BlueCross & BlueShield of Rhode Island

BlueCross & BlueShield of Rhode Island Review

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K
3 years ago

I am 66 minutes in, called 3 different numbers pro...

I am 66 minutes in, called 3 different numbers provided by Blue Cross, had one disconnect, and spoke to 7 people - I have not been able to accomplish a simple cancellation although I have been assured that I am the best part of BCBS.

Disappointed there isn t less than a one star rating.

O
3 years ago

Amount: $ 308.81

Amount: $ 308.81
Fee: $ 8.95
Total Amount: $ 317.76

WE PAY $9 Fee to pay our Monthly bill! Great!

D
3 years ago

Impossible to reach a person. The menus lead in lo...

Impossible to reach a person. The menus lead in loops, you can get on hold by pressing 9 about 50 times, but then no one answers the phone. Website doesn't work either, I can't resolve my billing issue.

M
3 years ago

Trying to be philosophical, but this company embod...

Trying to be philosophical, but this company embodies the worst aspects of corporate communication with customers. The poor reps try to help but they are often misinformed and hamstrung by a slow, crappy website, and brain-dead policies that forbid them to email - they can only communicate phone or fax (yes, fax, in this day and age!) Simply sending a form they have right on their screen takes 48 HOURS! Or by snail mail, 7-10 business days. They are simply not empowered to do right by their customers.

While it is challenging to offer easy, quick & secure communications in the HIPAA world, BCBSRI is really behind the times - get ZIXmail or something like that, and ditch the useless portal mail system you've concocted.

If the directors of this company think they are long for the coming world of millennials, and their snappy ways of communicating, they've got another thing coming.

B
3 years ago

Horrible, horrible website, horrible, horrible bil...

Horrible, horrible website, horrible, horrible billing system. I pay for my dental for my family and I pay 2 months in advance. I don't get billings promptly and when I go online (after having to log-in 9 times) I am told I don't have a balance. When I try to send a message through their message center inquiring about my statements, I am told I can't because of my coverage status. This likely means I have been cut-off. Thank goodness I have switched jobs and now have Anthem Blue Cross Blue Shield at my disposal. BCBSRI is a terrible, expensive insurer. Avoid at all costs.

l
3 years ago

Horrible horrible horrible.

Horrible horrible horrible.
Website is useless, app is useless. You are not able to get any information on costs, doctors In network... This health insurance is useless. You have to spend so much of your own time trying to figure out what is covered and not and you still can not get the Information on what you need. Honestly how are they in business? I have called 6 times to get a claim processed and it is still not processed. and just went to delinquent status because of their inability to solve a service that is 100% covered. I am not able to have my required blood work performed before this claim is paid. Ridiculous! I had United Health before This and it was absolutely phenomenal. I never had to call once. United health has a fantastic website and app that gives you all the information that you need. Never once had to call on a claim or anything. Knock it off and Get you act together Blue Cross Blue Shield of Rhode Island.

C
3 years ago

I have to say, I am thoroughly shocked by these re...

I have to say, I am thoroughly shocked by these reviews. My experience has been really good. My doctors have no problem getting anything approved, all my doctors and my pharmacy accept the plan, I have had 2 issues with being billed by the doctor, and they contacted the doctors office and fixed that. I have $8000 treatments every 8 weeks, and they approved them quickly and always paid on them. I was in the hospital twice, and they covered everything. The only complaint I have is their website/app. Not only is it set up badly, but I haven't been able to get on in weeks. It won't accept my login info and I try to re-register, and it doesn't recognize me. I think they updated it, because I couldn'd see most of my claims, and they said they were working on the problem, and now I can't get on at all. But I can't diss the coverage. It has been excellent for me.

p
3 years ago

Wow! Do you folks read the reviews you get? Looks...

Wow! Do you folks read the reviews you get? Looks to me like you need a plan-wide initiative to rapidly improve service. I would start with an overhaul of your telephone service, including the miserable upfront telephonic runaround before you can speak to ANYONE who knows something about your company and/or health insurance in general.

h
3 years ago

deny,deny,deny almost every prescription my doctor...

deny,deny,deny almost every prescription my doctor writes is denied.
So, Ipay out of pocket which doesn't even go on my yearly "out of pocket limit" What a shameful group they are AND the other company UHC is even worse. when will the government allow real health care competition?

