Name: Anthem
Rating: 1.4

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GN Seattle, WA

Very difficult to deal with when it comes to getting reimbursed. I have had to call in multiple times for basic issues that should be covered by Anthem, however, they will go out of their way to drag you through their heavily bureaucratic processes, often multiple times, in hopes that you will just give up and surrender the benefit that should be provided to you. I have spent hours on the phone trying to resolve incorrect billing. Not a fan of these shady practices from huge medical insurance companies. 👎

3 years ago Edited September 14, 2021

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MichaelH New York, NY

They take more than 30 days to process claim reimbursements. A simple COVID test receipt took me 45 days which is violating the Department of Labor regulation law and their claims team filed it under the "wrong code". They definitely have incompetent staff or they are trying sneaky ways to avoid paying their insurance customers and should be taken to fined by the regulators.

3 years ago

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Lisa LaRosa Torrington, CT

Signed up through Ct Access Health in Dec. Was given my ID cards but then received mail from Anthem saying my policy was cancelled. Have spoken with 11 representatives to get the issue resolved, was told the policy was "cancelled in error"; have been given the runaround and redirected to Access Health, who confirm that 1) my policy is listed as inactive and 2) this is Anthems issue to resolve. TERRIBLE CUSTOMER SERVICE

3 years ago

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A Gregory Los Gatos, CA

I use Anthem and am in network with San Jose Medical Group. Same doctor for 10 years referring to same doctor for 10 years. Between my referral and mammogram a doctor is out of network (although online he was in network.. so no way I could tell) and despite all working for SJMG and I was stuck with $550 bill (for a routine mammogram which is included in in-network care for $0). And the report/analysis was lazy and ridiculous. Anthem are AWFUL. So are SJMG.

5 years ago

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Tanesha Portland, OR

I have awful experience with Anthem, they seem unable to process out of networks claims at all. Multiple calls ( for one claim i called 9 time), talking to managers, etc. Many times depite the calls and my grievance letters, nothing happened. I wonder if they use clients' money to loan them on short term loans market. 7 out of 10 customer service agents have such limited training, that i have to explain to them what to do. Not a good company!

5 years ago

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Roger Cincinnati, OH

I take a testosterone drug. The drug that Anthem Insurance wants me to use is much more expensive than the one I'm currently taking. the drug that I am taking Is Not An approved drug through Anthem so they will not allow me to claim the money I spend on it and put it towards my deductible even though it is less expensive than the drug they want me to use. Tell me that's not ridiculous. Find a different insurance company that has some sense!

5 years ago

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Allison Quartararo Northampton, PA

They denied coverage for the birth of my twins. They hide behind the hidden idea that we should have enrolled them in the plan in the first 30 days. No one at anthem nor LVHN hospital ever told us this during that thirty day time during which our claims were allegedly being denied. No paper and no email was ever sent saying we were denied. Our coverage we pay $3k a year for should have covered our children being born but this is the snake skin they hide behind. Customer service is a joker reading a script with no humanity at all.

5 years ago

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Mike D Voorhees Township, NJ

Every negative review that you read is correct. I have dealt with them as a member and even after trying to get a claim settled. I believe they knew I was changing companies and they didn't cover bloodwork I had done, something that was always covered before. Customer service did nothing but run me in circles for months and now I'm stuck paying $756. If they were the last insurance company on earth I would do without, would cost about the same without the headaches! Please, look elsewhere for insurance.

5 years ago

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D. Reyes Victorville, CA

Some of the worst customer service I have ever encountered, and this was just calling to get information on whether I would be eligible or not. Once the representative got rude with me, I thanked him for his time, and ended the call. If this is the type of customer service you get with this company just to get information, I can just imagine how rude they would be if I were a member and called in with other concerns. Would not recommend this company to anyone!

5 years ago

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Tom Luenemann Marthasville, MO

Would give them 0 star, if I could. They are my secondary health insurance from a school that I now work at in Missouri. I am a retired teacher from Illinois and have Healthlink as my primary insurance from the Illinois Retired Teachers System. Healthlink is excellent insurance and pays for most of my prescription cost and doctor visits, except for a $20 copay. Anthem pays nothing towards my prescription cost and will not pick up the $20 copay that my primary insurance will not cover.

