stammering about the pharmacy not being in the extended medication network. He provided me with a list of in network pharmacies, and mine was right...there... he then told me he has "no idea why it was rejected" but I should just go to one that is in network. In essence, get the prescription written again and resubmitted somewhere else, after going a week without them already. "I have no idea, it should be approved" was the answer I got. "Call the pharmacy," he says, "and give us a call back, we're here for you 24 hours a day." Pharmacy offers to fill it for full price. I call back - "Our business hours are 9-8pm, call back during that time." Waste of my time, horrible and incompetent customer service reps, and I'm still unmedicated. Only provider my employer offers, so I can't even "take my business elsewhere" and they know it.
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ID
#1750819 Review #1750819 is a subjective opinion of poster.
Service
Capital Bluecross Health Insurance
Cons
  • Lack of ability to find answers for my plan
Reason of review
Poor customer service
Preferred solution
Let the company propose a solution
New Reviewer

More Of A Bizarre Charity Than A Health Insurance Company

We'll be contacting them yet again tomorrow. The latest denial was for something I've been prescribed for a decade, for R.A.. They're getting more creative. This one is for ' non-compliance ' although they flatly refuse to tell the doc what in blazes that means. IMO what it means is a last-ditch effort to have the customer write the check for coverage and have enough left over to also pay for your prescriptions. Like idiots, we DO pay for some out of pocket and why? Because I need them. It's beginning to feel like we're writing a check to some bizarre charity supporting poor, needy CEO's. Prescriptions seem denied as a knee-jerk reaction, there's never a reason or cause. We shopped very, very carefully for this plan and bought a nicely expensive comprehensive plan. Although staff answering phones are pleasant and seem to try to help, you're routed around for HOURS and hours and hours you'll never get back. I do feel we were lied to and wince when we see ads - they're all about how cozy is the relationship with the customer. Sure. With our check books. Seriously. It feels like a genuine scam and sure has all the identifying features. 1. Make a lot of huge promises. 2. Fail to meet them. 3. You write checks for a product that doesn't exist. 4. Someone is getting wealthy somewhere behind the whole thing. All that's missing is that bridge in NYC.
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ID
#1548568 Review #1548568 is a subjective opinion of poster.
Location
Susquehanna, Pennsylvania
Service
Capital Bluecross Health Insurance
Reason of review
Not as described/ advertised
Loss
$700
Preferred solution
Let the company propose a solution
New Reviewer

Prescription not getting filled

Have been trying for 2 days to get my blood pressure medication filled. It got denied at my local pharmacy so Capital Blue said I would need to go to CVS. Drove to the closest CVS. Denied again. Called the doctor, he called Capital Blue and resubmitted the prescription under their requirements. Denied again. Called Capital Blue and they put me on hold. Came back and said they will contact CVS to get it filled. Waited on hold for 15 minutes. They came back and said they are unable to make outgoing calls at this time. Put me on hold. Waited 15 minutes and I hung up. So far going on 3 days without my blood pressure medicine. Worst service every. I guess as long as they get my monthly payment, they feel they don't need to help.
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ID
#1473685 Review #1473685 is a subjective opinion of poster.
Reason of review
Poor customer service
New Reviewer

The worst at the the highest $$$

We pay $2300/mont for a family of 4, no pre-existings. They cover nothing! Everytime we go to any doctor, specialist I get bills! I need to see an ortho, which there are about 75 in my area, no they want me to travel 45 minutes to someone I never heard of! To have lab work done they expect me to call to see where to go every time because everyone keeps dropping them! Do any providers accept Cap Blue Cross?? $27,600 a year and out of pockets up to $20,000! We’d be better off if we were poor and got free healthcare! Any suggestions on different plans?
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ID
#1288689 Review #1288689 is a subjective opinion of poster.
Reason of review
Pricing issue

Wouldnt cover diagnostic mammogram, denied appeal

Two time breast cancer survivor, instructed by oncologists to always have a diagnostic mammogram. Never had a problem tilll l had this lousy insurance. Now stuck with all the bills.
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ID
#1223300 Review #1223300 is a subjective opinion of poster.
Service
Capital Bluecross Health Insurance
Reason of review
Bad quality

