Sign in

Highmark Blue Cross Blue Shield

Sharing is caring! Have something to share about Highmark Blue Cross Blue Shield? Use RevDex to write a review
Reviews Highmark Blue Cross Blue Shield

Highmark Blue Cross Blue Shield Reviews (215)

Review: I have contacted Highmark Blue Cross Blue Shield through their online customer service regarding the issuance of 1095 form for reporting proof of health care to US Government and IRS purposes. I am trying to provide this information to tax preparer in order to file taxes for calendar year 2015. Sent two separate requests for 1095 form and was ignored. Called Customer Service via 800 number on issued card. Was advised that I did not need 1095 form to file taxes, and to take copy of a claim receipt to tax prep company. Advised them that I wanted copy for my records and I wanted them to mail me copy because I paid out of pocket for health care in 2015 and needed to readjust tax credit with information. Was told government has given them additional to mail information and I would see it sometime in April. I reminded them the tax deadline was 15 April 2015. Not satisfied with outcome.Desired Settlement: I want Blue Cross to follow the Federal Law and provide me with a copy of the 1095 form as soon as possible, in order for me to correctly file my 2015 Federal, State and Local Income Taxes. I need the information to get adjustment for overpayment of tax credit and proof I had Health Insurance.

Business

Response:

Dear Ms. Gasser, We have responded to the member in writing concerning his 1095-B form. The letter explains the following: Blue Cross received your complaint through the Revdex.com regarding the processing timeframes of your health insurance tax form (1095B form). The 1095B form is a health insurance tax form which reports the following information: type of health care coverage; dependents covered under the insurance policy; the period of coverage for the prior year. The form is used when filing taxes to verify that the filer and dependents had at least the minimum qualifying health insurance coverage Please be advised that the 1095B form was sent to members on Monday, March 28, 2016, which meets the timeframe required by the Federal Government of mailing the form by March 31, 2016. Thank you.

Review: Billing is sent so late that getting the payment to them and put on account makes it impossible to be on time with the payment. Bill arrived on feb 18 2015 and I had to overnight the payment and with a tracking number. It was due to their accounts by Feb 28.That gives you a week to get it mailed and through their slow accounting system It didn't get accredted to my account until the 26 of Feb even with my extra effort.But yet they are right on time denying claims. This late billing is a chronic problem. Last year at the same time billing was never sent for February and all my claims were denied. I had to file a complaint with the attorney general after calling 4 times to Highmark . Late billing is a monthly problem and I think its on purpose. I have never missed a payment.Desired Settlement: Billing sent giving a reasonable time to get payment accredited to your account.

Business

Response:

This member is currently enrolled in our Comp Care Blue policy, a Preferred ProviderOrganization, on an individual direct payment basis from January 1, 2014.I understand the member is dissatisfied with our timing of our invoices being delivered comparedto the due date of the requested premium. Please recognize our invoices are issued with anexpected delivery date to fall between the second and third week of the month. The due date ofthe premium will be the last day of the month prior to the upcoming coverage period. Forexample, April’s premium will be due by March 3rdAlso, if a payment is received but not yet applied, we currently have a process in place tosuspend claims so that they do not deny for coverage if a member’s paid date is in the process ofbeing updated. After a review of this member’s claim, I was unable to find any denied claims onfile since five claims were adjusted last year between March and April of 2014.If the member has any questions concerning her coverage, please have her contact CustomerService Department at ###-###-####. If you have additional questions, please contact medirectly.

Consumer

Response:

Review: On February 1st, 2014, I signed up for a Highmark insurance policy through the Healthcare Marketplace on the website HealthCare.gov. According to my credit card statement, a payment for $98.94 was made to HIGHMARK CHM CENTRAL [redacted] PA and processed on February 1st, 2014. Though my payment was processed, my insurance policy was not. I received notices from the Healthcare Marketplace via emails on the following dates: February 20th, March 24th, March 28th, and April 25th. Such notices had been sent as reminders for the payment my first premium, and they state that my enrollment is complete if I'd already paid the first premium, which I'd done in early February. When I received the second notice on March 24th, I promptly logged into my Healthcare Marketplace account to find out which company my health insurance policy was through, found that my alleged policy had been through Highmark, located their Customer Service Department's phone number, ###-###-####, through their website after a google search, and spoke with a representative when I called. This representative stated that Highmark had not sent my a receipt of my payment, an invoice, nor contacted me for any other reason because Highmark hadn't yet fully processed my insurance policy at that point. Because of the evident disconnect between the Healthcare Marketplace and Highmark and between the various departments within Highmark, I took no action to respond to the two subsequent emails I received.In early June, I received two notices from Highmark dated May 27th, 2014 (and postmarked May 28th, 2014). The first notice was a message informing me that I'd been enrolled in the Individual Comprehensive Major Medical Non-Gatekeeper Preferred Provider Agreement. This message states that my policy effective date is March 1st, 2014. The second notice was an invoice, which stated that Highmark had not received any payment from me and requested a payment of $296.82 by June 15th, 2014. On June 9th, I called the contact number listed on the invoice, ###-###-####. The representative with whom I spoke stated that because my policy was effective on March 1st, I owed the amount named on the invoice even though Highmark failed to contact me before late May. I stated that I'd already paid my first premium in February, and the representative, after verifying my claim with his records, stated that Highmark processed the payment March 27th and that I still owed Highmark $197.88 for May and June's premium.Throughout these months, I've had health problems that needed attention but hadn't been able to tend to them properly, because I believed that I didn't have insurance. On May 7th, a medical emergency that could no longer wait forced me to visit a UPMC urgent care center and pay$115.00 for treatment. It is my sense that I've had to pay for Highmark's negligent business practices not only with my credit card, but also with my health.Desired Settlement: I'd like my billing to begin on the date I first heard from Highmark: May 29th, 2014. Highmark's dealings with my case have been negligent throughout the past several months. A policy should not be effective simply because the company asserts some retroactive effective date: a policy holder must be notified of the activation of the insurance policy and of her member ID number (especially if she'd been previously told that her policy was ineffective) in order for a policy to truly be effective.

Business

Response:

June 20, 2014

Review: I enrolled in the Obamacare health network and chose Highmark Blueshield. I have been proactive in keeping up with the deadlines and changes that are occurring and actually took care of enrolling several weeks ago. I never received an invoice so I called Highmark. It took 35 minutes to get a rep. I was told they were having trouble printing invoices and I could pay the premium over the phone..so she transferred me to another department that could handle this only to be told I could not. Transferred me back and I was told to mail in my payment without an invoice as long as my ID number was on the check. So today I wanted to follow thru to make sure they got the check and applied it to my account. It took 40 minutes to get a rep. I got ahold of someone named [redacted].and she said she couldn't help me..so she transferred me to someone else, this took another 40 minutes. Spoke to another rep and he also said he couldn't help me. I asked to speak to a manager on duty who was [redacted] and he wouldn't come to the phone. Now this was the same phone number that I have been using, and for someone reason no one could help me. I hung up frustrated, went online and looked up the Highmark website for contact numbers. Not knowing if they could help me, I was hoping they could at least point me in the right direction. I called [redacted] office and a girl named [redacted] answered. I explained my frustration and the phone call became very escalated, again she couldn't help me and I got angry. She hung up on me. Several minutes later I called back and spoke to [redacted].again..explaining what I was going thru and could she give me the name of someone higher up in the ranks that could help me. I also wanted to express the attitude and conduct of [redacted]. Evidently [redacted] told her I was using bad language and she had a right to hang up on me. I told her I never used any bad words and for her to listen to the recorded phone call to verify this. she wanted to transfer me to another rep.Desired Settlement: I would like someone to call me and apologize. I don't want a customer service rep, or supervisor I want someone higher up who is incharge. If I could enroll in another plan with another company I would. But with the deadline being today I am stuck. I just want to know if they received my payment and applied it to my account

Business

Response:

[redacted]

Review: I bought Health Insurance from Highmark for the year 2014. I called in November 2014 to cancel insurance coverage because I got [redacted] coverage instead. Instead of cancelling my policy, they auto renewed it, and just sent me new cards in the mail.

Please reference member ID number: [redacted]Desired Settlement: I would like them to actually cancel my health insurance policy for the year 2015 and stop sending me mail.

Thanks!

Business

Response:

Dear [redacted]: This is in response to your inquiry sent to us on behalf of member identified by the Case ID number noted above. The member states in their complaint that she contacted Highmark to advise she was switching insurance companies effective January 1, 2015. The member was advised on December 16, 2014, that she needed to contact the [redacted] to cancel her coverage. Highmark did not receive a cancellation file from the [redacted], and per the guidance from the [redacted], the member was automatically enrolled for the benefit year 2015. Highmark has since received a cancellation file for the member, thus we have cancelled her policy effective January 1, 2015. The member may disregard any invoices pertaining to the 2015 policy. On behalf of Highmark, I apologize for any inconvenience or concerns the member may have experienced due to this matter. If you have additional questions, please contact me directly. Sincerely, [redacted] Executive/Legislative Inquiries Highmark Inc.