5 years ago

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Maria Newtown Square, PA

Grading is actually -1000 Anthem became my primary insurance in June 2018. Since that time none of claims has been paid. Anthem keeps looking for somebody else to pick up a load. Mostly Medicare which I don't have. I have stage IV terminal inoperable cancer . I'm on my last resort trial right now. That is why per Anthem we owe now close to $ 50 (fifty)K. What a joke! Our out of pocket maximum 1,200.00, and it was met by March. Thank you, Anthem for your ethics and compassion. Now I have to deal with you and collection during my very short time left!

6 years ago

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Brandon Stanford Springfield, MO

Refused to pay for the HPV vaccine. Do they think it causes autism or something? Never gives an estimation of what services cost. Does not take responsibility on covering claims and instead says that it's my responsibility. Ok, can I have the key to your office to make sure it gets done?

6 years ago

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Deanna Mitchell

This insurance company is the worst. My husband's employer switched to them at the beginning of the year from BCBSKS. What a mistake! They do not want to cover anything and make you and the medical center continually jump through hoops. I am glad we only had them for three months before my husband lost coverage and I could switch to my employers insurance. We are still fighting to get things paid. What a joke!

6 years ago

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john gantert Baton Rouge, LA

wow, on two occasions i asked specific questions and got the run around. not sure where all the monies goes but it sure isn't to customer service. stay away. two different procedures were priced way over the national average, one was 6,000+ and the other 4000+ when the national average was 1600. offered no alternative or solutions other than call your doctor.

7 years ago

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Meg Charlotte, MI

"Even though this is covered by Anthem & considered medically necessary, we will not cover any portion of your medically necessary medical devices until you have met your deductible." So essentially, I have to pay $5000 a year for any coverage whatsover, & after that, I have to pay even more! Seriously considering finding a new job because of Anthem.

7 years ago

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MICHAEL MILBURN La Porte, IN

Worst Company I have dealt with. Biggest mistake signing on all I ever received was a card to show the doctor, no list of what doctors you can use, no med information, their app doesn't work on an IPHONE. When you call in you have to go through so many hoops to get somewhere it's frustrating. Think before you hook up with this Company. I have even posted this on Facebook so other people don't get messed up with this Company.

7 years ago

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Eliza King Tilton, NH

We had Anthem last year through the market place. Long story short, they were miserable to work with. Even making our monthly premium payments was too difficult for them, and even though we paid months ahead we still got threats to cancel our insurance for lack of payment. Also, it's impossible to get a straight answer by calling in to their preauthorization number to get preauthorized for a procedure. We are still waiting for them to figure out how much we owe for the birth of our son, who is well over a year now. Clueless customer service and terrible communication within their departments.

9 years ago

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janalee sanders Valley Center, CA

Anthem was our provider for about 20 years. as far as I remember we never had any issues and any claims were all paid fairly quickly with no problems.

5 years ago

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Lorilyn Harper Cincinnati, OH

Complete disaster. Can't get a PCP, can't get an appointment, can't get a call back. I'm a cancer patient and recently moved here from another state. I can't get a prescription refill. Anthem is totally irresponsive and completely irresponsible. What a shit storm.

1 year ago

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Olivia Swan Denver, CO

Worst company ever. They don't care about their customers. They will leave you on hold for hours. Our insurance doesn't even work for prescriptions. DO NOT USE. you will regret it. The people that work here are incredibly rude and insincere. Could not be more disappointed.

1 year ago

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Jim Gilbride North Olmsted, OH

Terrible company….. makes you wait 10 business days for approval even if you are in the worst pain of your life, can’t function, and your Dr is ordering a test on you. They continue to make medical decisions so they don’t have to pay claims. Leave medical decisions to the Dr’s. We will never use this company again.

3 years ago

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Sharon Cole

I was in the hospital and two nursing homes during almost all of 2019 and they paid almost everything.

4 years ago Edited September 14, 2021

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Scott Shepherd Trenton, OH

I have insurance through my employer and my kids also have a secondary insurance, however anthem never comes through and I have to end up calling to get any claims paid. I have 3 kids and the claims are aplenty with my kids, however I shouldn’t have to call every time a claim comes up.

5 years ago

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Chuck A Newnan, GA

Absolutely the worst insurance I have ever had. the list of doctors is totally wrong, I can't even go to the emergency room because the hospital closest to me doesn't take this insurance. I'm supposed to be able to go to any emergency room when needed, but if they are "OUT OF NETWORK" nothing is covered.

