Reviews

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

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Highmark Blue Cross Blue Shield of Western New York has 2 locations, listed below.

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  Highmark Blue Cross Blue Shield of Western New York

  257 West Genesee Street Buffalo, NY 14202-2657

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  Highmark Blue Cross Blue Shield of Western New York

  PO Box 80 Buffalo, NY 14240

Review Details

• Review fromLo T

  Date: 03/11/2025

  1 star
  Absolutely terrible! I was on ****** for 5 months, lost 20 lbs and my high blood pressure was under control and then they changed the criteria. Denied for ****** and ******** by a pediatric doctor that reviewed my case and I'm a disabled adult limited on how I can exercise. Why do they go against my doctor's advice on drugs that ARE covered? The premiums that I pay are absurd, but if I had Medicaid it wouldn't be an issue. They don't even deserve one star. I was on ****** for almost 6 months and they covered it but because I lost 20 lbs but i wasn't anorexic looking they won't cover it and my blood pressure is all messed up and they don't care.

• Review fromSusie N

  Date: 08/21/2024

  1 star
  the worst insurance company to work with. I work for a Medical provider and the lack of communication from this company is unacceptable. It takes SEVERAL months to get any response from them. I have money that is due to us dating back several months, they can't process claims correctly. They say they prioritize their emails but you don't hear back from them in months, they don't accept calls. What kind of business is this?
  I bet they take and prioritize calls to get their name on the stadium.....seriously....where do they get the money for that? Members premiums? Keep raising those premiums to put your name on more things.....
  Sickening.........

• Review fromRyan / kara A

  Date: 08/14/2024

  1 star
  The absolute worst. I am getting collections calls for almost 2 years now on visits that should be covered but can’t seem to get it right. This is the 3rd time high mark has said this has been resolved

• Review fromKevin S

  Date: 06/11/2024

  1 star
  Horrible company. Last 6 months have gotten really bad maybe because they are getting rid of so many employees so they can keep their record profits up.You have to fight legitimate claims that they have denied by the time they finally pay them you are in collections they do not care.

• Review fromTonya R

  Date: 12/15/2023

  2 stars
  This is the second time that I have had to fight a bill that I am receiving for an in network claim. It is so annoying that I have to take time to make phone calls over something so simple. Every time I speak to a rep they are polite and see the error and “promise” to follow up and take care of it. There has been neither. I am aware the company has been fined in the past for this exact this with thousands of other customers. I’m about ready to say, bye now!

• Review fromMichelle J

  Date: 03/21/2023

  1 star
  I manage prior authorizations for patients. I cannot get anyone in utilization management to fax me a determination letter without calling and faxing multiple times. I’ve currently been going back and forth with them for two weeks. They are significantly delaying care of very sick children because they cannot be bothered to fax me a letter. I sit on hold for a minimum of 30 minutes every time I call. I was given the incorrect contact information for the provider services rep and even with the updated contact information I don’t get a response from him. Kids are going to be hospitalized over plain laziness and they don’t care.

• Review fromPaul O.

  Date: 01/06/2023

  1 star
  I called Highmark, using the number provided on the back of my number ID.
  I was on hold for a total of 45 minutes before anyone answered. The service representative who answered the call, told me I had called the wrong number. I informed her (and double checked) that I had called the number on the back of my membership ID. She apologized and said it must’ve been routed wrong and gave me another number. I was transferred to a computer which kept me in a loop until I got a message that stated, “we are closed during lunch, goodbye“.
  I spent one hour and 11 minutes on the phone attempting to obtain medical assistance and all I got was wasted time.

• Review fromMarm L

  Date: 12/22/2022

  1 star
  Terrible company. They never sent me my new id and I had no idea their claim
  Process has been delegated to ****** *********. I submitted a claim for an out of network provider who I paid in full since it’s out of network. That was back in July. I emailed them every month and no one told me I had to submit the claim to *********. 3 months later someone finally tells me it has to be submitted to ****** *********. It doesn’t end there. I called ********* and was advised to have my dentist submit the claim which was initially rejected saying I was not covered for July even when my employer sent me a proof I am. Finally after 5 months they did process my claim and this time They sent the reimbursement check to my dentist who is out of network and someone I also paid in full. I called ****** ********* and the reps were rude because I was frustrated like it was my fault my claims was processed incorrectly. Truly unprofessional. No apology for such horrible service

• Review fromKaren C.

  Date: 10/28/2022

  1 star
  My husband and I paid for extra dental coverage with our Highmark WNY BC/BS plan. Our dentist has sent copies of bills to them at least 4 times. Each time we contact customer service we are told they have no record of any. We have spoken to customer service reps at least 5 times over several months. One rep asked if we wanted to file a complaint about 2 months ago. He took all our information and said he would file it. Still nothing. Last week we contacted them again and we’re told they do not have any records in our file. I asked to speak to their supervisor. He didn’t know who to send me to. I was again told to file my own complaint which I did. I was assured someone would get back to me within 24-48 hours. That was one week ago. We asked for them to send the correct form for us to fill out ourselves and send to them for payments. Again nothing has arrived in the mail. I am disgusted with this company. We winter in Florida and use BC/BS because of their network, We had been customers of *********** ****** for many years but felt compelled to change because of in network coverage,

• Review fromElaine L

  Date: 10/27/2022

  1 star
  I switched over to Highmark/BCBS of WNY because of the lower co-pays, not thinking that EVERYTHING would be "lower"; customer service, etc.. The application process went fine until I received a notice from Social Security telling me that my monthly Medicare Advantage premiums would be automatically deducted from my income prior to receiving it. Nothing was mentioned at signing up time nor did anyone from BCBS voluntarily contact me! This is appropriate for a business? I THINK NOT! I highly recommend others think twice & do extensive research before signing up with this company. The cons here greatly outweigh the pros.