BlueCross BlueShield is a renowned and well-known insurance provider. With BlueCross BlueShield, customers can have access to great member resources. Customers can also purchase dental and vision coverage.
BlueCross BlueShield is also a parent company of other health insurance companies that provide BlueCross BlueShield insurance in specific regions and states. BlueCross BlueShield companies include Anthem, CareFirst, Regence, Wellmark, Highmark, Capital, Empire, Independence, Horizon, and Premera.
It oversees 36 different insurance companies, all of which are locally operated. As a nationwide company in the health insurance marketplace, BlueCross BlueShield has helped millions of people with health insurance plans since its founding in 1929.
BlueCross BlueShield insurance plans are available nationwide and widely accepted at hospitals and doctor's offices.
Coverage options range in many types — from a Preferred Provider Organization (PPO) to Health Maintenance Organization (HMO). These plan-types indicate the kind of provider network available with the health plan. PPO plans generally offer coverage for seeing out-of-network providers, though the coverage levels are not as high as for in-network providers. HMO plans only offer out-of-network coverage in emergency situations.
BlueCross BlueShield also offers plans with Health Savings Accounts (HSAs), Health Reimbursement Accounts (HRAs), and Flexible Spending Accounts (FSAs). BlueCross BlueShield also offers indemnity, Point of Service (POS), and short-term health insurance plan options.
The coverage and details of each medical policy varies. The costs depend partially on your health situation (including age, number of group being insured, health status, etc.) and your location. When you initially search for a health plan to understand the benefits and costs of monthly payments, expect to put in your location and some personal information, as these points will help BlueCross BlueShield draw up a list of potential plans for you.
BlueCross BlueShield also offers Medicare and Medicaid plans. Its Medicare plans include Medicare Supplement plans (Medigap), Part D (prescription drug plans), and Medicare Advantage plans. A Medicare Advantage plan offers the coverage of Part A and Part B (Original Medicare) in a single health plan. Medicare Advantage plans are also called Medicare Part C.
Medigap plans can be purchased to help pay for Part A copayments. To qualify for Medicare benefits, individuals generally must be at least 65 years old.
In addition to health care coverage options, the some BlueCross BlueShield Plan offerings include dental insurance plans and vision insurance. Dental plans and vision plans may also vary by location, so it's important to work with the subsidiary in your area to get specific information. Those looking for vision or dental coverage can find good policies through BlueCross BlueShield.
As you evaluate your health insurance options, keep your health needs and budget in mind. The amount you pay for a health plan is not limited to the monthly premiums. In addition to considering the cost of premiums, you should also consider how expensive the out-of-pocket expenses will be. Sometimes paying a higher premium will mean having cheaper out-of-pocket expenses (copays and coinsurance) or lower out-of-pocket maximums.
BlueCross BlueShield keeps up its positive reputation with members with both basic and advanced tools. Some of these tools are specific to each of its subsidiaries, and include customer service numbers and mobile apps.
BlueCross BlueShield's network of doctors and specialists is gigantic. BlueCross BlueShield insurance is accepted all over the United States. Because of the wide acceptance, it should be easy to find a network provider. Treatment and other medical services you receive from these providers will be covered in part by this company.
Another unique feature of the Blue365 program. Through Blue365, members can receive discounts on all sorts of health-related products and services. Some discounts and deals change from time to time. Blue365 saves you money and provides added motivation for you to get and stay healthy. Not every BlueCross BlueShield subsidiary may participate in Blue365, so check with your subsidiary to see if it does.
The BlueCross BlueShield website is extremely detailed and full of resources for members and potential customers alike. For anyone who would benefit from it, it has general information about health care, insurance, terminology, legal changes, and how all these factors affect people who need health insurance.
More specifically, though, through the website you can find answers to questions about actual health plans offered by BlueCross BlueShield. You can search for plans and get a quote, narrowing your search by location and the type of plan you're looking for.
BlueCross BlueShield answers frequently asked questions, have social media outlets to connect with clients more personally, and of course, provide mailing information for when you need to mail in a form or contact them via snail mail.
