Insurance Companies
Anthem, Inc.This business is NOT BBB Accredited.
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Complaints
This profile includes complaints for Anthem, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 360 total complaints in the last 3 years.
- 118 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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:06/14/2023
Type:Service or Repair IssuesStatus: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.
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and find that this response/resolution is satisfactory to me.
Regards,
***********************
people I switched my benefits from a 50 .00 card to pay my utilities to ****** on extra dental, eye, or heating since I could not use the card to pay my utilities and your people told me to. She said you don't have that benefit anymore so no reimbursement I told her I had that benefit when I put in the request and why would I keep that benefit when it was no use to me and I could use it for something else. I have a letter here from Anthem saying if you can't use your card just put in for your reimbursement, it doesn't say anything about any stipulations. They gave me the run around for months, I was lied to, and put on hold for 50 minutes at one time. I told her that lying to people is not very professional. I feel they had no reason to not send me my reimbursement and want my money. My request ID # is *****. Thank you ***********************Business Response
Date: 06/15/2023
Member authorization as well as the members ID # is needed in order to review this complaint. Please refer to attached letter.Customer Answer
Date: 06/23/2023
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
[Provide details of why you are not satisfied with this resolution.]I am confused as to the last email sent to me. It says case closed. Why? There was absolutely nothing done on my behalf. Anthem owes me $50.00, and I thought you were here to help. Please respond to this email with an answer. Thank you KelliHansel
Regards,
***********************Business Response
Date: 06/28/2023
See attached.Customer Answer
Date: 06/29/2023
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
[Provide details of why you are not satisfied with this resolution.]Here is my signed copy of Member Authorization Form for Anthem so my info can be discussed with BBB. Complaint # ********. I feel that Anthem owes me $50.00 reimbursement on internet service paid by me because internet provider is not set up to accept insurance flex card. It was reimbursed the month before, and I still had this benefit when I filed for the second reimbursement. I was told at first it was being processed to be sent to me. Now they will not reimburse me. Thank you.
(see attached)
Regards,
***********************Business Response
Date: 07/06/2023
July 6, 2023
Better Business Bureau
***********************
**********************************************************************************************
VIA Portal Upload
Member Name: ***********************
Re: **** Utilities Benefit
BBB File No.: 20182870
Dear BBB:
This is in response to your correspondence dated July 5, 2023, regarding the above referenced member.
Due to federal laws pertaining to the **************** Portability and Accountability Act (HIPAA)and the Protected Health Information (PHI) portion of it that went into effect April 14, ****, we cannot relinquish information without proper authorization. Therefore, we will be addressing the concerns in question and responding directly to ************************
I trust that the information provided will aid in resolving your concerns and want to thank you for the opportunity to assist you. Should you have any additional inquiries, please do not hesitate to contact me by email at *******************************
Sincerely,
*********************
Grievance Analyst I
Medicare Complaints, Appeals & GrievancesInitial Complaint
Date:06/12/2023
Type:Order IssuesStatus: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 is in regards to finding in network care through my health insurance carrier, Anthem Blue Cross and Blue Shield. I pay $1,586.4 per year in premium, with a $1500 deductible for in network care, $3000 out of pocket ***imum for in network care, 20% coinsurance until out of pocket ***imum, and have an HSA. As of today 6/12/23 I have paid $338.7 in claims and Anthem has paid $183.3. Since we're halfway through the year, they have made ~$793.2, 183.30/793.2=.23 or ~23% profit. Part of the service Anthem provides is a provider search so that I can locate in network care. However their database is completely out of date. I live in **, when I searched for a board certified psychiatrist within 100 miles of my zip code, only WI providers are returned. I called member services to ask for a more detailed search, but they use the exact same tool Anthem provides to their members, useless. When I search **************** a provider in **, for board certified psychiatrists, plenty in ** are returned. I then cross reference to in-network providers on the Anthem site and they are returned as in network, but their credentials are not accurate/up to date.I asked Anthem member services about this and they said it is a providers responsibility to update them with their credentials. When I asked by behavioral health therapist about it, she shared that she always updates her credentials and locations with health insurers, yet still receives calls saying she's listed at prior clinics and without current credentials on health insurer searches. As a consumer, having inaccurate provider details in the search may lead me to use out of network care, which costs more money and increases Anthem's profit margin. My out of network *** deductible is $3000 and *** ***pocket is $6000 w/ 50% co-insurance. There is a disconnect between providers and insurers here that is causing direct financial harm to consumers. Please pressure Anthem and health insurers in general to correct this glaring issue.Business Response
Date: 06/15/2023
Please be advised that member authorization is needed in order to respond to this complaint as well as the members ID #. Please refer to attached letter.Initial Complaint
Date:06/06/2023
Type:Service or Repair IssuesStatus: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.
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID ********, and have determined the response would not resolve my complaint. For your reference, details of the offer I reviewed appear below.
