Blue Cross And Blue Shield Of North Carolina - 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
Reason of review: Poor customer service.
Preferred solution: Pay the claims and do not charge me $477 for BCBS's error in refunding premium overpayment.
Blue Cross And Blue Shield Of North Carolina Cons: Everything about bcbs of nc.
Location: 800 S Duke St, Durham, NC 27701, USA
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