K
3 years ago

If I could give zero stars I would! This is the wo...

If I could give zero stars I would! This is the worst insurance company I have EVER dealt with. Last year, they did okay but this year it is a nightmare. They LOST all the information for my HSA and it has taken 2 months for ME to sort it out... not them. My prescriptions have gone from costing $33.00 to $167. Even after meeting my deductible I will be paying $125. I pay for the cadillac of insurance plans of $600 a month and it seems like I have a Micky Mouse plan. EVERYTHING HAS CHANGED IN 2019 and I urge people to find another provider.. especially if you are a chronically ill person, like myself. 2 thumbs down and shame on you blue cross. I will be writing to our legislators to let them know how marketplace insurance for us individuals is REALLY going.

V
3 years ago

Attempted to enroll wife on my policy during open ...

Attempted to enroll wife on my policy during open enrollment. Filled out application online and never received a call/email/mail about policy. Went to BCBS store in Warwick. Was told that they have no record of my application, even though I had an email confirmation. Donna in Warwick had me fill out a paper application and a form to cancel wife's current policy. Was "expedited." Donna told me not to make payment on current policy, to wait for new statement with correct balance. 2 weeks go by, no word from BCBS RI. Called Donna 3x, no answer and left messages with no call back. Called corporate. First lady hung up on me. Second gentleman told me my policy was cancelled because of non-payment and they have no record of the application for my wife's policy. My wife has a pregnancy ultrasound scheduled for tomorrow and we have no coverage because of this negligent company. They're criminal. Period.

L
3 years ago

My son who has leukodystrophy and cannot walk was ...

My son who has leukodystrophy and cannot walk was denied a hoyer lift stating that this is not covered because it is a convenience. I've filed an appeal stating that if someone get hurt lifting him, it would cost them more in those bills than it would for the lift. We will see how this goes. He is wheelchair bound and I was denied a new ramp to get him outdoors. They denied him for the same reason. Are they kidding? If god forbid there is a fire and he can't get out, I'm suing the them. What do we pay our premiums for, anyway? They have a signed authorization for me to represent him, as he is over 18, and they will not take my appeal on his behalf. This company is the WORST!

C
3 years ago

My doctors are always surprised by the great cover...

My doctors are always surprised by the great coverage my insurance covers. Yes, it is expensive, but ya get what you pay for. We get this through my husbands company and have not had any issues with it. My prenatal coverage has been great.

D
3 years ago

This is a despicable organization with profits bei...

This is a despicable organization with profits being their only motivator. Think about this premise: Every time they deny a claim they make money. That's it, pure and simple. My family has had to sue BXBS twice and we won both times. What does that tell you? Coincidence or a practice of denial of every claim unless the client fights the decision?
I went to the doctor 6 months ago with excruciating neck and shoulder pain. The Dr. prescribed PT. Treatment made the pain bearable. Last week the pain migrated to the other side. Again, I went to the DR. and he prescribed pain killers. Over the weekend the pain again became unbearable. I went to the ER and the Dr. at the ER prescribed an MRI. They would not perform the procedure at the Hospital because the prescription was not from my PCP. My PCP prescribed the MRI and it was refused by BXBS because I had not gone undergone 6 weeks of treatment. They claimed it was a "different problem" than the one I reported 6 months ago. And they expected 6 weeks of treatment: Treatment for what? Without an MRI they don't know what my problem is. An MRI is a diagnostic tool, not a therapeutic one. The Dr. cant treat me until they know what is wrong and they wont authorize an MRI until I've been treated? A conundrum that profits BXBS
BXBS has made hundreds of millions of profits denying people of necessary services. It is likely that they are solely responsible for unnecessary suffering and even deaths.

T
3 years ago

They constantly CANCEL my coverage even though the...

