Blue Cross Blue Shield of Delaware Reviews

Highmark BCBS of DE completely scams unknowing consumers who have done their research and due diligence and attempts to uphold them to standards of fact finding that their staff is not even capable of.

Example: I have Highmark BCBS of DE with an annual deductible of 2k and only in network providers are covered. Great. I reside in NYC and see an endocrinologist in RI - ALL confirmed in network providers based upon information in my customer profile on their site. I get blood work 2x as ordered by my doctor in RI (I have been following this process for 6 years). I hit my annual deductible far in advance of these visits so I am like great, finally 100% coverage. I receive bills for this labwork that was at an in network provider so naturally i think this is an error. This goes on for months of back and forth with Labcorp and BCBS. Bottom line they are saying I am responsible bc while I have BCBS of DE this lab while in network for me is not in network for BCBS of RI - AN INSURANCE PLAN I DO NOT HAVE. How would any consumer ever know that this was even possible? In fact in the many times I called none of their staff new it was possible - it took months of research and untangling to even figure out the reason it wasn't covered.

So I appealed naturally thinking any rational human would see that this was a clear error and blatantly takes advantage of unknowing consumers. Nope they denied it saying I should have known and now if I'd like to appeal again I can pay a $75 filing fee to do so. This is the epitome of why consumers have such a strong distrust within our healthcare system.

Please see attached where it says it's out of network for BCBS of RI - I HAVE BCBS OF DELAWARE!!!!!

This company and thier web site is terrible! I have been trying to pay my first premium to make sure my special enrolment health insurance starts February 1 to prevent a gap in my health insurance coverage, I only had about 9 days to try and get everything approved, and they take days to review documents, so by the time I was approved I only had about 3 days left to complete everything. I made a payment a few days ago but the money was never taken from my account, I thought it may just need a few days to clear, but it still hasn't gone through and Feb 1 is tomorrow! I read in multiple places the first payment must be made by January 31 to be covered for February. If I am not covered for February because of thier terrible customer service and web site I will be furious. I have doctor's appointments I need to go to and this is unacceptable. Oh and ps they have sales people you can call 24/7 but not customer service, seems like they are more worried about making money than providing care.

I have been with this carrier for many years. I recently had to move to help with my parents. It is really hard to find good doctors here and find them that take this insurance. After a couple of tries I finally found a competent and responsive doctor. But my bills kept being messed up. They just weren't adding up correctly. As it turns out, my doctor is a PA (Physicians Assistant) and they bill you as if you are seeing a specialist when you see a PA. So your copay is 30 dollars rather than 20 dollars. What a load of nonsense! A PA is not a specialist. They work under the supervision of a Physician. This just doesn't make sense! Just one more instance where the insurance company does what they want to do at the expense of us hard working Americans!

My extremely overpriced Obamacare was cancelled by Highmark for non-payment even though I made all my payments. When I brought that to their attention they said that yes it was an error on their part and it would be fixed within 24 hours. It took three more phone calls and eight days to get fixed. It shouldn't have taken more than a couple hours

After calling the main number for hi Mark Blue Cross and Blue Shield I've gotten no reprieve I had a doctor visit that they didn't pay for and I have more than enough insurance teacher union insurance to my wife And hi Mark Blue Cross Blue Shield Delaware so my job I need the insurance company wanted to be the primary to pay for a regular visit to my primary doctor not good

the ABSOLUTE WORST!!! all the other reviews are so true!! the amount of time spent having to refile claims and make adjustments was a nightmare!

I just opened an account on Highmark Delaware. Despite of making first payment, I haven't received any membership pack or member card nearly after a month. Instead I have been getting invoices for the paid month and even the following month. I have tried to follow up several times through phone and email but still not helpful. Found very insensitive, slow and bad customer service.

I've had Highmark through my work for 3 years and have had no problems what so ever. I'm also the HR Director so I also take care of the billing. Again, no problems. My employees seem very happy with it also. I would definitely recommend them!

