Blue Cross of Northeastern Pennsylvania

[To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the responseIf no reason is received your complaint will be closed Administratively Resolved] Complaint: [redacted] I am rejecting this response because: They responded directly to me stating that the original claim was paid correctly and no additional payment will be madeThey stated that ambulance benefits are not listed on the patient accessible website as it is only a summary of benefits but did not state where I can find that information other than calling BC/BSI will fax you a copy of their response if you will please let me know your fax number I am extremely frustratedThis situation defies logic and good business practicesI need this claim to be paid in fullIf they refuse, I need to know how on earth they can rationalize denying payment for emergency servicesSomething giving a reason, not simply telling me, yet again, what my plan does and does not coverI am currently looking for a new insurance companyIn my search I found that I am eligible for state-funded insurance that would have covered the ambulance rideI find it sad and infuriating that I can get better coverage by taking a government hand-out than by working hard and paying for my own insuranceShame on BC/BS Thank you, Revdex.com, for all of your help thus far Regards, [redacted] ***

May 22, 2015Dear [redacted] ,Blue Cross of Northeastern Pennsylvania (BCNEPA) received your inquiry regarding [redacted] ***’s concerns on May 12, 2015.Due to BCNEPA’s confidentiality policy, we are unable to respond directly to you. However, I sent a letter directly to [redacted] on May 22, 2015,... addressing his concerns.Sincerely,Megan MComplaint/Grievance Specialist

May 22, Dear *** ***,
Blue Cross of Northeastern Pennsylvania (BCNEPA) received your inquiry regarding *** ***’s concerns on May 12, Due to BCNEPA’s confidentiality policy, we are unable to respond directly to youHowever, I sent a letter directly to ***
*** on May 22, 2015, addressing his concerns.Sincerely,Megan M
Complaint/Grievance Specialist

February 17, 2015Dear [redacted],Blue Cross of Northeastern Pennsylvania (BCNBPA) received your inquiry regarding [redacted]’s concerns on January 26, 2015.Due to BCNEPA’s confidentiality policy, we are unable to respond directly to you. However, I sent a letter directly...

to [redacted] on January 29, 2015, addressing her concerns.Sincerely,
Amy H. 
Complaint/Grievance Specialist

May 8, 2015
Dear [redacted],Blue Cross of Northeastern Pennsylvania (BCNEPA) received your inquiry regarding [redacted]’s concerns on January 26, 2015.Due to BCNEPA’s confidentiality policy, we are unable to respond directly to you. However, I sent a letter directly to [redacted]...

[redacted] on May 6, 2015, addressing his concerns.Sincerely,
Mara D.
Grievance Specialist

May 22, 2015Dear [redacted],Blue Cross of Northeastern Pennsylvania (BCNEPA) received your inquiry regarding [redacted]’s concerns on May 12, 2015.Due to BCNEPA’s confidentiality policy, we are unable to respond directly to you. However, I sent a letter directly to [redacted] on May 22, 2015,...

addressing his concerns.Sincerely,Megan MComplaint/Grievance Specialist

[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]
 Complaint: [redacted]
I am rejecting this response because:
They responded directly to me stating that the original claim was paid correctly and no additional payment will be made. They stated that ambulance benefits are not listed on the patient accessible website as it is only a summary of benefits but did not state where I can find that information other than calling BC/BS. I will fax you a copy of their response if you will please let me know your fax number. 
I am extremely frustrated. This situation defies logic and good business practices. I need this claim to be paid in full. If they refuse, I need to know how on earth they can rationalize denying payment for emergency services. Something giving a reason, not simply telling me, yet again, what my plan does and does not cover. I am currently looking for a new insurance company. In my search I found that I am eligible for state-funded insurance that would have covered the ambulance ride. I find it sad and infuriating that I can get better coverage by taking a government hand-out than by working hard and paying for my own insurance. Shame on BC/BS. 
Thank you, Revdex.com, for all of your help thus far. 
Regards,
[redacted]