They constantly CANCEL my coverage even though they say you have 30 days to pay the premium (because they'll take several days before they process it! Which causes it to lapse) and WHY in this DAY & AGE do they NOT accept credit card payments in person at any of their "My Blue Store" locations!??? You can only pay by credit card ONLINE & that's only if you can access your account . AND... the worst aggravation OF ALL is if you are able to log into your account to make a payment, you better make every payment on the 1st of the month, otherwise if you're paying the current month anytime AFTER the 1st your only option is to pay for 2 MONTHS at the same time. *Ex: logged in to pay April's premium on the 22nd - the only payment option was to pay $2,400 (for April & May!!!) Even though you supposedly have 30 days to pay your premium! Then why are you forced to pay for 2 MONTHS at the same time!? BCBSRI is a complete monopoly as there really are NO OTHER options for DIRECT-PAY in RI! It's gotten so expensive I call my BCBSRI premium my "2nd mortgage!" that's how stupid expensive it's gotten. No wonder "middle class" can't ever get ahead! It makes me SICK to think I/we spend over $14k/yr on health insurance premiums!!

I
3 years ago

What possible excuse can there be for BCBSRIs abys...

What possible excuse can there be for BCBSRIs abysmal telephone customer non-service? After waiting to speak to a representative for 7 minutes, I was connected to Jessica and she hung up on me! Then, when I called back, I received an automated message saying that the office is closed! Yikes!

J
3 years ago

To say im dissapointed is an understatment. After...

To say im dissapointed is an understatment. After coming off my parents healthcare to start off this year i call them to get coverage. My work offers a rather poor plan so i decided to go with an indepdnant plan with them, i call up and say i want exactly the same plan i have for coverages as the one i aged out off and let me know the cost. I'm advised on what plan to sign up for so i do. Well shame on me for not doing more research but here come the bills. Almost nothing is covered that im expecting when i try calling and email the representative i get no response. I call customer service they tell me a new plan cannot be enrolled in until and open enrollment and i can either cancel and change compnays or im stuck as there is nothing they can do. I feel taken advantage off and misdirected as the are worried about just getting your money and have no care as to meeting your needs or expectations.

T
3 years ago

I've been given completely different answers to th...

I've been given completely different answers to the same question by every employee I spoke to. 3 people hung up on me and never called back. One also laughed at me till she eventually hung up the phone when asking about car seats being covered under insurance. Some insurances do actually cover safety products since it keeps you from injury in a car crash. They have the worst customer service I have ever experienced.

M
3 years ago

If I could rate 0 stars, I would. I began my cove...

If I could rate 0 stars, I would. I began my coverage on December 1st of this year, between the mistakes of my address, HSA account, etc. I have the money in my HSA account, but cannot touch or use it. IT IS NOW DECEMBER 18th. Cannot pick up prescriptions, called and spoke with multiple Bluecross customer services. Been off of my medication and BlueCross continues to negatively effect my health. Best answer I received was, "Well we can expedite another card to you, but it will take 3-5 business days." IS THIS A JOKE? I'm disgusted with this healthcare.

J
3 years ago

BCBSRI is, without any question, the single most i...

BCBSRI is, without any question, the single most incompetent organization in America. They simply cannot get anything right, their Web site is an experiment in absolute terror. Were they not a monopoly, they would be out of business. Just absolutely the worst.

N
4 years ago

The website has major issues. Couldnt get an onlin...

The website has major issues. Couldnt get an online payment to go through. Autopay has issues - double charged. Customer service gives you the run around -- put on hold multiple times and calls last 45 mins at a minimum. Customer service representatives do not seem to be very knowledgeable and weren't much help in solving these issues, etc.

J
4 years ago

After reading these reviews what is the issue with...

After reading these reviews what is the issue with medicare for all. People love the health providers but hate their insurance. I have had both United and BCBS and they are rated zero and 1 stars (in that order). Both lie and deny, where is senator Whitehouse now? Oh right taxpayers pay for his gold standard health insurance.

R
4 years ago

They force me to use a terrible pharmacy (Alliance...

They force me to use a terrible pharmacy (Alliancerx). They've offered no solutions to my issues simply getting my meds. Insurance isnt of much use if you cant actually use it at a place that can get your prescription.

A
4 years ago

In the future I would never select this company fo...

In the future I would never select this company for my insurance and probably would avoid working for someone with BCBS as their coverage (luckily I left RI so this is not an issue). The individuals working at customer service are fantastic, but the infrastructure is completely illogical. When you call the phone, there is no option to talk to a person, and I think you just have to stay on the line long enough and push enough buttons to hope to get someone. There is no external email service, so it is not possible to email documents or submit documents electronically. You need to FAX the documents to a central hub, where they are then scanned and emailed to customer service, days later. As someone with no access to a fax machine, I have been told that this is the only option. I have poured HOURS of my life trying to get a medical claim sorted out, and I feel like every time i call them I am back to square one. I am pretty sure they have rejected my claim and they make customer service so impossible to deal with so that people eventually just give up and have to pay, because they literally cannot pour anymore time into dealing with it, and that is disgusting. This company has caused me to avoid seeking necessary medical care out of fear of the repercussions.