Prescriptions

Our doctors give us medications and how much they want us to take because they are the doctors not insurance companies so why is capital blue undermining our doctors by giving us a quantity limit! why should anyone pay for insurance when all they do is refuse to pay for what we need! what our " DOCTORS" say we need!! Constantly changing our policies and trying to get out of paying for our medical needs! Who are you to say we will only pay for half your prescription and less then half on some.So i guess we all should only pay half of our insurance bills RIGHT!! Its only fair!!!Enough is enough insurance companies are crooks and think they can do what they want whenever they want even think there above the doctors now, well I say we should all join together and stop this from happening any longer by not paying them a dime!! If it were not for us and our money they would be obsolete!! One more thing it says your doctor can authorize a request well *** they already did when they signed the prescription in the first place!!!!!
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2 comments
#1341793

Commenting on a complaint that is devoid of specifics is impossible, eg., drug name, number of pills requested and authorized by the insurance company and their reasons for doing what you said they did, etc. A generalized complaint about insurance companies is common, but they do have reasons for what they do and if you called them they would have told you.

#1341779

when I say capital blue will only pay for half I ment I was given a prescription for 120 pills now with this quantity limit bs they will only cover 52 pills my script is for 120 thats undermining the doctors They think I should only have 52 but my doctor says i need 120 see what I'm saying

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ID
#1063296 Review #1063296 is a subjective opinion of poster.
Location
Harrisburg, Pennsylvania
Service
Capital Bluecross Ppo Health Plan
Cons
  • Constant changes to policy
Reason of review
quantity limit on presriptions
Preferred solution
keep it like it was instead of trying to get out of paying your share all the time

Coverage issues

This is by far the worse insurance we have ever had! Do not choose if you have any health issues at all. This was the first insurance company that has denied treatments for my son with Crohn's disease in the last eight years. Not reliable. No consistency with their coverage and co payments, one time it is covered, next time it is not. I have called to talk to talk to a service representative several times and was told they would look into the issues and never called back, happened 3 times and issues are still not solved. I have called to see if services will be covered and no one is able to tell me, if they can't tell me who am I supposed to ask. It is a complete joke that might be funny if it were not costing me thousands.
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ID
#891086 Review #891086 is a subjective opinion of poster.
Location
Hanover, Pennsylvania
Service
Capital Bluecross Ppo Health Plan
Reason of review
Bad quality

Disgusted with Capital Blue Harrisburg PA

I have a Medical Advantage Plan with Blue Cross - Senior Blue PPO. It is offered to retired teachers. I am so disgusted with getting passed around to find out answers to simple questions. I simply want to know co-pays for 2016 for 2 medications. I am given incorrect information and different answers for the same question. It is a whole afternoon affair to get an answer and my co-pays for this year never matched the information I was sent from Capital Blue. I will be changing during the open enrollment period so I don't have to deal with the incompetence of this company. They need to have the info available for my plan and train their employees how to find it.
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ID
#717469 Review #717469 is a subjective opinion of poster.
Location
Hershey, Pennsylvania
Cons
  • Lack of ability to find answers for my plan
Reason of review
Getting accurate info
New Reviewer

Capital Bluecross - Blood Pressure Medication Review from Allentown, Pennsylvania

Update by user Jun 15, 2015

Nothing has been resolved!!!!!!! This is causing a lot of stress and anxiety for my husband and I. I have never dealt with such a company:-\

Original review posted by user May 16, 2015
I've been having problems with my account since October. After I made 25 phone calls for a total of 6 hours and 57 seconds, I find out our account is suspended. Eevidently, they found an error dating back to December 2014. So without notice or even a May invoice, boom we're cancelled. When my husband went for his 2 blood pressure prescriptions on 5/14, that is when we found out highmark cancelled us.
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1 comment
#986626

SAME problem with this company. ''Automated Bill Pay'' and some confusion with the routing number… so why not call their customer ??

NOPE. JUST DROPPED ME WITH NO LETTER FOR 15 DAYS !!!!

There is no supervisor to talk to, and cannot switch because they have the government behind them now. I can't wait to switch next year.

I am livid with them, as had all kinds of tests scheduled and had NO IDEA I WAS EVEN CANCELLED !!!!!

ID
#636906 Review #636906 is a subjective opinion of poster.
Location
Allentown, Pennsylvania
Reason of review
Poor customer service

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