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, although I actually DID contact the [redacted] as per instructions.When I called the [redacted] a second time, I verified that they did log my first cancellation request. Thank you for all your help.

Review: I have contacted Highmark multiple times in regards to my situation. It has finally been resolved with the fact that my effective date of insurance coverage is now correct but I have not received a bill and cannot access it online. I contacted them yet again and they said it would be resolved and nothing has been done. I still have no billing information and no ID Cards but yet I am supposed to pay on time, and how much is that supposed to be?Desired Settlement: I would like my billing to be corrected so I can have my invoice, view the amount, and go online to access it and to have my ID cards plus my intro packet as I should have received. ,

Consumer

Response:

I have reviewed the response made by the business in reference to complaint ID [redacted], and have determined that this does not resolve my complaint. For your reference, details of the offer I reviewed appear below.

I was unable to see the full response from Highmark. However, this Hold doesn't help. Still my billing issues have not been resolved and I have been paying my premium. I don't know what this VIP or Hold means. All I know is that today, 05/03/2014, I needed my insurance coverage. When I went to get medications prescribed to me it was declined, saying I did not pay my premium. I registered for a premium of $39.98 a month and that is what I have been paying. My Base Premium is $164.98 a mo. and after the Premium Tax credit of $125.00 a mo. I pay $39.98. Instead I have a total of one bill from Highmark that was sent to me on 3/25/2014 per the date on the invoice that shows a Base Premium of $159.06 a mo. and a Premium Tax credit of $100.00. Now, Highmark says I'm supposed to pay $59.06. I provided Highmark Agents the information provided to me from Healthcare.gov and have been going back and forth. At least I have my card, I assumed that everything was resolved, apparently not. Now, I guess since I was just denied my pharmacy benefits I will also be receiving a bill from my recent Dr.s Appointments. I have attached an Image of the following: Invoice from Highmark, Print Screen Image from Healthcare.gov.

BILLING ACCOUNT NUMBER ([redacted])

Regards,

Business

Response:

Review: Summary: Highmark took payment for insurance but did not provide coverage and has rejected claim for reimbursement. I signed up for Highmark PPO health and dental insurance on January 10, 2014 on their web site (highmark.com...not the Obamacare web site!) and paid using my credit card. My credit card bill shows I was charged by Highmark the same day. But in the last week of January I began receiving mailed notice of non-payment, and a week afterwards began receiving harassing automatic phone calls of supposed nonpayment. Multiple calls to customer support plus faxing evident of the January 10 payment led to finally one representative admitting that Highmark is experiencing significant problems with its billing system and is unable to correct this oversight.While I have been told verbally and in an e-mail from a Highmark representative that my coverage would not be impacted, today a claim for covering dental expenses was rejected. Calls to Highmark customer support has not led to resolution, as the customer support representatives stated they are not empowered to correct the problem.Desired Settlement: Highmark's issues with their billing and policy systems prevents them from promptly resolving mistakes brought to their attention by their customers. These issues indicate Highmark systems are susceptible to fraud or compromise of credit card personal, SSNs, and personal medical information. Highmark may therefore be in non-compliance with HIPAA and PCI-DSS security regulations. Highmark needs to resolve these issues--failure to resolve customer problems in over a month is unacceptable.

Business

Response:

Review: My health insurance has been cancelled every three months this year. April 1, July 1 and October 1, for non-payment of premium due to a computer glitch on Highmark's behalf. I call them every other week and this issue still has not been resolved since APRIL. They finally reprocessed all of my claims from April so my doctor's were paid last week. They keep saying they will fix this and it still isn't fixed and I am up to date on my premiums until November. I have an illness that falls under the ADA and this situation is making my illness worse. Each time this cancellation happens it causes me great mental anguish because I must deal with all of the unpaid claims and the billing companies and calling Highmark. I also have not been able to have prescriptions filled in a timely manner because of having to call Highmark and have them put an override on the account (which lasts two weeks), yet they do nothing to fix their error. I do not want my credit rating ruined because of their incompetency.Desired Settlement: I want them to fix the $1218.00 error immediately.