So many issues with my health care coverage I dont even know where to begin, basically I've had the same plan for 3 years and have had no health issues, but the very first time I used my coverage and they had to pay for my hospital bill, they took away my tax credit for no reason which raised my monthly premium by 615 dollars and now my monthly premium is $725 a month) that's about 25% of my annual income!!! So now I cant afford health insurance, or my medication because of CORPORATE GREED! WE NEED HEALTH CARE REFORM!!

Denied life saving medicine. Endless runaround and paperwork. Customer service and case workers very polite but useless in most matters. Layers and layers of bureaucrats and pointless pencil pushing and endless forms to be filled out. And then lost, and then re-filled out repeatedly. No one takes responsibility for anything. Absolutely the worst insurance plan I ve ever worked with in over 40 years. I m at least glad that during the worst of my post cancer care I had another insurance company. (Unitedhealthcare).

Worst Customer Service this people have. They will transfer the call to different departments to answer the question and for verification purposes each department will ask same kind of question again and again, for simple question it will take 45 minutes to finish the call. and VERY POOOOR CALL QUALITY.

Absolutely horrible. My company recently switched providers trying to use the last of my FSA I submitted a prescription claim with all requested documentation. It was denied, I called them they asked for more documents, so once more I resubmitted it with everything requested. Again denied. I called them today and first before I could even say my problem the woman transferred me to sales then when I called back and got Carrie she told me policy terminated in June? I had up until the end of August to submit my claim! Oh and they changed the date of my submission to yesterday! Nothing but a bunch of crooks and thieves, you should be ashamed of yourselves. Absolutely disgusted.

There is a disclaimer on Highmark's website when you try to look up an in-network provider. It states that the information may not be current or accurate. But when you call the company to find out if a certain provider is in-network, they check by, what else, looking it up on their own website. When I questioned this (repeatedly), they seemed not to comprehend the ridiculousness of it. In addition, it is really hard to access simple things on their website. Some resources (such as finding out if LabCorp in-network) that people need frequently are nowhere to be found.

spent several hours over the course of 2 days on the phone with rep after rep trying to resolve a prescription issue. They couldn't or wouldn't tell me anything over the phone. Thought I was making progress by talking to a live person, but she couldn't tell me anything because I wasn't a physician. I finally received a letter 8 days later explaining the issue. I quickly resolved it at that point.

Thank you Jazmin from Highmark services for your outstanding service, I had to call like 5 times different dates to get the right person on the phone. Very helful.

Thanks

I truly have never encountered an insurance agency more willing to lie to its plan participants. At every turn, they have repeatedly foiled my attempts to get claims paid for that they promised to cover. Very difficult to get services.

I am not at all surprised to see many other terrible reviews of Highmark DE customer service. I get the run around every time I call. For almost 2 years now, I have been fighting with them to get a claim paid and every time I call, I get different information. I am a healthcare provider and even with extensive knowledge of billing, it has been a maddening experience. Highmark should be ashamed of its disgraceful practices.

I have had this insurance through my work and have never had an issue with them. Each time that I have had to call customer service, they were pleasant and answered all of my questions. I live in PA and this insurance works great for me.

I have tried to use BSBSDE plan to pay for my drug prescription. And my doctor healthcare team has already submitted Prior Authorization to BSBSDE. but it seems like no body from BCBSDE responded to my doctor's healthcare team's submitted request. Until now I still do not know for sure when my coverage of medication would be approved by BCBSDE. I really need to refill my medication upon prescription request.

I have never seen anything like this. This is literally the most frustrating thing I have ever dealt with. Every time I call there about something I get the run around. There is one person there that was helpful, Nancy, who handles the SHOP and High Mark Blue Cross Blue Shield account interaction. I thank you for your efforts, I had almost given up. I switched my coverage to a SHOP program through this company, and I have had nothing but nightmares ever since. Since the Affordable Care Act has restricted competition in the medical field coverage, it has been a joke. Thanks again Obama. Your legacy is firmly entrenched. What a perfect combination, literally double the price and half the coverage.

Been trying to get a payment from one account to another but no one seems to know how to handle doing that it has been almost a month now. I still don't have the answer to weather or not I have Health insurance. Also it is a total joke when you call, one day it literally took me three hours to TRY to get to the right department. You're told to call the number on the back of the card NOT wrong I let everyone I talked to about that a year ago and still not fixed.

