Empire Blue Cross & Blue Shield

Revdex.com: I have reviewed the response made by the business in reference to complaint ID [redacted] , and find that this resolution is satisfactory to me Thank you very much for helping me to claim my money back I have got a refund check of $last week I think this solved my complaint.Have a nice evening Regards, [redacted] ***

I have been told by empire that they will cover claim. I believe this can b closed

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me.  Thank you very much for helping me to claim my money back.  I have got a refund check of $116.72 last week.   I...

think this solved my complaint.Have a nice evening.
Regards,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.
Sincerely,
[redacted]

Revdex.com:At this time, my complaint, ID [redacted] regarding Empire Blue Cross & Blue Shield has been resolved.
(By clicking "OK", your complaint will be closed as Resolved.)
Sincerely,[redacted]

Review: Have not received any information on health plan I registered for in October 2013. Phone conversation in November with Empire indicated that I was automatically assigned a silver plan and would receive information before year end 2013. Nothing happen. No coverage. No response. Nothing.Desired Settlement: I want the silver plan I was registered for and have not received in violation of Affordable Care ACT.

Consumer

Response:

After three months, my complaint, ID [redacted]regarding Empire Blue Cross & Blue Shield has been resolved.

(By clicking "OK", your complaint will be closed as Resolved.)

Sincerely,

Review: My medical service providers and I trying to contact BCBS for the claims of my services received in Aug last year.

I understand that my policy expires on Sept last year, which should cover my Aug services.

I tried to contact by phone and fax, the phone number listed on the back of the card and the web site is not a valid number. I faxed the below letter to the fax number listed on the web. Nobody responded.

----following is the letter I faxed: ------

To Whom It May Concern:

This is regarding my recent claims [redacted] and [redacted] and my service by NYP/LOWER MANHATTAN HOSPITAL dated 8/*/2013.

The claim is not processed and the reason stated is "The member ID used was incorrect."

I verified the member ID used and confirmed it is correct. Please see the member card image below. The policy expire date was 8/**/2013 last year. The claims are for service date 8/*/2013 and 8/**/2013. So the services were still covered by the policy.

Also the contact number stated in the back of the card is no longer in use. And when I try to login on the web, the error message said the login is no longer current. So please contact me at ###-###-#### (cell) or ###-###-####(home) to tell me what is the correct way to get in touch with you.

------end of letter -----Desired Settlement: Please respond by

1. Process my claims sent by my providers for my 3 services occurred in Aug 2013.

2. Or call me for more information or details.

Consumer

Response:

Blue Cross Blue Shield has contact by phone.

At this time, my complaint, ID [redacted] regarding Empire Blue Cross & Blue Shield has been resolved.

(By clicking "OK", your complaint will be closed as Resolved.)

Sincerely,

Review: I was a former customer of Empire Blue Cross/Blue Shield. I canceled at the end of 2013 in writing through their messaging system. However they just re-activated my account without my consent and began drawing directly from my bank account. I canceled the direct debit -- and they still won't let me leave the plan. I've sent at least four cancel notices in clear writing to them. I don't know what to do!Desired Settlement: I want them to cancel me out of their health plan completely.

Consumer

Response:

At this time, I have been contacted directly by Empire Blue Cross & Blue Shield regarding complaint ID [redacted], however my complaint has NOT been resolved because:

[Your Answer Here]

They called me, but did not explain why my plan was automatically continued without my consent, and they did not refund my money. My bank had to do that.

In order for the Revdex.com to appropriately process your response, you MUST answer the question above.

Sincerely,

Review: Our health insurance is through Freelancers Association of America. We have been making full payments to them this entire year. Starting in September, we have to pay Empire Blue Cross and Blue Shield of New York directly. We got a bill for $671.54 which is exactly half of what we have been paying all year ($1,343.08). We have contacted Empire several times to try and correct this situation. They have not corrected their files. My husband just got TWO bills from them yesterday. One states that we owe $671.54 for the month of September, when we paid the full fee. Not only that, we got another bill stating that we owe them $6,043.85 which is completely incorrect. I do not want this to be reflected on our credit report, which is in excellent standing. Empire BC & BS has been totallly negligent in addressing our concerns.Desired Settlement: I would like Empire's records to be corrected to reflect that we are in good standing, that both my husband and I are covered, that we have paid all our premiums to date, and remove this absurd $6,043.85 charge from our records. Thank you for your attention to this matter.