Business

Response:

October 19,2015Revdex.comAttn: [redacted]

[redacted]Case ID: [redacted]File Number: [redacted]Dear [redacted]:This is in response to your inquiry sent to us on behalf of member identified by the Case ID number noted above.In his complaint, the member states that his policy has been cancelled in error at least three times by Highmark after he made his monthly payments. He states that he has called Highmark numerous times for resolution, and to have denied claims reprocessed. The member also states that he has had to call Highmark to have an override placed on the prescription portion of the policy due to denials at the pharmacy.I have reviewed the member’s account. Due to a systemic error, the member’s invoice for the April 2015 coverage period was generated without the Advance Premium Tax Credit (APTC). This error caused the account to cancel in error. When the policy was reinstated, the correction was not updated within the billing system causing an incorrect past due balance to be reflected on the invoices. I have initiated the correct adjustment with the billing department. The invoice for the November coverage period has generated with the correct balance of $168.93 to pay the account to December 1, 2015.If you have additional questions, please contact me directly. Linda S[redacted]Appeals CoordinatorPhone:[redacted]

Review: I am unable to contact customer service. The phone number is busy and I get a message to try my call again later before being disconnected. The few times I got through previously, customer service was unable to process the payment I made online on 2/28 and the payment I made by phone on 3/7. I haven't had success recently calling to ask yet another time for my payment to be processed. When I login to website I get a message saying my health insurance policy will be terminated if payment is not received by April 1st. As of 3/25, the payment has still not been processed. I must have called 20 times by now and I still do not have an insurance card because they have not processed my payment yet. All my claims have been denied. I was also denied service by a vision provider because I do not have a member card and can't get reach customer service to get a vision ID number.Desired Settlement: I would like the insurance company to hire more employees to take member's calls so the other members and I do not have any further problems in the future.I would like them to process the payment I made on 3/7 and send me an insurance card. I want an ID number so I can see a vision provider for an eye exam.

Business

Response:

Review: I signed up for Highmark Blue Cross Blue Shield insurance in February 2014. My monthly premium is $352.78. When I called in to make my payment for March, Highmark took two payments of $352.78. When I was told that the second payment could not be electronically transferred back into my account I was later told that it would have to be mailed out to me which would take 2 to 3 weeks. I spoke with a representative from Highmark today and she stated that Highmark canceled the refund request and applied it to my April payment. I was never contacted either by phone or by mail that the payment request was canceled. I never requested this to be canceled and I requested them to send it to me by mail. From day one hi Mark has a handle this in a very unprofessional and uncaring way. I am also going to be filing a complaint with the Pennsylvania department of insurance.Desired Settlement: $352.78

Business

Response:

Review: Highmark is being very misleading to clients. I was walked through January 6, 2014 by an employee of Highmark to login to their website and complete a questionnaire in order to obtain a premier plan from their company. I was told since I had completed the form, I would have my plan upgraded to the premier plan from their basic plan starting Feb. 1, 2014. I then called Feb. 1, 2014 to check the status of my plan. They stated I logged in incorrectly and would not be upgraded. They then stated that their website had been complicated and misleading to other customers as well and they had to change the login requirements due to complaints. I asked to talk to a supervisor at this point to file a complaint. The employee refused to let me talk to a supervisor or file a complaint. She was very rude and very unhelpful. Highmark needs to make sure they give correct information to their customers in order to jump through their hurdles to complete necessary paperwork. I have talked to several employees in the past through Highmarks customer service who stated that Highmark was misleading on their webmd online questionnaires.Desired Settlement: I would like upgraded to the premier plan that I was supposed to have after completing all of Highmarks steps for that program

Review: Highmark BlueShield in [redacted], took our online payment for our monthly health insurance premium, and for the next three weeks nothing happened. We didn't receive our member ID cards, didn't receive any additional information, didn't receive any notice that our payment wasn't applied to our account, and we weren't told about this at all. I called three weeks after the initial payment, and for an hour spoke with an employee who had no record of our payment and didn't know what to do. Luckily I found our payment number, and it did reflect immediately in our bank account that the money was taken out of our account. The employee, [redacted], then applied it to our account and said all was well. Fast forward a week later, and it turns out that [redacted] did not enter the correct date so we still don't have access to our ID cards, paid for a month of insurance that we never received, and they have no plan or aren't doing anything to make it right other than casting blame on their system that didn't update properly. For a MAJOR health care company this is inexcusable.Desired Settlement: We would like a written apology from Highmark and to have our premium which we paid for April applied to May's monthly premium since we still don't have access to our ID cards on April 23rd.

