Blue Cross California

An appeal has been initiaed for this memberThe member will receive a response from the health plan within calendar days

Member ID JQ [redacted]

The health plan has initiated a 30- day appeal for this member's complaintThe member will receive a response from the health plan within calendar days

The health plan has initiated an appeal for this memberThe member will receive a response from the health plan withn calendar days

Please have the member provide the health plan ID number that he alleges was not canceled

Complaint:
I am rejecting this response because:
They asked for my account ID, but it is already attached to the complaintMaybe they weren't able to see the
account ID I entered?
Here is some info that might help:
#391Awas correctly cancelled on 11/15/I had no idea that my dental and life were on a different account (#440A71645) I called and said that I got a new job with new benefits and need to cancel all of my plansThe lady was very nice and I figured it was taken care ofI didn't realize I was still being charged for the plans on #440Apartly because the charges were relatively small, partly because I had no idea I had two accounts, and partly because I mistakenly figured the charges were for my new plan
I then left my job and started a new individual plan #544AThis is when I started realizing something was wrong with the chargesI will need to cancel #544Abecause of the changes going on with affordable care and I'll be looking for a new plan#440Ashould have been canceled on 11/15/and I would really like to be refunded for the 12+ months that Anthem was charging me for it.
I figure I should only have one ID, I shouldn't have to have separate user names to enter the website to deal with all of this confusion going onI can't even set up a new bill pay for my new plan because my email address is already taken on another account that I don't even needI think Anthem needs to take accountability and fix the customer experience on the websiteAnthem also needs to get more people to answer the phones, from my experience it's been a huge messThe few email responses I've had are completely useless and do not even begin to help address the problem I am havingWhen I do get through to someone on the phone they tell me I called the wrong number, they give me a new number that no one ever answers
Regards,
*** ***

Please have this member provide the health plan ID number that is in dispute so we may research his issue

Appeals (complaints) with the health plan take up to calendar days to resolve

Complaint:
Please remove my
request to change my health care I wish to move towards purchasing services from another vendor
I should be able to logon to my account and see that the request has been removed
If you are not able to do this then we need to talk on the phone, send me your contact info
Regards,
*** ***

An appeal has been initiaed for this member. The member will receive a response from the health plan within 30 calendar days.

The health plan has now initiated a 30-day appeal for this member. The member will receive a response from the health plan within 30 calendar days.

Member ID JQ[redacted]358

Review: I've requested to change my health care plan in November of 2013. It still says waiting for review as of 1/8/2014. I've called several times and no one knows why it is stuck in review. The last time I called the guy was going to call me back after talking with someone; never received a call back.Member ID: XF[redacted]61Desired Settlement: Please review and approve the change in my health care plan or delete the request so I can purchase one from another company.

Business

Response:

The health plan has initiated a 30- day appeal for this member's complaint. The member will receive a response from the health plan within 30 calendar days.

Business

Response:

Appeals (complaints) with the health plan take up to 30 calendar days to resolve.

Consumer

Response:

Review: 9869330

Please remove my request to change my health care. I wish to move towards purchasing services from another vendor.

I should be able to logon to my account and see that the request has been removed.

Review: My insurance premium was been paid by my employer. When I left the company in September 2013, I went on Anthem.com and updated the payment details, I erased my previous employers details and enter my personal checking account. After 2 months I get a call from my previous employer saying they are still debiting their account. I call Anthem and I am told that I have to send a fax to update the information bc their website is not updated and the is system doesn't "talk" to their payment website! Unbelievable. I send the fax in November and surprise, they still charge my previous employer!!! And they charger them again in January!!!!I have called 3 times and the estimated wait time is 1 hour!!! I tried using their website to communicate with them online on their message center, and last time they took 3 weeks to respond my message!It gets better, in November and December my premium was $269, now in January is $374!!! And I have no information to why, I just get a new bill, without any details.Desired Settlement: I would like all charges reverse to my previous employer and an explanation of the new premium before I pay a dime. A refund for all this mess would be appropriate.

Business

Response:

The health plan has initiated a grievance for this member. They will receive a response from the health plan within 30 calendar days.

