Noah M Eki

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Verified Reviewer
| map-marker Flint Charter Township, Michigan

Don't get cancer and expect them to help at all

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I was diagnosed with leukemia a year ago. The second they found out about that they have been actively trying to avoid paying for any of my services, or medications.

Every time I need a prescription filled, and mind you that I need to take the drug everyday i could only get a 15day supply. They would find a reason to deny it every time. I have had to get 3 different prior authorizations every 15 days. Once I got on the 30 for 30 days after 6 months I still have to take a whole day off of work to be on the phone with them from 9 to 5 every time.

There policy also is when you need a specialty drug you have to use the worst pharmacy there is.

Which is a lie.

They will also hang up on you, purposely keep you on hold just long enough for everyone to close so they can come back and say we can't help you. Beware this company is dangerous.

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Pros:
  • Great if you are healty
Cons:
  • Be prepared to fight for them to hang up on you

Preferred solution: Apology

Dylan B Seg

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Unethical, Immoral and Harassing Employee

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Your employee {{Redacted}}, who is on the BCBS foundation has repeatedly engaged in pattern of making false and misleading statements to numerous organizations in her malicious endeavor destroy a majority minority owned company. She has also engaged in repeated harassment, making threats and more to employees of our company. She has made frivolous complaints, containing lies and false statements to the following:

1 Help Me Hank (Channel 4)

2 Grosse Pointe City Council

3 Council Member Johnson (City of Detroit)

4 Detroit City Council

5 Fox 2 News

6 Heather Catallo (Channel 7)

7 Better Business Bureau

In {{Redacted}} frivolous and patently false complaints to the above entities and persons, she has engaged in libel, slander, false light, and tortious interference, whereas she states unequivocally that our company engages in a pattern of dishonesty, that we are thieves, and we do nothing more than engage in taking clients money without providing services. Most importantly, she attempts to persuade people that she is making the complaints too that we should not be allowed to do business in those areas. She bases this on a handful of negative reviews that we have received. Those reviews, just like hers are patently false, which she would not know, since she is devoid of any facts.

On every single website that {{Redacted}} has left a review on, she continues to update those reviews, so they stay at the top. In doing so, she refuses to update those reviews with accurate information. It is one thing to have an opinion, which she is entitled to. However, when she engages in a pattern of harassment, lies and more, she is now committing slander, libel, false light and engaging in tortious interference. All of which are legally actionable by us, as we have been informed by our retained counsel.

I regret the need to inform you of what has transpired, But due to the unethical and immoral actions that {{Redacted}} has engaged in, you should know

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Preferred solution: Apology

User's recommendation: Do your research before you take on a client.

2 comments
Guest

This psycho sounds like a idiot and stalker! He posted this on a lot of websites.

Maybe a jilted lover???

Doesn't even know the law. Shame on him!

Guest

Whatever company you work for needs to retain better counsel. (Not that I believe you did to begin with).

They should have told you to shut up and not speak or write about any potential disputes. You are trying to play keyboard attorney anonymously and you make your company look extremely bad by doing so.

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Anonymous
map-marker Indianapolis, Indiana

Didn't receive card

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Do not change from your provider. I had Aetna.

I should have stayed with them. Better benefits. The reason I changed was Dental. After asking and all of the blather, I found out that it's worse than what I had!.

Then I didn't receive my member card or spending card. I called for my dad and myself but they only sent the member card! Now it's Feb 11th and I've called again but now I can't get my dad's! WHY?

Apparently now, I need his member ID number! It's the same address!!! So annoying. Aetna NEVER made me jump through this many hoops, ever!

I have all his info even his last 4!

They do this kind of stuff. Next year I'm going back to Aetna.DONT DO IT, DONT CHANGE PROVIDERS TO BCBS EVER!

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User's recommendation: DON'T CHANGE TO THEM!

Delford Tno

BCBSM Website is inaccurate and will cost you a lot of money

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After logging into my BCBSM account, I chose a provider directly from the BCBSM website provider list. The website clearly indicates that the provider is not only in-network but accepts my plan.

Imagine my surprise when I got stuck with a bill stating that I owe 50% of the entire cost of the service. I contacted the BCBSM claims department and they informed me that the provider is not actually in their network (again, they are on the in-network provider list). Claims then stated that it was MY responsibility to ensure that their website was correct. Claims informed me that I should have contacted them before my appointment to determine whether the provider was in-network and that they take no responsibility for the accuracy of any information listed on their website.

Then they had the audacity to tell me to just switch providers to one that was in- network (as if that is easy to do, it's not). Apparently continuity of care is not their concern.

I asked where would I get the information to determine which provider is in-network and they literally told me to use their provider website, yeah, the same website that they know is completely inaccurate and which they take no responsibility for. Completely unacceptable and a disgrace.

View full review
Loss:
$200
Cons:
  • Website is inaccurate and can not be relied upon for information
  • Customer service is outsourced

Preferred solution: Price reduction

User's recommendation: Stay away from this plan.

