This review is specifically for Caesauna in customer support. She was so helpful! I was super frustrated because of the number of times I had been transferred. She stayed with me on the phone - even when a member disconnected us because he didn't want to help - and saw my problem through to the end. She did all of the heavy lifting and spoke to at least a half dozen agents for me. Give this woman a raise! And if anyone needs awesome customer support, call Caesauna 1-844-898-5148. read more

Never experienced such incompetence as I have with this insurance co ever in my life. My mom has been receiving letters from provider Sutter Health abt denials based on no health ins, of which reps have assured me she has been continuously insured. However have literally spent hrs on this situation over 2 mos!!! Per escalation mgr, seems that Brown & Tolund/gatekeeper also are equally to be blamed for what was initially described to me as a coding problem and computer glitch. read more

So bad someone need to call the insurance commission super delay in care u have to call so many time they do that purposely 2 brake up down and then it gets 2 the point where u pay a covered benefit because your credit is at risk..since 2026 I have called them over a 100 times mostly for the same issues and new one I have Never had such a horrible health plan in my life threw my employer and it's not cheap at all Aetna was way better I going to talk to my h/R at work read more

Blue shield service is worse than the dmv. They will just keep you on hold won't let you talk to a human

If there was an option to give the stars I would I have paid my insurance every single month since I was 16 years old. Now I need to go to the doctor and receive care and get an MRI only to find myself paying hundreds and thousands of dollars in bills. Most all insurance companies are a complete scam. Do not choose anthem Blue Cross. They don't pay the doctors and you pay your own bills. This is the worst company ever !!!! read more

I have been trying to get medical insurance for three weeks. I'm never told the same things. Please help me!!!? These people working act as though they could care less if you get insured or not they just want to say they've had this number of clients or these are my clients were in. I'm nobody's client. I need insurance. read more

If you issues with your deductible or not?? You can only talk to a "chatbot", Asked if she was a real person and she lied and said she was Emery.. Got no solution! "Emery" just paused a lot and really didn't answer my questions!! Beware!! read more

Terrible service. Terrible insurance provider working overtime to not pay, not refill routine prescriptions - and way overpriced. They would rather spend money on people rejecting and fighting routinely covered expenses than actually covering what you pay for. Go ANYWHERE else! read more

I have Anthem Blue Cross vision insurance through my work, and attempting to contact ABC via phone seems intentionally byzantine and difficult to navigate. When I called in, I was just trying to find my vision insurance policy number so that I could get my yearly checkup. Instead, I was confronted with endless automated responses, basically prompting me to pay money and giving me issues when I tried to progress. As I made my way through the automated menus, call quality got worse and worse, until the automated menu could not be heard at all through the static and distortion. Like some sick pantomime of human speech, it squawked and wheedled and cajoled at me in a language no human would recognize. I pressed buttons, any buttons, in a vain effort to hear a real person's voice. When I finally did, I was connected to a kind Indian gentleman named Albert. We struggled to understand each other through the fog of noise and warped reception, but I caught enough to understand that Albert knew just as little about this wretched rat-hole of a company as I did. Since he could not connect me with anyone or offer any advice on how I might proceed, I thanked him for his time and disconnected. After steeling myself to brave the gauntlet of machines again, I wended my way through long nothing-prompts and auto-responses, the plaintive begging to take a small, just a small peek into my wallet, to reach into my pocket and take what little I had earned. I finally got another person on the line, and to my dismay, was advised that I was transferred instead to Covered California for assistance. I gave no indication, nor answered any robo-prompts that might direct me to Covered California. I don't have any programs through CoverCal, I simply want my vision insurance policy number. I still have not retrieved it. I still seek it even now. I worry that I'll never find it, that this arcane knowledge will be forever denied to me by the bloated tapeworm that is Anthem Blue Cross. Incredibly frustrating experience. I wish nothing but misfortune on the owners, runners, managers, and policymakers at Anthem Blue Cross. read more

Don't EVER get this insurance. Absolutely HORRIBLE!!!! Zero stars. Worthless. Terrible. Scam insurance. read more

Terrible! Sign up for braces. They said we had coverage but ended up not cover a penny! I will never have Anthem ever again! Extremely frustrated with this insurance. read more

