Complaints

This profile includes complaints for BlueCross BlueShield of South Carolina's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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BlueCross BlueShield of South Carolina has 2 locations, listed below.

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  BlueCross BlueShield of South Carolina

  8733 Highway 17 Byp S Myrtle Beach, SC 29575-7711

• 

  BlueCross BlueShield of South Carolina

  PO Box 100300 Columbia, SC 29202-3300

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:12/27/2023

  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.

  BCBS has not properly accounted for the out of pocket costs I have paid to date in 2023. Specifically, I paid $2,000 in out of pocket costs between January 1 and June 30 which have not been applied to my account for my member spouse. As a result, I have overpaid out of pocket costs and am due a refund. I have been trying to get the issue resolved through BCBS since August 3, 2023. I have been told the issue was escalated on August 10, 2023. I have been told for months that the issue is valid. As of December 22, I am told the resolution is still being worked on. I am requesting that BCBS resolve this matter promptly and apply to my account all out of pocket costs I have paid and also refund to me all resulting overpayments of out of pocket costs.

  Business Response

  Date: 01/04/2024

  We have received and reviewed the complaint and our member services team has contacted the member to better understand the issue. Our team is committed to and are currently working on a resolution.  

  Customer Answer

  Date: 01/04/2024

   
  Complaint: 21060029
  
  I am rejecting this response because:
  BCBS has had over 5 months to resolve this issue. Continued delay is not a satisfactory resolution. The problem needs to be resolved immediately to avoid further complications related to my overpayment of out of pocket costs. 
  ************************************************

• Initial Complaint

  Date:05/15/2023

  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.

  Hello, I hope this reaches you well, I have questions about the billing on claims DOS: 03/21/23 Claim 308700BHB000, Claim 308302QND0000 3/15/2023 Claim Number 307507F2H000 I believe all of these involve a company by the name of Doctor's **** located on East Main Street, ***********, ** . I had to visit multiple times because of severe brochitus, or chest infection. and it took two visits to diagnose and then 1 to get proper medicine at CVS across the street. This is on top of the visits I had to make to CVS where the care started and CVS could not identify the root cause of the illness. So this was first treated with cough drops, vitimine C, oral temperature termonitor, tylenol which do nothing for an infection. So while I lost my job because of this, I am constantly paying co-pays at CVS and Doctor's **** and I may have gotten a break on the meds, am I supposed to get billed like this for this kind of keep coming back we aren't shure what you have service? Then I get shuffled across the street, then back over to CVS for the prescription?It was my understanding physician's offices are not supposed to charge patients for copays or billing for the same thing within so many days like 30 or 60. I appreciate what they did, but I was in severe pain dna it did me to facors to be out of work and then have to give up my job to get better. Please get back to me on this because I am not sure about this billing and would like to file for or ask for a refund if I am supposed to have not had to pay for the additional service visit.

  Business Response

  Date: 05/18/2023

  Upon review, we have determined the claims were processed correctly. We have been in touch with the member.

• Initial Complaint

  Date:04/07/2023

  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 have health insurance not dental insurance with another carrier and BCBS is not paying the dental even though I dont have dental insurance and never had dental insurance with another carrier since having BCBS

  Business Response

  Date: 04/10/2023

  The member's policy was updated to reflect no other dental insurance coverage. The member's claims were adjusted to allow benefits. The member will receive adjusted Explanation of Benefits (EOBs) to show the claims were reprocessed to allow benefits.

  Customer Answer

  Date: 04/11/2023

   
  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.
  
  Sincerely,
  
  *********************

• Initial Complaint

  Date:02/07/2023

  Type:Customer Service 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 went to the ambulaory center to have outpatient procedure done and it was.My insurance paid agreed upon services of $2,297.51. Insurance paid ******* of that request.that left ****** owed. I paid pre ******. That meant they owed me a refund of $324.89.I called insurance and both of us talked on phone with billing center of ambulatory center and they said it was processing and i would be refunded. That was in August, I've called every month since asking about my refund and again today their reply is it is being processed. It's been 1 year this month.

  Business Response

  Date: 03/01/2023

  We are working with the provider regarding the member's refund, and we have been in contact with the member to update her on the process. We will maintain regular contact with the member until the issue is fully resolved.

  Customer Answer

  Date: 03/02/2023

   
  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. But they must do as they said and help get my refund.
  
  Sincerely,
  
  *************************