Blue Cross And Blue Shield Of North Carolina
Blue Cross And Blue Shield Of North Carolina Overview
The aggregated data is based on reviews and questionnaires provided by PissedConsumer.com users.
Blue Cross And Blue Shield Of North Carolina has 1.4 star rating based on 26 customer reviews. Consumers are mostly dissatisfied.
- Rating Distribution
Pros: Benefits.
Cons: Customer service, Being mislead, Lack of knowledge.Most users want Blue Cross And Blue Shield Of North Carolina to offer a solution to their issues.
The aggregated data is based on reviews and questionnaires provided by PissedConsumer.com users.
Blue Cross And Blue Shield Of North Carolina has 1.4 star rating based on 26 customer reviews. Consumers are mostly dissatisfied.
- Rating Distribution
Pros: Benefits.
Cons: Customer service, Being mislead, Lack of knowledge.Most users want Blue Cross And Blue Shield Of North Carolina to offer a solution to their issues.
Consumers are not pleased with Billing Practices and Discounts and Special Offers. The price level of this organization is high according to consumer reviews.
Great company to work for
They don't cover Cologard
Abysmally incompetent customer service reps.
This is being written with reference to the abysmally incompetent customer service representatives BCBS of NC hires.
My wife and I were covered under BCBS/NC under the Affordable Care Plan from 01-01-2017 through 12-31-2017.
They continually got things wrong as to payments of claims.
Unfortunately somebody within the interstices of this organization indicated that we had terminated our coverage on 08-31-2017. This was without our knowledge or prior communications. Since we were paying premiums every month through 12-31-2017 until we became eligible for Medicare we had every right to expect coverage until we became totally disgusted with BCBS/NC and switched to Humana.
Additionally, the Healthcare Marketplace underreported our tax credits for a period of three or four months. We were overcharged on our credit card to about $4000. BCBS/NC advised us to go to our bank to resolve this. We got this resolved.
Then BCBS/NC turned around in February 2018 and billed us for $477 for coverage during July 2017, indicating that they had over-refunded money during the period that Healthcare Marketplace understated our tax credits.
Why should I be continually penalized for BCBS's errors. When I worked in the health insurance industry for 8 years this would have never occurred.
Finally, BCBS/NC turned me over to Rawlings Financial Services in LaGrange, KY requesting repayment of pharmacy charges from 09-02-2017 through 11-26-2017 for over $2300.
I called Walgreen's Pharmacy at 91 S. Tunnel Road in Asheville NC. I had become eligible for Medicare Part D on about 09-01-2017. Walgreen's indicated that they had billed BCBS as primary during the period from 09-01-2017 through 12-31-2017 instead of secondarily. Walgreen's representative, Kevin, indicated that they would "retro-bill" Medicare part D but that it would take 6 weeks to complete this process.
I have had two strokes and a heart attack during the past 3 years and absolutely do not need the stress this has caused.
Whenever I call a customer service representative it usually falls on deaf ears to a semi-literate incompetent with little more than a high school diploma with absent critical thinking skills. I refuse to talk with these individuals anymore.
Whenever I ask to talk with a manager or supervisor the customer service representative...to a person...refuses to do so. I am always given half-baked, conflicting answers to all of my inquiries.
I am extremely sick and tired of dealing with this abysmal organization. I paid my premiums, followed ACA requirements as best I could to the letter of the law, and refuse to ever be put on hold for 20 or more minutes every time I call.
I simply want BCBS to pay my claims, particularly those from the period 09-01-2017 through 12-31-2017. I have no idea who entered a date of 08-31-2017 into their system as a date of termination, and it takes a huge amount of audacity to bill me $477 for THEIR ERROR.
I want BCBS of North Carolina to pay my remaining claims and to get out of my life and stay out of my life.
In the meantime I advise everybody I know to avoid this insurer. I deeply and bitterly regret becoming a subscriber.
Sincerely,
David A. Molnar
Asheville NC
- Everything about bcbs of nc
Preferred solution: Pay the claims and do not charge me $477 for BCBS's error in refunding premium overpayment
Disgusting company
WORST CUSTOMER SERVICE & ACCOUNTING
Preferred solution: Proof That the check was cashed and in our bank account.
Resolved: Uninformed Customer Service
Talking customer service
Blue Cross And Blue Shield Of North Carolina Health Insurance Review
Worst Appeal Process of All
I work for a provider who bills many different insurance companies every day, including Medicare and Medicaid, and BCBSNC and other BCBS plans are the worst when it comes to denials and appeals. I wonder if they find ways to deny, making things up as they go due to the inconsistent way they process claims and handle appeals...
.or.. .are they just incompetent? The main issue with them is their appeals process. They have forms on their website to use, but then one representative says this form is correct, while another says no, it's another form.
You can fax and get confirmation that it's received, and you can mail and have tracking confirmation that it was signed for upon delivery, yet, they never seem to find appeals. We will submit the same appeal up to three times in some cases. Most insurance companies send a letter stating that the appeal is received. BCBS makes you call them (only to find that 85% of the time, they can't find it) and follow up.
That's fine if not for their limited timely filing deadlines. Sometimes you get the appeal to go through and the claim reprocessed, and other times they will dismiss the appeal all together stating invalid appeal, even if their denial was inappropriate for the circumstances, or even if the denial was the SAME, for the same account and same rental, as other claim appeals they DIDN'T dismiss and did reprocess. The inconsistency is very consistent.
They used to be okay, but something happened with them around the end of 2015 and they fell off a cliff. It's a lot of extra time and resources wasted dealing with this company and considering how large they are, you would think they would get with it and I can't help but wonder how they get away with some of what they do.
Blue Cross And Blue Shield Of North Carolina - Review in Insurance category
Blue Cross And Blue Shield Of North Carolina Health Insurance Review
Claims Processing
Dropped with no notice
- Lack of notice of cancelation
Preferred solution: Let the company propose a solution
Insurance Expert Talks
Worst Customer Service since the Soviet Union
- Lack of employee knowledge
- Poor automated systems
- Customer service
Preferred solution: Find out where my coverage is
Who Are They "Assisting?" Define "Shortly."
- Not treating customer like human being
Preferred solution: Deliver product or service ordered
Blue Cross And Blue Shield Of North Carolina - Bcbsnc Health Insurance Review from Lawrenceville, Georgia
I have been trying to reach BCBSNC for 2 days due to their failure to deduct my daughters health insurance premium from my account for February. Her policy isn't terminated per the online account and I havet requested a termination to cause a delay in payment. Her premium is not through the marketplace as I have had her insured with BCBS since 2014.
Today I am currently on hold for 1 hr and 20 seconds (and counting). I have had a home inspection completed, ate lunch, and now prepping for after school activities while I have waited. Not once have I heard a live voice.
I on the other hand differ from most because I'm asking why haven't BCBS taken my money. Not that they have taken too much or that due to ACA my child's insurance may be terminated. I don't fall in either of those categories.
Very disappointed!
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Get rid of Obama Care. Same thing happened with my two kids.