Anthem Blue Cross Blue Shield Georgia Reviews (%countItem)
Anthem Blue Cross Blue Shield Georgia Rating
Address: PO Box 7368, Columbus, Georgia, United States, 31908-7368
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Just paid $953 for a half hour phone call with a doctor that was in network, and a referral from my primary doctor. This was on an individual PPO plan -- same as I had had for 2 years prior with ONE CHANGE when it rolled over from 2019 to 2020 that was absolutely not made clear: that I can only go to three doctor appointments in a year, and after that it's full price. They should have notified me. It feels like extortion. Also, as I was calling about this and looking at my account online it actually went offline, no longer visible. Feels so shady. So, lesson learned: Avoid this deceptive, terrible insurance company at all costs (for it will cost you dearly). Changing plans ASAP.
The Revdex.com is not considered a Regulatory Agency and therefore, we are unable to provide any further assistance to you. Federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing and or addressing any information and or concerns to a non-authorized designee. However, we appreciate your time in bringing this matter to our attention. Member concerns are very important in helping us to improve the quality of service and or care for our members. Our members deserve quality service and quality care and this is not the experience we desire for our members. In order for Anthem to properly look into your concerns, please submit in writing your concerns directly to us and provide as much detail as possible (including any documentation). Please be sure to include your name, address and your *** ID number. Please mail your written complaint to:
***
You can be assured the concern will be reviewed and addressed, as appropriate.
Thank you!
BlueCross BlueShield FEPBlue Wellness Incentive program fund of $80 removed without prior notice
I was part of the FEP Blue Wellness Incentive Rewards program where a debit card provided was credited with funds for doing healthy activities such as eating healthy foods, meditating and exercising. By December 2019 I had over $80 in the wellness incentive rewards account. When I went to use the card to pay for a service authorized under the stipulations of the Wellness Incentive Rewards program, the card was declined. I have unsuccessfully tried several times to have FEPBlue remedy the problem by returning the funds so that I could pay or sending the funds directly to the organization where the service was received. Each time I have tried to have the issue resolved directly with FEPBlue, nothing has changed. I would appreciate if FEPBlue incentive program could either return the funds that were in the card or contact me so that I can provide information to the merchant for them to pay the merchant directly. There is nothing about FEPBlue Incentive Rewards Program returning the funds that is affected by HIPPA law, therefore resolution to this issue is not restricted by HIPPA laws.
I am asking that more than $80 that was removed from my BlueCross BlueShield FEP Wellness Incentive Reward Program account be returned to so that I can use it to pay for the authorized service received or the funds could be sent directly to the authorized merchant, which I am more than willing to provide information of the merchant.
Based on the federal regulations of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to answer your inquiry without the specific authorization and release of the complainant. The Revdex.com is not considered a Regulatory Agency and is therefore, required to provide a copy of the HIPAA authorization with the inquiry to our office. Additionally, no member identification number was provided.
We regret we are unable to provide any further assistance to your office. However, federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing any further information to a non-authorized designee.
One of the doctors within their network is illegally sending me bills through a third party. I had BCBS at the time so they must not be cooporating with DOCTOR*** .. I had gotten sick after my doctor visit with her on top of this. This whole BCBS on my wallet has been only negativity. So happy I finilly ended contract shortly after this experience for the following month of course. This bill is being sent to me illegally. I sure hope they get their facts, straight before I call a,lawyer.
The Revdex.com is not considered a Regulatory Agency and therefore, we are unable to provide any further assistance to you. Federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing and or addressing any information and or concerns to a non-authorized designee. However, we appreciate your time in bringing this matter to our attention. Member concerns are very important in helping us to improve the quality of service and or care for our members. Our members deserve quality service and quality care and this is not the experience we desire for our members. In order for Anthem to properly look into your concerns, please submit in writing your concerns directly to us and provide as much detail as possible (including any documentation). Please be sure to include your name, address and your Anthem member ID number. Please mail your written complaint to:
***
Once received, we will forwarded the grievance to our Quality Management Staff. You can be assured the concern will be reviewed and addressed, as appropriate.
Thank you!
I am being asked for a case status for an injury that was already resolved, and I informed them of that fact, as well as the law firm.
I was involved in a car accident in May 2018 and obtained counsel. My health insurer, Anthem BCBS, was informed of the accident and said they would deal with the counsel. In early 2019, I was told by counsel, and received documentation, that the case was settled. I was also informed that my insurer, Anthem BCBS, had taken care of all claims related to the accident. I have since moved on to a new job in Florida, but I am still getting letter from Anthem BCBS asking me for a "claim status update." This despite the fact that counsel informed me more than once that they were dealing with Anthem BCBS on the matter. I should not owe anything at this point, and I simply want to put that in my past and move on.
I simply want Anthem BCBS to drop this, accept the fact they were informed months ago by both myself and counsel that this was settled, and leave me alone. Since my accident, my wife passed away, I briefly lost custody of my daughter so I can resolve my wife's affairs, and moved to a new state (I have since reunited with my daughter). Please just let me be and drop this.
