Blue Cross and Blue Shield of Illinois Reviews

Having issues for them covering my diabetes medication Mounjaro especially. An ongoing condition. Before the pandemic my employer have always gone with Cigna and this was our first half of year with Blue Cross. In the beginning had to call them to receive our medical cards. Mind you a whole month passed by. Never received anything but they sure were deducting money for my account like clock work. Now I've had to skip months on not taking my medication Mounjaro and when I don't take I starve myself and wake up at 300 on glucose meter. Now I have to use my HSA card because I can't really afford it. Went from 25 dollars a month with cigna to now paying blue cross of Illinois 179 last month and they just refilled it and telling me it will cost 474.00 with blue cross. What do I do? I'm lost and feel helpless and mounjaro really helps me with my sugars. 😢 Not for weight loss. It doesn't work for me like that. Only sugars.

I called Dental Customer Service at 877-384-9297 at 7:01am on Monday, May 4, 2026. I waited on hold for 30 minutes. I had selected the "other" prompt. Finally, I hung up and called the same number back and selected "benefits." I waited on hold another 30 minutes before "Vince" answered. The phone line was very poor, breaking up almost constantly. I frequently had to ask Vince to repeat himself because I couldn't hear what he said. Then Vince transferred me to DENTAL NETWORK OF AMERICA (800-367-6401) at 8:15am.

I called to ask about my diabetic supplies. I was told the pharmacy filled incorrectly. I was then told I should tell the pharmacy how to put my prescriptions in. Not helpful and shouldn't they be communicating with the pharmacy. Why do I pay for insurance that doesn't help.

Zero stars if given the choice. Blue Cross Blue Shield Bluechoice PPO said on a recorded line, November 2025, with our physician's office that our daughter's IVIG treatments she needs would be covered. We proceeded with treatment only to have them deny the payments and coverage. First denial letter stated their medical director, an ob-gyne, did not find medical necessity. Our daughter's medical issues did not even involve that area of medicine.

Spoke to a representative and instead of hearing me out about a claim that I had been going back and forth about she continued to cut me off. She said that the claim would be denied because it’s been past the 6 month to file a claim. After I was telling her that I just got this in the mail how was it my fault and how did nobody let me know last year and not now. She was no help and I had to end the call. She didn’t help me resolve any issues she literally just looked at the past notes and based her answer off that. Didn’t even bother looking anything up.

No star if there was an option. BCBS IL continued to bill premiums even though the insurance has been cancelled by contacting BCBS customer service and canceled through Marketplace plus by contacting Illinois Exchange (IL version of Marketplace). BCBS IL ignored cancellations and bumped the premium by more than three times without advance notice. Fraudulent on purpose? Lack of communication between their customer service and billing department? Contact me if you want the proof of this. I have physical/paper copies of cancellation from the Marketplace that BCBS IL ignores.

I have been trying to get an International vacation waiver on a medication that has been approved by the doctors at BC/BS of IL until 2027. They only allow one month supply and I will be out of the country for 2 months. Which would require me to have a 2 month waiver but this waiver has been denied. So basically, they are deciding without advice from my doctor to remove me from a critical diabetes medication for upwards of 2 months. I was also told there was no opportunity to appealing. I guess they know more than my doctor who has many years experience on what a patient needs to remain healthy.

Suddenly needed insurance and work had these jokers at BCBSIL.I was admitted to ER March 2024. About month and a half after getting grifted. I had 3.4mm blood clot in main artery to intestines aka Mesenteric venous Thrombosis if Superior Mesenteric. I was fogged the whole time. The hospital was doing the tests and I got **. Also compression fractures T11& T12. Back ER May 2024. Diverticulitis flare up borderline sepsis. Antibiotics and **. No the Dr never sent me home with the first time. He's been a useless vascular Dr. I was told wrong wording of condition. He hasn't done basic treatments. BCBSIL denies a lot of things. Those visits and then all Cardiologist Visits, CT Scan and heart monitor. The reason they accused me of saying my chest hurt. Liars. I have the Cardiologist notes. It was to find cause of clot.

How can someone have eosinophilic colitis, hasn't been able to have a bowel movement in 11 days, and the insurance is waffling on whether to allow it? The ONLY pill that gives me relief? I can take 3 ** every day for a week, and all I do is get sick and throw up everything I eat. I have malnutrition, and it's because of the insurance company.

I am a new member and recently spent countless hours trying to find a new primary care doctor. I had to do this because my current doctor is in the BCBS network, but the facility she works for is not, and I learned the hard way that this situation can lead to unexpected costs! Also, time was of the essence, because I was able to renew a prescription for my medication through MDLIVE but you're only allowed to do this once a year. First, I tried finding a doctor on the BCBS member website. After looking through pages and pages of profiles I was able to make a list of five possible doctors who appeared to be in network and accepting new patients. However, after calling all of their respective offices I found that none of them were accepting new patients.

