Reviews

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

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

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  Blue Cross and Blue Shield of North Carolina

  5901 Chapel Hill Rd Durham, NC 27707-3346

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  Blue Cross and Blue Shield of North Carolina

  5640 University Parkway Winston Salem, NC 27105

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  Blue Cross and Blue Shield of North Carolina

  PO Box 17509 Winston Salem, NC 27116-7509

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  Blue Cross & Blue Shield

  517 N Hamilton St High Point, NC 27262-4003

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  Blue Cross and Blue Shield of North Carolina

  PO Box 2100 Winston Salem, NC 27102-2100

Review Details

• Review fromShelia H

  Date: 07/14/2025

  1 star

  Shelia H

  Date: 07/14/2025

  I worked for the state of North carolina for 23 years. I was bit by a stay cat and had to have rabies shots. blus cross and blue sheield refused to pay for. they would not pay my last procedure. ****** Kay ******

  Blue Cross and Blue Shield of North Carolina

  Date: 07/15/2025

  This is no longer a **** member and if the issue was for the time period she was with **** we need additional information to adequately research and assist.

• Review fromZandalee K

  Date: 05/19/2025

  1 star

  Zandalee K

  Date: 05/19/2025

  Regarding HealthyBlueNC:Unable to login to member portal. Technical Support agent was unable to resolve the issue, or provide any information/help. I'm still unable to access my member portal to receive the care I need.

  Blue Cross and Blue Shield of North Carolina

  Date: 05/20/2025

  BlueCross NC will contact the complainant directly regarding their concerns.

• Review fromDiane W

  Date: 04/07/2025

  1 star

  Diane W

  Date: 04/07/2025

  BC/B/**** has not worked well for me. Ive paid so much out of pocket over the last year and my deductible is high. To top it off they have just raised my monthly payment, months before the open window for ******** supplemental insurance change will occur. I will be switching ASAP. Many insurance plans out there for a fraction of of what I now pay.

  Blue Cross and Blue Shield of North Carolina

  Date: 04/08/2025

  BlueCross NC will contact the complainant directly regarding their concerns.

• Review fromJo D

  Date: 03/20/2025

  1 star
  May I leave 0 stars? I appreciate the curtesy of the representatives I have spoken with. However, they are supervised and led by perhaps one of the most incompetent management teams in business today. I have now worked for more than five months to resolve claims that have been either, a) received but not processed or b) processed based on their system inputting an incorrect diagnostic code.Whenever you send claims by facsimile, the claims are received (I call several weeks later to confirm receipt); the claims are simply ignored. Please don't bother with sending claims by facsimile as they won't be processed.And then, a number of claims with correct diagnostic codes clearly listed on the provider invoice were processed with an incorrect diagnostic code - at which time (it takes one month to receive a reply and this delays the process) the claims are rejected due to an incorrect diagnostic code.I could continue. The phone staff are pleasant and trying to work hard. The management layers overseeing the processes are incompetent.

• Review fromC. H.

  Date: 03/11/2025

  2 stars

  C. H.

  Date: 03/11/2025

  I have a MediGap Plan G with BCBSNC. I have one doctor I see and pay out of pocket once a week. She's in private practice and doesn't file ********, but her service is covered by ********. I do the paperwork and file the claim with ********. They send their summary notification (***) along with a check covering their 80% to me. I then send the *** and receipts to BCBSNC for reimbursement of the balance. Last May 2024 I sent BCBSNC receipts and ******** *** for the entirety of 2023. It's March 2025 and I have not been paid. I have called them repeatedly. They have restarted "the process" no less than four times. They even sent a 1099-**** claiming to have paid the $1900 in 2024 (technically, fraud). Never in my life have I seen such dishonesty, especially from a "respectable" company I grew up with. However, from the other reviews I see I have plenty of company.The only reason for giving two stars is to maybe catch someone's attention. They deserve the worst score possible. Not BBB Accredited, indeed.

  Blue Cross and Blue Shield of North Carolina

  Date: 03/13/2025

  BlueCross NC will contact the complainant directly regarding their concerns.

  C. H.

  Date: 03/16/2025

  As complainant, I can confirm that BCBSNC contacted me for preliminary information, and has promised to call back in the next couple of days. I will continue to post comments.