Review: I have been with Anthem Blue Cross for the past several years. In November, 2013, I received a letter from Anthem indicating my policy will be terminated as of 12/31/13. In December 2013, I sign up my new health plan online with Heath Net. I thought everything has been taking care of. However, on 1/6/2014, I realized my bank account has a debit withdraw of $485.87 and $11.74 from Anthem Blue Cross. I immediately call Anthem Blue Cross. After waiting on the phone for almost an hour, I was lucky to speak to a gentleman. I explain my situation to him. I ask how could Anthem withdraw the fund without my acknowledgement. His answer was Anthem doesnt want to leave anyone out so Anthem AUTOMATICALLY picks a plan for me. With several minutes of holding, he told me he has taken care of the situation. A confirmation number was given. Then, I was transfer to the Payment Department, but the phone got disconnected, unfortunately. As of 1/10/14; I have not received the refund. Thus, I called back again. I was being transferred to different department, placed on hold for hours, and got hanged up several times. I tried to call back and wait for hours, but I never got through. If I cant speak to anyone, I am sure I will be debited again next month. No choice. I have to keep calling them.Desired Settlement: I just want my money back - the debit withdraw of $485.87 and $11.74. I did not sign up for the coverage period since 1/1/2014. I need my money back

Business

Response:

An appeal has been initiaed for this member. The member will receive a response from the health plan within 30 calendar days.

Review: Anthem Blue Cross will not stop sending me a massive amount of advertising. They always reference my membership that no longer exists. This just seems like another scam. I can only assume that they trick many older people with this type of evasive advertising. I had Blue Cross Insurance in the past but they were a problem company for me with terrible customer service and with what seemed to me to be unethical costs for their insurance policies.Desired Settlement: Please do what you can to have Anthem remove my name, home address, email address and telephone from all of their advertising resources. I do not want to receive any of their advertisements, sales literature or related correspondence or from any of their other corporate related businesses ever again!

Business

Response:

This member's request has been forwarded to the department that will put him on the "do not contact list" for Anthem Blue Cross.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID 9834258, and find that this resolution is satisfactory to me.

Regards,

Review: I had been a Member for almost 2 years. I moved from CA to KY. I called the 800 number on 1/25 to transfer my policy from CA to KY. I was told that I needed to fill out a consent form, allowing them to send my info to KY. I received the form in the mail in KY on 2/19, completed and returned the form by fax on 2/25. I called the 800 number on 3/11 to check on the status of my transfer. I was told the fax had been received on 2/26 and that it usually takes about 2 weeks to process, so just to wait. After no response, I called again on 4/8 and spoke with Larry Goldstein in underwriting. I explained my situation. He apologized for the delay and told me that he would try to get me processed as soon as possible, and to get my transfer effective date retro'd back to 3/1 and that he would call me back by the end of the day. I did not hear back from him, so I called again on 4/12 and was eventually connected to Mr. Goldstein. He again apologized and asked if I had filled out an application to KY. I said I had not, because I had never been told that I needed to re-apply in KY. He e-mailed me the forms that I needed to fill out (20 pages of application and cover letter) and asked if I had access to a fax machine. I said I did not. He said that, if I could print, fill out, and scan all 20 pages into one PDF file that I could e-mail it back to him and that he would forward it to the correct people. I received the forms via e-mail on 4/12, as I was getting ready to go to work. I e-mailed Mr. Goldstein to confirm that I had received them and would fill them out over the weekend and e-mail them back by Monday, 4/15, which I did. On 4/17, I e-mailed Mr. Goldstein, asking him to confirm that he had received the document. He responded almost immediately that he had not received them. I re-sent the document on the evening of 4/17 and have not yet heard from Mr. Goldstein. After 3 months of trying to transfer my policy, I went with another company and was approved for a new policy in less than 1 hour.Desired Settlement: I tried to log in to the website to cancel my policy and contact customer service, but I don't remember my password and when I fill out all pertinent information to be sent my password, I get an error message that says they are experiencing "technical difficulties" and to contact customer service; however, the site will not allow me to e-mail customer service without logging in... I just want to cancel my policy and let them know that they lost a customer, but I couldn't contact them to do that.

Business

Response:

We are unable to locate this member. Please have her provide her Anthem Blue Cross health plan identificaton number. If her complaint is regarding her Kentucky health plan. Please contact Kentucky Blue Cross Blue Shield.