J
4 years ago

They are lazy and ignorant! I filled out paperwork...

They are lazy and ignorant! I filled out paperwork last month to join my husbands health plan because we just got married. I got my card in the mail yesterday with my first name spelled incorrectly. I called and asked them to fix it but he insisted that it was my problem to fix, as if I M the one who spelled MY OWN FIRST NAME WRONG. He refused to help. Then today a women from blue cross called to conduct an over the phone survey about my call yesterday to make sure I was happy with their service. I began to explain that I called because they spelled my name wrong on my card and she instantly paused, said I m sorry we have a bad connection, I m going to let you go! Go figure! No one wants to deal with their mistakes and I am extremely disappointed. We are switching our plan soon because we don t want to deal with this nonsense forever. Thanks for nothing blue cross.

a
4 years ago

I've always felt a real dis-ease with BC/BS becaus...

I've always felt a real dis-ease with BC/BS because they have denied care in the past. I had few choices and I chose them again three years ago and
nothing has changed. High deductible, long waits for customer service, lots of money every month, we are healthy so they only pocket it. A healthcare corporation that cares nothing about well being and only collecting its profits is not "healthcare", lets call its real name: " blackmail".

Now they reneged on allowing me to register after I had cleared with them that I was out of the country two months for work and would be picking up an international plan. Two administrators had approved it and when I arrive back they said no. I've been very healthy and well but this encounter has left me very upset and stressed not just for myself but for the reality that healthcare in this country is so so broken. So many people who are not well, who are aged, or can't speak fluent English bump into these problems with healthcare and they do get sicker.

But my one voice and all of these from other reviewers must come together to insist on single payer healthcare for our state of RI

J
4 years ago

Very disorganized, training is inconsistent (5 dif...

Very disorganized, training is inconsistent (5 different reps gave me different information), claims are inconsistent (I was told by someone at BCBSRI that 'it depends on who sees the claim....some may be more lenient than others'.). I tried to contact someone via FB, and they said that it was escalated to 'urgent'. 1.5 hours later, no call back. Really disappointing.

K
4 years ago

No satisfaction to my question about why my no-fri...

No satisfaction to my question about why my no-frills generic blood pressure medication (valsartan) has been reclassified as a "preferred generic". The difference is not in the drug, it's in the business rationale. My previous refills carried a $2 co-pay; now that valsartan's status has been elevated to "preferred", the co-pay is $10. Yep, 5 times what it was last month for the same ordinary drug. But wait - if I sign up for the mail-order service, I can get a 3-months' supply for that same $10 co-pay. Only mail-order, however; doesn't apply to in-store 90-day refills. So do I have to pay shipping for the mail-order refills? Bottom line is that the bottom line is all-important, since BCBS works for the shareholders, not for the policy holders. Oh yes, the replies are robotic too - no humans have laid eyes on them except us, the miserable complainants. The robot is sorry for the inconvenience, go to one of their 3 stores. Right.

K
4 years ago

I am 66 and have had BCBS of Rhode Island for 13 ...

I am 66 and have had BCBS of Rhode Island for 13 years. They provide THE BEST CUSTOMER SERVICE of ANY company I have dealt with in my life. EVER. PERIOD!!! They answer promptly; the representatives are courteous and professional; and they know their STUFF!!! Every time I hang up, I am left in awe at the quality of service that they provide. I HIGHLY RECOMMEND BCBSRI. They are the BEST!!!

S
4 years ago

BCBS works fine for me. I get it through my employ...

BCBS works fine for me. I get it through my employer. I don't know if that makes a difference. I've called their customer service line and not had a problem. Their website can be tricky. I suggest they update it and make it easier to navigate.

a
4 years ago

blue cross had a claim on me that i notified them ...

blue cross had a claim on me that i notified them about 8 months ago theres no question blue cross is a great company ,,but they should look into the situation pertaing to me ,,after 8 months of promises as of today 03/23/2020 they still havent taken care of the problem,,as sad as this may be im hoping that blue cross can take care of this and expedite this asap ,,.its not blue cross its the people that work for them ,,thank you

D
4 years ago

We had our insurance canceled because of non payme...

