Capital BlueCross

Staff

In November 2023 I signed up for one of your benefit plans(forgot which one) I found a better plan that same day I contacted customer and spoke to Michelle I asked to cancel my policy I waited a week and called again I spoke to Crystal and again asked to cancel policy She said original call was in my file and she would forward this request to the proper dept Today(12/17) I receive an email to register with the company I am registered with another company and would like this policy (if it exists) canceled

THX

William R Walsh

455 Garland Circle Lancaster PA 17602

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.

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.

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.

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.

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?

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.

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!!!!!

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.

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.

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.