In short, BlueCross BlueShield takes lots of different steps to meet the needs of customers all over the US. It is available 24/7 to members and has set up its customer service tools to be convenient, immediate, and of course, helpful-even in the details.
BlueCross BlueShield is available in all 50 states, and is widely accepted by doctors and hospitals. Specific health care provider network access, however, does depend on the individual health plan.
Customer Review: Rathan Kumar from Trabuco Canyon, CA
"I had blue cross blue shield for 3 years when I was with my old job. They had a lot of providers in my area that worked great."
For better or worse, the coverage you receive through your health plan depends partially on the state you live in (the state in which you would use that insurance). In other words, you can't just look up a PPO plan at BlueCross BlueShield and expect the same coverage percentages, out-of-pocket costs, and deductibles for any state. The BlueCross BlueShield website will direct you to the company that serves your area before you can get information on plan options.
Call our recommended rep over at BlueCross BlueShield below.
When I was first married my husband and I lived back east and our insurance was BlueCross BlueShield. We were well taken care of especially after our first birth of our son at Humana Hospital. We had some complications and the representative we worked with was so helpful in getting all of our benefits and all of the customer service reps were awesome!
I never felt a strong connection to anyone from BC/BS. It was just a bill we paid every month. Very little costumer service.
I will tell you from 1st hand experience, this is the worst insurance ever!!!! They do not keep up to date with National Coding Guidelines. Deny claims when they shouldnt. Request refunds instead of reprocessing claims. This used to be the best and has now worked their way to 1 of the worst!!! If you want an insurance that processes your claims timely and correctly, go elsewhere. This is NOT for you! If you want to do unnecessary foot work and have time to waste by all means......apply to BCBS!!
This is horrible insurance, it doesn’t cover cost of medication. Customer service won’t reply and when they did finally it was so rude and disrespectful! I am looking into new coverage now. I am sure they won’t post this but by the slim chance they do, any customer concern should be treated with respect! Lord forbid I get sick and need this till I can change care!
Chronic migraine sufferer
I purchased COBRA coverage between job changes for a month. BCBS rescinded all of my prior authorizations for medication, and then, they drug their feet approving the medications again so that I couldn’t get them on time and fill them the two times I should have been able to under my paid insurance plan. Really crappy thing to do when people need their medications and pay for insurance for that purpose. Worst part-I will still have the same coverage at my new job. BCBS jerks.
Jerry & Janette Jack
Overall, they are excellent. I have had them on/off since the 1980's and they have improved vastly in that time.
Like them they are helpful with referrals and our plan has lots of room to make our own decisions. They could improve their negotiating skills with UPMC
Coverag acceptance ease of getting answers to questions
Great coverage and fast communication. My out of pocket is much lower now that I'm trying BCBS
They are always there and at times gone the extra mile to help with a problem.
FRANCES L BEARD
REASONABLE PRICES FOR A GOV EMPLOYEES. INFORMATIVE ; GOOD CUSTOMER SERVICE AMD WEBSITE
Pretty easy to deal with, not as many hoops to jump through for approval with some procedures.
They are good. Like any other company, trying to talk to an actual person can be difficult
I canceled insurance, but they still charged me, I called to insurance four times, and asked for return me money back, but they just sent requests inside to company, and all the time request denied ( they don’t inform me, and I just spend at least 1-2 hours to call them
Specifically took an out of network eligible plan so that I could have a wide variety of doctors to choose from. They had a higher deductible and out of pocket. Both aspects I was aware of when i signed up. Found a out of network doctor who fit my needs. All good. Paid him up front and then went to BCBS for reimbursement. This is where things go downhill. BCBS has "approved" rates for each ICD code. They were half of what the doc actually charged. Their argument - "this is what we think this code should be charged at in your area". Now the kicker, they would only take half of what I paid even towards my deductible and out of pocket calculations. Now i am stuck with a massive bill while having chosen from the terms clearly laid out upfront. Was this "approved rate" mentioned upfront - NO Did they already compensate themselves with a higher deductible for going out of network - YES Was this in their fine print which you would find after 3 hours of looking at 8 levels deep on their site - YES So why are they double compensating their bottom line? If you have an approved rate, then just have an open network with no concept of in or out of network. It's the profit gouging practices like this which will make me hate each and every executive in BCBS. You lost a customer. Not that it matters to you. I really hope the BCBS executives experience being middle class and being hit with a surprise medical bill that is a result of profit gouging through shady practices.
