Complaints

• Initial Complaint

  07/11/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  My complaint is about a copay that Blue Cross refuse to pay.. My son visit a primary care doctor for exam about a cist, and we have a follow up visit to discuss x-ray, my plan does not have copay for primary care physicians, Talked to several people in the costumer service, some could speak a understandable English, others could not tell me why this happen, and other told me that was a virtual consultation. This is not true, it was a in person visit both time. we already paid for the x-ray , the insurance did not cover that. They send me books and new health cards. Before I look for a lawyer, I would like to try to solve this matter with BBB, cause I am unemployed, and my son is in the finals months of graduating from college . My Husband is diabetic 1 and he needs some care. It's being very stressful deal with this situation for so long. The value is $134.67, I know it's not a lot but for me is a matter of honesty. I feel like I was scammed. Thank you very much.

  Business response

  07/29/2024

  sent

  Customer response

  07/29/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because: This was an in person visit to our primary care doctor which the co-pay is zero dollars. There is NO co-pay. We shouldn't have to pay for this. It's the insurance's responsibility to take care of this $134.64 bill.

  Regards,

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

  Business response

  08/05/2024

  sent

  Customer response

  08/07/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because: When I applied for HMO Florida Blue online, I specific  choose this one for being 0 copay for primary care physician, IT WAS NOT A VIRTUAL VISIT, but  a in person visit I have called  several times to Florida Blue costumer service and they cannot give a reason for this problem.  It is the responsibility of the insurance to pay the primary care physician 

  Regards,

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

• Initial Complaint

  05/28/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Resolved

  More info

  6 months till I started paying for health insurance, never been able to get a doctor in 2024, more than 10 calls to insurance more than 10 calls to doctors office, no medication refill from last year, paying a lot of money for nothing. Now, the same, have a new pcp assigned and have to wait 2 months for an appointmen, this will lead to 8 months of 12 of the year paying without beeing not able to use the insurance, well actually I used... a lot of calls... for nothing for losing my time they never solved anything Please would like to follow this claim in spanish if possible

  Customer response

  06/04/2024

  Desired Resolution:

  I just need to have an appointment to see a doctor since I have been without any High Blood Pressure medication for past six months. I am dealing with High blood pressure and medication is needed as soon as possible.  I am asking to see a doctor to see me to make sure all is well and to give me what I need for my High Blood Pressure (A prescription). I have made numerous appointments, and they are always being cancelled for different reasons. It's almost the day of an appointment and someone from the Dr's office calls me to cancel my appointment. It's already happened between 4-6 times since January. I have been dealing with this for too long. Please if Someone from the office can call me to schedule an earlier appointment than the last one, I was just given for August. That would be 8 months with no high blood pressure medication. One of the reasons I was given over the phone as to why my appointment was cancelled is because according to them the Doctor has moved location. I have been without refills since January 2024. That's six long months. 

  Please reach out to me so that this matter can be fixed. I am available to speak to someone between the hours of 8:OOAM to 11:00 AM. My email is : 

   

  Business response

  06/12/2024

  Please see attached

  Business response

  06/12/2024

  Please see this one attached

  Customer response

  06/14/2024

  [A default letter is provided here which indicates your acceptance of the business's response.  If you wish, you may update it before sending it.]

  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. 

  Regards,

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

   

• Initial Complaint

  05/06/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  On 08-29-2022 I was injured in a car accident. I had the left shoulder broken and the orthopedist recomended Phisical Therapy before some other invasive procedures. I had a verry reputed Phisical Therapy Doctor perform 43 sessions of special phisical therapy on me. The agreement was to pay a verry low flat rate of 250 $ for each 1 1/2 hours session in my house (I was untransportable)Since this particular doctor was not working with Florida Blue, I paid 6,700$ out of my pocket (partial payment). In order to be reimbursed by Fl Blue I submitted all documents, doctor's notes, description of the procedures, dates and proof of payment.( sent in Nov.2023 )Starting on Jan. 2024 I called 9 times to find out the status of my claim. Each time I was told that all documents are ok and they need "few more days" to process the payment. On March 15 2024, an employee ( ******* )told me the check was processed and will be mailed soon. Nothing happened! Two weeks later an other employee told me that other Form is needed to list every session and every procedure performed in that session. I did so ! Three weeks later, I was told that the claim was sent to Grievance Dept. After few days a Fl Blue rep. called and told me that the case was reassigned to him and in his opinion everything was ok.Around May 01 2024 He called me again and said that they want now an other Form to list all dates and all procedures individually with charges for each timed procedure during the same session. This is an impossible task, since one can not time the going on and recurring procedures many times ,during the same session.Taking all these facts into consideration, I think Florida Blue engaged in unfair and deceitfull practices to buy time and eventually not to pay a legit claim. ******** **********. (Fl Blue member#************)