Business

Response:

Revdex.com Attn: Jennifer Gasser [redacted]

[redacted]Case ID: [redacted] File Number: [redacted]Dear [redacted]:This is in response to your inquiry sent to us on behalf of member identified by the Case ID number noted above.The member stated in his complaint he made his initial payment for his health care plan through the electronic bill payment service of his bank. He stated he waited three weeks before contacting Highmark Customer Service regarding the status of his account because he had not received his identification cards. He stated he was advised the payment, was not applied to his account and that he had to supply payment information so that the payment could be located and applied. The member stated the payment was moved to his account, but there was a delay time of approximately one week, during which time he was unable to use his insurance. The member requests that the effective date of his plan be moved to May 1, 2015, because he was not able to use his policy the month of April.Highmark’s records indicate the initial payment for the member’s policy was received March 25, 2015. The payment did not include the billing account information and placed in an account for unidentified cash. The payment was manually moved to the correct account on April 15, 2015, after the member contacted Highmark Customer Service. Because the payment was not automatically applied to the member’s account, Highmark had to manually activate the plan and request the identification cards. It takes approximately seven to fourteen business days to receive identification cards after they are requested. Identification card requests were made April 28 and May 4,2015.Highmark cannot change the effective date of the member’s plan. Because his plan was purchased through the Federally Facilitated Marketplace, the member would need to contact them to request a change in the effective date. Although the member did not have his identification cards in the month of April, medical claims can be submitted to Highmark for consideration under his benefits. If the member paid for medical services or prescriptions out of pocket, he can submit claims with receipts.On behalf of Highmark, I apologize for any anxiety or frustration experienced as a result of these matters. We strive to provide efficient, courteous and quality service. Even when these standards are not met, we are continually working to improve our service to meet the needs of our valued customers.If you have additional questions, please contact me directly.Sincerely,[redacted] Appeals Coordinator Phone: [redacted]

Review: This company is my health care provider.My issue with the company is that every claim that my doctor or hospital sends in they refuse to pay the claim, with out me having to file appeals on preventive healthcare issues I have claims 2 months old that they have refused to pay,all they send is generic letters with the words denied stenciled in.Some claims were preventive health claims that under federal law they were required to pay.Some claims were finally paid.I had to pay my doctor before they paid due to me having to write appeal lettersDesired Settlement: Would like some one from this company to look into why this is happening

Business

Response:

Revdex.com of Western Pennsylvania, Inc, Attn: [redacted]

[redacted] Member ID: [redacted] File Number: [redacted] Dear [redacted]: Please allow this letter to serve as a response to your inquiry sent to us on behalf of member identified by the Case ID number noted above. The member stated in his Complaint that Highmark WV refuses to pay every claim submitted by his treating doctor or hospital without the member first having to file an appeal. While he does note that some of the claims have since been paid, he contends that there are still outstanding claims which he believes Highmark WV should have paid. The member is enrolled in a [redacted] policy. This group maintains its own benefits booklet and Highmark WV is merely the entity that administers the policy pursuant to said benefits booklet. The member may obtain a copy of his benefits booklet directly from his employer. Highmark WV has not refused payment on any of the member’s claims. Each of the member’s claims, including claims for preventive health services, that were received by Highmark WV on behalf of the member have been processed and paid according to the member’s benefits. Depending on the service provided, the member’s benefits applicable to preventive health services are pay as follows:

Review: I've had other ongoing issues with Highmark regarding their billing practices. With everything in the field of health insurance changing, I understand that their insurance policies change as well. I enrolled in health insurance with Highmark in February of 2014. I as notified in December of 2014 that my policy that I was enrolled in was no longer available, and they enrolled me in a new policy. I did not want to be enrolled in the policy that they put me in, so I called them to change my policy. I called to change my policy on December 31, 2014. I was told new policy would start on January 1, 2015 and my former policy would end that same day. When I was on the phone changing policies, I made my first premium payment for coverage for the month of January in the amount of $161.93. On January 10, 2015, I received a bill from Highmark stating that I owe $323.86. This bill was charging me for January and Feburay's coverage, however I had already paid for January. This bill also stated that this amount was due on January 12, 2015 otherwise my coverage would be cancelled. January 10, when I received the bill, was a Saturday, and January 12 was a Monday. There is no way they could receive a payment in time because the Postal Service doesn't deliver mail on Sundays. This was irritating to me. Since it was the weekend, I could not contact anyone about this billing issue until Monday, January 12 - the date my insurance was to be cancelled if they didn't receive my payment. I called Highmark at 12:15 p.m. on Monday, January 12, 2015 and spoke to a representative, Jill. Jill told me that my account was paid for January and my next payment due was only for $161.93 and that would be for February's coverage. Jill told me everything would be updated immediately. Today, January 14, 2015, I received another invoice from Highmark. I thought this invoice would correct the previous issue, however, it just brought about another issue. Remember when I said I switched policies? Well, evidentally Highmark never switched my policy, so now they are billing me for two separate policies. I tried to call and contact someone today, but the representative I spoke to told me that no one in Member Services was available because it was after business hours. My bill is now $522.12. I'm not behind on my payments. When I spoke to Jill, the representative, she assured me of this as well. My former health care plan was supposed to be terminated on January 1, 2015 when my new plan was to begin. I am beyone frustrated trying to deal with this issue.Desired Settlement: I want the policies to be terminated and want my money refunded. I do not want to be enrolled in two health insurance policies.

