ComplaintsforBlue Cross Blue Shield of Georgia

• Initial Complaint

  07/17/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  This issue began in May and still hasnt been. Ive called several times inquiring about 2 claims Ive submitted. These claims have been completed and payments have supposedly been mailed, but that was over 2 months ago and Ive received nothing.

• Initial Complaint

  02/24/2023

  Complaint Type:

  Service or Repair Issues

  Status:

  BBB unable to locate business

  More info

  We are a ***************** group in *******, ** and we have had an issue with Anthem BCBS reducing their rates for the past 3 years while simultaneously increasing our costs. The reductions also take place with no notification at all. As a private healthcare provider, these reductions negatively impact our ability to provide care to the children in the community because we essentially bleed financially when large corporations like Anthem BCBS cut rates drastically. While they have raised rates for evaluations, the treatment code rates have been significantly been decreased over the years. Yes, there has been an increase in eval rates but that does not help make up for them gouging the treatment code rates. We understand that rates will change but we are concerned about how drastically they are reducing pay in addition to never alerting providers to changes.

• Initial Complaint

  11/28/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  Unanswered

  More info

  My son is autistic and requires pt ot speech. They have denied multiple claims and when I ask for info they refuse to give it Besides saying that the claim is not on the fee schedule. But when i submit from another therapist they dont deny the claim. They also dont honor the 60% copay. They tell me that the allowed amount is some ridiculous number and then only cover 60% of that. I have claims from August September and probably October once I submit Octobers claims.

  Business response

  11/22/2022

  Dear ************:
  
  We have reviewed your complaint, dated November 9, 2022, filed on behalf of member ********************************  The complaint regards Anthems denial of benefits for physical therapy, occupational therapy and speech therapy for his son.    
  
  A review of this complaint indicates the members home plan is Blue Cross Blue Shield of Georgia.  In an effort to have the complaint reviewed,please forward the complaint to the members home plan at:
  
  Blue Cross Blue Shield of Georgia
  3350 **************
  *******, ** 30326
  
  Thank you for bringing your concerns to our attention.  If you have any questions or concerns, please call me directly at **************.  

• Initial Complaint

  07/12/2022

  Complaint Type:

  Service or Repair Issues

  Status:

  BBB unable to locate business

  More info

  July 12, 2022 It has been 12 years since I received a tetanus booster. I cut my hand on a sharp piece of ***** metal and knew a tetanus booster was a responsible course of treatment. I have Anthem Blue Cross Blue Shield through my employer. I made an appointment to receive the booster as recommended by the *** as I was outside of the 10 year window from June 2010. I was told my insurance would not cover the cost of the shot because I did not go through a healthcare provider. However, if I went through a healthcare provider I would have to pay for an office visit or a ************** I tried to go to the minute clinic in the *** pharmacy is was in when I was denied coverage for the vaccine but they did not have any appointments available for the day. Receiving the vaccine is time sensitive. I was told to go the local health department but I could not get in. I was not willing to put my health at risk due to the selfishness and greed from Blue Cross and their incomprehensible policies so I was forced to pay out of pocket. Vaccines are supposed to be covered with health insurance however what is not told is you have to go through a provider which requires an office visit. I was forced to make a choice regarding my health and pay out of pocket for a vaccine that could very well save my life by protecting me from tetanus and saving my insurance company thousands in future treatment costs. Instead of caring about my health they look at their bottom line and force my hand. I felt betrayed and let down from an insurance company who I thought had my best interest in mind. **************** in this country is an absolute joke. Extremely high premiums are paid every month yet you must pay thousands before benefits are received. I do not feel that I should be responsible for a $60 preventative vaccine administered in-line with *** recommendations. I would like for this policy if vaccines from a pharmacist vs a provider be revisited and corrected.

• Initial Complaint

  01/03/2022

  Complaint Type:

  Billing Issues

  Status:

  Unanswered

  More info

  I just bought a brand new health care plan with you guys since leaving my full time job. I bought Anthem bronze guided pathway Access HMO 0% for HSA. And I got a random message in my inbox (responding to a question about why you designated a random PCP to me) telling me that my plan that I just bought is being terminated 1/1/22. I called you guys in a panic asking why you're terminating my plan and asking what plan I have after 1/1/22 and they said the same plan. Why the **** do you tell people then that you're terminating their plan? You put me in a huge panic making me think I wouldn't have health care after 1/1/22. FIX THAT TERMINATION LANGUAGE IMMEDIATELY!!!!!!

   

  I just got a letter in the mail telling me to pay my ****. Why am I receiving this why I chose paperless billing? This paper **** says "will be auto drafted by dec 1 2021" and "you're setup for automatic payments: we wont mail future bills" but i dont have auto payment turned on so why would you write that? And why are sending paper bills now when I don't have that designated? Even your chat representative *************** just said "your plan is set up to received **** via mail", but I'm looking at the website and "PAPERLESS" is clearly selected so why did you send me a paper **** in the mail and why is this chat representative giving me conflicting information from what I can see in my own profile on the anthem website? Why does it say current charge $376.64 on this paper **** when the website says I'm up to date on paymentsUnder "plan information mail" (under communication preferences) why did you leave out my apartment number? why is there no option to include it? I have hundreds of people who live in my building and this could go to the wrong address if you dont have a unit number?Your online chat rep tells me "******, I have the main system pulled up what happen is that the online account and the main system is not the same that the **** must be sent out via email which causes for you to received a ****". What the *** *is the point of this option to let me choose paperless on your website if you aren't going to follow that designation? FIX THIS IMMEDIATELY.

*Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business. ↩