Pacific Blue Cross

Terrible claim submission system. There is no place to leave comments on your claims to explain situations.
My pharmacy filled my prescription before I needed it filled. When I picked it up a month later I submitted it to Blue Cross. It is now under review as the date on the receipt is from a month ago. Now I have to wait and call them, as they will not, ever, provide me with an explanation as to why my claim was denied.
Perhaps they should start basing claims on the day the receipt is submitted so we don't get screwed out of our money.
They also say on their website that they cover certain drugs. Unfortunately they neglect to state that Pharmacare has to approve it first through your doctor before Blue Cross will cover it. So you get your prescription thinking it's covered, but it's not even though on the website they say it is. I'm out a couple hundred from that fiasco too!
Blue Cross needs to do better. Read these reviews and fix their mistakes, putting customers first!

Pacific Blue Cross consistently delivers a truly exceptional and outstanding service. Their processing time is truly remarkable, and they maintain an impeccable level of service. I can always count on receiving prompt replies, and the information provided is consistently accurate and precise.

My experience dealing with Pacific Blue Cross has been incredibly smooth and hassle-free. The staff members are exceptionally kind and well-versed in their policies and procedures. It is unfortunate that the organization responsible for my benefits has decided to switch to another provider.

If the decision were up to me, I would undoubtedly choose to remain with Pacific Blue Cross. Their plan is genuinely remarkable, and working with their staff is an absolute pleasure. Not only are they kind, but they also demonstrate empathy in their interactions. Additionally, their user-friendly portal ensures a hassle-free experience. I wholeheartedly commend all the staff at Pacific Blue Cross for their exceptional service.

Although the company-wide decision to switch providers is met with dissatisfaction from many staff members, I want to express my heartfelt gratitude to the entire staff and Pacific Blue Cross. Thank you for providing such exceptional service, displaying kindness, professionalism, and unwavering dedication to ensuring a seamless and efficient experience. I will genuinely miss the opportunity to work with all of you, and I would award each and every one of you ten stars! I am incredibly grateful for the wonderful years during which you have consistently delivered this outstanding service.

Blue Cross has truly been amazing. They are prompt in their responses and MOST OF ALL it is NOT a nightmare to speak to an actual human!
Five stars and thankyou!

Please don't consider Blue Cross. Our Pharmacists are leaving, and going to Cognitive Behavior Therapy due to Blue Cross complications. Always ask your pharmacist which health care provider to go with; they are the ones keeping us alive.

Incredibly bad! This company is so unbelievably excellent at stall tactics that it feels like they just want clients to give up on their claim. I have been dealing with a trip interruption claim for well under $100 since October and they continually find excuses and even contradict what previous agents have told me. I feel safe in saying that just about any other insurance company on the planet would be better than Pacific Blue Cross!

I do NOT recommend using Pacific Blue Cross as an individual benefits provider. Customer service is horrible. I have been having a payment issue with them which I have been trying to resolve for months but to no avail because customer service is awful. In short, I paid my one year premium in full but they are claiming they haven't received my payment. After sending in proof of payment multiple times the issue has not yet been resolved and I do not have access to the benefits I paid for.

Inquired for quote through website. First person contacted me through email and over a few messages said he would call me - never did. Tried to email and call to follow up and he said he works until 3: 00. Tried a third time (after 3: 00) only to be ghosted.
Filled out the online form a second time and had appointment confirmed and a different agent didn't call as per the appointment instructions. No contact information given.
Now that I read through some reviews they may have done me a favour by not even connecting in the first place. Don't waste your time to even call.

Worst extended benefits company that we have dealt with, max limits not disclosed, dental coverage issues, seems to be grey area, not black and white coverage

This is my first claim as a retired person, and it seemed to be very simple and straight forward.

Once a year I sign in to print my medical expenses for my taxes. Every year it doesn't take my password. Every year it locks me out for 30 minutes then doesn't give me an option to change the password until it's locked me out again. Then I have to phone them and go on hold forever as they don't have a "we will phone you back" option. 1 star is u can expect!

This is my insurance company since it is the one my employer has contacted.
Overall, I usually get no issues to get reimbursed. However, it is very frustrating that the app needs to be updated constantly to fix bugs. Moreover, every time I want to get travel insurance, their app crashes… so I end up getting it from BCAA. It definitely does not give me confidence to get travel insurance through a company that is difficult to reach even in Canada.

