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Business Profile

Health Insurance

Medavie Blue Cross

Complaints

This profile includes complaints for Medavie Blue Cross's headquarters and its corporate-owned locations. To view all corporate locations, see

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Medavie Blue Cross has 10 locations, listed below.

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    Customer Complaints Summary

    • 6 total complaints in the last 3 years.
    • 0 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:07/12/2023

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Medavie is telling me I have to create a second online identity in order to obtain receipts for payments I made to them. I have a health spending account with them that is registered to my email address. I have a second account with them called Assured Access that should make it easier to obtain health insurance in the future when I retire. I pay a month fee for the right to have easier access to more inclusive medical insurance in the future. I am told that I am required to create a 2nd email address and register it with Medavie in order to receive receipts for those payment. Apparently their systems cannot associate two accounts with one email address.

      As a company, do they not have an obligation to provide receipts for services in a manner that is reasonable for their consumers? I do not feel having to maintain two separate email addresses in order to deal with one company is reasonable. They have refused to mail me a receipt. They have also refused to email me a receipt to my existing email address. They stated it is up to me to create this new second email address and register it as a new entity in their online or mobile systems and get the receipt myself.

      Of course this is possible. However, should they really be able to refuse to provide the receipts without me creating and maintaining separate online personalities and obtaining the receipts myself? That just sound like more opportunities for identity theft and fraud.

      I need to obtain these receipts annually to claim the expenses. I have to go through this trouble just to turn around and submit that same receipt back to them under my health spending account in order for them to pay my annual claim for the fees paid. This is the first year they have demanded this 2nd email address.

      Sounds more like a method just to make it more difficult for their customers to submit claims for payments they are required to pay. If I jump through the hoops, they will make the payment.

      Business Response

      Date: 11/12/2023

      This issue will be managed through Medavie's consumer resolution process as outlined on our website.  You will receive a separate email from our office shortly. 
    • Initial Complaint

      Date:28/09/2023

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I (and my family) have been with Medavie Blue Cross for over 12 years. We have paid over $20000 for medical coverage in that time. They recently sent me a letter stating my rate would go up to $376.01 per month up from the current $341.20. They say their rates are based on the claims average for the group.

      I said to myself I will do up a new quote with the same level OR BETTER with Blue Cross as if I was walking in off the street.

      When I did this I came to a rate UNDER $300 per month. I was outraged. I called Blue Cross and they offered no explanation and would not allow me to get the same rate that they offer someone in the exact same family situation as me.

      They tell me if I applied for a new plan the pre exisiting conditions we have WOULD NOT be covered. So in effect in my increased rate of $370 they REALLY ARE charginf us for any prescriptions and call it "INCREASE DUE TO COSTS OF THE GROUP CLASS". To me it is ********* practice - and a **** in the face to us as clients who have been loyal for MANY years now.

      Business Response

      Date: 28/09/2023

      This issue will be managed through Medavie's consumer resolution process as outlined on our website.  You will receive a separate email from our office shortly. 
    • Initial Complaint

      Date:26/07/2023

      Type:Delivery Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Dear BBB,

      I called Medavie Blue Cross on June 27 to inquire about my benefits with psychological assessment testing. I was informed that I was 100% covered for psychological assessment testing up to $1000. This is also stated on my policy benefits.

      I went to see a psychologist and had the psychological test conducted, believing I would be reimbursed. My psychologist informed me the test was $700, and sent me a receipt after the test was conducted. I gave the receipt to my insurer, and they denied coverage saying more information was required. I phoned them on two instances to follow up (July 14 and 17), questioning if this was a way to provide me with fewer benefits depending on the reason for the assessment, and explaining that my psychologist did not want to provide too much detail on the receipt in order to protect my privacy. They assured it was not for this purpose and was in order to assess the claim and also in case they got audited, but it was not to hold judgement against me or to be shared with anyone.

      I then provided an updated receipt from my psychologist. Only $400 was reimbursed. I phoned the insurance company on July 26 to follow up and was first told that $400 was all I had left of eligible benefits. I pointed out that this was not true; I am covered at 100%. I was then put on hold for about 10 minutes before being told that only the assessment was covered, but not the report. I asked if I could dispute the claim but was denied. This does not make any sense, as an assessment requires a report. Seeing I could go no further with Medavie, I am seeking third party assistance from BBB in resolving this case.

      I seek reimbursement of the remaining $300 for the psychological assessment, as outlined in my benefits plan.

      Warmly,
      ****** ****** **: 00686748500
      Policy Number: 0091964000

      Business Response

      Date: 27/07/2023

      This issue will be managed through Medavie's consumer resolution process as outlined on our website.  

      Customer Answer

      Date: 27/07/2023

       I am rejecting this response because:


      This is just a generic link to the website, which I already used to contact a Medavie representative by phone. I was told I could not appeal the results of my claim. Hence, I am seeking additional support in resolving this matter. 

      Business Response

      Date: 28/07/2023

      This issue has now been resolved.

       

      Medavie Consumer Resolution Team 

       

       

    • Initial Complaint

      Date:13/06/2023

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      In Dec 2022, I called Medavie Blue Cross to cancel my dental insurance policy. During the call, I was told that my existing policy could be cancelled and that I could swap to an assured access policy. I did not pursue the assured access policy and assumed that my policy had been cancelled. In June 2023, I noticed that I have continued to be charged the premium for the policy. I called upon discoveing this and was told by Medavie Blue Cross that my policy cancellation was never processed.

      Business Response

      Date: 14/06/2023

      This issue
      will be managed through Medavie's complaint resolution process as outlined
      on our website.  

      Consumer
      Resolution | Medavie Blue Cross 

      Customer Answer

      Date: 14/06/2023

       I am rejecting this response because: the business responded to the complaint by simply providing me with a link to its website. The response does not address the substance of my complaint in any way.



      Business Response

      Date: 23/06/2023

      Thank you for your follow up.  We are continuing to work this request through our internal process, we will reach out as soon as possible with resolution.
    • Initial Complaint

      Date:13/04/2023

      Type:Customer Service Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I started my benefits in August and never received a card or information about access to my benefits. I tried to cancel at the beginning of March but due to customer service hours/ connecting to the right department I didn't get my request in till March 7th and was told there would be a 30 day notice - that wasn't in the application/agreement. I was charged 2 more times since then and I've been trying to cancel for 4 days and keep getting redirected / hung up on and waiting 30+ minutes just to get hung up on again. I didn't get to use any benefits and I can't be in agreement with this company anymore.

      Please have them remove my card from future charges and reimburse my last 2 payments of $131 each.

      Customer Answer

      Date: 18/04/2023

      Hi *****,

      Thanks for following up. A representative from Medavie Blue Cross did call me today and offered to refund the last two monthly charges. However it would only be processed after the next billing cycle, May 1st. 
      I did ask them to keep the case open until a refund is actually process. 

      Thank you for your time, 

      *** *********** 
    • Initial Complaint

      Date:08/11/2022

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      We are a healthcare provider for Medavie IFHP, Medavie has restricted our access since last week of August 2022, since then our repeated e-mail and phone calls to their "audit department" has gone unanswered. The only piece of information that we could obtain is that the audit is in regard to a case in 2015!!! other than that, we have no idea whatsoever about the case or the reason of why we have been audited. there are several health claims that are getting close to their 6-month allowable window for filing before they expire. We would like someone to contact us ,and this situation to be resolved before it becomes a legal matter.

      Business Response

      Date: 09/11/2022

      This issue will be managed through Medavie's complaint resolution process as outlined on our website.  

       

      Consumer Resolution | Medavie Blue Cross (medaviebc.ca)

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