Complaints

This profile includes complaints for Anthem Blue Cross and Blue Shield's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

close

Find a Location

Anthem Blue Cross and Blue Shield has 7 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

BBB accredited

Near

Country

USUnited States

Please enter a valid location.

Filter

• 

  Anthem Blue Cross and Blue Shield

  One Liberty Plaza New York, NY 10006-1404

• 

  Anthem Blue Cross and Blue Shield

  622 Third Avenue - 28th Floor New York, NY 10017

• 

  Anthem Blue Cross and Blue Shield

  11 West 42nd Street New York, NY 10036

• 

  Anthem Blue Cross and Blue Shield

  P.O. Box 5059 Middletown, NY 10940

• 

  Anthem Blue Cross and Blue Shield

  P. O. Box 11800, Mail Drop R5D Albany, NY 12211-0800

The complaint text that is displayed might not represent all complaints filed with BBB. 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.

• Initial Complaint

  Date:04/08/2025

  Type:Product Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  ******* ******** of ********, ** (my mom), is on a ******** advantage plan. At some point roughly a year and a half ago, she was convinced that she should purchase a secondary health insurance plan from Anthem. The premium for the plan has been roughly $323.98 a month.The plan was never set up properly so that if my moms primary insurance failed to cover something, it would be billed to the secondary insurance. That is, no claims were ever properly billed to the supplemental insurance plan. Nothing was ever covered.After learning about this late last year, I contacted Anthem, and got them to review the situation. I also contacted the Benefits ****************************** (****). The **** told me that it was the responsibility of the secondary insurance to set up crossover with the primary insurance, so that anything billed to the primary insurance would be also billed to the secondary insurance. Anthem admitted their mistake, and told me that they would set up the electronic crossover, but that it would take 90 days to take effect. At that point, I was told, we would be able to re-run all of my moms past claims and ensure she was covered.A few weeks ago, I checked back in on what was happening here. Nothing had changed. My mom had continued to pay her premium, but Anthem never covered anything, nor seemingly attempted to set up the electronic crossover. When I asked about being escalated to a higher tier of support to rectify the situation, I was told that that wasnt possible. My mom is chronically ill, with lots of claims, so that wasnt going to be *********** mom and I cancelled her plan and requested all of the money she paid them in premiums back, because she paid them over $4,000, but never received a single benefit, from a plan that was never set up properly. Anthem has communicated that they will refund a single month of the ********** mom is disabled and on a fixed income. She was taken advantage of by Anthem and deserves her money back.

  Business Response

  Date: 04/14/2025

  ***** *** **** *** ******* ********************* ********** ****** ****** ********* ******* ************************************ ********************* **** ****** ******* ******* ********
  
  *** ******** *********
  *** **** **** ********
  
  Dear BBB:
  
  This is in response to your correspondence dated April 8, 2025, regarding the above referenced member.
  
  Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA) and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization.  Therefore, we will be addressing the concerns in question and responding directly to ******* ********. 
  
  I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you.  Should you have any additional inquiries, please do not hesitate to contact me at ************** or at ***************************************************.
  
  Thank you for your concern.
  
  ***** ****
  ***************** ******* *
  ******** *********** ******* * **********
  
  

• Initial Complaint

  Date:04/04/2025

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I strongly object to Empire BlueCross BlueShields ongoing practice of requiring detailed psychotherapy progress notes to justify CPT code ***** (53+ minute sessions). This creates an undue administrative burden on providers and undermines clinical judgment. As a licensed mental health professional, I am trained and authorized to determine the length and type of care my patients need. Repeatedly demanding notes to prove medical necessity for ***** is not clinically justifiedit is a cost-containment measure disguised as policy.There is no valid rationale for treating 53+ minute sessions as extended. Most therapists are trained to conduct 5060 minute sessions. Shorter sessions are often insufficient for clients with trauma histories or complex emotional needs. Through denials and audit threats, providers are being discouraged from using the code that best reflects the care being delivered. This erodes trust in clinical decision-making and places insurer profit over patient outcomes.Requiring providers to submit detailed notes for every ***** session is ethically questionable. It implies we are not trusted to use our professional judgment and unnecessarily expose sensitive client data. This violates the spirit of mental health parity and disrupts the therapeutic process.If physicians were told a 60-minute exam was too long to be reimbursed, there would be outrage. Mental health care deserves the same respect. I urge Empire BCBS to reconsider this policy and support administrative practices that align with clinical standards and ethical care. I urge Empire BCBS to reconsider this policy and work collaboratively with providers to ensure that administrative practices align with ethical standards, clinical reality, and parity requirements.