Worth insurance I ever had and we stock with it delaware doesn't have any options this sucks

I coud not reach anyone on the phone. The customer service is not good.

My simple request/suggestion is to just indicate on statements if a customer is signed up for autopay. Everything else I have set up does this to lessen confusion if you're still getting paper bills (delmarva power, credit cards, insurances via USAA....everything).

For two years I've been paying my bill using autopay. For two years I've received monthly statements showing a "Due Date"...like an actual, but not applicable, bill. So I learned to ignore it. Which is all fine and good...except their autopay time limit is apparently 12 months, so guess what happened when a new year rolled around and I continued to assume the bills' Due Date was still a misnomer? A big mess, that's what.

I always mention this suggestion when I talk to customer service about other issues. Nothing has changed. More notably, the folks in customer service can never give me a way to pass this suggestion onward. They have no idea how to handle it, assumably being too busy putting out fires. I know it's a large company sharing high-deductible plans, and thankful that it's of our state's Medicaid vendors...but shouldn't any for-profit company be just a little interested in "process improvement?" I sure hope the people on the social media team (that I'm not going to email repeating this same info) know what to do with this comment. Thanks.

Worst insurance I've ever come across. Don't even bother with it. Might as well not have insurance.

25+ minutes (and counting!) of hold times for a simple DME benefits check. Not good enough.

Paid my first premium. Not only did it take ages to process (though the amount was removed from my bank instantly) but once processed I still have zero coverage, cannot look at my membership card, and the site continuously tells me to pay my first premium. Their Ebill site shows my premium was not paid, my banking statement proves otherwise.

They took my money, failed to provide their service, and now their broken website claims I never paid in the first place.

I have no idea how such utterly incompetent web design and hideously unreliable billing apps could possibly be considered acceptable by insurance companies, companies which literally are responsible for keeping some of us functioning or alive, but then again this is no loss to them. They stole my money and simply do not care, they know we are forced to use their services but have no interest in making those services functional or reliable. In fact they have a vested interest in not doing so since they are given free reign to fleece us for our money.

I ve never met a company so heartless in my life. THEY HAVE THE WORST CUSTOMER SERVICE EVER. I ve been going back and forth with them for the past month regarding my insurance. I paid for my premium and they wanted to me to show proof. They never help me, it s always I will call you in a week or so They never call back etc.

SAVE YOURSELVES FROM THIS MESS, BE WISE AND CHOOSE ANOTHER INSURANCE PROVIDER

Worst insurance and customer service ever experienced. Tried to contact customer service first thing in the morning, had to wait for 1+ hour just to talk to a representative who then forwarded call to another department and again kept me on hold for another 30 mins. Even after that I could not get the issue resolved with my account payment. After making payment, its been over a month and another payment due, still no member id card no progress and the first payment has not even been posted. Its better to choose another insurance provider or even pay tax penalty instead of this useless frustrating mess.

Do you customers know that you hold them to policies that cannot even be found on your site?

Do you know that it took your customer service team over a week to realize that they couldn't even find a link anywhere on site that would explain why I am being held accountable for charges I shouldn't be?

Are you aware that when I asked why it was not available they told me customers don't have to be informed of your policies?

Sounds like consumer fraud to me in addition to the fact your employees don't even know your policies so how could a customer?

After rounds of appeals you are forcing someone to pay bills that should have without question been covered and you can't even tell me why beyond "just because you say so". You're taking advantage of those who do not have the ability to fight back against a major corporation.

I waited UNSUCCESSFULLY on the telephone for over an hour for a customer service person to assist me...this after being transferred three times! I finally hung up.

This is the worst billing experience I have ever had in my entire life. I've paid my premium every month that I have been with highmark. But they will auto renew plans that I am not enrolled in. My billing account has been a total mess and their reps are of very little help.