Review: I cancelled my policy on January *, 2014 and received a confirmation email that my policy was cancelled and no further payments will be deducted from my checking account. Empire Blue Cross continues to show my policy as active on their system and just deducted yet another online payment on February *, 2014. Empire needs to honor my cancellation which was effective January *, 2014 and stop e-billing my checking account.Desired Settlement: Cancellation of account immediately, policy was cancelled per my request on January *, 2014. I have a confirmation email from Empire that proves my request for cancellation.

Review: Through the NY Health MarketPlace, I chose Empire BlueCross BlueShield as my health insurance company in 2015. For 2016, I chose a different health insurance company through NY Health Marketplace. On the Marketplace website, I am enrolled in the new health insurance company's plan. There is a Disenrollment Notice and a Cancellation Notice for my old health plan. I did not owe money for my 2015 plan. Despite this, Empire BlueCross BlueShield withdrew money from my bank account in January. Different Customer Service representatives responded to each of my 7 complaints to BlueCross BlueShield. The representatives claim that I am still on their plan. I have told them directly that I am not on that plan and provided copies of the Disenrollment Notice and Cancellation Notice to no avail.Desired Settlement: Refund of the money withdrawn from my account.

Cessation of the BlueCross BlueShield health insurance plan billing me and sending me info on their plans.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,

Review: My credit card was charged for an unauthorized medical insurance premium. As of 2/**/14 I have been charged four times in this calendar year for health care premiums. I have cancelled my plan with them and would like to be refunded the payment for April coverage in the amount of $364.37Desired Settlement: I would like to have a refund for the amount of $364.37

Consumer

Response:

I have received payment from the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,

Review: On O7/**/2013 I was suffering very painful pains in my side. Concerned I went to the local Hospital Emergency Room. This was an Emergency Room visit and as normal charged to my Empire Blue Cross Plan. Shortly After I also received The ER Doctor bill and a ER [redacted] bill that are supposed to go to blue cross under the total ER coverage. The ER Bill broke down as follows $3404-Hospital, $852 ER Physician and another $450 for the [redacted]. On 8/29/ 2013 I received a statement from Blue Cross that they Paid $1311.72 and that I had a $50 co payment. In addition, this was only for the ER Hospital and not covering the ER doctor or ER [redacted], which at the time was still pending. On 11/*/2013 I received a bill statement from the Hospital that I owed over $2092 for that Visit. When inquired with the Hospital ([redacted] ) They informed me that Blue cross took back the payment and paid only $152. When Inquired with Blue Cross staff & supervisor [redacted] said the city stopped paying my plan as of July *,2013 So that I am forced to purchase MEDICARE B. I was never notified by anyone including and most importantly BLUE CROSS that my insurance had been dropped to sub standard levels. If I knew that Empire blue cross was not covering my bills I would have treated the matter as if I was uninsured even to the point of staying home risking my health. This bill would have been incurred. Because of their failure to notify me I am now in position of having to pay a massive out of pocket bill. The Supervisor did not care. I had them for years and this is worst to date this company has conducted themselves. Shame on them,disgraceful. God help anyone who depends on this company in a life and death incident! It is an inevitable one way ticket to Financial Ruin!!! Buyer Beware!Desired Settlement: Since it is Empire Blue cross fault in not notifying me this happened , I expect them to honor the entire ER/ER doc/ [redacted] bill. I hoping not escalate this matter any further but my back is to the wall and I will. I will also warn as many others by any means necessary of their conduct. Disgusting.

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and find that this resolution is satisfactory to me and the matter has been resolved.

Sincerely,

Review: I called my insurance company in early May to make sure that my insurance covered a routine [redacted] since it has been many years since I had my last one. The agent looked up my insurance and confirmed that I was covered for this procedure. I then had the procedure done on 5/**. At the time of the procedure, the found a polyp, which they removed (this is the entire purpose of preventitive [redacted], i.e., to look for any potential problems and remove them before they develop into [redacted] I then received a statement from Empire BlueCross BlueShield saying that I am fully responsible for the entire cost of the [redacted]. When I called to look into the matter, I was told that since a polyp was found, it was no longer considered a "routine" procedure and, therefore, would go to my deductible that I would have to pay out of pocket. As a result, I am responsible for a total amount of $486.14. This practice reprehensible. The entire purpose of preventitive procedures is to avoid more serious diseases later. There is no way to tell in advance if something will be found from those tests and the patient is unknowingly put into financial hardship. I relied to my own personal financial detriment upon the assurances of my insurance company that my procedure would be fully covered and would not go to my deductible. I found it outrageous that they now want to avoid payment.Desired Settlement: I am seeking for Empire BlueCross BlueShield to pay the deductible amount of $427.14 since this amount would have been covered had the [redacted] been classified as routine (and as it was described to me by the insurance company when I decided to get the test).