We had our insurance canceled because of non payment because their internet payment system would not work . now we are told we can't be reinstated until January looking at going to Cigna after 2 years with bcbs sad they can leave our family uninsured because of them

j
4 years ago

As a physician, I have another perspective on Blue...

As a physician, I have another perspective on Blue Cross and several other plans. I have been in practice for 15 years as a primary care doctor. I have watched my ability to obtain care for my patients erode due to interference by various insurance plans. Until recenlty, Blue Cross was slightly better than the other Rhode Island plans. Unfortunately, since switching to Catamaran for management of prescription drug coverage, I now dread having to work with Blue Cross. Catamaran has been refusing to pay for medications that have been successfully treating numerous conditions including psychiatric, cardiovascular, pain and other conditions. They are increasing paperwork on my end as I beg to have medications authorized and on my patient's end as they often either go without their medications or have to switch to an approved alternative that may cause side effects, or be ineffective. It can take up to two weeks to resolve these issues. What Catamaran is doing is essentially making patient care decisions without reviewing the patient's chart, taking a history of the present illness and performing a physical examination. These decisions are rarely made by a physician. If a patient is harmed by their interference, they are not held liable. While all of the insurance companies that I deal with have these programs in place, Catamaran is the most obstructive, burdensome and potentially dangerous program that I have had to deal with to date.

M
4 years ago

Customer disservice at its most extreme. Give misi...

Customer disservice at its most extreme. Give misinformation repeatedly. Take every opportunity to bilk every person out of every thing they can. Horrible beyond words. A customer is a $$ amount. Unrelated to, and in fact opposed to health care. Will not allow me to give zero stars. Would like to give negative 5.

S
4 years ago

Trying to make me pay all my medical bills for a s...

Trying to make me pay all my medical bills for a surgery I did due to health condition by asking about the paper work and authorization that don't exist for the medical condition I have and proving the the surgery I went through and test done is not approved.After being a regular payer and collecting my money for years now I want to use the service and I am being denied .and I end up paying thousands of dollars to the hospital . You are lucky you are the only one that can be used here in Rhode Island . Maybe I should stay without and issuance after all what the point having one and it is not useful .

A
4 years ago

I have requested - four times - that an enrollment...

I have requested - four times - that an enrollment card be sent to me. Still no card. I have been enrolled for 0ver 5 weeks and no card. What am I supposed to do if I need to go to the hospital?

M
4 years ago

Actually -3 stars....But Google won't allow it!