Business

Response:

This is in response to your inquiry sent to us on behalf of member identified by the Case ID number noted above. The member was enrolled in a health insurance policy in 2014 that did not meet the requirements of the Affordable Care Act (ACA) because it did not provide coverage for the Essential Health Benefits (EHB) required by the ACA. The member was notified that they would be transitioned into an ACA compliant policy effective January 1, 2015, unless they contacted Highmark or the Federally Facilitated Marketplace to choose a different plan. The member contacted Highmark on December 31, 2014 to change their plan. Due to the volume of applications received at that time, the member’s applications experienced a delay in processing. This resulted in the member receiving invoices for the policy that she had been transitioned from and for their new policy. Highmark has verified the member is paid to date and in good standing. On behalf of Highmark, I apologize for any inconvenience that the consumer may have experienced due to this matter. If you have additional questions, please contact me directly. Sincerely, [redacted] Executive/Legislative Inquiries

Review: I'm trying to get money out of my hsa account and they keep telling me it's going to be longer or that it's pending. This has been going on for over a month(1-8-15). First they had me mail (1-13-15)them papers because I couldn't fax them. Then two weeks latter I call and they can't find a record of recieving the papers, at which time I then found a way to fax them papers.(1-30-15) The money was no longer in my account on 2-3-15 when I checked it. I called them on 2-6-15 and they told me it was pending. then I called them on 2-9-15 and they said it was pending. I called today 2-10-15 and they said it was pending and they had noway to find out when it was going to be released , there was no way for them to find out and it could be another week . The first person told me five days after they recived the paper work. Now they are saying 3 weeks maybe more because of the high volume at this time of year it maybe longer. They are saying now there is another party involved and they have noway to get in touch with them to find out where my money and when it is going to be sent to my bankDesired Settlement: I want my money in my pocket not theirs

Business

Response:

This letter is in response to your inquiry dated February 10, 2015 concerning the delaysassociated to our receipt of the necessary form from the customer and in the processing of apayment under the customer’s Health Savings Account,According to our records, the form we received is signed by the customer and dated January 29,2015 The customer was advised on February 6,9, and 10, 2015 of the pending requestOn February 11, 2015 a deposit in the amount of $815.58 was completedIf the customer has any additional questions or concerns about this matter, a Customer Advocateis available at ###-###-####,If the Revdex.com has any questions or need additional information, please contactme directly.

Review: I applied for health insurance for my family, [redacted] (Spouse) and [redacted] (Daughter) through healthcare marketplace. My family is eligible under a health plan from Blue Cross Blue Shield Shared Cost 1500, a Multi-State Plan ([redacted]). I made a payment of $442.70 to the Highmark Store on December 20, 2013. I was told that we will receive the membership card within 10 working days after the date of payment. However, I haven't received it yet for my family.

I called Customer Service Membership department of Highmark on Second Week of January (2014). I did three way call between Highmark customer representative and Marketplace customer representative. That day the Highmark representative accepted that the problem is in their end. She told me that she would call me once they track the problem. I haven't received any call from her yet. Its been one and half months after that three way call, Highmark has failed to provide any assistance to us. Again I called Highmark in late January I believe and there was no update from Highmark. In Summary, we haven't received any health plans from Highmark in two months even after making a payment.Desired Settlement: My family should get the health plan from Highmark they are eligible for.