The worst insurance company in Canada. The coverage they provide is atrocious. Many times when I've made a claim for a medication or service, I've had to fight them to get them to cover it. It shouldn't be this difficult! The fact I have to constantly advocate to get coverage for life saving medication and services is insane to me. If you're looking for a good insurance company go anywhere else but here.

The worst people. Liars all of them. Incredible this company can continue to do business. If you think you have long term disability insurance with them good luck. They will lie to you.

First, was not explained clearly that the main services I needed were only partially covered and would be incrementally increased over a period of months to years. It’s a money grab and basically using the “small print” to their advantage, holding clients over a barrel basically, having to keep the policy for a long period before can benefit from much of the coverage, be it dental or health, such as chiropractic. This was definitely not explained when I initially called for information and set up the policy
Terrible glitches with their online claim submissions. Spent hours when should have taken minutes and ended up with misinformation and 1 receipt uploading for all my claims and unable to edit or add any more. Kept having to re enter all the info for the service provider (outside of BC). Called a rep and could barely hear her, the line kept cutting out and she took no responsibility for the issues, not even apologizing and basically saying all I could do was keep checking back over the next couple of weeks for the requests for missing documents (which I have ready but system wouldn’t accept).
So frustrating.

Claim submittal is easy, clear and fast. Payment is on the low side, when one compares monthly payments

One of the worst Insurance Companies I have ever dealt with!

I have been paying premiums with Blue Cross since July. Then 2 months later, they disabled my account and I've been working with them to reinstate it. After complying and filling out countless of forms, they have given me a run around for the past 4 months that the forms are in process. I've always paid premiums on time, since they say "keep your receipts and we can reimburse you when the forms are approved. Paying for 4 months premium on a account that's no longer active, 4 Months later, they tell me claims are rejected.

Why pay for insurance when they don't cover it? Look at all the horror stories of their reviews and you'll find out.

Customer Service is also a waste of time as they are "working on your claim", paying for months of premiums only to know it's rejected.

Trash Company.

Blue Cross shows what happens when you allow Americanized health care in Canada. They are overpriced, provide terrible customer service, and leave you in the dark over simple questions.

Blue Cross is an inefficiency that should be removed from the supply chain.

The absolute worst.you would be better off saving your money as they don't pay for anything anyways.prescription drugs=pay a deductible, procedure at the dentist= sorry not covered.legal scam artists really.

I don’t know why some complain about this app as I fine it most convenient and ease of use. Refund is in my bank account with utmost expediency!
I’ve been with this company for about 50 years now. I didn’t like my yearly allowable going down to 400.00 when I became a senior, but it is their policy.
As far as some claiming they don’t cover certain expenses, you get what you pay for.
Their are varied levels of subscriptions.

Pacific Blue Cross does not make its online format user friendly or efficient. When it updates its system to make claims you have to reenter provider numbers and addresses. Its almost like their operations are designed to discourage claim submissions.

More adjudication, red tape and caveats than other insurers
Lots of drugs and services not covered
Customer Service frequently unavailable to answer calls

They have the most worst customer service I ever experienced! If you want to get some money back on an early return, you have to call them multiple times and they still do nothing. Employees are totally incompetently. Don't take this insurance! Stay away from them! This service is not even worth one star!

I have used many medical benefit providers and Blue Cross is by far the best (used them for over 7 years in total over 3 companies and I rely on my benefits a lot). Direct billing is often possible (unlike others), submission process is straight forward on web or app, customer service is decent / nice (though their hours suck), and I usually get reimbursed pretty quickly. My only issues with it are more about ym plan itself and not PCB. Recommend.

You just rejected my drug claim as bieng" maximum my plan allows", even though the prescrition was filled the first day of the renewed plan. What am I paying you for?

I had been paying for an individual benefits plan and there was so much undisclosed information they don’t tell you, a complete waste of money Do not deal with them go to another provider which I have found and happy

The web site said that the claim didn't go through and to try again, which was disappointing. But it did go through and if I hadn't checked my email I would have submitted it again. Something should be checked out on your program.

The Bluecross app is a lesson in futility. When most extended health claims require mailing in documents, why bother with the app? Make a one page website that states your address and have done with it.

You always perform promptly and professionally. However, I find it difficult to navigate through the claim process,