Carefirst Bluecross Blueshield
Carefirst Bluecross Blueshield Overview
The generated data is based on reviews and questionnaires provided by PissedConsumer.com users.
Carefirst Bluecross Blueshield has a 1.3 star rating based on 6 customer reviews and consumers are mostly dissatisfied. This summary references Carefirst Bluecross Blueshield reviews and highlights pervasive service problems.
Positive Feedback
Reviewers value location and note occasional helpful front-line representatives despite systemic issues.
Negative Feedback / Risk Areas
- Repeated complaints about long hold times and poor customer service, including unanswered phones and login failures.
- Frequent billing errors, unexpected charges, and denials of claims or changes mid-contract.
- Reports of denied refunds and unresolved claim disputes.
- Multiple posts fit common Carefirst Bluecross Blueshield customer complaints about coordination and reliability.
Key Takeaways for Future Customers
- Monitor statements closely and reconcile bills yearly; watch membership and auto-pay settings.
- Document calls and escalate promptly if refunds or claim processing stall.
The generated data is based on reviews and questionnaires provided by PissedConsumer.com users.
Carefirst Bluecross Blueshield has a 1.3 star rating based on 6 customer reviews and consumers are mostly dissatisfied. This summary references Carefirst Bluecross Blueshield reviews and highlights pervasive service problems.
Positive Feedback
Reviewers value location and note occasional helpful front-line representatives despite systemic issues.
Negative Feedback / Risk Areas
- Repeated complaints about long hold times and poor customer service, including unanswered phones and login failures.
- Frequent billing errors, unexpected charges, and denials of claims or changes mid-contract.
- Reports of denied refunds and unresolved claim disputes.
- Multiple posts fit common Carefirst Bluecross Blueshield customer complaints about coordination and reliability.
Key Takeaways for Future Customers
- Monitor statements closely and reconcile bills yearly; watch membership and auto-pay settings.
- Document calls and escalate promptly if refunds or claim processing stall.
Turn one complaint into a collective action
Rockville, Maryland
Carefisrt medicare advantage contact
- - I cannot reach a person at 833 536 ****.
- - It hangs up after about 1 hour 30 minutes.
- - There is no chat box on the website and options are limited.
Carefisrt medicare advantage: it is impossible to get a person answering the official number 833 536 ****. After 1:30 h it hangs up.
There is no Chat box on the web side.
The website does not give you all the options. Very poor system indeed for such a company.
User's recommendation: get their communication up to the 21st century
Huntingtown, Maryland
Access
Everyone I try to log on to y account, window comes up with " you have to log out first" ! What gives??
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 ReviewerThey refused to send me my refund. No explanation given.
- - CareFirst promised a refund after my mother's death, but none was received.
- - Two refunds of 838.87 and 6.91 were sent to Wells Fargo in December.
BEWARE OF CAREFIRST BLUECROSS BLUESHIELD
PLEASE READ THIS COMPLAINT, AND THEN YOU WILL CHOOSE ANOTHER SUPPLEMENTAL INSURANCE CARRIER
My mother, Eileen Raymond passed away in October 2020 at the age of 97. She had CareFirst for decades as her supplemental health insurance.
I reported her death to CareFirst, Wells Fargo and Westbanco and closed those accounts to prevent any future fraudulent monthly billing.
Care First assured me that I was due a refund for the balance of the month. I told them that my mother's credit card was inactivated. CareFirst said they would send a refund check. Wells Fargo assured me that her credit card was immediately inactivated and there would be no further transactions allowed.
In February I realized I had received neither a refund nor a letter of condolences from CareFirst.
In the following three weeks I made many calls. Each time I was told by the person I spoke with that they would get back with me. I requested to speak with a supervisor with 4 different agents. My requests were denied.
Finally, I was told I had to complain to Wells Fargo.
Apparently, CareFirst sent two refunds of $838.87 and $6.91 to Wells Fargo in December. Wells Fargo told me to contact CareFirst and simply have then rescind their refunds and then send me a check. Further conversations with CareFirst again was just a waste of time.
They have never provided me with any written or verbal response, indicating why they would not send a refund as promised.
How can CareFirst issue a refund to a credit card to a member's credit card after she has passed away, and they credit card has been cancelled? It is their responsibility to issue a refund to the appropriate party.
It is pitiful the way that CareFirst has treated mey mother spent tens of thousands of dollars over 30 years and now they will not send a refund.
