Blue Shield of CaliforniaReviews of blueshieldca.com

They won’t accept the diagnosis codes from my child’s therapist so they haven’t paid her. Took me a year to find someone in network for my son, For years Ive been hearing that therapists won’t work with Blue-shield because of how hard it is to get paid by them and now our therapist is putting in her notice with them. My kid is suffering from lack of continuity. This cycle keeps continuing. It feels like having this insurance and trying to use them is just keeping my family sick. The alternative is to go into debt to get mental health care.

Their customer service is very unprofessional and rude, if they feel you are challenging them and not agreeing with what they offer, either they hang up on you or ignore you! I was trying to change our health coverage for 2024 but the customer service was insisting that I should do it online and seemed to be “sleepy/hangover “when I indicated I am having a hard time, she transferred me to mental health department:/) blueshield of ca seems to hire bunch of illiterate looser who can not fulfill even a simple conversations, apparently third class education is enough to be a Blueshield customer service representative. Hate this company.

I signed up for Blue Shield HMO and Blue Shield selected 3 doctors without my knowledge and approval. And after the first website login, I was locked access. After contacted Blue Shield several times, I was still locked. I then had to go back to direct Medicare. But then Blue Shield claimed that they were the best. I learned different. That's why I'm giving Blue Shield 2 stars and for misrepresenting them. Now I'll be still without medical coverage until next February 2024.

Poor customer service in claims dept and they are rude & no one seems to know what they are doing !!!

Negative 100 stars! BlueShield is TERRIBLE! Scroll to the bottom for the takeaway. If you want to read my detailed rant, read on. Literally paid over $1,000 for a policy for myself and my husband. Today is 11/7/23. Whenever I tried to log in to my account, I always got a notice that said “content temporarily unavailable.” Which led me to cal customer support. Customer support found my application but couldn’t see a status. They said Sales processes applications and transferred me to sales. Sales said “customer service processes applications” and transferred me to CS. I spoke to 5 ppl yesterday in this game of ping pong. Finally with the last sales person I spoke to, I was fed up and when she said “I’ll transfer you to customer service” I said “customer service said you guys process applications.” She said “we don’t.” I asked “which department do I need to speak to to process my application? She said “I don’t know.” I asked “how are you going to transfer me to the department that processes applications if you don’t know who processes applications?” Fast forward to later in the day and I went to my local Winnetka office. The doors looked closed and I’m assuming they weren’t supposed to let customers in. But I called the vendor number in the door and spoke to the person who answered the phone with authority like I was supposed to be there and he let me in. Once I was inside and he realized what was going on, he looked scared like he wasn’t supposed to do that and I didn’t want to get him in trouble so I waited by the door while he went to grab a customer service person for me to talk to. She informed me that everyone in the office only services Medical plans people and not commercial plans. She said all of the commercial plan people work remotely. So I left with nothing accomplished. Next day (today) I check the website (still not able to login) and called CS. I spoke to Nora who assured me that I’d have coverage beginning November 1st and that all I needed to do for upcoming doctors appointments is pay out of pocket and then submit to be reimbursed. I asked her if she could send me a document or point me in the direction of a document that has this policy outlined. She said there was none. I explained to her my concern that if I do that in good faith, I could easily be told by someone else at that time that that’s not how things work. And that any company who has policies like this in place would have a legal disclaimer that clearly outlines the policy and the specific conditions that must be met in order for the company to be obligated to fulfill certain duties. She said “I’m not an insurance agent.” [Mind you, I’m talking to a customer SERVICE person. Customer service at any company should understand the basic legal obligations of the company to its customers and should know where to access that information.] I asked if I could speak to an insurance agent. She said no but I could speak to sales. I explained to her the back and forth I went through yesterday and that sales wouldn’t help me unless I was intending to purchase a policy which was not the case seeing as how I had already purchased a policy. She then said that my application is processing and that by Friday I should have my account up and running. I asked her if she could guarantee that. She said “no” and explained that all she sees is application in progress and that there was no date. So I asked her if there is no date, then how could she tell me it would be done by Friday? She said “so who do you want to talk to because this is ridiculous?” I said “excuse me? What did you just say?” Silence. “Did you just say this is ridiculous?” More silence. “Yeah I want to speak to a supervisor.” Call ends. TLDR: BlueShield doesn’t give a rats behind about their customers. No one will help you and you’ll be given whatever false info the customer service team decides to make up on the spot.

Will find ways to drag out essential coverage. Waiting on months to get medication with what are basically fake authorizations. Then won’t cover basic administration of said medication… I’ll spare you the story, they will only pay their own “special” pharmacy who won’t do s*** and will delay everything as much as they can with flat out lies Since being a member in 2019, my monthly has gone from 650$ to $820 roughly. This company should be sued

Should have 0 stars. #helpderekfsongs

I have a Blue Shield California HMO plan (my company only offers Blue Shield, no other providers) and the coverage is terrible. I live in Chico, CA - a major city with a population of over 100,000 people and a regional medical center + college - and there is 0 network coverage for providers in my area. My closest in network urgent care center is over 70 miles away in Roseville - when I called to point out driving over 140 miles roundtrip for urgent care was ridiculous the only solution I was offered was that twice a year they will pay for out of network providers as if they were in network providers. That did nothing to address my issue. In addition finding a primary care physician has been impossible, since doctors accepting new patients have waitlists out for a year and that's just the places within my horrible network. It's as if I have no insurance coverage at all. I'm so frustrated with them - the only solution I've been told is to try upgrading my plan for better coverage, but why should I pay more when the coverage is already this poor? This company is terrible and they offer no solutions/recourse for customers who point out their network flaws. Their teledoc was also completely unhelpful, since he just referred me back to my primary care physician (a year out waitlist) or an urgent care center (a 70 mile drive). I wish my company offered another alternative to these guys.