Actually -3 stars....But Google won't allow it!
I discovered my Blue Cross plan had been cancelled when I went to pick up my prescription on 1/5/18.
I contacted Blue Cross from the number on my card and was immediately told I needed to talk with Healthsource RI because they were the agency that I bought my insurance from. It was of course 9 pm on Friday. Healthsource works 8-6pm M-F. On Monday I checked, and there was no issue with my insurance from their end. The computer system between the two agencies does not communicate directly so I was advised to give it a few days . On January 8th I again tried to pick up my med and was told the same thing, no insurance. Contacted Healthsource, no issue. Contacted Blue Cross and was told they cancelled my policy in December for non payment. I told them that my account was up to date and my next premium wasn t due until 1/23. They referred me back to Healthsource. We determined that Blue Cross had cancelled ALL my policies when they terminated my 2017 insurance policy. Although my new policy didn t begin until AFTER the date of the cancellation, it was also cancelled. So we started a new plan immediately and paid the premium. Waited 2 days. Still no coverage. Contacted Blue Cross again. They were incredibly helpful and straightened out the issue with my policy not being active and everything looked ok. My meds were still declined. I ve now been without my medication for 7 days. My pharmacy did release 3 pills. But because Blue Cross doesn t seem to understand their own policies, I cannot get my medication filled without a denial/appeal/exemption/denial/appeal/exemption paperwork. I have spent a total of 8 hours on the phone just this week trying to get someone to actually do something. I was with another health insurer 2 years ago with the same medications and never once had an issue like this. Since coming to Blue Cross in 2016, my medication has been denied and filled late more times than is necessary. The layering of their pharmacy services through Walgreens, who then sub contracts to a 3rd party has been exceptionally confounding and has lead to me being without medication for days at a time. Terrible company. If you have a choice, don't choose Blue Cross. 1/23/2018 UPDATED...I am FED UP! I AM ANGRY!
FYI.... if you don't know.... I've got a diagnosis of Post concussion syndrome and Pseudobulbar Affect.... I'm on meds to keep me functioning...I'm off one of my medications because of the stupidity of our medical system. My main important med is called Nuedexta.... It's the only FDA drug approved for PSEUDOBULBAR.... It keeps me from crying all the time uncontrollably, without attachments.... It's not that I'm sad.... It's that some hidden switch is broken and I have no choice but to cry, weep, sob.... B a w l.... It's exhausting. I choose to take an antidepressant to keep me from listening to the little voice in my head that tells me that all is hopeless. My Nuedexta is INCOMPATIBLE WITH ALL ANTIDEPRESSANTS EXCEPT WELLBUTRIN! Now, maybe I'm just being overly sensitive.... But denying my antidepressant because you aren't able to cross check for interactions is negligent. Right? If you can't use a simple computer program... Or printed text.... You really, really aren't supposed to do the job that requires the use of printed words.... I am without my antidepressant, now, for 15..going on 16 days.... Because a subcontractor of a subcontractor to Blue Cross Blue Shield of RI is making decisions about medicine without the ability to read. Really.... They can't read. Apparently.... And there is no... NO.....recourse! Seriously! I just sent off this letter by fax with 9 pages of corroborated information from GOOGLE to the company that controls MY MEDICAL CARE.... because NO ONE CAN READ!

A
4 years ago

Would you like to be able to use the website or ca...

Would you like to be able to use the website or call customer service? Well, good luck to you, doomed one. I have tried logging in to their sodding website a few dozen times over the past few years, and have been able to log in -- with the username and password I carefully wrote down and SAVED IN MY BROWSER -- maybe -- MAYBE -- three times. Resetting the password (which was not incorrect or forgotten)? A nightmare. Today I reset it THREE TIMES. Each time I reset it, I was told upon login that my password was "incorrect." I tried calling customer service and after being on hold -- awful music, by the way; even lower than the usual low standard for on-hold music -- the CS rep told me that their website was experiencing difficulties and she therefore could not look up the answer to my question. An absolute nightmare that wastes a solid half-hour of my life every. single. time I have to deal with even setting up an appointment.

C
4 years ago

I'VE TRIED MAKING MY PAYMENT ON LINE FOR THE PAST ...

I'VE TRIED MAKING MY PAYMENT ON LINE FOR THE PAST TWO MONTHS. WITH ALL OF MY CORRECT INFORMATION INPUTTED I STILL CANNOT GET IN TO MAKE A PAYMENT. WILL SOMEONE FROM BCBS PLEASE GET BACK TO ME. THEN TRIED TO MAKE IT ON THE PHONE AND GOT CUT OFF.

J
4 years ago

AWFUL! I just received a phone call from BCBS of R...

AWFUL! I just received a phone call from BCBS of RI stating they were responding to a question I had recently placed. I have been living in NM for the past 3 years and have an insurance plan with BCBS of NM. I asked the customer service rep from BCBS of RI when I entered this inquiry and he said, "Oh, I don't know maybe as recent as a few weeks or as far back as a year." I told him that perhaps there is an error in phone number since I haven't placed any inquiry of recent, and he hung up on me without a word.
WOW! If this is an indication of how you treat your policyholders, then all policyholders, myself included, should think again about what BCBS in any state has to offer. The lack of respect and courtesy demonstrated by a BCBS representative is unacceptable. I will change policy with the next open enrollment.

R
4 years ago

This company is terrible with service and coverage...

This company is terrible with service and coverage. Over the past years, I have had to call, complain, file appeals etc. They raise their rates, with less coverage, add increasing deductibles etc. Recently they denied my doctors order for a MRI. As a person in the medical field their reasoning for this denial is absurd. They obviously don't know medical symptoms that I have and my history,that my doctor feels the reason I need a MRI. Now I have to get on the phone and spend time trying to get this denial reversed. The people you talk to on the phone don't know or really understand anything medical and are trained to act like they do. This company is a joke and all they care about is money. I'm sure the CEO would have no trouble in getting any test or coverage needed for them. Just horrible service. Rosemary Murphy

C
4 years ago

Blue Cross & Blue Shield of Rhode Island offers ab...

