Independence Blue Cross w Philadelphia

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komentarze 5

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  Louise Cohen

  :: 15 May 2018 15:31:31

  If I could give zero stars, I would. 30+ year subscriber and baffled at the idiocy encountered in this company. Have been on a medication on and off over this entire 30 year period. My doctor increased the prescription by 30 pills/month and IBX now refuses to cover the claim. This would cost them $11K. If I go back on this medication I will need an additional two medications to mitigate the side effects of the 11K medication. I have pointed this out to the various CSR that I've spoken with, but since they are not medical professionals nor concerned with IBX fiscal health, they will not approve claim. They will not approve me for Urgent Expedited Appeal even though I clearly meet the criteria they set forth in writing. I'll look forward to robo-Stephanie's response telling me to contact whatever ridiculous department will continue to eat up vast hours of my day while I continue to pursue a complaint through Pa Dept. of Insurance.

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  Matt B

  :: 10 May 2018 09:56:41

  After 25 calls to IBX of PA and getting the run-around, they still cannot tell me what my financial responsibility will be for a a simple procedure. Dealing with them is beyond frustrating- No wonder our healthcare system is so messed up. How can we make an informed decision without understanding what it will cost us? This company should be ashamed of itself.

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  A R

  :: 16 April 2018 23:30:30

  I have a first hand experience now with Blue Cross of why insurance companies have such a bad reputation. It may not be intentional, though it is tempting to think it could be a well orchestrated plan of deception, because they wore me down after 5 months- I just paid around $350 from my own pocket just because I got tired of the time they kept me on phone to process a claim - they played with me over the span of 5 months sending me back and forth between departments and the hospital that submitted a claim. My son was sent to ER by his primary care physician for an emergency condition and the hospital charged us the amount for the visit. Blue Cross did not pay it despite 5 attempts by me to resolve the issue. It was some flippant reason that the billing was being submitted to the wrong location. Such a trivial problem could not be resolved for 5 months and 5 long phone calls. Finally I succeed in resolving it only to be notified they will reimburse me for just a less than a third because it was an out of network visit. The irony is the billing clearly says "Emergency visit" and emergency visits are not considered out of network according their very own rules! Finally I gave up - just paid the amount to the hospital myself and got it over with. This may be an anecdotal incident, but I have heard similar incidents of people being worn out by insurance companies refusing to pay when they should be. What an irony it is - a service that we pay for every month so that it helps us in our time of real need reneges on the very promise it makes as it greedily pockets our money every month - parasitism at its worst. Rather collective human behavior at its worst. Shame on you all! You represent the worst of how business is done in this great country of ours - I guess you don't care, because if you did I wouldn't be writing this in the first place... --------------------------------------------------------------------------------------------- My reply to Stephanie who responded to me review above. Thank you for offering to address my claim Stephanie. However as I mentioned I have already paid the hospital from my pocket and do not wish to spend any more time than I already have. I do wish though 1) your company would be fair to those customers who have legitimate claims like mine but are not in a position to pay it out of their own pocket when dragged through the arduous and futile process I was subjected to. 2) your company would expeditiously process their claims through the regular channel without them having to discover this less known "executive channel" to potentially solve their issues. Had I known this 4 months ago I would have certainly tried this path, to at least save the time I lost waiting on the phone - assuming of course that this "executive channel" you recommended is not just another rabbit hole mired in futility. Thanks again.

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  Darren McCrudden

  :: 12 March 2018 13:30:46

  After a previous 1 star review, I upgraded it to 3 stars. I've gotten the billing issue rectified but it did take over two months and numerous calls. Only after my initial review was I able to work with Rasheeda (she'd get 5 stars) who researched my issue and got it resolved. Thank you. As for the actual insurance plan, no complaints at this time, but I've only used it a couple times for my children's sick visits.

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  Jennifer Little

  :: 06 March 2018 11:11:39

  Calling this company is BRUTAL! I called and had to give my member ID number 4 times!!! They man on the other end could not comprehend the number I was giving him. I stated it clearly and as slow as I possibly could....he still did not get it. After about 2 minutes of me breaking it down number by number...he finally got it correct. I called regarding a prescription issue with insurance. Apparently they no longer cover medication that can be purchased over the counter (for triple the price). YET the covered this prescription for me up until now. I never received a notice of this change. For what I pay for insurance....they never want to do their part of providing the coverage. I am so disappointed and upset at this service!