Complaints

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.

• Initial Complaint

  Date:05/15/2025

  Type:Service or Repair 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.

  On May 1, 2025, I was looking to purchase health care insurance and the Health Care Members Services Corporation number appeared. I spoke to **** an agent with Health Care Members Services he reviewed different policies with me some were very expensive but we found a policy that was affordable according to my yearly income and my age. The health plan coverage included my primary physician, and my therapist were providers that accepted the health plan coverage. Additionally, I was told by **** the policy could take effect on January 1, 2026. **** took all my personal information I did not feel comfortable giving **** my social security number over the telephone. **** told me that the health plan could get that information at a later date. I would have to pay a deposit of $230.00, and that would come out of my debt card on a monthly basis. **** provided me with his contact information ************ and member ID number *********, and the contact number for Health Care Members Services Corporation number *************). Moreover, when I contacted the above number and spoke to a representative to make sure the health insurance would be activated on January 1, 2026. I was informed it is too soon to activate a policy for January 1, 2026, and we are in the month of May. I would have to call back in December of 2025, for the insurance to be activated on January 1, 2026. I informed Health Care Members Services Corporation that the agent **** did not explain that before I paid my money, and I wanted to cancel the health insurance policy, and be refunded the $230.00, I paid on my debt card. Health Care Members Services Corporation cancelled the health insurance policy but have not refunded my money, and when I call about my refund the representatives that answer the call keep giving me the excuse that the complaint is being reviewed by *****************

  Business Response

  Date: 05/19/2025

  Please see the attached company response. 

• Initial Complaint

  Date:05/13/2024

  Type:Billing 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.

  Spoke with agent who signed me up with wrong doctors and requested that it be canceled because of no paperwork or receipts. I called the month of April and was lied to and just left on hold and threatened. Have hit my bank account twice and still can't get any answers! I just want refund and to be done and let others know about broker practices that are not good for consumers.

  Business Response

  Date: 05/20/2024

  Please see the attached Company Response.

   

  Thank you, 

  **************** U336828

• Initial Complaint

  Date:12/10/2022

  Type:Billing 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 July 2022 we paid out of pocket for our portion of a specialty medication, covered under our insurance plan by ********** Blue Shield of ***** and CVS Specialty Pharmacy. For the service date of 7/21/2022, CVS charged us first $200.00 on 7/28/2022 and then the remaining balance of $1,609.11 on 8/6/2022. This is the correct cost for our portion of this medication - $1,809.11. Despite numerous lengthy calls since ****** to both ****, CVS Specialty and Prime Therapeutics (the third party vendor who, I was told, is supposed to handle these types of claims), these payments have never been applied to the deductible on our health insurance plan for 2022. I have been transferred from one representative to another, hung up on and so far no one has resolved this issue. Medical bills incurred after we made these payments have not been paid on correctly by **** because they have not applied these payments towards the deductible. Please help me resolve this issue. The **** identification number is T2F830139148, the group number is ****** and the medication is for my husband, *********************, who has authorized me to speak on his behalf (HIPAA form filed).

  Business Response

  Date: 12/21/2022

  Please see the attached response 

• Initial Complaint

  Date:10/13/2022

  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.

  This company has consistently delayed the processing of my claim and given me conflicting information over multiple years via email and text, only to tell me after two years of delays that the claim is entirely out of their hands and I am on the hook for predatory billing practices. Health Care Service Corporation (doing business as BCBS) has done zero to advocate for me as a patient and left me on the hook for a billing issue that arose from a provider circumventing their billing limits. They have engaged in a back and forth of blame assignment with the doctor's ******* refusing to accept any responsibility for a billing issue that they could very easily help resolve, and continue to unhelpfully repeat the same irrelevant information. They also had the nerve to tell me my claim could not be reopened as it was more than two years old when THEIR insistence that I wait for next steps from them is what caused the delay. This would take nowhere near two years if it didn't take BCBS literal months to write and send single letters, one of which was literally a letter asking me for "more information" that I had already provided over the phone. I then called in to give that information (again) and said information is now apparently missing, because my most recent inquiry led to the rep indicating no such information was present. This company has absolutely wasted my time, their time, and the medical provider's time over what was, essentially, their intention to never do anything about the issue in the first place. I want BCBS to take responsibility for their own policies and contact the medical provider REJECTING their attempt to improperly bill so I'm not on the hook for money over their lax attitude toward policy enforcement. The latest ref # for my case is ******** to assist them with locating my information.

  Business Response

  Date: 10/24/2022

  October 24, 2022
  
  
  BBB of ******* & Northern **
  330 ************.
  Suite 3120
  *******,** 60611
  
  RE:      Record ID: *********
  Member: ***************************
  File #: 18207703
  
  
  Dear BBB Analyst:
  
  This letter is in response to ********************** inquiry, submitted to your office and received by ********** and Blue Shield of ********, a Division of Health Care Service Corporation, a ***************************** an Independent Licensee of the ********** and ************************ on October 13, 2022. 
  
  Our records indicate we have attempted to reach **************** directly on October 12, 2022, October 13, 2022, and October 20, 2022, to acknowledge his complaint and obtain additional information. However, **************** was unavailable,a voice message with my direct contact telephone number and availability was left for the member.
  
  Due to the Protected Health Information involved in the response of this inquiry a letter will be sent directly to **************** no later than November 3, 2022. 
  
  We strive to deliver excellent service and appreciate being made aware of instances in which improvement is possible.  If you require additional information, please do not hesitate to contact us in the future.
  
  
  Sincerely,
  
  ****************** U312666
  Executive Inquiry Specialist
  ********** and Blue Shield of ********

• Initial Complaint

  Date:08/02/2022

  Type:Billing 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 was subscribed to the Well onTarget fitness program while a member of *****************************. When I change my healthcare coverage to Aetna, I no longer had access to the Well onTarget portal - and yet they continued to **** me monthly until I caught the charge 18 months later. They claim that is was my responsibility to call and cancel - and that there services are not unique to ****** - even though I signed up and accessed through a ****** portal. A portal, that I was no longer able to access once I was no longer on the ****** health plan.$25 a month over 18 months.

  Business Response

  Date: 08/03/2022

  ************************************** (BCBSIL) has received the complaint filed by *****************************.  Please be advised, the request is currently under review and a response should be provided to the consumer by August 23, 2022.

  Customer Answer

  Date: 08/04/2022

   
  Complaint: 17660998
  
  I am rejecting this response because: the business response said it would be handled by August 23. As that is beyond the 7 day window to respond to the BBB - I am rejecting to keep this complaint open awaiting additional response from the business.
  
  Sincerely,
  
  *****************************

  Business Response

  Date: 08/11/2022

  Due to the Protected Health Information involved in the response of this inquiry a letter has been sent directly to the member.  

  Customer Answer

  Date: 08/11/2022

   
  Complaint: 17660998
  
  I am rejecting this response because: there is a letter coming directly to my attention from the business. I must review it prior to (potentially) closing this complaint. I will advise once I have received the letter.
  
  Sincerely,
  
  *****************************