Blue Cross & Blue Shield of Rhode Island offers abysmal service and continually increase my rates every year. A federal study of their marketing and efficiencies I'm sure would tell a story of waste, errors, redundancy, and a revenue-first culture that would surely identify better ways to offer a truly consumer friendly and affordable health plan. Being the only widely-accepted-option in Rhode Island, our healthcare market would benefit from more competition and permitting cross-state purchasing for medical coverage. It's a monopoly proposition otherwise.

J
4 years ago

No one at BCBS of RI is looking at these rating a...

No one at BCBS of RI is looking at these rating and/or reviews. If they where, their website and service would have improved. So therefore, why even ask for a rating/review, it is a waist of time.

s
4 years ago

BCBSRI has been our health insurance provider for ...

BCBSRI has been our health insurance provider for the last 10 years mostly because they are one of only two options in RI for choosing your own doctor, and the other provider doesn't have as many plans offered to meet our needs. We own our own business. BCBSRI has lobbied our state legislature so vigorously that we are unable to pool with other farmers to get group rates on health insurance. They have outlawed this typical practice that is allowed in many other states. So we became a direct consumer with Blue Cross. Our rates as an individual family went from $1,100/month in 2007 to 1,780/month in 2011 so we went with a high deductible plan and that brought it down to $1300 again only to be increased back up to $1500 just before we joined with the Affordable Care Act. Since then our rates are lower, but Blue Cross has been fooling around with the fine print for co-pays and prescription drug costs. We were paying $70/month for two prescriptions in 2013, last year we paid $420/ month with a $1,200 prescription deductible and now we are paying $300/month and the deductible this year has been lumped into the medical deductible (so there is no limit unless we are seriously hurt or need surgery) I am disgusted that these practices are being implemented. Who has time to fight? We own a business we are fighting every day to stay profitable. We don't have a legal, human resources, operations and sales department. We are all of it! Our legislators need to hear our voices. If they don't we need to replace them. As far as Blue Cross goes. Well the State legislature at least required them to tell us about the increases...I guess that is a start?

D
4 years ago

If I could give BCBSRI no stars, I would. I am try...

If I could give BCBSRI no stars, I would. I am trying to deal with a denial of coverage for a PET/CT that was done for follow up of cancer. I was diagnosed with a second primary melanoma last summer and had various imaging studies pre-op and had surgery in August. In January I had a local recurrence/in-transit metastasis which now makes me stage IIIC and BCBS is denying my PET/CT that was done a few weeks later. I got a letter from their hired goons, Evicore, giving me the reason for denial, and telling me what address to use to appeal and what phone number, When I called (and have already sent a letter) I had terrible luck with their circular phone system, finally got someone that told me this has to be handled by BCBSRI. I contacted BCBSRI who said this has to be handled by EviCore. They gave me a different phone number which turned out to be out-of-service. I called BCBSRI's agent that contacted me and got voice mail. Both of these companies need some serious lessons in customer service.

M
4 years ago

As a physician I feel insulted everytime I am told...

As a physician I feel insulted everytime I am told that I can not prescribe the amount of medicine my patients need. They often do not pay for 2 pills a day but only 1 so a patient is allowed to take 1/2 of what he needs. People pay this company and they are denied the care they pay for ?

S
4 years ago

I think it's funny how I came to post my own negat...

I think it's funny how I came to post my own negative review of this company and found that one star was their highest ranking score. It is appropriate though. The claims handling, the consumer fraud and runaround, the lack of customer service, everything about this company is a supreme joke. I've had several different companies for healthcare and this has been, by far, the worst one yet!

B
4 years ago

I have been on hold after a lengthy period of ente...

I have been on hold after a lengthy period of entering information on touch tone. This is my third attempt today to get a live person for a simple billing question. You will never get a real person at Blue Cross. I could not be more unhappy with the customer service.

BlueCross & BlueShield of Rhode Island

BlueCross & BlueShield of Rhode Island

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