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Highmark Blue Cross And Blue Shield Of West Virginia 5

Updated on 07/07/2023

Highmark Blue Cross And Blue Shield Of West Virginia

www.highmarkbcbswv.com

(4 rated reviews) Is this your business?

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Highmark Blue Cross And Blue Shield Of West Virginia Overview

Highmark Blue Cross And Blue Shield Of West Virginia has 1.9 star rating based on 4 customer reviews. Consumers are mostly dissatisfied.
Rating Distribution
Recent recommendations regarding this business are as follows: "Ask for treatment".
Review authors value the most Insurance Plans Acceptance and Location. Consumers are not pleased with Customer service and Discounts and Special Offers. The price level of this organization is high according to consumer reviews.

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Anonymous

Guest-4769965

Milan, Milan

Addiction treatment support

Jul 07, 2023

3.0

Im disappointed and sad blue cross doesnt cover Sublocade Evidence based treatment for opioid use disorder Once month injection improves opportunity for long term recovery and reduces all cause mortality by 50 % Prevents diversion,less damage to dentition and ensures patient receives medication. Please give us all the tools available to treat this disorder.It kills over 100 k per year and WV leads the nation in OD deaths per capita.

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User's recommendation: Ask for treatment

Denell Dtb

Parkersburg, West Virginia

Customer Service Runaround from BCBS West Virginia

Apr 03, 2017

1.9

Updated by user Apr 04, 2017

They are terrible at dealing with appeals. Customer service staff is either purposely trained to frustrate you or woefully under-trained.

Original review Apr 03, 2017

I had to fill 2 prescriptions before they were out b/c my son was traveling somewhat unexpectedly. I paid full price and then called them the next day. I was told to submit a reimbursement request to Express Scripts, they would reject it and then I would get instructions to appeal. 1. 1st letter from Express Scripts gives me no option to appeal except contacting their Civil Rights Coordinator 2. Civil Right Coordinator is dismayed that there were no appeal instructions and promises to resolve by talking to Customer Service 3. 2nd letter from Express Scripts has a Q&A, where it says to call the number on the back of your card to appeal (not making this up) 4. Call number on back of card on a Friday, 2.5 hrs later and after speaking with 4 different people from BCBS in addition to 2 different people from Express Scripts, I am told I must speak with Appeals Dept at BCBS, which is closed. 5. Last BCBS person tells me he'll call me at 9:30a on Monday. 6. At 12:30p on Monday, I initiate the call as no call came at 9:30a. 7. 2.5 hrs later, after speaking with 3 different people from BCBS (only 1 was from the Friday group) and 3 different people from Express Scripts (all different people from Friday), I am told that I must submit the appeal in writing. It is important to keep in mind that EACH TIME you talk to a different person, they are asking for DOB, Address, and call back number for security purposes. This only adds to the frustration. They all ask if it is OK to leave a message as well. I will find someone in that organization to hear this story as I feel abused.

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Loss:

$770

Reason of review:

Poor customer service

Preferred solution: Let the company propose a solution

Anonymous

Guest-565872

Davis, West Virginia

Therapy Coverage Review

Dec 05, 2014

1.0

my 82 year old mother after having Blue Cross for 50 years broke her hip and the hospital could only put her in a nursing home for one month because Blue Cross will not pay for any more time in therapy or nursing care.they sent her home with an open wound in her hip and only three weeks of therapy to walk on a broken hip

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Reason of review:

Not as described/ advertised

Anonymous

Guest-556786

Martinsburg, West Virginia

DONT DO IT! CALL YOUR STATES ATTORNEY!!!

Nov 11, 2014

1.0

I have had BCBS since feb. I received a letter in the mail saying I had to pay 80.52 or my insurance would be canceled. So I did. I also paid some money on the current months premium as well. I owed less than one months premium, and they canceled the insurance. When I called and spoke to three different managers, no one was willing to help me. Less than 30 days before they dropped me, I was given a possible diagnoses of breast cancer and melanoma. NO ONE at the company cared. We had also just met out family deductible as well. Whatever you do, don't do it.

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Loss:

$10000

Preferred solution: Let the company propose a solution

1 comment

Guest-899458

Nov 12, 2014

Yes agree call another insurance company. Sorry they gave you so much trouble don't let them eat up your positive energy.

Helpful

Anonymous

Guest-289163

Gate City, Virginia

Bluecross Blueshield of west virgina

Aug 17, 2012

My husband and I a need proof of insurance certificate to give to my insurance company before having surgery. We have waited a month for the certificate to arrive and then when we received it, the letter had only my daughter's name on it. A large company like this should have competent individuals doing their job. We pay a lot of money for health insurance and should receive excellent customer service. I work in an Oncology office and I see first hand how insurance companies effect our patients and it is ashamed that an incompetent individual in an insurance office can make their lives miserable. I say do YOUR *** JOB. To the companies that keep letting these individuals work for them, grow some balls and fire them when you know they are worthless. Quit paying for them to be ***, taking smoke breaks, and coffee breaks. I have to make another phone call to wait on another frickin letter when they didn't do their job the first time.

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1 comment

Guest-553334

Oct 10, 2012

This is supposed to be one of the best ones? Then we're in deep trouble people!

Two years ago, BCBS approved a surgery, then afterwards reneged - now I owe thousands of dollars to the hospital and surgeons (read their "disclaimer" about pre-certification and beware). Three months ago I broke my back and pelvis. The doctor wanted to perform immediate surgery to relieve the pain and help the vertebrae heal because I have severe osteoparosis. The night before surgery, the insurance company called and denied the pre-certification.

I appealed and they denied the appeal. I am still in a back brace and in severe and constant pain. Shame on you, BCBS!

I've been paying your premiums for 23 years and this is what I get? Beware, beware, beware!

Helpful

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

Mar 7, 2021

The insurance fraud: What is insurance fraud? What are the worst cases? How insurance fraud is discovered? How to protect yourself from an insurance scam? In this video, Charles R. Gallagher, an attorney, exposes the most common insurance fraud examples.

Read full article

Charles

Charles R. Gallagher, an attorney and managing partner with Gallagher & Associates. His practice focuses on insurance litigation, foreclosure defense and consumer law.

Contact Information

Website:

www.highmarkbcbswv.com

Mailing Address:

200 Kanawha Blvd E

Charleston, West Virginia 25301

United States

Phone:

(800) 982-8772

Contact Highmark Blue Cross And Blue Shield Of West Virginia Customer Service

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Highmark Blue Cross And Blue Shield Of West Virginia

Highmark Blue Cross And Blue Shield Of West Virginia Overview

Addiction treatment support

Customer Service Runaround from BCBS West Virginia

Therapy Coverage Review

DONT DO IT! CALL YOUR STATES ATTORNEY!!!

Bluecross Blueshield of west virgina

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

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