I had a very expensive BCBS PPO plan throughout 2025. In November, 2025, I paid my December premium, as I always do (I pay one month in advance). Also in October, 2025, I had signed up for a BCBS policy through GetCoveredIL for 2026. In December, I called a doctor to see if he was in network. When I gave them my policy ID, they said I had no coverage, because that policy had been cancelled. I thought there was some mistake in the doctor's office computer, so I called BCBS directly, and they said my policy had been cancelled BY GET COVERED IL.

This is absolutely the worse insurance plan I have ever had. I pay almost $800 per month for my coverage. Have to spend $2500 for my deductible, and $5000 out of pocket before they start covering anything? Add that up. How is this even coverage. Not to mention that you have to fight and argue for EVERY special procedure that you need. I am disgusted that my employer only offers this plan. I had UnitedHealthcare at my last job. It was a little more difficult to find providers that accepted that plan but, it covered you.

I moved from Tennessee to Illinois 9/29/25. I had to make three separate phone calls to get a new Medicare Advantage plan finalized. On the the third call, the woman said, "Your coverage will begin November 1st. I am giving you a confirmation number. You should receive an e-mail to verify that you have been accepted". I followed up on this last week. I was horrified to find out that they have the start date as December 1st, not November 1st! I was given a confirmation number and I guess they can't even track down this person I talked to with that information. Do they not document?!!! So now, I have to go through the process of trying to get this rectified in a timely manner. I am terrified that I will fall through the cracks. I told the Supervisor, Esmerelda, handling what happened, "I did NOT cause this; Your incompetent employee did!!! This is my life that you have potentially jeopardized!!! You all should be ashamed!!!"

Worst company ever. Horrendous and blatant scam. Only covered $69 of my $5435 oral surgery bill, and claimed it was because the provider was out of network, even though I had been repeatedly assured that they were in network. Then, because they covered $69 rather than deny it, the dental insurance refused to cover any of it, so I was completely screwed and have lost my entire savings. Over the course of several months, I spoke to at least half a dozen representatives, who all said they would look into the claim and call me back. None of them ever called back. I cannot emphasize enough how absolutely heartless, cruel and inhumane the entire system is, and how insanely unhelpful their representatives are. But we do not have any other choices and no one cares, so guess we will just continue to suffer.

I'm a new member and have been trying to add my PCP who is in network. After more than a dozen phone calls and multiple hours on the website it's still not correct. Absolutely pathetic customer service from my very first experience. I wish that I could change my selection from BCBS Illinois already!!

Once again, I had to call BCBSIL. Just received a new med card with a different PCP. Would have been nice to get a letter! It was effective in MAY. It is now July. It's a good thing I didn't need any care between those dates. Probably would have been charged for out of network! BCBSIL without my knowledge, felt free to pick a PCP that is in a low cost clinic. Imagine that! I changed it immediately to another Primary care doctor in the office I go to. Lastly, in January I had to go to immediate care for a simple malady. The location is in my network. BCBS said the place was out of network because the invoice came from out of state not the place of service. I had to deal with them about that. It was figured out, but I still had to do quite a bit of phone work. Not to mention urgent care wanting me to pay. SO if you are diligent and have plenty of time to sit on the phone (at least an hour) this heath care is for you!

I have been with BlueCross for 2 years. Their billing is horrible! They took my money but canceled my insurance from their error. I had no idea or letter sent it was just cancelled. I called multiple times with no one speaks English, different stories, lies, keeping me on hold and then disconnecting me. I have proof of all payments and still could not get any help. I have LIfe THREATENING HEALTH ISSUES!!! I will go to the news but then again our whole system has failed the people. You're letting people DIE! I hope you can sleep tonight knowing how you're killing people. I am very sick and can’t fight anymore. So now for 812.00 I got another insurance to reapply to Bluecross again. I did not have any choices at all for another insurance company because I need my Doctors, this is a scam fraud and bullshit. Something needs to change but not in my lifetime. I have cried all day and now I’m just numb….

I had "MyBlue Plus" plan. I had an annual exam and routine mammogram ordered and a routine bone density scan. I got a bill of $800 from the radiologists at Swedish. BCBS said the hospital was in network but not the radiologists and that I was responsible and that the deductible would be $15,000 for out of network. This is a violation of the "No Surprise Billing" but the reps did not seem to know about this law and I spent countless hours on the phone for 5 months to get this resolved. In addition my PCP's office will not process any referrals to specialists not employed by their hospital so I was forced to see their specialist rather than one of my own choosing. I will never get BCBS ever again.

They must have the worst back office on the planet. My premium payments, which are made via EFT from my bank, continently don't get posted for at least 10 (working) days from the date my bank debits my account. This is 1960s era performance.

I have had Blue Cross Community Medicaid plan for years now, they continue to cancel and change my eye drops. I have a condition that affects my vision, Uveitis. Every time I fill my prescription, it’s a problem with them, they stopped on to give me a cheaper one, and now they have stopped the cheapest one, I am so tired of them playing with my vision. I think I better do some research on other plans, I will keep searching until I am not just a number to subtract from, so disgusting and uncaring.