We use cookies to give users the best content and online experience. By clicking “Accept All Cookies”, you agree to allow us to use all cookies. Visit our Privacy Policy to learn more.

Manage Cookies
Resources for Businesses My BBB
Share
Business Profile

Health Insurance

Blue Cross and Blue Shield of North Carolina

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Insurance.

Complaints

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

Find a Location

Blue Cross and Blue Shield of North Carolina has 13 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

    Please enter a valid location.

    Customer Complaints Summary

    • 88 total complaints in the last 3 years.
    • 19 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.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:01/03/2024

      Type:Service or Repair Issues
      Status:
      Answered
      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 an effort to have a new OTC card issued, Ive been on hold with your customer service department for well over one hour. Each message repeats that the hold time hasnt changed. *** placed several calls and have been unable to have anyone answer the phone. This may be one of the worst customer service experiences ever. Its very disappointing to have such a simple request to be unable to be resolved with this amount of effort. Its amazing that you

      Business Response

      Date: 01/03/2024

      Thank you for the referral. We will reach out to our member and address any questions or concerns.

    • Initial Complaint

      Date:12/27/2023

      Type:Service or Repair Issues
      Status:
      Resolved
      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.
      BC/BS of ** incorrectly entered information from an Employee election form, and has refused for over 90 days to correct it and update the information.

      Business Response

      Date: 12/27/2023

      BlueCross ** will contact the complainant directly regarding their concerns.

      Customer Answer

      Date: 12/28/2023

       
      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me.

      Sincerely,

      *******************

    • Initial Complaint

      Date:12/15/2023

      Type:Billing Issues
      Status:
      Answered
      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.
      My healthybluenc.com account cannot be accessed since Dec 1, 2023. My ******** started on Dec. 1. I created an account but could never login.I made 2 support tickets but tech. support isn't doing anything to help.Both my account and my moms accounts are broken and will not let us past using the 2FA. I've tried multiple devices, cleared browser caches, and even the ****** Health App.When both me and my mom have asked for supervisors (as advised by ncmedicaidplans.gov) we were met with "you don't need to speak to a supervisor".I need access to my account so I can check the information and everything is correct or I will switch ******** providers.

      Business Response

      Date: 12/15/2023

      BlueCross ** will contact the complainant directly regarding their concerns.

    • Initial Complaint

      Date:11/08/2023

      Type:Billing Issues
      Status:
      Answered
      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 am writing to file a formal complaint against Credence Blue Cross Blue Shield (BCBS). As of September 21, 2023, my employer facilitated a health insurance transition from Aetna to Credence BCBS due to my relocation. Prior to this switch, I had fully paid my annual deductible and out-of-pocket maximum with Aetna.Despite multiple communications and providing a copy of my Explanation of Benefits (EOB) from Aetna as proof of meeting my financial responsibilities, Credence BCBS has not updated my account. This oversight has persisted for two months, despite assurances received during a three-way call with my employer, Aetna and Credence BCBS that the matter would be resolved within a month.This inaction has adversely affected my access to necessary healthcare services, as I am being erroneously charged for services that should be covered. The failure of Credence BCBS to address this issue promptly is unacceptable and unprofessional, warranting immediate attention and resolution.

      Business Response

      Date: 11/09/2023

      Blue Cross ** will contact the complainant directly regarding their concerns.

    • Initial Complaint

      Date:10/09/2023

      Type:Product Issues
      Status:
      Answered
      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.
      BCBS sent me a check to pay a doctor that I signed over to the doctor directly. Months later BCBS contacted me saying that I owed then $179.87 for overpayment to the doctors. I called them and spoke to them 5 times and explained all five times t hat I never deposited the money and signed it over to the doctor and they should contact the doctor to get the overpayment back. That is their job not mine. The last person I spoke to said to me that they would take care of it and I was not responsible for it. However, instead I was sent to collections. BCBS needs to remove me from collections and if they want the money that they overpaid the doctor then need to collect the money themselves. I and not a BCBS employee and its not my responsibility.

      Business Response

      Date: 10/09/2023

      BlueCross ** will contact the complainant directly regarding their concerns.

      Customer Answer

      Date: 10/09/2023

      I will not accept this solution until they remove me from collections and fix this issue on their side.