5 years ago

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Jules Grand Junction, CO

If I could give negative stars I would. The absolute worst insurance company. They cover nothing but charge you high fees. It blows my mind that it is even legal for this be considered insurance. If you have the opportunity and option, go elsewhere.

5 years ago

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Darrell Pack Wolfeboro Falls, NH

They fight every prescription, they cancel without notice, they have cancelled us twice in a year because of mistakes they have made including misapplying payments. I have a laundry list of issues. If you have a choice, don't choose them.

6 years ago

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Judy Upton, KY

Stay away from this company at all cost. They have the worst customer service. They blatantly misinform and have the most incompetent staff. They deny and postpone needed care and lie about in network providers. Worst experience ever in dealing with insurance company.

6 years ago

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Fedrico Aguirre North Las Vegas, NV

Caremore Pairing with Anthem has created total confusion for users and for the medical care givers. The card will not work with the pharmacy I have been using for several years. Cannot get a refill on a medication that I am out of for hypertension when using my new card.

6 years ago

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Kimberley Hirt Buena Vista, VA

I believe they are a fair company that really tries to do the right thing in terms of coverage. I would recommend them.

6 years ago

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Roy Frances Pacifica, CA

Horrible customer service. They lie and l make things up without understanding your plan. All to get you to pay so they don’t have to. Cigna and Aetna are far better. Anthem is the worst!!!

1 year ago

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James Weber Las Vegas, NV

HEADS UP!!! Just found out that Anthem Blue Cross Blue Shield DOES NOT COVER the states of CALIFORNIA, NEVADA or COLORADO. You will have to go to another insutance company if you live in those states.

1 year ago

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John Daly Pinellas Park, FL

Horrible insurance. Problems left and right about what is covered and what isn't. Had a colonoscopy and they said my anesthesiologist wasn't in network. Had to fight it to get it covered.

2 years ago

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notnate Manhattan Beach, CA

terrible company, they really dont care. also their primary care directory is totally incorrect. most if not all the doctors on there dont even accept their shady insurance. lets do a class action against these bastards

2 years ago

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Erin Ayriss Bremerton, WA

They are so awful. They won’t cooperate with you and their fees are so high that you literally will struggle to live. And god forbid you try and get rid of them. I had to have HR present to get them to cancel my insurance.

2 years ago

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Prakash Mumbai, MH

Worst Insurance Ever. My wife was a part of the insurance and when we initially asked the hospital was in-network and during the delivery dates it was not in-network. It costs us a fortune and they denied to pay the amount.

3 years ago

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Amanda Verser Berthoud, CO

I have called 10 times in the last 2 months trying to pay my premium and start coverage. Nobody at this company has even half a brain and knows what they are doing. So I am going with a different company.

5 years ago

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Steve Ypsilanti, MI

Service has declined noticeably from late 2016 through present (Q3 2018). Claims take very long to process. Simple email inquiries now take 1-2 weeks to get a response. What is going on over there?

6 years ago

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Sara Jane Crestwood, KY

Anthem BC/BS is an excellent insurance company. The customer service is excellent. And the plans are simple and easy to understand.

6 years ago

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Hanah Rahman Redwood City, CA

They will not pay for any coverage even if you have a PPO. They also don't like preexisting conditions and will not allow you to pick provider.

9 months ago

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Oz Uzuner Atlanta, GA

Worst company ever. No way to get any help and they deny even basic medication you would need. Avoid it like a plague if you are planning on staying healthy.

1 year ago

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jcleaton

Reasonable costs, efficient, organized, respond quickly, good customer service

4 years ago

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Nathan Kennesaw, GA

Provider website is a joke. No one in my area will even take the Pathway x plan. Even using their own website the doctors on the list do not take the plan.

5 years ago

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Aimee Lewis Oak View, CA

I would give zero stars if I could. It’s expensive and every time we use it we get exorbitant bills. It’s always a pain

5 years ago

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Lee Akeley

Too much mail. Confusing billing Customer service could be improved hate the auto menu "press 1 etc

6 years ago

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Jon Scoresby Saratoga Springs, UT

Anthem was good. they covered most of the my family medical needs and it provided good pharmacy coverage.

5 years ago

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Boots

Have worked with them for years. You cannot trust the administration. they lie to you.

5 years ago

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Jason Andrews, TX

Changed my pharmacy with out telling me.

5 years ago

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Douglas Dusseau

You have to fight every step of the way.

7 years ago