Thugs who make me pay for pretty much every doctor visit. I pay high premiums and have a very high deductible. I pretty much absorb all my health care costs while paying these thugs premiums. Get rid of for-profit healthcare. Bring medicare for all by now and join every other first world nation. Private insurance is 3rd world BS.
First; 3 times asked for home visit to be done with both my husband and me. He had dementia and was very confused. Nurse called and wanted to come to see me only I refused. Second: Now a few years later I am on a patch for neuropathy that they will no longer cover $$$ so instead I will be on two more oral medications?
This is an extremely lousy and deceptive insurance company that I would strongly not recommend. They sent me a letter offering greater coverage if I provided them data via a form. Once I did so, with zero mention in the letter, there was a surprise mandatory health clinic visit required where they wanted to take my blood and perform tests. When I told them I didn't want to proceed with the health clinic visit that was not at all mentioned in the letter, I requested that they delete my data I had provided them through the form and at first they refused to do so. It took several weeks of calls with Blue Cross, educating them on PIPEDA (our privacy laws) that they were knowingly and willingly violating to finally delete this data. Weeks later I became locked out of my account and had to call them and they let me know they "accidentally" deleted my account and had me re-create my account, wasting a lot of time because of their incompetency and unwillingness to follow our laws.
Blue cross is great insurance they cover so much and I never have to worry when I get hurt or sick and have to see a doctor.
Fair; the company paid its portion of the bill.
This company is trustworthy and pays my medical bills right away. I. Ave not had any problems with my medical bills.
Excellent service and excellent provider network
We used this insurance for awhile but had to change due to a job change. This insurance was great and provided great coverage and benefits.
We have enjoyed working with BlueCross BlueShield in the past. We did think that the cost to add a family was too much though. I did appreciate the patience the customer service department showed when I would call in and I had a question. They always treated me with dignity and made me feel that my questions were important.
It is good but doesn't cover everything.
Costs are too high for what you get
This health insurance company always answers our questions immediately and helps us understand exactly what we are paying for, so I have had a positive experience with them.
We are not that pleased with BCBS. We pay more and get less, you have to jump thru hoops for the very few locations we can get our medications filled. It's just ridiculous..
Have through work. Has had a number one of different options for policies. Liked having so many choices.
I am looking for an alternative at this point. The premiums are ridiculous, the out of pocket maximums are unbelievable, and the billing service people don't have a clue about billing. I pay over $1300 a month for 2 people in their 40's. Our family out of pocket is almost $16,000. In March, I happened to log in online to look at some claim information and just happened to notice that my policy showed cancelled. I panicked because my husband was in the middle of arm surgery / infection treatment, and this was no time to not have insurance. After talking with BCBS billing/customer service for a week, they could not find a single piece of documentation showing who requested or why our policy had been cancelled. If I had not happened to log in that day and bring the situation to their attention, chances are they would not have paid the upcoming claims from our doctors and hospitals. Then 3 months later, I get an email stating my monthly draft is changing from $1300 to $2157. Again, I've not requested any changes to my plan. After the billing person threw out 4 different reasons for this, none of which made any sense at all, she finally put me on hold for about 20 minutes, and then said there is some discrepancy from 2016 in which we owe $800. And now she has to escalate it because she can't do anything about it. Another week of dealing with incompetent people. Not to mention all the stuff that isn't covered even though I have their most expensive plan. I am going broke on just a couple of arm surgeries.
Excellent coverage. Never had an issue with a claim. Most doctors in my area took this insurance giving us many choices.
Went through some surgical procedures and many Dr. visits. Getting them to pay what they owed was a nightmare and it is very much over price.