  Business response

  06/03/2024

  Good evening, 

  The member ******** ********** received medical treatment and is attempting to submit claims to Florida Blue for reimbursement. *** ********** has attempted before to have these claims submitted but did not send in the appropriate documentation for us to complete these claims. The documents submitted with this case should be sufficient to complete the claims and have been forwarded to our claims department to have them processed. 

  Customer response

  06/05/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because: I submitted all documents and Florida Blue aknowledged the receipt. Then they changed the requirments and refused to send instructions in order to delay the procedure

  Regards,

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

  Business response

  06/12/2024

  Good afternoon, 

  Florida Blue has submitted the claims for *** ********** and they are currently be reviewed for payment. we request more time to resolve this issue as the claims process can take up to 45 days normally. we have had *** ********** case expedited but we still require time to review and issue payment for these claims.  

• Initial Complaint

  03/25/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  Last year, from ******** to 1********* I payed $***** per month for the medical insurance with dental plan. I called Blue Cross and Blue Shield numerous times to provide the list of dentist that would accept that plan and they did. When I called those dentists, no one would accept dental plan. The customer service at Blue Cross and Blue Shield was friendly but helpless providing the answer as why no one would accept my dental plan. I was forced to go to a dentist and have a checkup and yearly cleaning performed, therefore payed out of pocket.

  Customer response

  03/26/2024

  Attached is another payment confirmation, HIPAA form and ID card.

  Business response

  03/27/2024

  Please view letter attched.

  Customer response

  03/30/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because:

  Florida Blue contacted me on March 26th and informed me they do not provide any kind of refund and that they will try to find the dentist that would take my coverage plan. Since then, I have not heard from them and the case has not been resolved.

  Regards,

  ***** *****

  Business response

  04/02/2024

  Please see attachment 

• Initial Complaint

  03/20/2024

  Complaint Type:

  Customer Service Issues

  Status:

  Unresolved

  More info

  On 12/5/23, Florida Blue sales representative **** ******* was explaining individual policies to us and she said let us know for tier 5 drugs that we would pay only a copay for that class of medication with our desired plan. On 3/18/24, with the plan activated on 2/1/24, we find out we owe a copay of $1558.79 for a 90 day supply of tier 5 medication Xarelto. On 3/19/24, I speak with Florida Blue representative ***** * at ***** ******** ext. ***** for guidance about the policy discrepancy and she finds literature stating that Tier 1-5 should be copay only and says she'll call the third party Prime therapeutics that handles the medication portion of the Florida Blue plans. She speaks to their representative, with me on the line, and he says that it says Tier 5 must meet a 3,000 deductible then copay of 67 dollars. She says she will escalate the matter to see why there is a discrepancy. On 3/20/24, I speak with ***** * again who says that for Tier 5 it is a $3,000 deductible and then the co-pay is for subsequent tier 5 medication fills. I express my disappointment, she says I may be able to switch plans but has to get a sale rep to help. I call her back to escalate, and she states I can file for a misrepresentation of policy and speak to her manager ***** ******* ***** ******** who says the call with **** ******* will be reviewed and he will call me at end of day. He admits that both **** and ***** have made errors in the information conveyed about the policy. He will be calling by end of the day after the review. I then spoke with ****** from customer service who said I can file a grievance form and to file out a misrepresentation of policy would require a lawyer. The grievance form was sent to me. I would like to have what we were initially promised of no need to meet a deductible for Tier 1-5 medications, just a co-pay. We would also like to get the tier 5 drug we need in 72 hours at the cost of the $67 copay as said in our plan.