Business

Response:

Review: Highmark has sent numerous and ever growing ominous letters to my home - inferring I am loosing my health care and I need to contact them immediately - Last letter was entitled "" FINAL 2014 NOTICE " .WE HAVE HEALTH INSURANCE THRU ANOTHER COMPANY !!!~We feel - Highmark is " Fishing " for customers - and believe they would be happy to sign us up for Health care - even though we already HAVE INSURANCE - We feel Highmark is intentionally trying to take advantage of senior citizens and the ill informed . We feel Highmark owes us a apology and need to STOP THEIR CURRENT MARKETING PRACTICES .Desired Settlement: Written public apology\\ AND a end to their Fear mongering marketing practices .

Business

Response:

This is in response to your inquiry sent to us on behalf of ID [redacted]

Per their request, I can verify the name and address of the customer listed on ID [redacted] has

been removed from Highmark’s prospective mailing lists, which generate and send general

marketing materials to potential customers.

On behalf of Highmark, I apologize for any inconvenience and frustration the receipt of

Highmark’s general material/information related to Health (Dare Reform and the enrollment

process associated with it, has caused this customer.

If you have additional questions, please contact me directly.

Executive/Legislative Inquiries

Consumer

Response:

Review: My Id from 2014 was [redacted]. I had to purchase one month of ins. for 2015 until I went on medicare. I bought ins. from this company. I paid the premium of $463.?? by credit card with the application. In about 2 wks I got a bill for the same amount I sent a check just to be sure I had the ins, then I saw the charges on my credit card. I called BCBS and they sent me a check for $453.?? which was $10.00 short. I have called them numerous times for the $ 10.00 and each time they said it will be sent but nothing happened ! !Desired Settlement: My time is worth something too ! I have made many phone calls to them, waited on line and now sent this complaint due to their lack of response and cooperation. I paid them $473.?? for a month of insurance that I never used so I think this is the very least they can do !! Actually an apology would be nice too !!!

Business

Response:

Dear Mr. [redacted]:This is in to response to your inquiry sent to us on behalf of the member identified by your ID of [redacted].Our records show this member’s most recent coverage was in effect from January 1, 2015 to February 1, 2015. As the member indicates, she had made her initial payment via a credit card payment; however, an invoice was automatically issued with the first month's premium listed . The member sent in a second payment via a checkThe member and her spouse contacted Highmark to request to the refund of the second and although she was due a refund of in the amount of $463.53, an incorrect amount of $453.53 was issued to her. Please be assured the additional $10.00 refund was requested and mailed to the member on February 20, 2015. On behalf of Highmark, please extend my apology for any inconvenience that may have resulted from the delay.If the member has any questions concerning the $10.00 check, please have her contact our Customer Service Department at ###-###-####. If you have additional questions, please contact me directly.Sincerely, [redacted] Executive/Legislative Inquiries

Review: I applied for Highmark WV with the Obamacare website and have had nothing but a horrible experience. I called customer service and I made an over the phone payment and it apparently got lost(not sure how) so I had to fax proof of payment. I didn't hear from anyone that my issue had been resolved even though I was assured by the customer service rep that they would contact me within a few business days. After not hearing back from anyone I called to make sure it was taken care of and they informed me it was. For my next payment I went online to register my acct so I could make my next payment and set up automatic payments since I was unsatisfied with the customer service; once again I had problems and had to call technical support whom was not kind and eventually told me I needed to use a different computer. So then I called to make a payment over the phone and I was shocked to hear my account was cancelled. So I asked them to look into and they said that my due date was never updated after I made that last payment and that they would need to reinstate it and that it would be fine. I asked someone to call me back and they assured me they would once again so I could make a payment and update my address since I was unable to do so because it was cancelled. No one, again, called me back. So I called in to speak to a supervisor. I spoke with [redacted], who I thought was very helpful, she was going to fax me a form that needed filled out to reinstate my insurance and then would follow up with me the next week. She even gave me her direct line. Everything she said she would--she didn't do. I didn't get a fax. I called the phone number for her and it was not an [redacted]'s voicemail. I left 2 voicemails on that number and no one will call me back. Shocker. Still nothing has been resolved.Desired Settlement: I would like a manager from Highmark to call me and explain why I have no health insurance because their company is incapable of keeping their word and returning a phone call to let me know what is going on. I would also like my health insurance reinstated!

Business

Response:

This is in response to your inquiry sent to us on behalf of member Identified by the Case ID

number you provided.

The consumer states in their complaint they experienced problems making their premium

payments by telephone and online. They also state that their experience with customer service

was not acceptable.

