Reviews

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

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  Excellus Blue Cross Blue Shield

  165 Court St Rochester, NY 14647-0001

• 

  Excellus Blue Cross Blue Shield

  12 Rhoads Drive Utica, NY 13502

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  Excellus Blue Cross Blue Shield

  344 S Warren St Syracuse, NY 13202-2008

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  Excellus Blue Cross Blue Shield

  171 Main Street New Paltz, NY 12561-1119

Review Details

• Review fromJudith K

  Date: 01/17/2025

  1 star
  Jan.17 Friday 12:30 pm?
  Customer service wait time on the phone is un acceptable!
  Was on hold over a half hour,when I did get someone was
  Put on hold again!
  Do a better job of answering the phone calls.

• Review fromKim E

  Date: 10/24/2024

  1 star
  I am being denied medical surgery that I desperately need because they said it wasn't " medically necessary" when the dr said otherwise. I am suffering and I am having to jump hoops and file appeals. My surgery was scheduled Nov 7th and it's been almost 2 years doing all the pre things needed and still denied when I have a family health history of cancers and choking in acid from Gerd most nights. They don't know me or my history to dent and say not necessary just because it may not fall in their standard of I don't CURRENTLY HAVE type 2 diabetes. So wait til I do?? There are other reasons people need surgery like history from stomach and esophageal and barrett's esophagus . Stop wasting people time. I was told by my Dr that my insurance was great on getting it thru. And I did a 3 hr education course on my diet for the surgery and other things. Now I'm delayed again and jumping hoops. The govt is paying the insurance and needs to stop being so picky with little details they don't know. But my Dr made clear. Surgery currently cancelled. I'll get back to you on whether or not I get better answers and if you should go with a different carrier. Because at this point I'm questioning. 2nd time appealing with this carrier as I had to also jump hoops for my daughters braces which were also medically necessary due to a handicap. Yet insurance said " too young" .
  Ridiculous.

• Review fromRichard O

  Date: 10/17/2024

  1 star
  This insurer negotiates in BAD FAITH! They are dropping doctors and offices left right and center over GREED and it is DIRECTLY COMPROMISING THE CARE OF ANYONE INSURED BY THEM! THEIR BEHAVIOR IS UNACCEPTABLE FOR AN INSURER!

• Review fromMARYJO T

  Date: 08/02/2024

  1 star
  I PAID MY MONTHLY PREMIUMS FEES ON THEIR WEBSITE LIKE I ALWAYS DO EVERY MONTH. THIS MONTH I MADE MY PAYMENT BUT INSTEAD OF ME GETTING A CONFIRMATION ABOUT PAYMENT BEING MADE I WAS BROUGHT BACK TO THE BILL LIKE IT WAS NEVER PAID. I SEARCHED THE WEBSITE TO SEE IF THE PAYMENT WAS PENDING, THERE WAS NOTHING. I THOUGHT THERE WAS A HICCUP WITH THE SYSTEM AND MADE IT AGAIN THIS TIME I WAS GIVEN A RECEIPT WAS PAID AND BILL IT SHOWED 0.00 DUE. IN A FEW MINUTES I RECEIVED 2 EMAILS FROM BCBS SAYING THEY RECEIVED MY PAYMENT. I AGAIN LOOKED AND ONLY SAW THE SECOND PAYMENT THAT I MADE BUT TO BE SURE I CALLED THEIR CUSTOMER SERVICE DEPARTMENT. THE GIRL I SPOKE TO ASSURED ME THERE WAS ONLY ONE PAYMENT COMING OUT AND IT WAS THE SECOND PAYMENT I MADE, I KNOW THIS BECAUSE THE FIRST PAYMENT I MADE I PUT PAYMENT DATE AS 8/1/2024 WHICH IS THE DUE DATE, THE SECOND PAYMENT I FORGOT TO CHANGE THE PAYMENT DATE SO IT WAS FOR 7/31/2024. WELL ON 8/1/2024 I SAW ON MY BANK ACCOUNT THE ONE PAYMENT COMING OUT, BUT THEN ON 8/2/2024 I SAW A SECOND PAYMENT COMING OUT. I CAN'T AFFORD TO PAY 926.00 TWICE I HAVE OTHER BILLS COMING OUT AND THAT SECOND PAYMENT WOULD OVERDRAFT MY ACCOUNT. THE ONLY OPTION I HAD WAS TO BUT A STOP PAYMENT ON THE SECOND PAYMENT AND PAY $32.00 FEE FOR THE STOP PAYMENT. THE ONLY THING I WANTED FROM BCBS WAS TO PAY ME BACK THE $32.00 SINCE IT WAS THEIR WEBSITE THAT DID NOT FUNCTION CORRECTLY AND THEIR CUSTOMER SERVICE REP SAID THERE WAS ONLY ON PAYMENT. WELL THEY WILL NOT REIMBURSE ME, WHAT A SHADY COMPANY THEY ARE RUNNING. I DID NOTHING WRONG IN FACT I DID EVERYTHING RIGHT BY CALLING THE SAME DAY I SAW THE 2 EMAIL TO CANCEL ONE PAYMENT. I WAS GIVEN AN EXCUSE THAT THE BANK WAS HOLDING THE FIRST PAYMENT, BUT THE SECOND PAYMENT DID NOT HAVE THAT ISSUE. THEIR SYSTEM SOULD NOT ALLOW SOMEONE TO MAKE THE SAME PAYMET TWICE, THIS IS THEIR ISSUE, EVEN THE CSR I SPOKE TO TODAY TOLD ME SHE HAS MANY CALLS WITH ISSUES WITH THEIR WEBSITE THE LAST FEW DAYS,BUT DON'T CARE

