Review Time
I’m extremely disappointed with the service from BCBS Illinois. I’ve encountered unprofessional agents countless times, they constantly put me on hold for every question, and on several occasions, the call even gets disconnected. What should be a simple 15-minute conversation often turns into a frustrating two-hour ordeal.To make matters worse, many of the representatives speak with a very strong accent, making communication difficult. The overall experience feels unorganized and the agents appear poorly trained and unqualified to represent a company like BCBS Illinois.This level of service is completely unacceptable, and it’s disappointing to see such a reputable organization tolerate such inefficiency and lack of professionalism.
Blue Cross Blue Shield of Illinois continues to deny a simple claim for HCA reimbursement. They use the technicalities of codes to not pay or to stall on qualified expenses. They know what the codes should be to reimburse if it was left off a receipt...This is what these spending and reimbursement accounts are for. I would give them a 1 star but I suppose they are better than UnitedHealth. Do you remember that catastrophe ... and wonder why other Insurance giants like BCBS did not learn a lesson from that ??
Terrible Customer Service!! It is not one time but every time. Always put you on hold for a long time (5 to 15 mins). Hard to understand the rep sometimes... BCBS claim denial for an out-of-town urgent care service even though all required information with receipts was submitted. EOB was inaccurate and unwilling to provide the required clarification for the denial.
Does everything they can do to limit healthcare access. Provider networks change and drop doctors every year. Provider networks don't answer calls and BCBS tells you to contact the no answer calls provider network for everything. All BCBS wants to be is a middle man to collect the premiums and do nothing for healthcare in this country. BCBS business model is EXACTLY why healthcare access in this country is soo poor compared to other countries in the world. THEY DO NOT WANT YOU TO USE HEALTH INSURANCE.
You constantly get the run around here. I know how to read a policy so I do not need someone to read it to me. They are terrible at authorizing procedures. I had an echocardiogram scheduled for December 2, 2024 which they were well aware of. My cardiologist told me that they still did not have the approval so I started calling. The cardiologist finally got the approval the morning of my appointment. This is unacceptable and I just recently went through a similar circumstance where I was trying to get Durable Medical Equipment authorized on December 17, 2024 with AmeriCare Medical Equipment & Supplies.
I have had suboptimal experience with BCBS, They told my son's dr the dr is in network but they are not. That started a "PPO Waiver" that has gone on since last July 2023 and has cost me $1000s of dollars and hours. I have never had such incompetent service and will be making a formal complaint to the insurance authorities
Contacted Blue Cross/Blue Shield of Illinois about running a simple member benefit report. Was promised in three business days. When that passed, called again and promised it would arrive the next door by a customer rep named Brittany. Still no report provided so called again and talked to two levels of supervisors, Shelby and then Sara. Both were very nonchalant and didn't seem to care that previous deadlines had been missed. Horrible service.
If the BCBS of Illinois did 1/100th as good a job of faciltating even adequate care of its unfortunate enrollees as it does extolling its virtues vis a vis platitude laden, psychobabble filled radio advertisements there would be some modicum of hope for this hapless organization.Imagine, if you can possibly do so, having the same primary care physician for 27 years. Further envision coming home from work to a letter in your mailbox advising that this excellent provider has left the BC/BS network despite no such notification from the provider, his office staff or anybody besides the trainwreck that is the self-congraulating, completely incompetent, payor with brain dead customer service clerks, emulating, on their best day, the ideal typical Ilinois Secretary of State Motor Vehicle Registration clerk whose only qualification for the overpaid gig which she/he/it/other obtained as more to do with the ability to emancipate the chrome from a trailer hitch than any other salient qualification.I spent 45 minutes on hold trying to corroborate the carrier's assertion that my doctor exited the network but none of the three people to whom I spoke could assist. Two of them denied that the Blues sent this letter, while one other helpful genius stated that "doctors often leave the network without telling us".I'd strongly recommend that negative or normal fMRI scans be absolute pre-requisites for any person or thing hired into this pathetic organization. I've received better customer service in a Subic Bay PI brothel back in 1983, at least garnering for what I paid. Blue Cross Blue Shield of Illinois is an organization that long ago lost its way, another woke organization buying radio time consumed by platitude spewing morons which should immediately be banished and all ensuing marketing budgets diverted to hiring and training customer service clerks not permamently teathered to EEG machines necessary to discern any type of gray matter activity.What happened here? The group of which my physician is part changed names so in turn his NPI number changed. The Blue baby DOA brain trust, because of this, automatically disenrolled my doctor as a result, which automatically triggered the letter I received, the very one that nobody within this carrier seemed to know about. My provider told me this caused hours of wasted staff time, inquiries, panic and, overall, one huge cluster that those of us suffering through the mindless actions of this carrier have come to know and disdain. Count on the most elementary action (group changing name, physician group expansion, cisgender NP transitioning to something else entirely) causing absolute tumult as if never previously encountered in the history of health care delivery, completely unhinging the engima that is the mystery that is the trainwreck known as BCBSIL
Company is very confused about their own coverage.We are new to this company, and probably call them on average twice a month. Out of 4 representatives, 2 said they cover preventative maternal care regardless of if the deductible is met, and the other two have said the opposite. I know people like to joke that insurance is a scam, but there's no worse feeling than thinking a $500 bill has been voided and taken care of by a great health insurance company, just to later they misinformed us multiple times, and we actually owe that money in full, wasting multiple hours of time on the phone with Blue Cross AND with the billing hospital.I really wanted to like this company and get off on the right foot, but they clearly don't know their own policies any better than I do.
It will almost be 1 year and they haven't paid my out of pocket expenses for a HPV vaccine which was for $241. Preventive care is covered by the policy. I made the mistake of putting 2 requests in 1 message and they keep referring to the one they paid and not the one they own. They do it on purpose so I get tired and they don't have to pay the claim. I have to repeat myself over and over with attachments. This is the worst insurance any company can provide its employees.
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