  Business Response

  Date: 04/07/2025

  Please provide the providers Tax ID # and the *** number so we can get the providers information to our provider escalation department. Also, are there any claims impacted? If so, please provide the claim information.

   

  Thanks,

  ***** 

• Initial Complaint

  Date:04/03/2025

  Type:Service or Repair Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I switched my ******** to Anthem for 2025 because they have promised certain amenities such as over-the-counter products and food. I was informed of several places I could use my Nations Benefits card and I chose *******. Went to *******, the app on phone said products were eligible. I went to register to check out, ******** system declined the order/purchase. Told me to contact company because they must have a problem with their system. When I pulled up my account it showed Nations Benefits deducted the amount even though I didnt receive the products. I called Nations Benefits 4/1/25 which is a benefit from Anthem & was told that they had a problem with their system and the entire amount of $85.00 would be credited to my account immediately, and I could go back to the store on 4/2/25 to use my benefits that was a lie. I called Nations Benefits 4/2/25 was told it would be taken care of immediately. I asked if I could speak with a supervisor they put me on hold for 20 minutes came back to the phone. Said Supervisors busy took my number. Said Supervisor would call me later that day Supervisor never called. I checked my account again and they still have not refunded the $85.00 I feel like its all a ********** dont seem to care about the customer.Its just not right to promise a product/service and not deliver on the promise. When you call ************** Nations Benefits they say quality is very important to them, but I guess these companies can say and do whatever they want and never really have to follow through to make a bad situation right.

  Business Response

  Date: 04/07/2025

  ***** ** ****
  *** ******* *********************
  ********** ****** ********* ********* *******
  ************************************************************
  **** ******
  ******* **** ******
  *** **** *** *******
  *** **** **** ********
  Dear BBB:
  This is in response to your correspondence dated April 3, 2025, regarding the above referenced member.
  Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA) and
  the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot
  relinquish information without proper authorization. Therefore, we will be addressing the concerns in
  question and responding directly to **** ******.
  I trust that the information provided will aid in resolving your concerns and want to thank you for the
  opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me at
  ************** or at ***************************************************.
  Thank you for your concern.
  ***** ****
  ***************** ******* *
  ******** *********** ******* * **********

  Customer Answer

  Date: 04/15/2025

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me and the matter has been resolved.
  
  Sincerely,
  
  **** ******
  
  
  
   
  
  

• Initial Complaint

  Date:03/13/2025

  Type:Product Issues
  Status:

  ResolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  My company uses Blue Cross Blue Shield along with ******** for prescriptions. 1. The ******** app does not work 2. Nobody is answering customer support with ******** 3. My daughters much needed prescription is not supported and now we have to get an exception which may or may not even happen. 4. We received very little notice that this situation would happen and now there is a lapse of medication 5. There is now a possibility that my daughter will have to go to the hospital for if she goes into crisis.

  Customer Answer

  Date: 03/14/2025

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me and the matter has been resolved.
  
  Sincerely,
  
  **** *******
  
  
  
   
  
  

• Initial Complaint

  Date:03/11/2025

  Type:Product Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  Anthem did not provide service in January 2025 for health insurance but cashed my check of $595. They offered a refund when contacted in January but it has been 3 months without a refund and I spent over 7 hours on this already without resolution from Anthem.details Service not rendered for January 2025 but cashed check.Called on 1/15/25 spoke w ***, created case number IC4355203. Said refund will be issued 5-7 business days.Called on 1/22/25, they said this was processed and another 10 business days are needed.Called on 2/4/25, no status and no check received, *** advised to wait more.Called 2/11/25 spoke w **** gave me check number ********** who confirmed this check is not cashed yet.Called on 3/11 spoke w ****** who confirmed all of the above but still could not help.