The consumer states that their initial payment was not applied to her account, The consumer was

contacted by customer service on May 23, 2014, and a message was left for them that advised the

~_..A_ _......ot~. 1_,1...,._ .LU ~J~_ at~..L 4 iS — call customer service to make a new payment, I no consumer contactea customer service on May

28, 2014 and advised the payment did clear her bank, A request was made by customer service to

have the COflsumer fax the proof of payment in order to confirm the payment so it could be

applied to the consumer’s account, Customer service received the confirmation and applied the

ftnds to the consumer’s account on May 29,2014.

The consumer states that she contacted technical support and did not have a favorable experience.

On behalf of Highmark, I apologize for any inconvenience of anxiety the consumer may have

experienced. Please be assured we strive to provide efficient, courteous and quality service and

are concerned when these standards are not met.

consumer was erroneously cancelled for nonpayment of their premium. The consumer contacted

customer service on July 31, 2014 and on August 21, 2014, in regards to this, and the consumer

was reinstated to the original effective date with no lapse In coverage. A customer service

supervisor worked with the consumer to have the policy reinstated. The supervisor faxed the

requested address change form to the consumer on August 21, 2014. Unforwnately, when the

consumer tried to contact the supervisor again1 they were on vacation.

The consumer’s account is now active and they have contacted customer service to make

premium payments. If you have additional questions, please contact me directly.

Sincerely,

[redacted].

Executive/Legislative Inquiries

Review: Applied for healthcare through the Healthcare Marketplace in November of 2015. I had Highmark for all of 2015 with absolutely no problems. In late December of 2015, I attempted to call and pay my bill for January since I had not received one in the mail. Their representative informed me that they were "very behind" in billing and not to worry, my policy would begin on January 1st, 2016, and that I should call and pay my bill when it was received. Today (January 7th, 2016) I called AGAIN, and was informed that everything had been cancelled due to non payment. They read off what the representative had told me, and confirmed the above instructions. The supervisor told me that she had been incorrect but there was nothing they could do about it.Desired Settlement: I would like to have my insurance instated as of 1/1/2016, since I attempted to pay the bill and was not permitted.

Business

Response:

January 19, 2016Revdex.comAttn: [redacted]Case ID: [redacted]File Number: [redacted]Dear [redacted]:This is in response to your inquiry sent to us on behalf of member identified by the Case ID number noted above.In her complaint, the member states that she applied for health insurance through the Federally Facilitated Marketplace (FFM) in November 2015 for the 2016 benefit year. She states that she had Highmark coverage for her 2015 plan, and had no problems with that account. The member states that she contacted Highmark in late December 2015 to pay her premium for the January 2016 coverage period because she had not received her invoice. She states that the representative she spoke to advised her that Highmark was very behind in billing, but that her coverage would still begin on January 1, 2016, and to wait until she receives her invoice before calling back to pay. The member further states that she contacted Highmark again on January 7, 2016, because she had still not received her invoice, and was advised by a supervisor that her policy would be cancelled for non-payment of the Binder Payment. She states that the supervisor confirmed she was given incorrect information, but that the payment could still not be taken, and that there was nothing that could be done.Upon review of the account, Highmark has kept the member’s 2016 policy active. When she called Highmark Customer Service on December 22, 2015, and questioned how to make her payment for the January 2016 coverage period, the Customer Service Advocate (CSA) did not advise her that her invoice had generated on December 4, 2015. The member should have been given the option to make her payment over the phone at that time, or been advised how to send her payment without the invoice. Because this information was not provided at the time of that call, and she was given misinformation about the billing of her policy, she was contacted via telephone on January 7, 2015, and the premium payment for the January coverage period was taken. The member’s policy is paid to February 1, 2016. The telephone call from December 22, 2015, has been sent to management for education and coaching.If you have additional questions, please contact me directly.Sincerely,Linda S[redacted]Appeals CoordinatorPhone: [redacted]

Check fields!

Write a review of Highmark Blue Cross Blue Shield

Satisfaction rating
 
 
 
 
 
Upload here Increase visibility and credibility of your review by
adding a photo
Submit your review

Highmark Blue Cross Blue Shield Rating

Overall satisfaction rating

Description: INSURANCE-HEALTH, INSURANCE COMPANIES

Address: 120 5th Ave  Ste 2326, Pittsburgh, Pennsylvania, United States, 15222

Phone:

Show more...

Add contact information for Highmark Blue Cross Blue Shield

Add new contacts
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | New | Updated