  Business response

  03/22/2024

  Please view letter attached.

  Customer response

  03/26/2024

  Complaint: ********
  

  I am rejecting this response because:

  We purchased policy BlueOptions Silver 24J01-07 as from the call with **** *******, we were under the impression we would be able to get life sustaining medication considered Tier 5 for a copay of $67 without needing to meet a deductible. 

  On 3/22/24, on a recorded line, ******** **** of Florida Blue escalation team stated that the IT was working on retrieving the call between **** ******* and us from 12/5/23. She also said that she would arrange for us to speak to one of her escalation supervisors either 3/23/24 or 3/25/24. On 3/22/24 she reviewed our policy over the phone and also saw how the language was confusing.

  On 3/26/24, she sent an email, screen shot attached, which had an attachment with plans that did not include our plan and said our request for copay of $67 has not been approved without allowing us to speak to her management as told to us on a recorded line on 3/22/24.

  We are still concerned there has been a misrepresentation of policy and that the matter has not been fully investigated as promised on a recorded line. 

  We want Florida Blue todo as they said they would:
  1. Review the call from 12/5/23 with **** *******
  2. Allow us to speak to upper management of the escalation team as promised by ******** ****

  They need to be held accountable for what they said they would do for us. The medications in question are life sustaining medications. We feel they did not take our concern seriously nor did they do as they said they would do for us. Their company and the customer service team needs to be held accountable for their actions and truly do the full investigation as promised.

  Please see the screenshots of emails from the follow-up after the phone conversation on 3/22/24 and her response today on 3/26/24.

  Regards,

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

  Business response

  03/29/2024

  Please view letter attached.

  Customer response

  04/02/2024

   

   Complaint: ********

  I am rejecting this response because: We still have not reached a resolution to the matter with Florida Blue. They have not directly addressed our concerns for misrepresentation of policy by directly addressing our question of Tier 5 drug coverage discussed on the 12/5/23 call with **** *******. Also, it was said in a call on 3/29/2024 with ** ********* that we would be able to switch plans because of the current issues, but then in an email from today she said we would not be able to change oru plan. We would like to have a fair review of the call with **** ******* and to be able to switch our Florida Blue plan to something that better fits our family needs.

  Please see attached word document of screenshots of emails with ** ********* from 3/29/24-4/2/24.

  Regards,

  ******** * ******* *****
  ***** ******** & ***** ********

  Business response

  04/08/2024

  Please view letter attached.

  Customer response

  04/08/2024

     Complaint: ********

  I am rejecting this response because:

  Florida Blue has yet to address our initial concerns for misrepresentation of policy. 
  Since our initial outreach on Tuesday. March 19 regarding the urgent need for coverage for a life-sustaining medication, Florida Blue has yet to properly investigate our claim, provide us with a clear explanation of the outcome, nor provide any follow-through on any resolution proposed during phone conversations. 

  Please see the emails attached dated from 4/2/24-4/8/24.

  Regards,

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

  Business response

  04/11/2024

  Please see letter attached. The decision still stands. Thank you

  Customer response

  04/11/2024

  Our specific claim has yet to be addressed by Florida Blue, nor is it addressed within the findings report provided today.  
  Was the final message sent to the Better Business Bureau services reviewed and taken into account during our case's review? 
  
  The claim we made on 3/27 is specific to the misrepresentation of the "pharmacy deductible", and that the sales representative indicated that Tier 5 medications (inclusive of Xifaxin and Xarelto) would only require a copay, and not pertain to the pharmacy deductible.  
  
  Florida Blue's summary of the sales call does not address the pharmacy deductible, contains irrelevant information about coverage per person and generic/branded copay amounts, and leaves out what was said after minute 45, which is when we discussed Tier 5 drug coverage.  
  
  This is our response to Florida Blue's findings in verbatim:
  "Our claim is specific to the misrepresentation of the "pharmacy deductible" and not the overall deductible. 
  Also we recall discussing coverage for Tier 5 drugs (inclusive of Xifaxin and Xarelto) during the call and as represented on this Florida Blue website chart below. 
  