Steven K Rvd

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer
| map-marker Comstock Park, Michigan

Sabotage of my spine

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Blue Cross And Blue Shield Of Michigan - Sabotage of my spine
Blue Cross And Blue Shield Of Michigan - Sabotage of my spine - Image 2
Blue Cross And Blue Shield Of Michigan - Sabotage of my spine - Image 3

Blue Cross Blue Shield denied care for my spine by teaming up with my employer The Houghton County Medical care Facility in Hancock Mi that gave me a severe spine injury and hid it with the help of both hospitals Upper Great Lakes Portage Hancock Mi and Aspirus in Laurium Mi.All 4 deceive and falsify medical records and images.When you call their staff manipulate and act stupid avoiding the question.They also mislead by teaming up with L.A.R.A of Michigan to manipulate and hide the injuries from oversight along with UP HP that denied me proper care for my spine.and filed a false grievance before WDR Judge where they made up several lies to get me denied the service and dumped on to a Mi plan called Healthy Michigan so they can control and keep me from getting care for my injuries.I have several images to back what i say and have the images and injuries to prove it.These people think they are above the law.

View full review
Loss:
$40
Pros:
  • Integrity

Preferred solution: The care i was supposed to receive and preventing me from being a drain as all those businesses are on the health care and tax payers.

User's recommendation: Watch what they do not what they say.

Resolved
Collen B

Resolved: Terrible company purposely confusing their subscribers

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This company is absolutely horrible. Insurance providers are supposed to be there to help and mitigate the cost of healthcare for subscribers. This company will do ANYTHING to confuse and not pay out what they are supposed to pay out for healthcare coverage. They deny coverage for things that they clearly should, making you go through the long process of appeal. Even after sending in superbills for doctors 3 different times they still claim they have no record of them. Some of the superbills that finally got to them - oh but not the ones that I spent the majority of my own money for. Money they owed me they sent to my doctor instead. They give you the constant run around and never fully answer your questions confusing you even further. I would never give a single cent of your money to this company. They lie to confuse you, they are intent on not helping their clients but helping themselves and the doctors that I assume get some sort of a kick back. It's run terribly. People are rude and unhelpful and they never get back to you. I had to finally go through a third party at Hylant Group (which my husband's former company put us in touch with) in order to start getting any answers from them. They ignored me for about 7 months prior to me finally getting in touch with this third party to help. If I could give zero stars I would.
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Loss:
$5000
Cons:
  • Customer service
  • Customer service sucks
  • Not returning all monies
Reason of review:
Intent on confusing consumer and not paying out money owed.

Preferred solution: Let the company propose a solution

Anonymous
map-marker Lansing City, Michigan

Medicare Advantage Prescription Costs Rip-Off

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I am on Medicare Advantage PPO with around $400 deductible for prescriptions but I find that I can get a lot cheaper (more than half) drugs using GoodRX than my plan. WTF is this insurance good for. A total rip off. If GoodRx can negotiate cheap drug prices, why can’t BCBS. Seems like someone at BCBS is getting kick backs and govt. should investigate.
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Anonymous
map-marker Lansing, Michigan

Takes to long for a prior authorization

Went to the doctor a week ago and had them schedule a procedure out a week after and the authorization is still pending. I'm not sure what they do there but it must be a joke. It shouldn't take that long. In addition, I had my doctor expedite the authorization and that obliviously didn't do anything thing. Honestly, they are useless and that's that!
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Mark w Pwn

Terrible claim processing

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Used to be a great service. Last two years they have goofed up every claim. Been trying to resolve one claim with an ent for almost a year. Need an ombudsman to take up for the patient. Some claim reps would be stars on jerry springer
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Anonymous

BCBSM refused to pay in network covered service

BCBSM gave all kinds of reasons to not pay a covered physical therapy service obtained at a in network provider because I paid the provider first and submitted the claim to BCBSM instead of the provider submitting directly. Included in the reasons: not a covered benefit (it was), the provider out of network (it wasn't), not prescribed by a covered doctor (it was), you submitted directly so your claim goes to out of network deductible....and a few more. I spent an extensive amount of time on the phone and emailing and submitting documentation and the first line people all seem to think I'm right and then it is denied again. UGH
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Reason of review:
Poor customer service
1 comment
Guest

I’m getting ready to file complaint against BCBS for terming PT benefits as their review vendor thinks not medically necessary. This after just 8 wks on an upper humerus break.