Tony Raymond
973 Circle Drive
Baltimore, MD 21227
(410) 247-****
traymond51@***.comChoosehooshoo
- Do not care about their customers
- Customer service which is non-existent
Preferred solution: Full refund
Washington, District Of Columbia
Billing
I have had several problems with the billing department. It would take too much time to do ument each screw up. Simply stated they are the worse.
User's recommendation: Pay extremely close attention to your bill.
Madison, Virginia
Subsidies state I owe more than$7000.00 when filing taxes.
- - I contacted officials about this issue; Maryland Healthcare Connection login is down.
- - I was laid off due Coronavirus; bill due July 15.
I have contacted, local, county, state, and government officials about this issue. When I login to Maryland Healthcare Connection the website is always down.
Does anyone have any suggestions where I can go from here. I was let go due Coronavirus and yet this bill is due July 15th.
Please....any information would be useful. Be safe and kind to one another.
User's recommendation: Please check and ask questions
Received a $7000.00 bill due to Carefirst on my taxes.
- - Subsidies were based on my husband’s retirement and Social Security.
- - We reported income but now owe $7,000 to repay, with penalties and tax.
I took subsidies due to my husband retired and getting social security. We both work part-time jobs and now I'm told I owe $7000.00 in my tax application.
I reported our income and now you want it all back. We cannot possibly pay this and you will add penalties and tax.
Preferred solution: Full refund
User's recommendation: Reconcile every year.
Woodbridge, Virginia
Advised their customer service agent to send you literature of all levels of their premiums and inquire if past history of health sets a presedent on the premiums.
- - Quoted and confirmed mega gap premium, then increased to level 3.
- - Age 66; year 2020; started on F plan high deductible but agent suggested Plan G.
I was quoted a premium and confirmed on line for mega gap insurance and now just received a letter they have increased the premium to level 3. I'm age 66 and this for year 2020.
Initially I had f plan high deductible and agent talked me into plan G being a better value premium. I'm disgusted with their bate and hook tactics.
Payment
I want to make sure I signed up for automatic payment
Discount plan masquerading as health insurance
- - Individual deductible is 16% of income; family 32%.
- - No benefits until deductible; visits cost $75-$100.
- - Premiums do not count toward deductible.
Individual deductible is 16% of my annual income and combined family deductible is 32%. No benefits are realized until annual deductible is met, which amounts to having to pay provider's full rate (minus insurance "discount"), so the stated $50 office call runs anywhere from $75 - $100, until deductible is met, which at the rate set, it wont.
Further, premiums don't count toward deductible (contrary to my experience with other legitimate insurance). Further yet, the so-called prescription drug benefit is non-existent. According to the carrier's own literature, prescriptions are supposed to be covered at $10/45/60. Yet my FORMULARY asthma medication costs me over $200 retail.
When asked why my prescription isn't $10 per fill, I'm told that coverage doesn't go into effect until I meet my individual deductible. So, in effect, I pay around $780/month for a discount plan. Run as far as you can from this plan.
You're probably better off going to an exchange under the UN-affordable Care Act (Obamacare). Looking to start/join a class-action lawsuit against BC/BS Carefirst for insurance fraud and file criminal complaint with my state's insurance regulator.
Coverage
Insurance didn’t cover breathing test. I tried calling no answer. I have allergies which affect my asthma.
Sunrise, Florida
I need letters prove that I lost my insurance
Yes I did put I have not received it they send me a email but not open
Refused to cover dotor ordered test
- - A heart scan was ordered by my doctor.
- - The scan was done at a hospital as an outpatient, and it incurs a $300 co-pay and is said not covered.
Was ordered heart scan by doctor they said since it was done at hospital i now have to pay 300.00 co pay witch they say they dont cover but not in my benifits paper work they said since it was done as outpatient they dont cover the test
Washington, District Of Columbia
Claim still pending after a year
- - Four charges: two approved, two need lab reports.
- - CareFirst didn't receive the fax; EOB says lab reports are needed; claim in limbo after 13 months.
I had some testing done. Four separate charges.
Two were approved, two required “lab reports.” Talked to Carefirst to see what they needed, then to my provider, and they faxed a package to Carefirst. My provider sent me a copy with a fax confirmation. Carefirst never received the package. I called again, and was instructed to mail the package to carefirst, which I did.
Explanation of benefits came back, and again, it had a code saying that Carefirst needed lab reports. I called Carefirst again and asked them what they needed on top of what was already sent (including results of lab tests and diagnoses). They said they needed “a lab report with codes on it” and it should be like, five pages. Obviously the rep had no idea what she was talking about.