• Review fromElisabeth C

  Date: 02/28/2024

  1 star

  Elisabeth C

  Date: 02/28/2024

  Terrible dental service.
  My dentist referred me to a specialist for a root canal and there is noone in my area who accepts this insurance. The company is taking forever to give a pre approval so that I can try to find someone to take care of my tooth. In the meantime they say that if I get it taken care of before the pre approval I might have to just pay for it myself because they didn't approve the procedure. So I am stuck in pain with my tooth getting worse and worse while they do nothing. I have spent countless hours on the phone asking if there is anything that can be done so that I can get my tooth taken care of and they continue to talk in circles about needing the pre approval to go through before any other steps can be taken.
  Better off with no insurance at all that with this insurance.

  Excellus Blue Cross Blue Shield

  Date: 05/07/2024

  Upon receipt of your complaint, we requested and received input from **********. The input
  was provided by Mr. M*****, Sr. Grievance and Appeal Specialist. ********** Member Services
  outreached to your general dentist and requested they submit a prior authorization for the root
  canal to determine if the procedure would be covered under the dental plan. Their records
  indicate the prior authorization was received on March 18, 2024. The root canal on tooth #15
  was approved on March 20, 2024, under predetermination of benefits # ************.
  ********** was able to locate the following participating provider:
  ******* Dental, *** ******* Avenue, Rochester, NY *****,
  ###-###-#### (Specialty Dental Care), ###-###-#### (General Dentist)
  ********** Member Services Department tried contacting you on March 27, 2024, and April 8,
  2024, to provide you with the dental clinic information; however, there was no answer. The
  representative did leave a voicemail advising you to contact our Member Services Department
  at ###-###-#### regarding the provider listing.

  Elisabeth C

  Date: 06/11/2024

  Unfortunately this was done after I had to have and pay for the root canal out of pocket. The participating provider that you "approved" was also not accepting new patients. I had previously contacted them when forced to try to find a provider for myself and I informed the staff at Excellus of this fact during one of my many phone calls.
  I spent hours on the phone with Excellus trying to explain to them that I could not wait to have the root canal done and they just continued to tell me that there was nothing they could do.
  Coming back after the root canal was already performed to say that they would have covered it does not change the fact that they DID NOT COVER the root canal when it needed to be done. Dental work can not always wait and refusing to pay for it at the time it is needed or at lease reimburse after the fact is negligent and defeats the purpose of having insurance.
  In order to make this right Excellus needs to reimburse me for the dental work that I had to pay for out of pocket as a result of their stall tactics and negligence.