This letter is in response to your recent inquiry concerning the above case.
Based on the federal regulations of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to answer your inquiry without the specific authorization and release of the complainant. The Revdex.com is not considered a Regulatory Agency and is therefore, required to provide a copy of the HIPAA authorization with the inquiry to our office.
If our review documents no action has been taken on behalf of the member prior to the receipt of this inquiry, we will address accordingly. If additional correspondence is necessary, we will also address directly to the member.
We regret we are unable to provide any further assistance to your office. However, federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing any further information to a non-authorized designee.
Thank you for allowing us the opportunity to address this concern.
They forced us to change specialty pharmacies that charge 3 times as much for the medication.
When we began getting my specialty medication *** we were getting it from *** pharmacy. Between the insurance and the copay assistance we were getting the medication at no cost. Then in July BCBS forced us to move to *** to get my medication. They are now charging insurance 3 times as much and our charge for the medication went up by over 800.00. We went from a no charge for our medication every month to them wanting us to pay 560.40 a month for my medication. It is not enough that we pay an outrageous amount each month for the insurance to begin with but now they are trying to make it where I cannot afford my medication. This is unacceptable practice. We should have the option to stay with the specialty pharmacy that I did not have problems with getting my medication. The past 2 months has been a nightmare getting my medication and will be out of my medication AGAIN this month as I was last month for a week. This could cause me to have an outbreak in my *** symptoms. How is this going to be resolved?!
I am wanting the option to go back to *** where I was getting my medication at no charge. Between the insurance and the copay assistance with *** I was not paying out of pocket. With *** they are wanting 560.40 a month for my medication and that is after copay assistance.
Based on the federal regulations of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to answer your inquiry without the specific authorization and release of the complainant. The Revdex.com is not considered a Regulatory Agency and is therefore, required to provide a copy of the HIPAA authorization with the inquiry to our office.
If our review documents no action has been taken on behalf of the member prior to the receipt of this inquiry, we will address accordingly. If additional correspondence is necessary, we will also address directly to the member.
We regret we are unable to provide any further assistance to your office. However, federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing any further information to a non-authorized designee.
My 15 daughter mentally ill daughter was denied the continuation of treatment in a residential short term facility without completion.
My daughter was given treatment in a residential facility from April 16th, 2018 through *** insurance. The claim was passed to Blue Cross Blue Shield on May 1st, 2018 and was immediately denied. Our therapist and psychiatrist both insisted that she need further treatment however, they denied the claim. In addition, we were given no notice as when the insurance was added our daughter was left off of the policy. The treatment facility provided her with a scholarship for the time that was not covered by Blue Cross Blue Shield. With Blue Cross Blue Shield's paperwork mistake we were denied even the possibility of having a transitional period for our daughter to come back into our home. She has had her medication changed and all of the clinicians are in agreement that she needs more time in the program to receive the help that she needs. Without this treatment there is a great chance that she will come home and harm herself or stop eating. When my husband contacted Blue Cross Blue Shield to petition the denial he was put on hold for over a half hour with no answer. Clearly they do not care about mental health or the well being of the patients that they are in the business of insuring.
I would like further treatment and the continuation of the current program to be reinstated.
Reference: ***
Member ID: Not provided
Revdex.com Case #: XXXXXXXX
To whom this may concern,
This letter is in response to your recent inquiry concerning the above case.
Based on the federal regulations of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to answer your inquiry without the specific authorization and release of the complainant, and to also include their Blue Cross Blue Shield of Georgia membership HCID number. The Revdex.com is not considered a Regulatory Agency and is therefore, required to provide a copy of the HIPAA authorization with the inquiry to our office.
We regret we are unable to provide any further assistance to your office. However, federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing any information to a non-authorized designee.
To better serve the member, please have the member contact customer service at the phone number on her member ID card for assistance with her issue.
Thank you for allowing us the opportunity to address this concern.
Sincerely
Blue Cross has not paid my doctor bill even though they said they owe it.
I have talked to them numerous times and they still have not paid the doctor bill even though I have 2 letters from them stating they owe it.
Pay the claim
Reference: Ms. ***
Revdex.com Case #: XXXXXXXX
To whom this may concern,
This letter is in response to your recent email inquiry dated April 2, 2018 concerning the above case.
Based on the federal regulations of the Health Insurance Portability and Accountability Act (HIPAA), we are unable to answer your inquiry without the specific written authorization and release of the complainant, and to also include their Blue Cross Blue Shield of Georgia membership HCID number. The Revdex.com is not considered a Regulatory Agency and is therefore, required to provide a copy of the HIPAA authorization with the inquiry to our office.
We regret we are unable to provide any further assistance to your office. However, federal regulations, including those applicable to any of the new Health Care Reform regulations prevent us from releasing any information to a non-authorized designee.
Thank you for allowing us the opportunity to review this case. Please contact our office if you should have any questions; please submit your request through your secure portal.
Sincerely,
Mrs. ***
Grievance and Appeals, Analyst Lead
Regulatory Unit
XXXXXXXXXX