I asked to talk to someone who could explain what BCBS needed to process the claim. She refused. She acknowledged that she knew no more than I did from the face of the explanation of benefits. It’s this bizarre Kafkaesque situation in which I’m being told that additional information is required, but they’re refusing to tell me what kind additional information they need.
No help at all. So my claim, 13 months later, remains in limbo.
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Could CareFirst Be Any More Incompetent ?
- - CareFirst canceled coverage for non-payment due to old-address invoices.
- - New address used for years; July 2017 reverted to old address.
CareFirst cancelled my coverage because of non-payment. Why did I fail to pay my premiums ?
Because CareFirst sent invoices to an old address, and then sent the notice of termination to the same old and invalid address. When I moved, CareFirst was given my new address and, for over two years, sent monthly premium notices to the new address. For some reason, beginning in July, 2017, CareFirst reverted to the old address. When I learned of the termination and complained, CareFirst steadfastly insisted that they were not made aware of the new address, despite copies of invoices sent to me at the new address.
Their position was not only preposterous, but insulting given the fact that they did have, and use, the new address for over two years. My complaint to their CEO, Chet Burrell, was answered by some subordinate who, in turn, delegated my complaint to yet another subordinate. That person completely ignored the fact of CareFirst invoices addressed to me at the correct address and alleged that invoices sent to the old address were forwarded by the Post Office to the new address. That also is preposterous given (1) the Post Office does not forward mail for over a year and (2) the fact of the multiple CareFirst invoices sent to the new address.
This experience proves to me that there is no sense of responsibility at CareFirst from CEO Burrell on down. All Mr. Burrell and CareFirst are interested in is covering their tracks and ignoring their incompetence. Our coverage has now been placed elsewhere.
A pox on CareFirst and its CEO.
G. Katz
Preferred solution: An apology from CEO Chet Burrell
Washington, District Of Columbia
Extremely bad experience
- - Long waits to reach support.
- - Claim rejected for unclear reasons; no status.
- - Reprocessing was approved after doctor input.
I called Carefirst a few times regarding my claim. Had to wait until 30 minutes until someone was able to talk.
I had an out of pocket claim that is supposed to be processed by Carefirst a few months ago. Apparently it was rejected for rubbish reason, including diagnosis not recognized. To make thing worse I did not even get any notification of the status of my claim and waited for months until remember to call them just to check the status of my claim. First time call on the case was useless, they were saying the diagnosis code do not match their database.
The doctor has been using this for this without any problem. Second call they said the NPI number was unreadable although it was clear and the doctor has served thousands of patients nationwide. After a few calls and getting the doctor talking directly to the Carefirst customer support personnel Carefirst agreed to reprocess it. I thought the issue was resolved, apparently not the case.
I called again after 10 days and realized there was another unreasonable issue - the diagnosis and treatment that the doctor wrote was not clear. After long argument with Carefirst rep after clarification with the previous representative handling the case it as agreed that the claim would be processed and I should receive the notification about explanation of benefits. It looks like I need to file a national complaint and sue this company because their behavior. They just try to avoid paying you and find all reasons and excuses.
If I had a better choice I would go somewhere else. A very very disappointing service!!!!!
Preferred solution: Let the company propose a solution
Delay and deny. The insurance industry's secret motto.
I hate the power they have managed to acquire by cutting themselves into necessary services while often providing little or no benefit to anyone except themselves. In your case, they did as little as possible to help you and became a major part of the problem.
Now they practice medicine as well. I have horror stories of my own which I won't bore you with here ; but this world is a sad far cry from my childhood when my pediatrician drove to our house on a miserable late night because I was 5 and very sick.
The dreaded double penicillin in the "hip" , and calling my Dad at some motel somewhere on a business trip to keep him informed ... 1961 .
Woodbridge, Virginia
30 minutes waiting no one picked up
Called customer service due to problemw with my membership, for ever went through automated voice mail process where it was trying to extract my member number trying hard, finally i was put on wait for 30 minutes, without a real agent pickingup the phone. Another case of big company failing in customer dis-service. Eighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty Words Eighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEighty WordsEigh
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Could YOU be any more incompetent ?
You didn't notice that you didn't pay you medical insurance for how long ?
Typical shirker - screw up and blame somebody else.
So invoices mysteriously stopped appearing at your doorstep.
Did you think that meant that you didn't have to pay anymore ?
You should have spotted this anomaly immediately ; insurance invoices arrive with the absolute surety of the morning sunrise.
Don't use this for an excuse, it is demeaning to yourself.