If you are looking to pay a bunch of money, but get no service, then Anthem Gold HMO program is for you. They are really fast at accepting your payments but if you want to get anything, like health care, in return. They are like a 2 legged turtle. I get to change primary care doctors and specialists every 6 months because all my doctors keep dropping off their crappy plan. This is a benefit if you like meeting new 1* rated doctors every 6 months. They assigned me a Primary care doctor who is an OBGYN....I'm a guy They then tried to assign me a pediatrician....I'm old If there were practicing witch doctors, I'm sure Anthem would find them and add them to their list. read more

This place is horrible. The website has enormous amount of wrong information, it listed paradise valley hospital in my services and when I visited the er there, I was told they are out of network and now I have to lay 1100$. Sometimes I try to set up a meeting with my primary care doctor by looking at his number on the website and the call is always misdirected, I've received "wrong number twice" because the website can't even get the correct telephone numbers The customer service is the worst, I feel bad for them since they are just trying to work but I can barely understand them, they speak with thick Indian accents, they were probably selected on purpose by the company so customers wouldn't be able to do anything about their shifty service Healthcare sucks, honestly I don't cate if I get taxed to hell, I want health insurance companies to go extinct because when I was on Medicare I never once had a problem with getting service now employer Healthcare is garbage read more

I was a huge fan of Blue Shield and Blue Cross until there was a HUGE miss regarding the difference between what was negotiated from blue shield with Sutter pertaining to me getting an intensive treatment. It's been almost 6 months now since this started. Long story short, I was quoted at 30 per visit and then I received a bill for $2,130 at the end and they tried to fabricate the quote which was sent to me by the patient advocate. While this isn't the site exactly, I want to put visibility on this and if I get a call from collections, genuinely going to be going after blue cross and blue shield with the evidence to have them pay for the lawyer, cost, and possibly more. Also, be aware because I am not the only individual that this has happened to this year! read more

This is by far the worst insurance I've ever worked with. Their online portal is a joke & their representatives are so hard to reach! -100000/10 would recommend! read more

Customer service is definitely horrible, the calls go to a call center out of the country, not 1 person followed through or called back as they said they would. Mammograms are supposed to be covered 100% but no place in my state will take this plan. I tried 2 different representatives as well as online chat & got the same run around, wasting probably 2 hours of my time. They do show plenty of providers but they either don't actually accept the plan, numbers are old & have been reassigned or the call disconnects. If you are looking for insurance, pick any other carrier! read more

Worse than United Healthcare. Denied payment for psychiatric visits because I had United Healthcare coverage. UNH? Denied psychiatric healthcare because I had Anthem Blue Cross. My sister, who was in a similar situation, died by suicide. read more

My stepdad is laying in a hospital dying of esophageal cancer while they continue to delay and deny his care. He almost starved to death because there was a "premium issue" that no one on their side could figure out, and he was too afraid to go to the hospital without insurance. He lost 40 lbs in a few weeks while they continued to tell healthcare providers his insurance was inactive because of the "premium issue" that was flagged on his account, despite the fact that he continued paying his premiums every two weeks while on a leave of absence. Turns out the premium issue was that my stepdad had OVERPAID his premium by $2.76. They're crooks and murders!!! At the suggestion of one of his doctors I'll be reporting them for this through official channels as well. read more

I work at hospital with Anthem HMO as my insurance . My healthcare was though Sutter/PAMF. Sutter and Anthem were in negotiations during open enrollment. I converted to PPO in order to ensure staying with PAMF. I have been with PAMF since I wad born. I am 52. Anthem and Sutter reached an agreement on New Years Eve....This is not the first time Anthem has put its patients in limbo by not settling ahead of open enrollment. Now unless a grace period to switch back is given to switch back many will be paying way more for coverage than they needed to. Anthem knows how many patients they would lose by eliminating Sutter. They always intended to settle. They waited till New Years Eve to get more money from those patients. Shame on Anthem! Do better. DO NOT LEAVE YOUR CUSTOMERS IN LIMBO AGAIN! FINISH NEGOTIATIONS BEFORE OPEN ENROLLMENT!!!! read more

absolute garbage. sent me my insurance cards with the wrong number printed on it. no damn way to call them without the number on the card that is misprinted on my entire families cards. no way to talk to a human to fix it. complete scum tactic read more

This company will try its hardest to deny every claim. You need a pre approval to get anything. It takes forever. I can't believe companies deal with this company for insurance for employees. It is absolutely ridiculous. They don't care what your doctor says they just say if you are out of medication while it's going through approval you can go to emergency room and pay for that service. read more