Zaheer Fnk

Expensive and incredibly restrictive

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Worst insurance that I have ever had. Almost anything I need requires a prior authorization, sometimes taking weeks, and often times they over-ride my doctor's decision for something cheaper, or they just don't cover what I need at all. They just denied coverage for a medicine by adding extra restrictions to the FDA approved conditions for this medicine. I meet the FDA guidelines, but they "tweaked it" a little more to exclude me. So we pay out the butt for this policy and then I have to pay full price for meds that they won't cover. I had to wait over a week to get authorization for surgery to remove a fast growing carcinoid tumor that had already made me lose hearing in one ear. We pay more for this *** plan than any insurance that we've ever had in the past. Can't wait to fire them at the end of our plan year..
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Loss:
$3600
Pros:
  • Color blue
Cons:
  • Restrictive healthcare rationing
Reason of review:
Poor customer service

Preferred solution: Deliver product or service ordered

Anonymous
map-marker Detroit, Michigan

Medicare supplemental insurance

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I called today (9/22/17) because I had picked the wrong supplemental insurance to go with my medicare. I had such a wonderful experience with Eileen and Ericka.

They both were so helpful in getting me the right coverage. They were very knowledgeable and friendly. They actually made insurance shopping fun. I also liked that I wasn't left stuck in an automated phone system that seems to never end with a person on the other end of the line.

Thank you for having such wonderful people assisting others. It was refreshing not having someone attempting for force me into a policy I didn't or don't need.

BCBS of Michigan gets a 5 star rating from me. *****

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Reason of review:
Good customer service
Anonymous

Blue Cross And Blue Shield Of Michigan - Customer Care Review

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Blue Cross And Blue Shield Of Michigan - Customer Care Review

Blue cross will not send a bill to my mom. They just sent her a letter they were going to cancel her insurance in feb for non payment.

She called them they told her they didn't receive it. Well she gets cashiers checks made directly out to them. She had to go to her bank to find out blue cross blue shield signed the back of her cashiers check and cashed it. (WHAT) they are trying to screw seniors citizens out of money.

What a shame. Scammers down right hateful insurance company, they wouldn't except a copy of her recipe, that wasn't good enough

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Reason of review:
Problems with payment

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Liane Yer
map-marker Detroit, Michigan

Policy Cancelation Run Around

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I canceled my policy with BCBS of Michigan on Dec. 5th due to the raise in cost of policy. Even with the subsidy I received, I could not afford the premium. On Dec. 27th they took out the premium pmt from my bank account and the money from the subsidy. I have called them 6 times, took all my banking info off their website and they still have not canceled my policy, nor have they refunded the premium pmt. of Dec. When I finally reach customer service, I have to leave a message and they will get back to me "within 5 days". So far I have yet to receive a call back. Yesterday I contacted them again and was told I should contact my bank so the next premium would not be taken out. So, I called my bank and was told there were MANY people that are having the same issue with BCBS. And if I wanted to cancel the auto pay, it would cost me $35! They are making it nearly impossible to cancel the policies, but are more than willing to take the money for premiums on a canceled policy. I spend anywhere from 35 min. to 1 1/2 hrs. trying to get through to customer service. Everyone that is on these 2 Legacy plans are on Social Security. It's not like we can afford to pay 2 health insurance premiums.
View full review
Loss:
$73
Cons:
  • Cust service waiting time 35 min to 1 hour
Reason of review:
Problems with payment

Preferred solution: Full refund

Anonymous
map-marker Detroit, Michigan

Incorrect premium deduction held for 10 weeks

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My policy was cancelled because I moved out of the State of Michigan. I was given adequate written notice by BCBS of Michigan of the cancellation. Five days after the cancellation was made, BCBS of Michigan deducted a premium payment from my checking account. I called customer service to report the error and to be assured that no more deductions would be made. They said that there would not be any more deductions, but they would have to investigate if a refund was warranted. A week after the deduction, they acknowledged that the deduction was an error and that a refund request was in process. The time for the refund to arrive was estimated to be fro 30 to 45 days. I called every week after the deduction to check on the status of the refund. I did not receive the refund check for 77 days after they deducted the premium. In my opinion, this was incompetence or a company policy which should be investigated.
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Pros:
  • Customer service
Cons:
  • Not returning all monies
Reason of review:
Return, Exchange or Cancellation Policy

Preferred solution: Let the company propose a solution

Nhan Jhq
map-marker Livingston County, Michigan

No coverage whatsoever

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Updated by user May 06, 2016

So much of my time was wasted on the phone.

Original review May 05, 2016
Applied thru Healthcare.gov and had no success in receiving coverage from BCBS, at all. Was not able to receive a valid coverage card, could not pick a primary care Dr. Had to pay cash for prescriptions. Kept referring us to Healthcare.gov for problem solving! That was totally irresponsible. Tried to take 2 months of premiums at once. We want a refund for our first months premium for non-coverage! We paid a premium April 6, 2016. Had to cancel BCBS thru Healthcare.gov today, May 5, 2016. The rep said it won't take effect until May 20, 2016! What a sad mess these 2 companies create!
View full review
Loss:
$455
Cons:
  • Lack of knowledge
  • Customer service
  • Being ripped off
Reason of review:
Order processing issue

Preferred solution: Full refund

1 comment
Guest

First you should read your benefit guide or listened to the Market place and pay your premiums. Its just like any bill you have to pay to keep it otherwise smarty pants you get cancelled. There are too many of you who want everything for nothing and in your state they are all spoiled !

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