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Nicole of Reno NV (07/28/08)
I was looking for new medical insurance because I moved from California to Nevada. I found a policy that would work and I have to fill out the application online. One of the questions I did not understand correctly and because of that I have been denied the insurance which is discrimination base on the fact that I misread the question.
I had to continue looking for other coverage, however to deny someone coverage because they read a question wrong is grounds for discrimination.
Corey of Santa Monica CA (07/07/08)
Tonik Health, a subdivision of Blue Cross mailed out a notice on 6/20/2008 that a plan benefit would be dropped as of 3/1/2008. The implication of this is that if any member had gone to an emergency room, their cost for service would increase from $100 copay to $5000 deductible, yet would be unaware that their policy had changed because Tonik did not send out notice until over 3 months after the service change.
a portion of my monthly premium which in my case is $121/month.
Sophie of San Jose CA (04/09/08)
Blue Cross mis-entered the procedure/diagnosis code for an annual exam. Blue Cross put down that I had a missed abortion and refused to pay. Called and told them they looked at the wrong column, that the diagonis code was for the far right column. The BC rep insisted that I was wrong and I told her that I never had been pregnant and never had an abortion. It took over 30 mns of talking to for the BC rep to finally admit that they mis-read the claim and mis-entered the codes in their system. Furthermore, Blue Cross is denying payments for a provider that they listed as PPO, and for claims that they keep insisting they need diagnosis code. When I filled out the claim forms (some of the visits, I paid out of my own pocket and want to be reimbursed), Blue Cross only ask for diagnosis but not diagnosis code.
The consequences are that I have to go back to the provider ask more question, ask them to resubmit the claims, and Blue Cross still finds something wrong because they don't ask the questions on their claims. Bottom line, I'm still not reimburse one year later; I waste more than 1/2 day talking to Blue Cross and health care provider, and this goes on and on and on. I switched from Kaiser to Blue Cross because the quality of the health care provider services outside Kaiser is much better. Dealing with the insurance carrier is another ulcer. Coming from France, services are so much better there.
Nyk of Long Beach CA (10/16/07)
Blue Cross of California is charging $2 dollars to every person who doesn't sign up for their Automatic Payment Plan. They are saying the costs of paper mail is taking a toll. I said that I'm paying automatically through my own online banking, but I'm still being charged the $2 dollars. When I pointed out that it's very sneaky to add the fees into my premium instead of itemizing it so I can see the charge, they responsed, "Yeah, it is..." Don't they make enough from my high premiums?
Parm of Live Oak CA (10/16/07)
Blue Cross of California added a $2.00 Administration Fee to my bill. I can waive this fee by enrolling in their automatic premium payment program. I called and Customer Service (Tamika) said that I will be charged $2 any time I mail in a check or do a one time payment through the automated phone system. The only way to get this waived is to enroll online for a monthly recurring deduction from my checking or credit card. I have been going online, make a payment on the date I choose, and usually pay two months at a time; but now this is not a possibility. I now have a specific recurring date every month and do not have a specific date when the money will be in my account. Is it legal to charge such a fee for choosing conventional payment methods?
Raymundo R. Rivas of Menifee CA (06/25/07)
Blue Cross has given my wife the run around as far as given her information on current claims that I have. Unfortunately, I can't call during their business hours I leave my home at 4:00am and return at 7:00pm. plus their hold times are ridiculous. I signed and faxed a HIPPAA form on June 15th. so that my wife can speak to them on my behalf AND THEY LOST IT JUST LIKE THE LOST THE CLAIMS THAT MY WIFE FAXED THEM, I HAD TO SEND THEM CERTIFIED MAIL. Blue Cross customer service is unbelievable.
My wife spoke to CHRIS JOHNSON on june 25 2007 at 7:00am and advice her she needed to fax the HIPPAA form again since it was lost for a cost of 6.00 total again.
Janet of Rancho Santa Fe CA (03/28/07)
Our daughter, a student at UC Berkeley, had two Blue Cross health insurance plans, and neither has yet to pay for a breast ultrasound, done two years ago. I think this is unconscionable for this insurance company, especially when the patient has two plans--one Blue Cross Plus, and one Blue Cross SHIP. They will use any technicality to avoid paying.
We her parents went ahead and paid the physician costs--the radiologist and the physician that did the breast biopsy--but want to force Blue Cross to pay for at least something.
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