Highmark BCBS has been professional for many years and done a quality job keeping me in the loop about health issues and coverage. They are my prefered health insurance company. I am writing here about one specific experience that I found to be troubling:

The ACA mandates that health insurance companies give a customer rebate when they have not spent 80% or more of their profits for the year. This past year Highmark BCBS did not reach 80% and sent out rebates to their customers. Even though every bill from them, every explanation of benefits, and every health reminder has easily made it to my mailbox. The rebate check, which I did not know was coming, was sent to my old address. An address I have not had or used for EIGHT YEARS. Luckily, the current resident tracked me down.

The check was printed on flimsy paper, in black and white ink...which made it feel a little bit like a scam or junk mail. I called the company to make sure it was a real check and they verified that it was.

Anyhow, this is a long story...but I just wanted to let any readers out their know to please call Highmark and see if you have a rebate check for last year waiting for you that "somehow" was sent to the wrong address or looked like junk mail.

My wife and I have been insured with a supplement plan for 5+ years. Absolutely no problems to date. We highly recommend this company for seniors. A little expensive but hasstle free.

Entertaining improvements for Highmark BCBS, I would suggest earlier notice of premium increases prior to billing.

2018 plans are 25 % higher than COBRA at a MINIMUM. They can get up to 50% higher if you hit MOOP. Take this trash company out of the state

I had to purchase a transport chair for my husband due to what we thought was severe vertigo only to find out it was a stroke. I called the company the day after to see if I could be reimbursed., I was told yes and to go online fill out form, send receipt along with script.. I did that back in September and have called every couple of weeks only to be told that it would not be covered. My last call was weeks ago and they needed dr to send something over.. He did that and still no check.. I have never dealt with such incompetent people who are suppose to be there to help answer all questions let alone get right info.. I have notified insurance commissioner and waiting a call back to file a formal complaint against this company.. Signed :?Frustrated at all levels.. Lisa Wilkerson

If I could give negative 100000billion stars I would. I have been with them for years. Customer service has been a nuisance in the past but 2020 is awful.

They have internally miscoded a claim that has resulted in me not being able to have my monthly ivig infusion tomorrow.

I will switch next year. Horrible customer service. Supervisor was rude as well.

Since Highmark-Pittsburgh took over BC/BS of Delaware, my account has been handled with abandon and disregard from TPTB and on down to Customer Service! My supplemental policy with my Medicare through Highmark was often "fumbled" with billing and automatic receipt of the funds . . . so I left the headaches behind and this month was enrolled in a much better provider's insurance. Doggone it, Highmark pulled the funds from my "fixed income" checking account (unauthorized and before I got my SSDI payment this month) and took the last few dollars in my account; leaving me overdrawn and at the mercy of my bank. Now I have to wait for this "bad" payment to post, be disputed, replaced, and this insurance account corrected once and for all, Highmark = Thanks for confirming to me that leaving you was the best for me and my coverage, even providing me with this last insult and I'm broke to boot !!!

If I could give Negative Stars, I would! All I can say is they Lie, Lie, Lie, and Customer Services literally makes everything up as they go along. Basically your on your own!!!! You need to take 1/2 days from work just to be "YOUR INSURANCE CO", submitting your own claims, requesting authorizations, because they aren't doing it!!! I know they have money so where my paycheck for doing the work HIghMark???

Spent two hours on the phone over two days trying to get refill by mail. Each person gives me different information as to number of pills and cost. Horrible company, horrible horrible.

Never have had a problem with my Medicaid coverage through blue Cross blue shield highmark health options I have a great case manager and she follows the book I don't know why the rest of you have such bad experience have a great day y'all

Never any problem w coverage only thing is getting correct network doctors the call center has no idea what's is for what service so if u need help that way no luck

unprofessional, negligent and rude. I payed the deductible for a whole year without being able to get services. Very poor call quality, never answers in office hours and hangs up the call during a question.

Worst insurance provider. They have a lot of information about your insurance but they do not follow it. They deny what it is written in the policy. And the customer service sucks. I sure hope nobody needs to call them because you will be transferred from a machine to another machine and maybe after 2 hours somebody will finally talk with you. I am really disappointed with this provider and I strongly advise everybody to find a better one.

I would rate this Company a zero if I had the option to do so! They are useless!!! The only reason they get away with their pathetic customer service and outrageous premiums is because they are the only gig in town! It s probably worth the penalty and opt out of insurance!!!