Blue Shield of CaliforniaReviews of blueshieldca.com

Blueshield has no shield and they don't even deserve ZERO Star. Worst experience ever. I added my daughter to the insurance when she was born, and everything was fine. I had an autopayment. 5 months later I received bills from the doctors for my daughter telling me my insurance refused to pay. I called blueshield multiple times, and they keep telling me I didn't add her. Her name is there online, but she shows inactive. They transferred me to the grievance department which they answer after 31 days. May 26th, Email me I didn't add her and there is no record of a call even her name is added . Nothing make sense. No answering calls. You can't talk to someone who is responsible for the grievance. MOST NEGATIVE CUSTOMER SERVICE. I DON'T THINK THEY EVEN DESERVE ZERO.

I am an RCM Manager. I am on hold as per the usual with Blue Sheild. This post is for Blue Sheild, Blue Card program and Anthem Blue Cross. EVERY time I call I get a rep with zero knowledge of anything. I am left on hold for 30 minutes at a time. The rep just now came back and said "He is still waiting for the account to come up" which is complete BS. These reps keep people on hold as long as possible to meet the required time and do zero work. If I am lucky enough to get someone that doesn't leave me on hold, I get incorrect answers or get transferred all over the world. I am so angry. ZERO ACCOUNTABILITY FROM THIS CARRIER. Z.E.R.O.

Blue Sheild Pharmacy issue !! All Customer service reps being told different info. Nothing resolved. Drug manufacturer, Drug distribution, Cvs Pharmacy , Physician assistance, nothing is getting resolved. I have tried since February to get a refill on a brand prescription that have an authorization approval from my physician and on file with Blue Sheild . It’s now a NDC issue With drug manufacturer and Blue Sheild. Blue Sheild states not FDA approved. Virtus drug manufacturer disputes this accusation.!! This is not acceptable , lack of information , lack of communication lack of follow up and lack of qualified experience. There was no issue last year but this February 2023 now has changed. No one responds back with any factual information or resolve . Thank God this is not heart medication.. No one cares just wants your money. Also cannot speak with anyone in Blue Sheild Managment or qualified authority . On going since 2-14-23 See my health records

They lied about canceling our plan ,they wouldn't cancel it we have recordings we did ourselves and they want to now charge us for insurance we DIDN'T WANT ,we will be contacting a lawyer and also finding other people like ourselves that they've done thus to .This is by far the worst insurance company we've ever dealt with,total scams.

Blue Shield charged me for the FREE Covid test provided by TEST WELL, which they were supposed to close between TEST WELL and Blue Shield according to TEST WELL.

Mirror all the negative reviews here, amplify them 10X more cynically and you begin to approach the truth. Was told that the plan I was inquiring about with Customer Service would be covered by Medicare, only to rudely receive a bill and be told there was nothing I could do about it. I had BS for years, but recently it appears they've become too big to be effective and too corporate to remember who made their success. Sheesh

I have been with Blue Shield since I was terminated from my employer back in 2018 when I got cancer. Another tale of corporate greed. I retired due to health issues at that point at age 62 and was able to get coverage through covered California. My coverage was great and affordable during that time. When I turned 65 I went over to Medicare. This is when things changed. I went over to a Medicare Advantage plan with Blue Shield. The first year was good. This past year not so. I have been billed more than a $1000.00 over and above what my insurance would pay? The previous year same Drs but no extra bills? When I call in the customer service is basically terrible. Always a call center from somewhere else in the world. Some speak great English, but some are hard to understand and converse with to get problems solved. I have spent at least four hours with these various representatives trying to get help. Sometimes repeating myself over and over so they can understand me because their English is so poor. How do they does Blue Shield feel this is okay to do to their insured members? This, not mention outsourcing jobs to foreign countries to increase their bottom line. Long story short I decided to switch to Kaiser. But after visiting a friend in the hospital at a local Kaiser ( another nightmare, my poor friend), I decided that I would stick with Blue Shield to remain in the Mercy Medical system. I canceled the Kaiser insurance before it took affect. But getting Blue Shield reactivated seems to take an act of Congress. I was told by the customer service folks that I would just revert back to Blue Shield. But more than a month has gone by and my premium has not been withdrawn. Calls to clarify the issue are useless. I get various customer service reps who speak broken English and simply do not seem to have access to anything on the Blue Shield server that would be required to help folks. I cannot access my online account as I forgot my password. I request a link to reset my password but it never arrives. So I call in for help, and guess what? They cannot help to reset a password. Was told they would complete a ticket for someone to call me. Never happened. Just a nightmare. And they cannot help me pay my account. The system says it is paid. But it isn't. So now I have a cancer exam coming up that I don't want to miss having survived the initial cancer a few years back. I need to have cystoscopic exams of my bladder every six months. I am going to assume I may get billed for the $1800.00 or more for the exam when the Dr. tries to bill my insurance. Calls to Blue Shield are totally in vain. The reps are not able to understand me half the time and when they do they cannot help. So I am going to have to go out and get other insurance to just be able to see the Dr. How Blue Shield stays in Business with such poor customer service is beyond me. The negative reviews on this platform speak loudly to the issues they do not want to deal with in terms of customer service. All I want is to pay my bill and know that I have insurance. I will add that I no longer go to the Dr. unless it is an absolute emergency or as is the case with the cancer I need to keep it in remission. I am on SS and cannot afford the bills I now get even for a Dr. office visit. When I call and asked about the bills coming in, I got a nice girl named Maria who spoke decent English. She was very pleasant. She was so nice initially until she put me on hold. When she came back on the line it was like a split personality. Her demeanor changed, she became combative. As if she was trained to undermine any questions about billing or why something was not covered. She was totally defensive. And I was not combative with her. Just wanted to understand why I was getting billed this year for services that I was not billed for last year? She told me that was how it was, any more questions? Goodbye pick up your consolation prize at the door! Just shameful customer service. I think greed in American corporations and insurance companies is at an all time high. I pay $80.00/month for this plus another $170.00 for my Medicare. But the coverage is terrible. So I suffer in pain most days and do not seek any help. I seriously doubt any or the other companies are any better. What has happened to our great country and the way of life we used to enjoy. My final years are now spent in isolation as I am in too much pain with arthritis to get out much. I cannot afford to see specialist even with my coverage. Blue Shield you and other Insurance companies should be ashamed of your greed. But instead you increase your profits by using foreign call centers and reducing your annual coverage, while increasing premiums. I feel sorry for young people and the world they will have to survive in any more. So much of it made worse by corporate greed and a total lack of humanity by companies like Blue Shield.

There is no means to get help or reach them. They have shielded customers out, charge high prices to taxpayers, short on service, and deny coverage unjustly