Empire Blue Cross And Blue Shield

Contacted this company to follow up on a denied claim for a wheelchair. Medical documentation proves beyond a doubt the patient requires a wheelchair.

Unable to get through on the provider line as the system did not recognize the patient's insurance member number. Was able to get through to a representative after 35 minutes and several automated messages that required a response. Eventually, after providing the same information for verification purposes TWICE, the unpleasant/unhappy representatives stated they would transfer the call to the authorizations department. Both times the call was disconnected.

Was never able to get through. In addition, the DME vendor had submitted an appeal, but it was denied because it "exceeded the time limit allowed for a claim". They are being required to submit an entirely new request for authorization.

No doubt so that this company can do exactly the same thing. The primary care provider's office has advised the patient to change their insurance carrier.

Please help me I need health insurance Im willing to pay for Empire, Blue Cross and Blue Shield. I have UnitedHealthcare right now but doesnt participate with Mount Sinai or some of the hospitals that I use.

I am not eligible for Medicare until 65. I am 64 years old now I will be 65 in November.

Mammogram denied

24 mile RT drive to nearest pharmacy

Outsourced customer service with poor English

Wont cover 100% annual checkup (I pay nearly $1,200/mo)

Sydney app appears to have been written by middle-school student programmers

And the list goes on and on.

F rating at BBB

Average satisfaction rating on most sites is slightly higher than 1/5

I has been moved to LA.

In 2020... that time l already cancel to Blue

Cross insurance. But

still working.

This complaint is not against Empire, but the company that runs the OTC service for them. Friday, January 13, 2023.

I ordered some necessary OTC items online. The website app for OTC said 2-day delivery service. After placing your order online, they do not give you a tracking number, nor do they send you anything stating they received your order like other insurance companies. The only way that you know you placed an order is the amount that they deduct from your Flex card they provide you with.

I had not received the items by Jan 16th. It was MLK holiday. So I didn't call until Jan 17th. When I had mentioned that I did not receive my items that I really, really needed.

The rep said, "because of the MLK holiday, the delivery people are backed up". She then says it will take 7 to 10 business days. She assured me that I would be receiving the items on Thursday, Jan 26th. Ok, on Jan 26 at 4:00 pm I still had not received my items as the rep assured me I would.

I called back and spoke with Miriah after 4pm on Jan 26. Miriah assured me once again that my items would be there before the end of that day. At 9pm the same day, I had still not received the items. She refused to tell me the tracking number and didn't even bother to look it up.

So the next day on Jan 27th I call back and spoke to another rep. I was upset and didn't get her name. This rep was very sarcastic and not at all helpful. She didn't even look up the information.

She didn't even ask if I had a tracking number, so she could check if it was delivered or not. Instead, her only response was sucking her teeth, she said"TSK TSK, isn't that a shame you didn't get your package. Then she said, "Well, I don't know when you will be getting it. I just hung up.

. Furthermore, I'm disabled, I needed those items to function properly. I don't like dealing with unprofessional, unsympathetic liars. I'm filing a complaint with Empire.

If they keep this current company. Then I'm cancelling my insurance with them.

I am new to the Empire healtplus gatekeeper. No specialists take this.

I was denied a removal of a growth on my scalp. They do not fill my asthma medication and will only use generic now they are telling me I have to fill through CVS discount program.

For $900 a month this is terrible insurance!!!

I had an accident, I broke my ankle and was denied the care from the Insurance company, I was just told by the hospital. What kind of "care" is this when I pay for my health care and was denied an EMERGENCY?!?!

I received my insurance I'd card I had to visit my doctor to find out my card is not valid. Called empire was told they needed additional information no explanation and end of conversation. I am scheduled for surgery with no insurance

I signed up for Blue Cross Blue shield as a secondary insurance for myself. I received the welcome kit with my insurance card included.

I visited my doctor and was told I do not have a secondary insurance.

Why would a company send a confirmation of a product when its aka, not valid. I am a senior going into surgery and cannot afford to pay the bill

Terrible customer service. Long wait times, too many phone numbers, each for different things and when you finally get off hold and speak to a human being, more often than not, they can't help!

That is, if you're not disconnected I've seen more complaints about Blue Cross/Empire Blue on the internet than any other insurance company. WHEN will someone in the executive office start caring? I'm convinced that the only reason they're doing well as a company is because thanks to the Affordable Care Act, they have been anointed! I HATE that I have to carry this insurance!

If Aetna and Oxford/United weren't so expensive, I'd bail on Empire in a flash.

If you're reading this and can swing it, I'd recommend Aetna and Oxford/United over Blue, and also, OSCAR is worth checking out. I really hope that my doctors start taking OSCAR next year.

On 12/27/13 $456 was deducted from my ckng. acct.I did not receive an ID card until 1/25/14.

Almost 4 weeks. Being without a card physically on me (and the ID# they gave me did NOT have the 3 letter prefix before it, as it does on the card itself, so my Drs. could not find me in the computer, having had to cancel important tests as result.As a breast cancer survivor, I have found this process to be a travesty and next to being told I had cancer, this has been the next worse thing to deal with.

This entire process is making people sick, not better. People should be arrested for this

I pay for my daughter to have health insurance. In December 2013 we were told her rate would increase from $154.00 to $172.00.

The withdrawal from my account was $366.90 on Jan 23, 2014. I called and was told she received a cancellation notice from BCBS stating her policy was no longer offered and she was offered a new policy with Healthkeepers for the larger amount. Really?

Don't remember receiving this cancellation letter, only the letter stating the increase to $172.00. She is a student and cannot afford the $366.90 and neither can I.

I cancelled my insurance over the phone several weeks ago, they confirmed it with me. Yesterday I was charged for a new plan that I had declined weeks ago.

After being on hold for hours they finally answered, the woman on the phone was polite and said she was going to transfer me to the correct dept. she transferred me back to the main menu. I had to go through the whole process again only for the *** computer voice to inform me that the phone lines were now closed.

I'm so angry and frustrated. Don't trust this company.

BCBS wrote me a check for $67 to reimburse me for a $43,300 dollar surgery. They are complete scam artists.

They claim the usual and customary cost for my surgery is $2067 and since I have a $2000 deductable they are only paying me $67. I don't know any surgery that you can get for only $2067. They are complete scam artists who just decide out of the blue what they are willing to pay. I have a supposedly good insurance plan, a PPO where I pay $480/month.

Do not use them. Is there anybody that regulates these insurance companies?

It is necessary to fight for every single dental claim with this company. My husband has always had a clear filling used for a cavity.

We have been with the same dentist for 17 years. When my school district switched to BC/BS dental we were told we would have the same coverage. Low and behold his clear filling was not covered. Their explanation was ridiculous.

I went to our employer who went to the NJEA (I am a teacher) with my claim and after we all fought it, it was finally paid. Shame on you BC/BS dental. Now I am fighting to receive the covered amount of my twins' orthodontic care.

It is ridiculous. I should be paid by BC/BS for my time fighting these claims.