  Are you saying that "the coverage of $7,150 per person" educated at the beginning of the call pertains our question at the end of the call about Tier 5 drug coverage? 
  Also, what was said after minute 45, when Xifaxin was identified as a Tier 5 drug? "
  
  What are our consumer rights considering that after weeks of deflection, false information, and delays from Florida Blue regarding an urgent need for coverage for a life sustaining medication, that our policy misrepresentation claim has yet to be addressed? Doesn't Florida Blue need to at least provide a transcript of the call?
  
  Thank you for your prompt attention to this matter.
  
  ******** * ******* *****
  ************

  Customer response

  04/13/2024

  Despite weeks of effort, we have encountered nothing but deflection and delays from Florida Blue's representatives.

  Our repeated attempts to address this urgent matter have been met with frustration and stonewalling.

  At this point, it is imperative that our consumer rights be acknowledged and upheld. We firmly believe that Florida Blue is obligated to address our policy misrepresentation claim in a timely and transparent manner. As such, we urgently request that you provide us with a transcript of our initial sales call. 

  We appreciate your immediate action on this issue and look forward to a swift resolution.

  Sincerely,

  ******** * ******* *****
  ***** ******** & ***** ********

  Business response

  04/18/2024

  Please see attached response

  Customer response

  04/19/2024

  Hi *****,
  
  
  ******** and I just got off the phone with *** from Florida Blue, who was assigned to address policy misrepresentation claim, Complaint ID: ********.
  
  
  Once again we were told that after he contacted their sales office, they indicated that we were informed that the pharmacy deductible amount pertained to Tier 5 drugs when we specifically asked about it, without any reference to when and how that occurred during the conversation. 
  
  
  If what Florida Blue is saying is true, why can't they provide an excerpt of the transcript when this occurred?
  
  
  As a result, we do not consider our claim properly investigated or resolved by any extent. 
  
  
  By repeatedly denying us with either a specific reference or excerpt from the conversation where we specifically ask about Tier 5 drugs (Xifaxin was the first example used), Florida Blue is in violation of Florida Statute 626.9541. We would have refused the policy if this was clearly indicated to us during the call, as we require life sustaining Tier 5 drugs which are very expensive. 
  
  Is there any way we can make Florida Blue produce either the excerpt of the call transcript which we are citing, in order to substantiate the result of their investigation?
  
  
  Thank you!
  ******* and ******** *****

• Initial Complaint

  03/14/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  Florida Blue willfully ignored proof of emergency room charges to deny the most basic covered services that led to my life-saving treatment. Even clearly covered bloodwork/testing and antibiotics treatment were denied for arbitrary reasons! Then, they made the process of having their own mistakes corrected excruciatingly drawn out and painful, directing me to file an appeal and not following through on a promise to have the appeal processed within 30 days. I have had to call countless times and have continually been transferred around to different departments with different opinions, facts, and promises almost every single time. Furthermore, this is already for a claim for a service date that is almost a year old now! This out-of-state emergency services claim was partially denied and the reason provided by Florida Blue is essentially that the provider did not explicitly define which Immunology and IV treatments were performed. However, a very detailed billing itemization document was provided which shows exactly the Immunology and IV treatments performed! This is a major oversight by those involved with this claim that has led to the unnecessary and excruciating experience of trying to recover money owed by Florida Blue for these indisputably covered basic emergency services. After filing an appeal back on February 9th, 2024, Florida Blue has now exceeded its promised resolution window of 30 days for an "Escalated Appeals Review." Attached are the documents provided to Global Core as well as a document that lists the chronology of the events that occurred related to this claim. I hope Florida Blue can make this right after a needlessly long ordeal originating from oversights not made by me or the provider but by those at Florida Blue. I have been a member of Florida Blue for many years and I'm hoping they can restore my faith in their professionalism and integrity in processing claims.