Mostly excellent service and product. Certainly not perfect in all areas, but tries. Health insurance is very important. Overall has been good, but sometimes policies get in the way of providing good service.
I'm very very disappointed with this health insurance. I thought for sure this would be the one we could call the ONE ! Best INSURANCE BLUE VALUE BUT I GUESS NOT!!!!IF THEY FEEL LIKE U SHOULDN'T GET HELP WITH THE DISCOUNT THEY WOULD FIND AWAY TO SAY YOU MISS A PAYMENT OR SHOULD I SAY ALMOST ALL YOUR PAYMENT S. 3 OUT OF 5 NOW I DONT KNOW what happened with the Billing department on canceling our payments but its Okay Cause my Father Sits high and looks low .... HE KNOWS WHAT WAS DONE ITS OKAY ....THAT'S FINE TOO...😥
BlueCross BlueShield Has great health insurance. As a college student it gave a lot of my prescriptions for free or really cheap! That’s huge for a college student. That has been the best benefit for me.
Overall a good company. There are times when the customer service reps don't seem to understand situations but their supervisor helped.
They have a decent spread of low-deductible and high-deductible options, and were the most affordable for me.
We have used Blue Cross for the past 10 years. They send out these handy statements periodically that let you know exactly the amounts they have covered on doctor visits and how close we are to meeting deductible. They have been excellent with their customer service whenever I needed to call them about coverage. Most doctors and pharmacies accept their coverage. I would recommend them wholeheartedly.
They have covered what was listed in the policy. Any time I have had to call them I usually end up having to talk to several people to sort out the right answer.
We've had BlueCross BlueShield in the past. They were easy to work when we had a baby at the hospital and we had lots of hospital bills to go through. They were accepted at any of our local hospitals in Utah, where we live. We've had other insurance companies where we'd have to go to a specific hospital or Dr's office because our insurance wouldn't be accepted. But, with BCBS it seems almost anyone accepted them. That was the biggest plus in being their costumer.
One of the best insurances!! They cover a lot, especially medical bills resulting from using the emergency room and also have very low co-payments.
very good company to work with, service was on spot, customer service was easy to work with, all my cases were resolved timely and with no problems. My doctors liked dealing with them for all my claims
We have been with BlueCross BlueShield for several years now. They process my claims within 4-6 weeks and have been very helpful when any problems arise. I have had no problems contacting customer service.
Well known company, accepted by most physicians and hospitals. Have pretty reasonable rates and customer service.
Theyre absolutely useless. I have 2 insurances and BlueCross refuses to pay anything. Instead insisting that my other insurance foot the bill even though BlueCross is the primary. Because of this. Neither will pay and ive been paying for all of it out of pocket. On top of that, their customer service is so bottom of the barrel and useless that ive been redirected down countless rabbit holes over the last 2 years just to get my policy terminated. BlueCross BlueShield is by far, the most useless and detrimental insurance you could come across. Avoid it like the plague, theyd do the same to you.
Michael Seth Manwaring
I've been part of the BlueCross BlueShield of Arizona network and the BlueCross BlueShield of Texas network. BlueCross BlueShield is widely recognized so I never had trouble using it at my chosen medical providers.
If I had to describe my time with BlueCross BlueShield insurance I would say its just alright. The price is fairly high on monthly premiums and the deductible I had was quite high. The best part was the large network of physicians.
My family is currently covered by BlueCross BlueShield and have yet to find a single issue with them after a number of years. They always cover what they say they will and we haven't had any issues with payment or approval for some procedures we have needed. I would recommend them to anyone!
insurance should work for the people i was getting my diabetic shots for $25.00 a month $75.00 for 3 months at my pharmacy with a coupon now i am told i have to go thru express script that will cost me $178.00 for 3 months cant do pharmacy but 3 times. this adds more cost to your customers on top of what we are paying already. why does it matter where we get meds filled if it save us money what i pay a month for insurance is already enough now they cant work with saving customers
We have enjoyed our BlueCross BlueShield health insurance provided through work. We have great options for doctors and clinics and they seem to cover a good portion of the visits. The price is great and we have always been happy with them.