Reviews
This profile includes reviews for Pacific Blue Cross's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Review Ratings
Average of 31 Customer Reviews
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Review fromTejinder Pal S
Date: 23/05/2025
1 starTheir policies are very contradictory and written in a manner where your coverage will truly be less than what it says. They have a $300 limit on crutches. I had a severe ankle sprain and was sent back on crutches by the hospital and they charged me $60. *** only covered $50 for crutches and paid it at 95%.When I called the **** they said "Oh it says under the R&C that the average pricing in that area applies" I did not go and buy myself crutches for fun, I was prescribed by a doctor to use them. I will not go to market to find and buy crutches for $50 when I can't even walk without further damaging the ligaments and excruciating condition.Review fromPeter D
Date: 25/01/2025
1 starPeter D
Date: 25/01/2025
If i had a choice I would stay away from blue cross. For an example; They are the only insurance company that I know of that does not cover treatment by an Osteopath. Same for treatments by a Kinesiologist. I have prescription for this from my ** as I had a bad break in elbow. To me it looks like just a rip off, as with their dental, they cover on my plan 70%, but there is wording in there that looks like your yearly maximum is $2000, so even if you used right up to the maximum every year, i don't think you would cover the cost of your premium. I'm trying right now to submit a claim which they said that i did not send a scan of the drug receipt. I did, it didnt get through to them i guess, and every time i try to resubmit I only get a notification that this has already been submitted, you cannot resubmit. But they still wont pay it after a year of this. To even send your complaint, even though you are logged in and they know exactly who you are, you still have to find every # applicable to your membership, the #'s of the prescription. I admit that this has gotten the better of me every time I have tried to complain as I don't have 1/2 an hour to waste which they know.
Pacific Blue Cross
Date: 27/05/2025
We are sorry to hear that your experience with Pacific Blue Cross was less than satisfactory in this instance. We have investigated the matter and unfortunately the services you have referred to were not paid as the expenses are not a covered benefit under your plan. ******************** Representatives are pleased to go over any questions you may have about your covered benefits or benefits you may want to opt in to in the future.Review fromDale N
Date: 16/11/2024
1 starI've been waiting four months for my claim to be processed and I'm still waiting. This is the worst benefits provider when it comes to customer satisfaction. Every time I call to find out why it's taking so long I'm told that I just have to wait because they are "behind"....but four months so far?!! Come on. I've give less than one star if I could, but I'm sure Blue Cross doesn't care either way. There's no oversight with that company.Review fromLynn B
Date: 31/10/2024
1 star*** accredited whatever for. They have one star and if like me zero stars even into negative territory I'm going to look else whereReview fromBrenda E
Date: 03/09/2024
1 starThe new submission re online receipts is just not acceptable. Had to do it twice. After 6 weeks I was told the receipt did not attach to the submission. Was told I would not have to get back in line but would be fast tracked. Submitted again and checked that they received the receipt. Yes, but processing time is up to another 30 days.no fast track. Its really unfortunate that this is what our insurance coverage has come to.Review fromLauren M
Date: 23/08/2024
1 starPacific blue cross is a joke.. I applied for benefits at the beginning of July and they have still not set me up what a joke and we are now going into September. Maybe get people who can speak a word of English who can better assist people. Its sad that we have to fork out money for these incompetent a*******Review fromChristine M
Date: 09/08/2024
1 starPacific Blue Cross NEEDS to change their POLICES. the **** that they DENEY people who are on Disability-though income assistance. ANY ACCESS to speak to a representative, or file a complaint is BEYOND RIDICULOUS, and completely WRONG. When the claim involves ***** ***** have to wait OVER a month for a clim to be approved (for things like new glasses while having GLAUCOMA with the start of vision loss).Review fromMarie F
Date: 19/07/2024
1 starMarie F
Date: 19/07/2024
Not good. I submitted a claim over a month ago and was told that they don't know when it will be assigned to someone to process. They are not doing anything about this, just telling people the processing times are longer. I find the customer service very poor whenever I call them. Would not recommend.Pacific Blue Cross
Date: 24/07/2024
Dear Member, Thank you for your feedback. We are committed to continually enhancing our service for you regarding your claims. Thanks again.Review fromFenton K
Date: 12/06/2024
1 starI wish I could. Give no stars! I put in receipts. They never reimburse me they are very rude and the agents are bullying and harrass you when trying to get claims settled. They are the worst company to deal with in ** . They need to be under review for privacy and policy concerns . They share your information without your consent . Ask questions that have nothing to do with your claims . They need to all be fired . There customer service and policy's are only to benefit them .there are loop holes. So they don't have to pay. Your privacy is a commodity to them that they share with everyone. Financial and medical. This is not acceptableReview fromMarcel B
Date: 11/06/2024
1 starAwful processing online claim submissions. 6- 8 weeks processing time is unacceptable hasnt improved in the last 6 months. Company has done nothing to take ownership to resolve the issue., Would not recommend. Quick to sell their products but NO commitment to provide the service. Rating 1 out of 10
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