Blue Cross Blue Shield

[R Glass]

I don’t know how long this post will last before MH removes it but until then I would like to make it clear that Blue Cross Blue Shield can kiss my @ss. My being disgruntled is not because you are incompetent; it is because you are a scam. If you are Incompetent you would occasionally make a mistake in my favor. So far every bill you have refused to pay (in the $thousands now) has been because of documents Blue Cross Blue Shield has not sent to my Health Care Providers. I can understand this happening once but the same mistake made to 3 separate Health Care Providers. They claim they will send the correct forms but they never do and the bills keep rolling in. I wouldn’t be so p1ssed if they would compensate me for my time spent doing their job for them. They admit to their mistakes but do nothing to correct them.

[pigeonca]

My family had BC/BS in Illinois 30 years ago - they haven't changed.  They denied everything - you couldn't reach them on the phone - and if you went to their headquarters, they had these cleverly designed chairs that you could sit in for no longer than half an hour without chiropractic manipulation the next day.  These chairs had deep, deep seats, and low, low backs - far too low to lean against, and if you tried, you couldn't bend your knees and had to sit like a small child, legs out straight.  I can't believe they still get away with it.

I agree with sfbaygirl - get a lawyer!
pigeon

[sfbaygirl]

We had BC/BS and had nothing but troubles. We paid more than we got outta them. I hated it!  Now we use my teacher's ins through cobra and healthnet. They are great. It must be how much you pay for your policy, isn't that the way it always is?  I have a great lawyer to deal with my disabilty for worker's comp, otherwise they would pay NOTHING!  It may be time to see one that will take it on contingency.  YUCK!

Linda

[R Glass]

I have spent hours on the phone with BC/BS and bringing paper work to my Gastro’s office, Lady of the Lake Hospital, and my Cardiologist office. What p1sses me off is, it is not my job to have to do this. BC/BS claims they have sent these forms to all 3. All 3 say they have not received these forms from them. Why would they lie knowing this is holding up their payment?

[frijole]

I had such good insurance with BC/BS of Texas, it is sad to read your post.  I was assigned a case manager and he assisted me over several humps - like getting an extra dose of Peg when I left mine in a hot car, and reassuring me by email that BCBS would pay for an extension as long as my doctor approved of it. (I just had to take the email to my doc).  Could you perhaps pursue that?  Se is you can get a case manager assigned?

Good luck, frijole

[jdwithhcv]

Wow, time to go give my doctor a big ole smooch on the lips.  That office has dealt with my insurance the whole time and, so far, no screw-ups!  (knock wood)  I'm halfway thru, sure hope they keep it up.

jd

[orphanedhawk]

There used to be someone on this forum who had worked for an insurance company. She was instructed to always turn the person down when they asked for anything. This is their policy and as beamishboy pointed out, it is all about money.

If you pay cash you often get up the 30% reduction in price. Where is that 30% usually going? Into the pockets of the insurance companies.

BTW: The noisy wheel gets the oil. Call them up, yell, scream, get rid of your riba rage and express what you've said here. Do it until YOU feel better.

[beamishboy]

unfortunately it isn't " just a shame"...but a concerted,coordinated effort and common practice amongst insurance companies..they refuse payments,they 'lose' documents,they ignore claims,calls and letters ad nauseum....why?..because this behavior reduces costs and saves money...and that increases profit! and that's what it's ALL about..

[Lady Lauri]

Copy this and send to Blue Cross! Than 'bill' them for YOUR time! It's been done! (not that they'd pay it!)
  The benefits of being in a trial, no waiting time at app.'s ever, no hassle's, everything ordered and done ASAP, if I am concerned on something/labs, they get done over ASAP.....the only downfall, really. is the no rescue drugs and been worth it!

Sorry you or anyone has to deal with this stress while on tx, enough to deal with already while sick, exhausted.  Could be a constructive/deserved place for Riba rage tho.

Good Luck,LL

[jmjm530]

Sorry what you're having to deal with.

Insurance company/doctor office/hospital billing deptartment screw-ups, are the last thing we need to deal with on treatment. They sure put me under a lot of stress when I treated.

If it wasn't an rx that needed pre-authorization it was a lost document (like in your case) or some other incompetency in either the doctor's office or hospital billing dept.

Anyway, the good news -- at least with my insurrance provider -- is that if you put enough time and effort into things (often meaning calling and calling and calling again), then eventually everyone gets paid and the bills stop arriving in your mailbox. It's just a shame that it wasn't done the right way first.

-- Jim