BEWARE. This is a highly corrupt organization. Their ability in providing a service is missed across the board. I caution and recommend you to go with a different and dedicated healthcare provider. read more

What a mistake! The company needs to get their act together. I enrolled in fall of 2024 and repeatedly received messages about auto pay not processing. Whenever I would contact cust service they would tell me there's something wrong with the website, try again later. I on a monthly basis would keep trying and ultimately would submit payment month to month...until they terminated my insurance, without any notice whatsoever. Moreover, the coverage itself sucked. Spent over 2k for a routine crown. If they hadn't terminated me without notice, I would have cancelled anyway. Will never go back and would not recommend to anyone. read more

I wouldn't recommend this to my worst enemy. They approve NOTHING, they're the worst insurance I've ever had..... and I'm OLD . Go with any other insurance if you have a choice. I'm going back to Kern family insurance. I never had a problem with them in 3 years, I've had Anthem blue cross for 2 months and it's like I don't even have insurance. I only switched because my psych dr moved and quit taking Kern family insurance, but I'll find a new therapist. Anthem seems to fight against you at all costs. It's like they want you to die. Plus the customer service SUCKS at Anthem read more

Terrible customer service. We have our providers in network and Anthem changed them without any notification or consent. No we're stuck having to start all over with new provides. I suggest never working with them unless you don't care about your health and just need health care. read more

Anthem had been great for me up until the last few months. Then it took a nose dive and has become the most ridiculously bad insurance you could have. Examples: I have A-Fib which raises my risk of stroke. My cardiologist wanted me to have a Watchman device inserted into my heart so that I would not be at risk for blood clots in my heart which A-Fib can cause, leading to stroke. Anthem denied the claim. My doctor asked them for a peer to peer consultation to explain why it was medically necessary for me to have the procedure done. The Doc Anthem assigned to do this was a General Practitioner and my Cardiologist told me that the Anthem Doc denied the claim because he didn't feel qualified to decide if the procedure should be covered. Red Flags on that interaction: (1) The procedure was very obviously a Cardiac procedure. Anthem failed to have a Cardiologist on the call rather than a Doc who had, per my Cardiologist, insufficient knowledge to approve the procedure. It doesn't take a rocket scientist to know the approval was neded for a Cardiac procedure and should be review by a Doc with knowledge of Cardiology. My Doc filed an appeal and I called the patient equivalent. I told them that Anthem was acting in bad faith by having a Doc with insufficient knowledge to approve the procedure doing the peer to peer call. I kept mentioning "bad faith" which is a big concern for health insurance because you can sue for a bad faith claim denial and get punitive damages. That was on a Friday. The procedure was scheduled for the following Monday. Monday morning Anthem approved the procedure. (2) It is not a valid reason to deny the claim that Anthem's Doc didn't understand the procedure. A valid reason could be that Anthem had concluded the proced was not medically necessary. The second example occurred about a month later. My Orthopedic Surgeon asked for pre-approval for a total knee replacement. Anthem denied an in-patient claim. They wanted me to go home the day of the knee replacement! Ridiculous, particularly because I have A-Fib and I needed to be monitored for that after the surgery. My Doc was spmehowb able to get that approved, by the date of surgery, but the denial should never have happened. Anthem knew the most current records they have showed the A-fib and should have known I shouldnt go home for at least 2 days afterwards. I hope you can find better insurance. I have Anthem's top plan and this shouldn't have happened . Another reason for not getting Anthem insurance is that, by doing as they did, takes valuable time your Doc could be practicing medicine, rather than wasting time fighting Anthem for claims that should have easily been resolved m the first place. read more

For new patients , today is 10/4/24 and my appt is scheduled for Jan 8th 3 pm. Could have been scheduled a couple weeks sooner had i been willing to take an early appt but can't because i'm working. Bottom line is i experience this with almost all appts now. This insurance is definitely better than nothing but sure as hell is nothing like what insurance used to be like. This one completely sucks. read more

Everything, blue cross is nothing but a scam, they ask for preauthorizations for every prescriptions, the network sucks and for all this I get to pay $1900 per month Stay away,but this is the medical system in this country you all suck and never have our best interest in mind. The politicians of the medical world. You should be ashamed of yourself. read more

My husband was injured 3 months ago and this company still hasn't approved a needed mri that 2 doctors have now requested. Use any other insurance. They are terrible. read more