Anthem is my insurance carrier. I have a plan with them. However, I have repeatedly been unable to locate a doctor to receive medical treatment for my serious medical issues. Every doctor that I have contacted on Anthem's "In-Network" list of providers has told me that they do not accept Anthem insurance and should not be listed as an "In-Network" provider. And when I contact Anthem to help me find a doctor where I can receive medical care, they simply keep providing me the same list of "In-Network" providers who are not actually "In-Network" providers. This has been the WORST health plan that I have ever had, and the WORST customer service that I have ever experienced. Anthem simply does not care that I have serious medical needs that I cannot get addressed and they will not provide me accurate and up-to-date information pertaining to the doctors that I can actually go see who are in their network. Anthem also did not even try to resolve this complaint. They simply engaged in more bureaucratic red tape and did nothing to help me obtain medical care.
Regards,
***************************
cannot get me assigned to a physician that actually accept their insurance. I can't handle this any more. I am so frustrated and everyone that I talk to at Anthem keeps lying to me and telling me that I can go to these doctors, but when I call the doctors they won't accept the Anthem insurance. I feel like this health insurance policy is worthless and that Anthem is being deliberately indifferent to my medical needs.Business Response
Date: 06/13/2023
June 13, 2023
Attention: Better Business Bureau
**********************************************************************************, ** 46241
Member name: ***************************
BBB Complaint Number: 20152273
CASE DISPOSITION: Non-Jurisdictional
Dear Better Business Bureau Representative:
We received your Department Request for Health Plan Response dated June 08, 2023, relating to the above referenced member and BBB number. This case was given to me for special handling and response.
Member appealing the following:
I recently applied for and received health insurance through Covered California. I was given an Anthem Blue Cross health insurance policy. My member ID is ************. I have spent more than TEN (10!!!!) hours either on the phone or on "Live Chat" with Anthem Blue Cross to try and find a medical provider in my area. They randomly assigned me a doctor **************** who attempted to charge me a $110 fee to simply book an appointment at her medical office. Then, Anthem told me I could go see another doctor ******************* who is listed as one of their "In-network" doctors. But when I talk to his office, they refused to accept the Anthem insurance and told me that they were not part of the Anthem network. I then called two more doctors from the list of "In-Network"doctors that Anthem gave me. None of those doctors would take this insurance either and told me that they were not part of Anthem's network. I have serious medical problems that are going without treatment because Anthem cannot get me assigned to a physician that actually accept their insurance. I can't handle this any more. I am so frustrated and everyone that I talk to at Anthem keeps lying to me and telling me that I can go to these doctors, but when I call the doctors they won't accept the Anthem insurance. I feel like this health insurance policy is worthless and that Anthem is being deliberately indifferent to my medical needs.
After reviewing the members appeal our records indicate that member is enrolled in a fully funded plan and the Department does not have jurisdiction over fully insured accounts. Therefore, the Plan respectively requests that the Department remove this complaint from your file.
The member is advised to submit their Appeal to the following:
Department of Managed Health Care
HMO Help Center
**************************************************************
I trust this information has clarified the matter for which the member sought assistance. Please contact me at **************, if you have any questions or concerns.
Best regards,
*******************
*******************
Grievances and Appeals Analyst
Grievances and Appeals
Risk ManagementInitial Complaint
Date:06/01/2023
Type:Customer Service IssuesStatus: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.
Entered by BBB staff DC. Consumer states they provide medical transportation and they prefer to ** Uber or Lyft and not a medical transportation company. Drivers will not get out of car to help him get up and out for his medical appointment. Customer is blind and is a double amputee and walks on prosthetic legs with a cane. Currently has a complaint with Anthem and Medicare. Has recommended Beachwood Transportation which is a medical transportation company.Business Response
Date: 06/07/2023
Please be advised member authorization is needed to complete this request. See attached letter. Also we would need a copy of the members full ID # to include the three letter prefix.
Thanks,
*****
Initial Complaint
Date:05/25/2023
Type:Service or Repair IssuesStatus: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.
On April 27, 2023, I called Anthem BlueCross to purchase an individual dental plan (Essential Choice Individual PPO Platinum) for my son, *****************************. The agent that I spoke with asked me what type of policy I want to purchase. I told him that I need to purchase a policy with No Waiting Period for preventative, major restorative, as well as orthodontics. He browsed through the plan while I was on the phone with him, and he pulled up a plan called Essential Choice Individual PPO Platinum. He read the plan benefits to me and guaranteed that there is no waiting period for orthodontia; therefore, ******** will be able to get full benefits/coverage as soon as the plan started on May 1, 2023. I asked him three times, possibly more, if he is sure that the plan has orthodontia benefit with no waiting period. He said, yes, there is no waiting period for this plan. Because he is a licensed agent representing Anthem, I believed him, so I purchased the policy. I brought ******** to the dentist/orthodontist on May 24, 2023, to fit his braces, only to be told that Anthem will not pay the claim because there is a waiting period. The dental office resubmitted the claim and anthem denied it. Now, the insurance agent who sold me the policy knew that there was a waiting period for the orthodontic benefit but used deceptive tactics to lure me into purchasing the policy. He purposely used misrepresentation of coverage to lure me into purchasing the policy for my son. Now, Anthem do not want to waive the waiting period, instead, they keep telling me that they are sorry for what happened. They are withholding the agents name who sold me the policy.Business Response
Date: 05/30/2023
Authorization is needed prior to ** answering this complaint. refer to attached letter.
Anthem, Inc. is NOT a BBB Accredited Business.
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