Blue Shield of California

Well Blue Shield has done it again! Another claim and another screwed up mess. First you reprocess a January claim in September to reimburse me for over payments of $ 145.00 made during the course of the year. I paid $ 160.00 and suddenly I only owed $ 15.00. Now a new claim has processed with me owing over my maximum again. What the heck! I have already filed complaints maybe it’s time to take this to small claims court.

The reviews here make me chuckle a little… better yet they make me laugh! WOW! Is BlueShield really that bad for people?
I have had BlueShield for over a year now for Dental.
Well luckily I haven’t REALLY had a bad experience with BlueShield because it was more about my dental office being a total scam bag and trying to bill my insurance for work that I got done in 2014 for 2013. So I called BlueShield as I was getting these billing statements that read «THIS IS NOT A BILL» however there is a $ 900.00 payment that is due and BlueShield stated that was a patient balance? OH HELL NA!
I called BlueShield insurance as I was very livid and ready to see how THEY were going to deal with this manner. The phone lines can be a little confusing but after a while I finally got a live person.
I was able to get on the phone to a nice amazing woman named Melissa who stated that I had called BlueShield Medical and she had to transfer me over to the dental side. She explained to me that she understood my frustration and that there were actual issues of customers losing the connection between the transfers. I explained to her that I was livid and wanted to talk to someone IMMEDIATELY. She understood and stated that she was going to do a successful transfer and took my name and phone number down in case we got disconnected. (I’m not going to lie, I was VERY shocked by this lady’s customer service, I could tell she really wanted to help me). I waited less than one minute for her to transfer me and she got back on the phone and stated that she had successful transferred me over to the right department.
I was SO thrilled by her understanding and patience that I ensured her how happy I was and how much I appreciated her dedication in helping me. I told her I wanted to give her ALL the praise I could for helping an angry customer and calming them down (although it’s their job to do so NOT everyone does there job or does it correctly) in this situation Marissa was AMAZING!
Thank you Marissa for all your customer service! Employees like you truly give BlueShield Insurance a good name.

Horrible! Not only do they not cover ANYTHING the way they are supposed to, they will NOT accept credit card payments and do not tell you this at sign up. I do not have a checking account — so they will not take my money. I don’t believe in banks so I use cash and a prepaid visa. This has never been a problem for anyone else. They literally will NOT take my money and I am writing this during my LITERALLY 30 MINUTE HOLD to try to talk to a supervisor to get them to take my money!!! AMAZING

I switched to Blue Shield after being completely fed up with the high rates and lack of service from Aetna. After the switch my only regret is that I didn’t do it sooner. My rates compared to Aetna are less than half what they were. I have a high deductible plan since I’m young and mostly healthy and just need coverage in case of something catastrophic. Even with some minor pre-​existing conditions, my rates are pretty reasonable. But the best part is that they give me credits of about $ 50 almost every month. It seems unbelievable, but it’s true. They have voluntarily capped their profits at 2%, so if they make more, they give it back to their customers automatically. I’ve never done business with anyone who just voluntarily gives me part of my money back on an almost monthly basis. The credits end up cutting my bill by about half, which means about ¼ what I had been paying with Aetna for the same exact coverage. Plus they are much more pleasant to do business with over the phone. I highly recommend them.