Consumer

Response:

At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID [redacted].

Sincerely,

Review: At the start of 2014 my health care was to change from Empire Blue Cross Blue Shield Healthy New York to a plan with Empire on the exchange. Although I signed up for a new plan in December it was not officially activated until Feb.*(even though I was told Jan.*). I had already cancelled a 'default' plan that Empire had in place that was well out of my budget because I was told that my new coverage was to start Jan.*. This did not happen. I frantically tried to get a temporary month coverage with Empire for January which I signed up with after many, many hours on the phone. This was paid for. Although the money had been taken out of my account it was not credited to my coverage for January. I never received the promised ID card after 10 days. The Empire website was useless as it kept saying a temporary ID card was unavailable to be printed out. I was unable to see any information about my actual plan. Complete confusion and apathy on Empire's part.

Furthermore, I have still yet to receive any information on my ID or plan that begins Feb.*with Empire on the exchange. This has been paid for at the beginning of January. I am unable to access any information of my plan online. The only thing that I get in the mail from Empire are statements for an 'outstanding balance' for the plan that I have ALREADY paid for. I have not been able to go to the doctor this month for an earache because I was unable to reach anyone by phone to simply get a policy number for a plan that I had paid for.

As of this morning, and another hour+ wait on the phone just to speak to a representative, I was told that my two separate payments have been only applied to my plan starting Feb.*and that it had been credited through the months of April!!!!! He told me that my January policy had been cancelled because they had not received payment for it! Exasperated, I have given up. I was only calling in to see where my ID card was..... not expecting to find this out.

So for now, I still do not even know the details of my coverage or if it is really a plan that I actually want. Because of website difficulties on both Empire and NY health gov's part, I had to do it by phone with a representative. After 2 weeks of unsuccessful website glitches.

For a company like Empire to not have enough staff to simply answer phone calls for a known change and surge in our health care system is unprecedented. The link to the article below explains my situation and of many others in our region well. I have spent approximately 35 hours on the phone with Empire during the months of December and January (mostly on hold). My phone records would be evidence for this.

[redacted]Desired Settlement: I would like Empire to have to answer to these charges and make the appropriate changes to their company that should have their customers on phone hold no longer than 5 minutes.

I still have not received my ID and health care plan information in the mail and am unable to access it on the web. I would like to be able to have both of these things. I would also like their billing department to contact me and make sure I am credited appropriately for Empire's mistakes and for my time.

Consumer

Response:

At this time, I have not been contacted by Empire Blue Cross & Blue Shield regarding complaint ID [redacted].

Sincerely,

Review: I am an in-network provider for Empire BCBS. On 11/**/15 I completed and faxed a W9 form to change my office location, as instructed via telephone with Provider Services. I waited 30 days for processing, submitted my next claim, and claim was denied, citing discrepancy with address. I called Provider Services to inquire, was informed that my paperwork was completed appropriately, but that there was a typographical error made by the Provider Registry when entering my information in the computer. I was informed this issue would be resolved within two weeks, and asked not to submit any more claims until resolution confirmed. I have contacted Provider Services a total of nine times, each call lasting 45-90 minutes, and have been repeatedly informed that this inquiry is still open, with no time frame for resolution or explanation for delay. . I have continued to see my patients weekly, and currently have thousands of dollars in claims yet to be submitted. Though through no fault of my own, this is greatly impacting my business, my income, and most importantly, my patients.Desired Settlement: I would like this inquiry closed so I may submit claims for services rendered from October 2015 to present, and I would like these claims to be paid in full.

Consumer

Response:

At this time, my complaint, ID [redacted] regarding Empire Blue Cross & Blue Shield has been resolved.

(By clicking "OK", your complaint will be closed as Resolved.)

Sincerely,[redacted]