  Business response

  03/18/2024

  Please see attached 

  Customer response

  03/21/2024

  I am rejecting this response because:
  
  The response from the business, written by ******* ******, is not factually accurate. ******* did not state definitively on our call the results of the appeal and actually explained that the investigation is ongoing, "currently being worked on by the nurses." Why is ******* trying to close this case prematurely and trying to make this inconvenient problem go away? Upon logging into the portal, the Appeal is clearly still Pending (see attached screenshot from today, 3/21/24)
  
  During our call, when asked about his opinion about the possible outcome, ******* was not even able to form a clear opinion about the claim after his own investigation. He responded that he was "not able to see the details of the lines being appealed" and ultimately agreed with supervisor ******* findings (Task #******************) when reminded of her conclusion upon reviewing the evidence, which was in my favor, showing a definitive oversights made by Florida Blue during the first time they processed this claim.
  
  Furthermore, if this appeal does not result in the claim being addressed properly and corrected, requiring further action to get these simple and routine antibiotics and testing services covered in accordance with my contract coverage, the next step is to file a detailed complain with the Florida Department of Insurance, listing all those involved with this claim.
  
  
  Complaint: ********

  Regards,

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

  Business response

  04/09/2024

  Please see attached

• Initial Complaint

  03/01/2024

  Complaint Type:

  Product Issues

  Status:

  Answered

  More info

  I have been submitting two of my children's therapy bills through the BCBS portal and received notification that it's "missing paid receipt." I contacted Accolade, which is the intermediary between BCBS and me, and they said that they see what I submitted looks like it contains everything necessary for a paid receipt. I asked what I need to do to get my claims processed. They contact BCBS, and BCBS says they don't have any record of my claims. However, I know they received my claims, because that's why they sent me multiple letters in the mail stating that the claims were "missing paid receipt." They say they don't have them and I need to mail them in instead of using the BCBS portal. I would like BCBS to admit that they have my claims and to PROCESS them now.

  Customer response

  03/04/2024

  Please see attached.

  Business response

  03/13/2024

  sent

• Initial Complaint

  02/08/2024

  Complaint Type:

  Order Issues

  Status:

  Answered

  More info

  Re: FLORIDA BLUE REJECTED CLAIM #**************** FLORIDA BLUE POLICY # ********* AMOUNT $1798.36 Florida Blue Insurance rejected my insurance claim for coverage of outpatient laboratory testing performed on January 5, 2023. I am a cancer patient, and these laboratory tests were medically necessary for my care and monitoring. The amount of stress that Florida Blue's rejection of this claim has caused, and the financial burdens, are substantial. At a time when I should be spared of unnecessary stressors as my health is fragile, errors and unethical business practices on the part of Florida Blue have cost me hours of time, money and caused unnecessary stress. Florida Blue gives this reason for denial: Member Ineligibility. However, the FL Blue agent told me during our phone call on January 3, 2023, verbatim that I was reinstated and insured as of this date, when he collected payment to reinstate my policy through January 31, 2023. He assured me that my policy was reactivated effective immediately. Florida Blue later informed me that he did not process the reactivation correctly, and I was not reinstated for the month of January 2023. It is unreasonable for Florida Blue to fail to stand behind their agent's word and actions, and consequently for me incur this heavy lab expense and bear the responsibility for their errors. It is not only unfair; it is egregious and outrageous. I acted in good faith that my policy was active as advised by Florida Blue's agent when I went to Quest Diagnostics Lab on 1/5/23, which is a covered, in-network laboratory according to my policy. The cost for covered laboratory services is normally $0. I certainly would not have gone to the Quest lab on 1/5/23, if I had known that my policy had not been reinstated. The only fair resolution is for Florida Blue to do what is right: pay this claim on my behalf as if my policy was active on the date of service, as this is what their agent led me to believe.

  Customer response

  02/23/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because:

  1. The FL Blue Agent closed the complaint on her end prematurely, without making direct contact with me. I was actively trying to reach her, despite that, she closed the discussion.

  2. It is unethical for FL Blue to accept Payment for renewal, stating my account would be reactivated, then withdraw that promise rendering me uninsured for a lab service which should have been covered in full. They admitted fault in a phone conversation last year and stated that due to the phone agent's error, my policy was not reinstated and could not be reinstated for the desired coverage period. For these, and other reasons previously submitted, FL Blue should be responsible for the lab charges, as I went to the lab in good faith that I had coverage at the time. Please refer to dates submitted in previous message. 

