Blue Cross Blue Shield of Texas Avis 

Worst customer service i ever seen in my life

IF there is negative I'll select negative your rep are rude asf and not doing their job properly i just want to check if procedure code is covered but it took 1 hr due to hold time of the rep not que time hold time of the rep

I have to say, I don't write reviews often, but man oh man BCBS today...they just deny. They don't think. They don't understand why one would want a different medication. They have scripts that employees read with no individualized care. And I am locked in because this is through work...I dread when anything medical comes up because BCBS is set up to not help you. If you have a choice in your provider do NOT go with them. Bad customer car, bad policy, bad all around.

Worst Customer service. Representatives were really rude. Always put calls on hold, never came back then disconnects!!

Just like any other insurance, they don't want to pay for your healthcare. My daughter required emergency care services in Cancun for croup and respiratory distress. We were told by all the facilities involved that we would just need to file for reimbursement online and we would get reimbursed the $2,500.00 for the Emergency department visit and treatment. We called the insurance to verify this information: Blue cross blue shield of texas. Initially, they tried to tell us to request prior authorization as my daughter lay in the emergency department struggling to breathe. Then, they said we would need to pay out of pocket and get reimbursed. We did as instructed. For a visit like this in the US, it would have maybe cost us $500. The insurance is now saying the full cost is our responsibility and will not reimburse us. We will be filing an appeal and see what happens, but I doubt this will be beneficial.

Very rude customer service . Very rude and belittling .

The bronze plan is a rip off, it covers virtually ZERO. When I call Blue Cross for providers they suggest the website. The website suggest calling Blue Cross. The bronze plan offers nothing but zero coverage. Blue cross used to be a good company. Now they barely deserve 1 star

BCBS Texas has been incredibly difficult to deal with. Their customer service is frustrating, and representatives often talk in circles rather than answering basic questions clearly. Getting someone on the phone who can actually understand and address the issue has also been a challenge.

My primary care provider has had repeated problems submitting referrals to BCBS Texas. Their portal does not update properly when referrals are sent. I have called multiple times, and BCBS keeps insisting that my doctor’s office must not understand how referrals work. Meanwhile, the specialists the referrals were sent to received them a month ago, so the issue clearly appears to be on BCBS’s side.

Their provider directory is also unreliable. The BCBS Texas website lists several of my doctors as in-network, but every one of those doctors has told me they have not been in-network for a long time. As a result, I make appointments based on BCBS’s own website and then have to fight with them when their information turns out to be wrong.

The service is terrible, and their provider portal is so inaccurate that it feels misleading. I selected my plan based on the information BCBS Texas provided, and almost none of it has turned out to be true. I am paying $985 per month and still spending hours every month trying to get care covered based on information they advertised.

Sadly negative numbers are not available. I had cancer and had initially beat it. So I had been good for about 8 years. Now its coming back and so I had a cancer screening to make sure i had no major cancer in my bones, organs or lymph nodes. BCBS charges me $700 a month from my retirement and I haven't filed a claim in 4 years. So I filed to get reimbursed on this screening and was denied. How do you deny a person who had cancer and its returning to pay for a screening to determine status of the health?

These people are bloodsuckers. Horrible, worthless people. If you have a choice in insurance do not make the mistake of selecting BCBS of Texas. Nothing but corporate blood suckers. They ran rot in hell.

Can I give zero stars and still be credible? If you want poor claim administration, sloppy work, and denied claims based on undisclosed, non-accessible criteria, this is the place for you.

Add to that poorly written denial letters that do not even reflect the policies they reference.

Bluecross blueshield of Texas is the worst insurance I ever had. Oscar insurance was way better than Bluecross and that says a lot. They don't cover mental health prescription, they denied my medical claim. Even showing proof I was on my medication prior to switching from Oscar to them. They lied saying it will not be a problem for me to get my PA approved. Now I'm struggling trying to find ways to get my hands on my medications.Please do not go with Bluecross blueshield of texas.

The insurance commission needs to fine this company for lack of consumer assistance the service reps cannot answer basic questions and it can take being on hold for 45mins . I am an insurance agent and will file a complaint with the Texas insurance commission.

Terrible customer service you can never get to a representative. Hold time for call over 30 minutes.

In just a few short months, I have experienced the highest levels of dysfunction, and the most incompetent of Blue Cross Blue Shield of Texas employees, imaginable. Today, a simple question about coverage, was turned into a 45 minute conversation (hardly) with a brain-dead, grossly incompetent, employee of Blue Cross Blue Shield of Texas. Ladies, if you had an episiotomy, and you think that was painful, try, instead, engaging with a Blue Cross Blue Shield of Texas customer service (hardly, such an oxymoron), in an otherwise simple conversation.

The icing on the cake for me, was, after 45 minutes of pain, my request to speak to a supervisor was denied, on the basis that "our supervisors do not speak with members."

I am left no recourse than to write a letter to the President and Chief Medical Officer of Blue Cross Blue Shield of Texas, and to file a formal, written complaint with the Texas Department of Insurance. Here are the ways to do that:

Google, "Texas Department of Insurance, file a complaint about a health insurer." Go to that website, and file a complaint.

Contact Information for the President and Chief Medical Officer of Blue Cross Blue Shield of Texas:

James G. Springfield
President, Blue Cross and Blue Shield of Texas

Dr. Mark Chassay, MD, MEd, MBA
Chief Medical Officer, Blue Cross and Blue Shield of Texas

1001 E. Lookout Drive
Richardson, Texas, 75082
(972) 766-6900

If you have been wounded by these creatures at Blue Cross Blue Shield of Texas, exercise your fiduciary responsibility, and file a complaint with the Texas Department of Insurance. Let me assure you, Blue Cross Blue Shield of Texas is counting on you, NOT to take that action.