  Business Response

  Date: 03/11/2025

  please be advised that member authorization is needed before we can address the members concerns. 

  Thanks,

  ***** *. 

• Initial Complaint

  Date:03/10/2025

  Type:Sales and Advertising Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I was forced to take them awful health insurance and after only picking up 2 prescriptions in Jan they told me I had hit my prescription coverage max of ***** which is absurd bc there should be No max prescription coverage at all!!! The medications I take are. Absolutely necessary as I have a a deliberating autoimmune disease called psoriatic arthritis I cannot pick up my prescriptions because of this new prescription cap had I known I would have never forgotten this insurance.Because I cant afford to pick up my prescriptions or they want to pay me to pay out-of-pocket thousands of dollars which I cannot afford again, prescriptions are mandatory for me to take every single day and every single month. Im being charged 600 $802,000 for prescriptions that I need and unable to because I cant afford its legal. Nobody should have any prescription caps. I need to get my prescriptions and I need them to be covered.

  Business Response

  Date: 03/11/2025

  Please be advised that member authorization is needed before we can address the members concerns. Refer to attached letter.

  Thanks,

  *****

• Initial Complaint

  Date:02/05/2025

  Type:Sales and Advertising Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  To Whom It May Concern,I ******* ****** want to file a formal complaint with the BBB against Anthem Blue Cross Blue Shield as a result of a new **************** Plan that they are selling that drastically limits ************ Provider options that are available for our child and an unknown amount of other families.I signed up for a Marketplace plan that looked like a better option for our family, however when going through the process in December 2024 our pediatricians office wasnt aware of this new plan that was being sold and that they were no longer an approved practice under this new Silver Value plan.The ********** stated they reached out to Anthem to get approved as a practice or provider and they were told they were not accepting ******* how are practices selected to be approved under this Silver Value plan? Why was there not an opportunity for the practice to apply to be part of the approved practices in advance of this new plan being rolled out?When looking at the list Anthem provided of approved ************ Providers, the closest option for our daughter is a *********** practice. Not even a **************** many other families are in a similar position?Now, due to the Marketplace open enrollment window closing, we are being told that were not able to make a change our daughters coverage back to the plan she just had not 5 days ago.The whole situation has a shady feel to it to me. The practice of forcing families to pick from plans that all of the information is not available for even practices to properly inform patients before plan decisions are made, and then after the fact its basically you get what you get and thats it.I hope to hear back from someone in your office at your earliest opportunity.Sincerely,******* ******

  Business Response

  Date: 02/05/2025

  Good afternoon, 

  So that we may locate the member in our system, please provide her identification number, including the three-character prefix.  This information may be found on the member's health plan identification card. 

  Thank you, 

  ******** *. 

• Initial Complaint

  Date:02/04/2025

  Type:Service or Repair Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I have health insurance through my employer. I did not at any point buy coverage through the *** marketplace. But blue cross double billed me, through my employer and the marketplace in January and February 2024. They refuse to acknowledge this problem

  Business Response

  Date: 02/05/2025

  Good morning, 

  We were unable to locate the member in our system.  Please provide the identification number for each policy, including the three-character prefix.  This information may be found on the member's health plan identification cards.

