Bluecross Blueshield Of South Carolina Reviews | southcarolinablues.com @ PissedConsumer

Letitia A

Deceitful about coverage

Mar 27, 2023

1.0

Updated by user Apr 26, 2023

Blue Cross Blue Shield admitted they were at fault and agreed to pay 50% but the check has still not arrived. I am, therefore, technically still awaiting a resolution.

Original review Mar 27, 2023

I asked many questions and took notes before enrolling in their Medicare Advantage plan. Prior to making any appointments, I read the booklet and called with additional questions and took notes.

The vision benefits were a joke - very limited coverage and providers. They no longer honor any of the major chains like LensCrafters or 1-800 Contacts, only little dinky local people who did not have my frames and my lenses weren't covered. Now onto the dental fiasco. I read to booklet and it was very vague.

HMMM. I called and took notes. Dentures were covered for 50% both in network and out of network. They said the same to my dentist when they called about coverage.

Well it turns out that that is for permanent dentures only. If you have to have a temporary, the cost of almost $1000, is totally on you. This should be clear especially when a customer calls with specific questions. Fortunately, I was able to drop them because open enrollment still was open.

They lost thousands because they refused $330. What a deceitful company and I had had them for 25 years previously.

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Loss:

$330

Cons:

Untrustworthy

Preferred solution: Price reduction

User's recommendation: Deceitful even when you know enough to ask questions

Anonymous

Guest-3996981

Mount Laurel, New Jersey

Provider customer service

Sep 22, 2022

1.0

I am an out of state provider (Georgia), trying to confirm benefits for a BCBS of SC member. The automated line just repeats back the information that I obtain online and it is almost impossible to speak to a customer service rep for information that cannot be obtained online. I've had to have the patient call customer service directly and be added to call to get their benefits for specific outpatient surgery.

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User's recommendation: Avoid BCBS of SC if your employer offers anything else.

Alexandrina Kkn

Wichita, Kansas

From a medical equipment provider

Sep 10, 2019

1.0

I work for a company that provides durable medical equipment (wheelchairs, CPAP, breast pumps). Let me say something about this specific BCBS branch... they are awful! It's almost impossible to make contact with anyone there for verify specialized benefits information like for breast pumps. I have been on the phone with patients waiting for me to talk to these people and sometimes we wait for 40 minutes - unacceptable. If you're lucky enough to get ahold of a representative, you may or may not get the right answer about benefits. We've had several patients with this insurance have their multi-thousand dollar PAP machines denied after we received authorization to give them the machines because these people are a mess. Do not use BCBS South Carolina! They are terrible for providers AND patients. Go through BCBS Kansas, Michigan, anywhere but South Carolina.

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Loss:

Pros:

You get through faster with snapchat apparently

Cons:

Angry patients
Low quality coverage
Wait forever for them to answer the phone

Reason of review:

Bad quality

Preferred solution: There is no helping them. Maybe dissolve this branch.

Ted M Iiz

Spotsylvania, Virginia

Horrible company, pays for nothing, awful Junk policy coverage.

Apr 26, 2019

I would not have taken my current job had I realized how terrible the insurance coverage is. I pay over 15K a year for a family plan that seems to cover nothing. Prescriptions are now included in deductible so medications that cost $25 under my previous coverage are $750 a month under BCBS of SC. I can either take my meds or feed my family. Avoid this god awful company like the plague if you can, they cover nothing, require "pre-authorization" for everything, provide junk coverage and just take your money. This company is a perfect example of everything that is wrong with health insurance in the USA. Rip off artists selling junk coverage and providing no benefits, all for the wonderfully low price of over twenty thousand dollars a year once the "deductible" is factored in.

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Reason of review:

Bad quality

Anonymous

Guest-1459349

Stuck in the 90s

Jan 29, 2019

Billing will be knocking on your credit report before SC BCBS acknowledges your claim. Everything is over the phone or by mail, with long wait times and weeks of mail sitting at BCBS waiting for a claim to be filed. They don't seem to know that it's 2019.

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Jeri Oqj

Don't pay for any services...

Oct 28, 2017

1.3

They are the worst, they don't pay for anything including in-network doctor visits. I went to an in-network Orthopedic and Hematologist, combined I had to pay out $425.00. Everything is the patients responsibility. My daughter went to the ER while in college because someone slipped something in her drink and she was violently ill - not covered and not an emergency. Its been 2 years of *** with this insurance company and ending soon. The worst thing they ever did was raise my premiums 20% because they said my 19 yr old daughter (pre-med in college) smokes! She appealed it and I doubt I'll ever get my money back... stay away from BCBS of SC... better yet just run!

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Loss:

$2800

Reason of review:

Problems with payment

Preferred solution: Price reduction

1 comment

Guest-1674481

Apr 17, 2019

Blue Cross Bull *** makes you wonder what is the point anymore of having health insurance. They literally cover nothing but have no problem collecting your premiums every month.