BAD FAITH business is the best descriptor for this scheming organization. As others below have written, Anthem is the equivalent of having no insurance. Mid-year they removed a (generic) medication from their formulary that I have been on for 20 years and now I have to pay $360/mo (if i use insurance) or $68 w/o insurance and Goodrx. Before I do anything I confirm everything with the reps- is this in network, is this subject to deductible, what is the co-pay, etc...i screenshot these chat convos so I have documentation. I proceeded with 3 PT visits that had been ok'ed by Anthem reps and then got hit with the full bill weeks later. No-one at Anthem has been able to explain to me why. I appealed and included screen shots of the info their own reps gave to me. I received a 3 page denial which included nothing but a re-iteration of my complaint, no acknowledgement of my documentation, and no rationale for the denial. They intentionally make using healthcare services difficult to prevent members from seeking care because we are afraid of surprise bills. I have been avoiding care myself which is quickly catching up to me. Im looking for a new job and I screen employers for their insurance providers before I consider applying. I refuse to get involved with Anthem again. read more

Anthem Blue Cross is my secondary insurance. I have received numerous telephone calls and letters asking all sorts of personal information. On more than one occasion, I have told twice as long? Anthem Blue Cross. In a prior life (1980's) I was a claims adjuster and know how they will do anything to deny a claim. They are a horrible company and should they call me again, I will again post a 1 star review. read more

Anthem will send a letter in October of 2024 and ask if you like your Medicare plan G supplemental plan and state that if I do then your all set then in March increase quarterly plan by $60.00. Of course this is after the enrollment period when a person would think everything is fine and there are no changes to current plan. Sad this is how they treat seniors and the elderly with fixed incomes. Something must be done to manage this abuse read more

The worst customer service I have ever experienced - they simply hung up on me 2 times when I was asking questions about my plan. Horrible experience!!!! read more

They cover nothing. We pay so much monthly and we would be better off uninsured. I am trying to get a standard annual dermatologist appointment covered and they will not, saying it's a "specialist." I had a spot on my face and everyone in my family has had some kind of skin cancer. How is this not covered? read more

I have spent over 4 hours this morning on the phone trying to sort out my billing and policy premium. I spoke with a live rep. and tried chat. Both were terrible. When I requested to speak to someone on shore I was told it was not an option. I finally got through to a manager (Vanessa) and she put me on hold and the call was disconnected. When I called back she was not available (no freaking surprise)!!! Anthem corporate culture is at the root of this horrific customer service. They sit in their on shore corporate office thrones, collecting fat pay checks and are lazer focused on the shareholder, not the client. read more

Terrible wait times when you call to confirm out of network coverage. The online chat takes too long and is also incompetent.

Just a nightmare trying to buy insurance from this company. I initially signed up via Covered California in November, had to re-enroll for January, and opted to purchase directly from Anthem. I just discovered that my plan is inactive - again. I don't have the energy to tell you all I have been through to try and solve this situation, but avoid this company if at all possible. read more

Customer service representative was not informed and didn't seem to know much about how the process worked. Put me on hold for a long time while she asked someone else my question, then when I started asking more questions hung up on me. Seems like Anthem does not take the time to train their employees and isn't interested in customer service. You are on your own. read more

My feedback is similar to others, they just reject every claim, it is by far the worse insurance we have ever had. One of our family members had to have knee surgery, he got approved several years ago with another provider and then had to put it off due to needing to care for an elderly family member and in that time we switched providers. They said the arthritis was not 'bad enough' but he has been in pain for years and can't go on hikes or do normal walking activities and at his age he should be able to. We switched to blue shield and then approved immediately. I am not sure why if two providers approved why Anthem would reject, they also rejected medications we have taken for years, they just seem to reject everything, it seems like a scam they charge a lot for insurance and then reject everything. read more

The customer service/patient care phone assistance is horrible. I just started with Anthem Blue Cross and called to see a Dr for a bad flu. Could not be scheduled for 6 weeks. They said to go to Urgent Care and referred us to an Urgent Care a few miles from our house, where we got good care. 3 Weeks later we get a bill from the Urgent Care and From Anthem saying we had to pay the Urgent Care bill because it was out of network. BUT ANTHEM PATIENT CARE# TOLD US TO GO TO THAT SPECIFC URGENT CARE. We disputed their decision to not pay the bill and got denied again. We then disputed it with the Dept of Managed Health Care and got denied again for the same reason. I decided to just pay the bill to the Urgent Care, which can only be done online and their system won't work so I cannot even pay that bill. This is so bad! read more