  Regards,

  **** *******

  Business response

  03/05/2024

  Please see attached file

  Customer response

  03/06/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because: the reason the Florida blue gives for rejection of the claim is itself invalid. The reason I did not have coverage for the service date of the laboratory testing, is due to failure of their agent to properly reinstate my policy, despite collecting payment for this by phone and informing me that my policy was reinstated and that coverage was restored. The Florida blue agent made a mistake and Florida blue should stand by their employees. I should not be penalized for this error.

  Regards,

  **** *******

• Initial Complaint

  02/06/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  I have a marketplace plan with ** ******** *****. It was cancelled as of ********. Although I was only billed for 2 months. The law states billing has to be 3 months behind before a plan can be cancelled. Also, I have over 2 months of Credits that FB owes me for completing tasks in the FB Rewards Program. History of Events: I received notice on 1/8/2024 the I was 3 months behind. I contact FB via chat and the agent advised it is a billing issue and it would be corrected. The. policy was canceled on ********. So, I contacted FB via chat again and I was again advised it is a billing issue and they will be call me on Monday, ******** once it has been corrected. I contact FB via chat on ******** to make sure my policy would be reinstated and then I was told for the 1st time I owed for October January and February that is why it cancelled. I was never billed nor informed I owed anything for October. I explained this to the agent and a supervisor and they kept repeating I had to pay for these months to have the plan reinstated. I should not have to pay to have it reinstated because I was never properly billed. I have evidence of my billing for January and February and my conversations on ******** and ********. No one ever advised me nor did the billing system ever advise I owed any months, but January and February. The agents thought as I did that the billing system was incorrect. I still do not have a proper bill. Because of this cancelation my rewards will be delayed and this could have been avoided if I knew I owed for October. Resolution: Reinstatement of my plan, credit for my rewards and I will pay the remaining balance.

  Customer response

  02/06/2024

  Requested Document.

  Customer response

  02/07/2024

  Requested Document.

  Customer response

  02/07/2024

  Requested Document.

  Business response

  02/16/2024

  Please see attachment.

  Customer response

  02/20/2024

  [To assist us in bringing this matter to a close, you must give us a reason why you are rejecting the response. If no reason is received your complaint will be closed Administratively Resolved]

   Complaint: ********

  I am rejecting this response because: I appreciate their communication; however, this is a marketplace plan. My plan was not even 2 months behind at the time of cancelation according to the billing statements I have already provided. If billing was incorrect that should not inconvenience me. The Affordable Care Act mandates that all qualified health plans offering insurance through the Health Insurance Marketplace provide a grace period of three (3) consecutive months to APTC Members who fail to pay their monthly premium by the due date. Per our last correspondence, why is Florida Blue not reinstating the policy without payment? 

  Regards,

  ***** ****

  Business response

  02/29/2024

  Please see attachment.

• Initial Complaint

  02/05/2024

  Complaint Type:

  Service or Repair Issues

  Status:

  Answered

  More info

  i have spent 21 hours on the phone with florida blue and the people from prime . I have medication that requires a lookback from florida blue medical but can not get a supervisor i have paid 4 times out of pocket for this medication and apeals denied by Prime and blamed on florida blue, i CAN NOT get my diabetic test items because prime is over ridding carecntrix after 2 hours with a florida blue medcial rep i was disconnected again. i have been denied medical care from a rhumatologesit that is in network becuase i was told i got my coverage thru the exchange i had a superviors from florida blue sat the doctor is under contract the office manager said they dont have to take my insurance florida blue said yes and and ivestigation was gonna happen this went no where , plus prime keeps pulling scams with my medication costs and again when i call florida blue medicali cant speak to a supervior... i want a regonal superviros in MY area to contact me and resolve these issues not chanel 7 news and yes this is spelled bad because i have glacoma and get those meds either even with the APPEAL WON policy #************

  Customer response

  02/06/2024

  releases signed as per your request

  Customer response

  02/06/2024

  my xcorect phone *** *** ****

  Business response

  02/14/2024

  Please see attached.  Thank you.

  Business response

  02/14/2024

  Please see attached-Thank you.

*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. ↩