Typical insurance company, a bunch of frauds who sell you on the importance of having insurance (only reason I have it is because it is mandated by my employer). I worked for an insurance company and quit because I couldn't live with myself as they wanted me to screw people over so they could save a couple pennies. Really just white collar criminals at the end of the day. I don't know how much longer people are going to continue to pay for this trash until they realize its a waste of money.

Even if you did have a life threatening accident or illness, BCBS would find a way to deny your claim so you die leaving your family in debt. Rape without a kiss if you ask me.

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Anonymous

Guest-1111715

Just awful .

Oct 07, 2017

Twice they approved Drs. But then refused to pay their part for procedures or services. I went to approved pain management Dr.(in order to see Dr. you must submit to urine drug test it's a law in Florida) they refused to pay for lab test that you have to take BEFORE you see the Dr.$1300.00 !!!out of pocket! Second time was Colonoscopy, again approved Dr. this time wouldn't pay because not the right kind of location to have it done. Must be outpatient hospital even though this is the only place the Dr. does this procedure. Again paid for something we shouldn't have. Now I have reached my deductibles and I am having a hard time getting them to pay for physical therapy services after knee replacement. They say they needed to be pre-approved but pre-approval was not necessary in April when I had orthoscopic surgery on the same knee. So between April and August the rules changed! When -ever I call to talk with someone I am reminded I could go on line to get answers to my questions,isn't it obvious that I want to talk to a real person(with a fake name) if I've gone to the trouble of calling and being on hold forever?!

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Reason of review:

Problems with payment

1 comment

Guest-1501266

Jun 15, 2018

Blue Cross of South Carolina is the worst they do nothing but lie so they don’t have to pay their bills they have been lieing to me for eight months about my Doctors bills this started ever since the Republicans have been running the Government I am glad that I have wrote everyone’s name and date and times down I have talk to so when I sue them I have proof

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Anonymous

Guest-982416

Indianapolis, Indiana

Bluecross Blueshield Of South Carolina - Customer Care Review

Dec 30, 2016

I have now been on hold for 44 minutes with them in Chicago. I talked to my Chiropractor who calls them daily and he said normal hold times are 45 minutes which they make weekly. This is a long term problem that they are not trying to fix. They are doing this to avoid the small cost of a call center rep. Pathetic for an organization of this size. Why does Blue Cross think it is acceptable to do this to their partners and customers? Time to find a healthcare provider that picks up the phone when you have a serious health concern to address. Thanks, Sean

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Reason of review:

Poor customer service

Anonymous

Guest-981709

Long hold times

Dec 29, 2016

I recently called into bcbs of sc for help with my account and the time i waited to speak with a representative was ridiculous....they will lose a lot of their customers because of this, a lot of people will get tired of holding on and hang up, i know i did....i understand that there are a great deal of people that utilize their services but to be on hold for ridiculous amounts of times is ridiculous. I went grocery shopping and came back home and was still on hold. This is absolutely unacceptable. I'm quite sure other people have been through the same scenario as me. Something should be done about this.

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Reason of review:

long waiting time on phone

Anonymous

Guest-867385

Mount Pleasant, South Carolina

Failure to cover emergency room visit

Jun 17, 2016

1.0

Blue Cross has been denying my wife's claim for coverage as their "nurse" claims it was not an emergency even thought the hospital coded it emergency as she went in with shooting chest pains, numbness in her arms and dizzyness. Blues Cross has been unwilling to communicate as well as with the hosiptal at MUSC. It has taken us over a year to have anyone speak to us until they were threatened with a lawsuit. The nurse is still denying our claim as her opinion is that it was a non-emergency visit. I am filing a lawsuit against them! I highly reccommend going with another provider as they are horrible to work with.

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Loss:

$3000

Reason of review:

Poor customer service

Preferred solution: Full refund

2 comments

Arnie Lrr

Oct 27, 2016

I believe they only pay for an emergency visit if the patient is actually admitted to the hospital, but I may be wrong. You'll want to read your policy or call them to discuss the guidelines.

You can file an appeal, but they review it and may still deny it. As for a lawyer going after them, slim to none.

It's a lossing battle, as they have a entire department of lawyers on their side (trust me, I know), and most lawyers will bail soon after hiring them. Good luck.

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David E Fcc

Conway, South Carolina

Blue Fraud Blue Scam

Oct 12, 2010

Blue Cross Blue Shield seems to feel that a kidney stone is a work related injury necessitating worker's compensation coverage. They didn't want to cover what little bit the a required to on the State Plan (South Carolina) so they deemed a kidney stone a work related illness or injury. This was very interesting as I know of now way whatsoever that a kidney stone could originate from any type of work related task or accident. This was a clear episode of trying to avoid covering a legitimate claim. I really shouldn't be suprised but that was quite impressive!!

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1 comment

Guest-1446941

Mar 15, 2018

Blue Cross insurance is the worst possible insurance I've had. They have minimum wage pencil pushers who have no idea about a persons health needs so they deny the claim.

You can't even appeal over the phone because they say you are too stupid to understand what they are talking about. Find a different company.

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