Consumer

Response:

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

Review: 9518837

I am rejecting this response because:

My complaint is, indeed, with Anthem Blue Cross of California; which they would know had they taken the time to actually read it. My member ID # is 7[redacted]6040. My California address, which they seem to need to identify me each time I call their 800 number, was 3739 Delmas Terrace #8, Los Angeles, CA 90034. This is the address that they still have in their system, even though I've received several pieces of USPS mail from them at my Kentucky address, beginning 2/19/13. It also amuses me that I have been trying to transfer my policy for three months, while they collected my premium monthly, but they were able to answer a complaint through Revdex.com in an hour and a half.

Regards

Business

Response:

The health plan advised this member on 4/12/13 that we were waiting for the requested documents from her Kentucky plan which the health plan has not been received. She was advised if she has them she can forward them to the health plan. She was advised to contact ###-###-####regarding the requested documents not being received.

Review: I cancelled my Medical coverage through this company that they began without my consent almost a year ago. I declined Medicare part D before the Government's deadline as I have VA service-connected benefits. The representative on the phone cancelled my policy and sent me the required forms which I sent back to their office. They claim to have never received the documents and are now billing me fraudulently for 1049.60. I called them again concerning the bill and they explained that I must pay their bill as it was never discontinued. I have never for the life of the policy authorized it or signed and documents accepting the amounts they charge. Nor have I EVER used their plan for any of my medical coverage. I am not required to have this insurance as I am a disabled veteran and fully covered though their services.

Product_Or_Service: Medicare Part D

Account_Number: 98[redacted]512Desired Settlement: I would like to have this bill dismissed, as well as, have all funds they withdrew from my Social Security checks throughout the life of the policies in the past refunded to me.

Business

Response:

This complaint has been opened as a grievance. The member will receive a written response from the health plan within 30 calendar days.

Review: They have denied a claim to pay for CPAP therapy. I have had a clinical sleepmstudy clearly showing I have sleep apnea. I am a particularly high risk patient having had four way heart bypass surgery, a stent and 3 heart attacks. Theres no question by cardiologists, internists and other medical professionals that use of a cpap is a must. They have even paid for a past cpap machine in 2006 and 2007. I filed a formal appeal and the claim was again rejected. They have completely run the provider thru the grinder that has been trying to get paidDesired Settlement: Pay the claim and quit being so difficult to work with

Business

Response:

The health plan has a current open appeal for this member that was initiated on 10/15/14. The member should receive a response within 30 calendar days from the original receipt date.

Consumer

Response:

Review: 10299000

I am rejecting this response because:

They already responded to the appeal and denied the claim. I sent a response asking them to review the appeal and have not got a response.

Regards,

Business

Response:

This member's next level of appeal is to the Department of Managed Health Care.

Review: I was assigned onto Anthem Blue Cross under Medi-Cal Managed Health Plan. I have moved since four years ago and I already informed both Medicare & Medi-Cal. All the correspondence from these two main health insurances have been properly sent to my current address, including the handbook from Anthem Blue Cross. As I have not received my member ID card to see my doctor (it's already late because I supposed to get it by 7/31/14). Upon calling Anthem Blue Cross, I talked to two different representatives (I called twice): the first time was [redacted], and the second time was Candy A. My calls were at 1:40 pm and 1:50 pm on 8/18/14. [redacted] told me that my membership ID card was sent to my previous address, and I told her that I have moved out of that place long time ago. She reasoned that because I did not report my change of address, so she could only changed temporarily my address until 9/1/14. Then I knew that something wrong here: I did report my change of address to Medicare and Medi-Cal and also the handbook from Anthem Blue Cross was sent to my correct address. I called back and talked to Candy A, she provided me the same explanation. I requested to speak to her supervisor, she put me on hold for almost 30 minutes and came back, telling me that I should call back after 2 weeks to see if their system would be updated yet. I asked her for her supervisor's name, because she never let me speak to that person, she told me that her supervisor was Ashley; and her station was in Georgia. Both of these representatives were very rude, and the system was messed up. How could the handbook be sent to the correct address and my address for the ID was different? [redacted]'s explanation was that because the handbook was sent from another department (?).Desired Settlement: I would like to receive a formal explanation about this incorrect address of mine in the system of Anthem Blue Cross, also an apology from the supervisor about these two representative (especially Candy A. who put me on hold for 30 minutes but still did not let me talk to her supervisor as I requested). I feel like we seniors are treated like dirt because everyone has to join health plan and our life is in their hand, we have no options; even the list of doctor and specialists are very limited.

Business

Response:

We are unable to locate this member. Please have them provider their health plan identification number.