• Review fromLaura S

  Date: 02/19/2025

  1 star
  BCBS has been overall pretty terrible to work with. After a big stroke, BCBS has denied coverage for an acute rehab stay even after an appeal, even though his physicians, the therapists and the medical director of the rehab facility have all approved that as his care plan.

• Review fromJenna M

  Date: 02/05/2025

  1 star
  Blue Cross Blue Shield of North Carolina now uses bots in place of human customer service agents. Its one thing to have a bot direct traffic and direct me to an agent. Its another when the agent isnt an agent but a bot disguised as an agent. These bots are unable to field even the simplest of questions. When I asked the bot if she was human, she said, I understand your concern. When she used my name the tone flattened and dropped. This company has crossed the boundary for me. In effect they are saying humans are unworthy of fielding questions by other humans.

• Review fromRobin D

  Date: 11/22/2024

  1 star

  Robin D

  Date: 11/22/2024

  WARNING !! Been promised numerous times by BCBS THAT THEY WOULD REVERSE WRONGFULLY CHARGES IN A COUPLE OF WEEKS, MANY CALL BACKS THAT NEVER COME. nothing was getting done and was afraid credit would end up suffering by no fault OF OURS . WORST CUSTOMER SERVICE EVER EXPERIENCED. E #1 AT IS BEING THE WORST OF THE WORST BUSINESS . HAVE went through local **************** , Social Security Admin. Office, The Marketplace, Medical places BEGGING SOMEONE TO HELP US to get them to make BCBS Responsible for getting this Fraud reversed and taken care of so can stop paying hard earned funds for something that should have never happened. Talk about a RIP OFF. now OWE due to this wrongful reverse of charges and WRONGFUL use of social security number. ( This issue is due to a Local Employer Which BCBS gave us His Name, phone number, Address to contact him(GOLD FIGURE ON THE PRIVACY POLICY!! and stated it was up to us to straighten THIS MESS THEY MADE BY NOT VERIFYING HIS EMPLOYEES SOCIAL SECURITY NUMBER BEFORE ISSUING HIM INSURANCE THROUGH THIS EMPLOYER. which resulted in All of my son's BCBS payments and Discounts to be reversed for 2021 and 2022. By doing this it has resulted in making My Son RESPONSIBLE FOR ALL OF these payments consisting of medical Inst. and Doctors that were once paid but, due to this situation that should have never existed. this started this past August of 2024 . I HOPE THIS IS A (LARGE SIGN) WARNING NOT TO DO ANY BUSINESS WITH BCBS . BCBS IS NOT INTERESTED IN DOING ANYTHING BUT TAKING YOUR MONEY FOR PAYMENTS I CAN PROMISE YOU THAT. going as public with this as we possibly can so that this doesn't happen to any other innocent People. Noone should have to go through what we have experienced from this wrongfully act of BCBS not willing to correct their mistake . WILL BE CONTACTING THE ************ COMMISSIONER OF ** SHORTLY TO SEE WHAT ACTIONS CAN BE TAKEN AGAINST A BUSINESS OPERATING IN THIS MANNER. *** *. 11/22/2024

  Blue Cross and Blue Shield of North Carolina

  Date: 11/26/2024

  This matter has been addressed and issue resolved.

• Review fromAndrew S

  Date: 10/15/2024

  1 star

  Andrew S

  Date: 10/15/2024

  I pay my insurance every month every year they increase my rates and decrease my coverage most recently. I need insulin shots two different types three times a day and they want to charge me over $400 a month. I called Blue Cross they say oh lets call your provider and will send them the correct more economic version that goes through just fine except the new recommended medicine is even more expensive. Im sorry since when does an insurance company know whats better for my health better than my doctor? Im so sorry if the medication is more expensive, thats why you continue to raise my rates so I can get the coverage I need I thought at least.

  Blue Cross and Blue Shield of North Carolina

  Date: 10/16/2024

  The member's issue was handled appropriately based on his coverage and availability. No further action needed.

• Review fromDane L

  Date: 10/02/2024

  1 star

  Dane L

  Date: 10/02/2024

  Refused to provide insurance care for necessary testing when I learned that a close relative had a known gene mutation associated with certain forms of tumors and cancers. Claimed that such care was "not in accordance with accepted standards of medical practice" in *****************, which I know is incorrect since both my PCP and my endorinologist provided clear and specific referrals regarding the need for such a test so that I could potentially monitor myself for increased tumor risks going forward.

  Blue Cross and Blue Shield of North Carolina

  Date: 10/03/2024

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