  Thank you, 

  ******** *.

• Initial Complaint

  Date:02/03/2025

  Type:Billing Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  I am the power of attorney for my mother, ******* *. *******. She is currently in an ********************** on private pay basis. I was made aware that several insurance companies including Anthem Blue Cross and Blue Shield had solicited her business by telephone. My mother signed up for several of these insurances multiple times which made me believe sales persons making the calls were making sales quota by any means. Enrollment in Anthem did three things. They send a monthly bill which she has no means of paying, they cancel traditional ********* and they dont cover all of her healthcare needs. She signed up for Anthem Blue Cross and Blue Shield on November 26, 2024. I took off from work on December 12 and 13, 2024 and went to the assisted living center where my mother lives and met with her as well as the Social Worker. We called Anthem Blue Cross and Blue Shield cancelling/disenrolling membership. We were on a recorded line requesting a letter verifying cancellation. We re-enrolled my mother in traditional ********* I shut off services to my mothers cell phone and took it on Dec 13. My mothers mail comes to my residence so she has no access. I eliminated ways for my mother to be taken advantage of by sales persons and solicitors. On December 17, 2024 my mother was re-enrolled in Anthem Blue Cross and Blue Shield without any consent of any kind therefore cancelling her ******** *he needs. The letter came early Jan 2025 stated she was re-enrolled by ******** and will begin coverage on Jan. 1, 2025 with no break in coverage. I took another day off January 30, 2025 and called Anthem with my mother and social worker. I began the call at 12:28pm and was transferred to 3 different people until 2:05pm. All refusing to cancel the unwanted insurance and no **** provided explanation on how she was re-enrolled until "loyalty department" who told me "Go Health" ************** had done it and they were not to blame. This is unlawful. They had no consent to initiate coverage.

  Business Response

  Date: 02/05/2025

  Good evening, 

  We were unable to locate the member in our system.  Please provide the member's identification number, including the three-character prefix.  This information may be found on the member's health plan identification card. 

  Thank you, 

  ******** *.

• Initial Complaint

  Date:01/28/2025

  Type:Order Issues
  Status:

  AnsweredMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  My plan was changed on 1/1/25 to a ******** advantage plan from a medigap plan. Since then it has been absolutely horrible attempting to get care. All providers are supposedly "out of network" even though they are listed as "in network" and no home health agencies will start services without a written letter of agreement to the ******** rates. Anthem is not willing to do this for me so I am a double amputee stuck without home health care that I desperately need. I cannot get a home health agency to accept me under this plan. It is absolutely horrendous the service I have experienced. They blame the home health and the home health blames them while I am stuck without coverage. I wish my policy was never changed and my ******** remained the same under the government. ******** advantage plans are no good. All my Vanderbilt doctors were also dropped.

  Business Response

  Date: 01/30/2025

  ******* *** ****
  ****** ******** ****** *****
  ********** *** ********* ********
  *******************
  **** *****
  ******************
  **** *** ******
  ******* ********* *******
  *** **** ****** ********
  *** **** **** ********
  Dear BBB:
  This is in response to your correspondence dated January 29, 2025, regarding the above referenced member.
  Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA) and
  the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot
  relinquish information without proper authorization. Therefore, we will be addressing the concerns in
  question and responding directly to ********* *******.
  I trust that the information provided will aid in resolving your concerns and want to thank you for the
  opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me
  at **********************************************************************.
  Thank you for your concern.
  ******** ********
  ********* ******* *
  ******** *********** ******* * **********

  Customer Answer

  Date: 02/03/2025

  Better Business Bureau:
  

   

  I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:

  No One has contacted me. I have been without home healthcare for 10 days now despite needing it immediately upon discharge from hospital. No provider takes this awful plan and Anthem is doing nothing to help me the patient get care. They tell me over and over again I have the benefits but no one wants to touch them because Anthem has a reputation of not paying. I am incredibly upset I was switched to this ******** disadvantage plan. I had medigap that worked fine with my traditional ********. Anthem has destroyed my access to healthcare.

  
  Again NO ONE from Anthem has reached out to resolve this.

  Sincerely,
  
  ********* *******
  
  
  
  
   
  

  Business Response

  Date: 02/18/2025

  ******** *** ****
  
  ****** ******** ****** ***** 
  ********** *** ********* ********
  *******************
  **** *****
  ******************
  **** *** ****** 
  
  
  ******* ********* *******
  *** **** ******
  *** **** **** ********
  
  Dear BBB:
  
  This is in response to your correspondence dated February 14, 2025, regarding the above referenced member.
  
  Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA) and the Protected Health Information (PHI) portion of it that went into effect April 14, 2003, we cannot relinquish information without proper authorization.  Therefore, we will be addressing the concerns in question and responding directly to ********* *******.
  
  I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you.  Should you have any additional inquiries, please do not hesitate to contact me at **********************************************************************.
  
  Thank you for your concern.
  
  ******** ********
  ********* ******* * 
  ******** *********** ******* * **********