       

      Complaint: 20711949

      I am rejecting this response because:

      Sincerely,

      *******************************

    • Initial Complaint

      Date:10/06/2023

      Type:Service or Repair Issues
      Status:
      Answered
      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.
      Was scheduled for a partial knee replacement surgery on the 6th October 2023. At 4:30pm on the 5th October ********************************************************** they denied my surgery as not medical needed. I believe BCBSNC is in breech of contract for denying me this medical needed service. Not to mention the pain and therapy and injections this is the next steps medically. I have had this scheduled for week causes me major inconvenience. I also have an appeal for a ** they wouldn't pay for. Sorry I choose BCBCNC.

      Business Response

      Date: 10/06/2023

       BlueCross ** will contact the complainant directly regarding their concerns.

    • Initial Complaint

      Date:09/27/2023

      Type:Service or Repair Issues
      Status:
      Answered
      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 have qualified health coverage which can reduce your car insurance, you have to request a letter which my wife and I did we have two policies which we created to mirror each other, I was ablate get my letter to say I have no limits and hers says she has Subrugation provisions. We have been trying to get a policy for our cars however the car insurances need to know what the subjugation provisions are and BCBS of NC cannot provide this to me. I asked can her letter be modified as mine was to say no limits on accidents and they are telling me it is a template and cannot be changed; now I know this is a lie because I called in and my letter was changed at my request. So 1 of two things is happening either it was a mistake to change mine and they do not know what the subjugation provisions are or 2 they do not want to change this letter and still do not know what the subjugation provisions are. either way this has been a horrible experience and caused me so much angst that I no longer want to have this company at all I will wait for my employer to have a period when I can change insurance and leave this horrible company who lies and or does not know what they put in letters

      Business Response

      Date: 09/27/2023

      Thank you for the referral. We will reach out to our member and address any questions or concerns.

    • Initial Complaint

      Date:09/27/2023

      Type:Service or Repair Issues
      Status:
      Answered
      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.
      Trying to resolve an insurance matter. The insurance company does not pick up the phone. I have been waiting for over an hour on the phone. They also denied all of my claims and when I show proof refuse to talk. It's a nightmare. Please do not use this company. They do not process claims for valid claims.

      Business Response

      Date: 09/28/2023

      BlueCross ** will contact the complainant directly regarding their concerns.

    • Initial Complaint

      Date:08/28/2023

      Type:Order Issues
      Status:
      Answered
      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 have been in therapy for EMDR to treat my CPTSD since May 2023. I have attended at least six sessions and BCBS is my insurance company. As directed, I have submitted all required information to BCBS with documentation, yet I keep getting Mailbacks insisting on more information that I have already provided. Because of their intransigence in covering these sessions and providing reimbursement, I have had to as of August 2023 terminate this vitally-important therapy bc I could not, as a single mother, continue to just pay out of pocket for it. I have provided them with my information, all the required session dates and diagnostic information, my therapy centers information yet still I receive mailbacks and this is patently unreasonable bc by their own policy, this should be complete within one month of me submitting the session information.

      Business Response

      Date: 08/28/2023

      Thank you for the referral. We will reach out to our member and address any questions or concerns.

    • Initial Complaint

      Date:08/14/2023

      Type:Product Issues
      Status:
      Answered
      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 sent a bill for multiple drug tests, that I never even had done, I don't even have Blue Cross Blue Shield yet, and already receiving bills for like 4 drug tests, most of them I wasn't even home, but camping. I have not had any drug tests done in the past year.

      Business Response

      Date: 08/14/2023

       BlueCross ** will contact the complainant directly regarding their concerns.

    Blue Cross and Blue Shield of North Carolina is NOT a BBB Accredited Business.

    To become accredited, a business must agree to BBB Standards for Trust and pass BBB's vetting process.

    Why choose a BBB Accredited Business?

    BBB Business Profiles may not be reproduced for sales or promotional purposes.

    BBB Business Profiles are provided solely to assist you in exercising your own best judgment. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles.

    When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.

    BBB Business Profiles generally cover a three-year reporting period, except for customer reviews. Customer reviews posted prior to July 5, 2024, will no longer be published when they reach three years from their submission date. Customer reviews posted on/after July 5, 2024, will be published indefinitely unless otherwise voluntarily retracted by the user who submitted the content, or BBB no longer believes the review is authentic. BBB Business Profiles are subject to change at any time. If you choose to do business with this company, please let them know that you checked their record with BBB.

    As a matter of policy, BBB does not endorse any product, service or business. Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation. BBB charges a fee for BBB Accreditation. This fee supports BBB's efforts to fulfill its mission of advancing marketplace trust.