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Highmark Blue Cross and Blue Shield

Highmark Blue Cross and Blue Shield

www.highmarkbcbs.com
What is your customer experience with Highmark Blue Cross and Blue Shield?

Highmark Blue Cross and Blue Shield Overview

The generated data is based on reviews and questionnaires provided by PissedConsumer.com users.

AI insights based on reviews
Rating Distribution

Highmark Blue Cross and Blue Shield has a 1.3 star rating from 6 reviews; consumers are mostly dissatisfied with a 100% unfavorable distribution and frequent reports of poor resolution.

Positive Feedback

Some members note employer-provided coverage and occasional successful help with pharmacy info, premium payments, or password resets.

Negative Feedback / Risk Areas

  • Persistent abusive wait times and inability to reach a live representative, common in Highmark Blue Cross and Blue Shield reviews.
  • Repeated claim denials and prescription disruptions causing care delays.
  • Billing errors, canceled policies without notice, and difficulty obtaining refunds or corrected statements.

Key Takeaways for Future Customers

  • Expect substantial customer service challenges; verify plan details proactively.
  • Document calls and billing; escalate soon if claims are denied.
  • Consider employer alternatives if uninterrupted prescriptions or reliable billing are critical, given frequent Highmark customer complaints about service.
View full overview ›

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Show reviews that mention
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Alera Iuc

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

You are the most inconsiderate company! You can call any one of your phone lines & WILL NOT EVER talk to a real person. Your standards are not even up to a one. You have the worst customer service!

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AI Highlights
  • Long hold times and difficulty reaching any department.
  • Transfers between departments with unclear answers.

Your company is a joke! I will NEVER choose highmark again.

It's like you're not even trying! Your silly recording that says we're important to you. How can you wait for at least a half hour. I can't get through to anyone, not just one department, ALL OF THEM.

I guess our time means nothing to you. I get so stressed out when I have to call & ask a question. I usually have to plan an hour or two on hold just to talk to someone. They frequently don't know the answer.

That's when they start giving you other numbers to call or better yet, that's when they "connect" me to another dept. That is when you get hung up on & you have to start all over! Worst customer Service I've ever dealt with!

You make your millions & won't spend a dime on the very people that keep you in business. You are cheapskate to say the least.

User's recommendation: DO NOT CHOOSE THIS TERRIBLE COMPANY UNLESS YOU HAVE MEDICATION THAT CAN LOWER YOUR STRESS LEVELS!

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Rocky S Ziv

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Terrible Customer Experience

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AI Highlights
  • Highmark refused my insulin prescription citing dosage info despite no change.
  • I had to ration insulin for months with little insurer concern.
Original review updated Feb 04, 2025

I have been a type 1, juvenile onset diabetic since I was seven years old. Within the last year Highmark Blue Shield has started refusing my insulin prescription every time I try to fill it stating they need the dosage information even though the dosage has never changed under my current physician.

This has forced me to ration insulin for months, to which Highmark has zero concern. Their customer service seems to exclusively be based outside the US and they have zero information about your plan when you call. Vultures like this company are the exact reason the country despises our insurance and Healthcare system.

They make arbitrary, capricious decisions with zero medical oversight, relying on bought doctors never held to account for their ghoulish push to process as many claims as possible since they are paid per review and not held medically liable for their decisions. Absolute garbage company, do not recommend, will be copying this review to every possible venue I can find for their company.

Pros:
  • Work provides it
Cons:
  • Non-us customer service
  • Poor service
  • Abysmal customer service

Preferred solution: For the company to show actual concern for their customers. For them to acknowledge that the reason the US passionately despises their industry is because of their own disgusting, callous behavior

User's recommendation: Don't give these vultures your money

View full review
Alera Iuc

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Can never EVER talk to someone before 20 different departments tell me the call is not for them & then disconnect me while transferring the call. I can't even find a # to call for general questio

The WORST CUSTOMER SERVICE. Not one of these operators even know how to transfer a call.

I get sent to at least 5 people before I get hung up on. Hold times are absolutely ridiculous!

View full review
Anonymous
map-marker Phoenix, Arizona

Constant denial of claims

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AI Highlights
  • A lemon-sized tumor needs removal.
  • They deny coverage as not medically necessary.
  • I'm paying cash for treatment and feel uninsured.

If your employer offers this as health insurance, find another employer before you get sick. They deny everything and say it's not medically necessary.

I would think a lemon size tumor kind of needs to get removed. It's like I don't even have health insurance.

I've been paying cash just to get treatment since I don't really have insurance it appears. They deny everything.

User's recommendation: Find another employer if this is your health insurance.

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Regina A Hxs

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

Can't reach by phone

it b says than you for calling high mark and that is it.. same as my customer service number on back of my card. Wtf

Preferred solution: will they cover a procedure????

View full review
Anonymous
map-marker York, Pennsylvania

Prescription

I needed to verify my in network pharmacies and also make premium payments. I was also assisted with password reset

View full review
Nerey G

I was tranfer and costumer services said they have issue with the computer, and I ask for the number of Costumer service that way

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That way I call back and the women that answer me at 11:33 or 11:34 said that she dont know that info

She cant give the a phone what a terrible services

User's recommendation: Get new employees that want to work

View full review
eugene c Gex

Can't pay bill

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AI Highlights
  • Previously paid bills easily at the South Hills office.
  • Now in-person payments are advertised but often fail; seven attempts in three months.

ALWAYS PAID BILL WITH EASE BY STOPPING IN THE SOUTH HILLS OFFICE. NOW EVEN THOUGH OPEN AND ADVERTISING YOU CAN MAKE PAYMENTS IN PERSON, EVERY ATTEMPT TO DO SO ENDS UP THAT THE SYSTEM IS DOWN. AFTER 7 ATTEMPTS IN THREE MONTH PERIOD, I FEEL SYSTEM IS NOT DOWN IT IS BROKEN AND THEY DON'T CARE.

Preferred solution: Apology

User's recommendation: NOT WORTH THE PRICE AND LACK OF SERVICE

View full review
Lauren A Kvs

This review is from a real person who provided valid contact information and hasn't been caught misusing, spamming or abusing our website. Check our FAQ

Verified Reviewer

No Transparency or Accountability

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AI Highlights
  • Highmark refuses to share basic information and limits rights.
  • There is no ombudsman; policies are antiquated and not transparent.

Highmark refuses to share even basic information while abrogating your rights. There is no ombudsman and bad employees are in complete control of your case as you have no way to get information on how to reach anyone else.

They have antiquated policies that don't recognize electronic record keeping. Their processes are non transparent and they are not held to any accountability.

Preferred solution: Fair process

User's recommendation: Stay far, far away.

View full review
Anonymous
map-marker Carlisle, Pennsylvania

Poor Service

AI Highlights
  • Need medicine.
  • Robo operator schedules a callback in six hours and fifteen minutes.
  • New insurance has caused very poor service.

Need medicine. The robo operator will only schedule a call back six hours and fifteen minutes later.

I did speak to some one yesterday who continued to change his story. New insurance, very poor service.

View full review
Anonymous
map-marker Miami, Florida

Psychologist for Child

AI Highlights
  • Site lists psychologists who don’t take insurance.
  • They require out-of-pocket payments.
  • I asked to speak to a supervisor and was on hold 10 mins.

Went to there web sight called numerous psychologists they all say that they are not with insurances they pay out of pocket. So why are they on there sight.

Haven’t said anything but I need a psychologist for my son and told them what and the way my son was feeling.

The customer service rep. Threw HighMark BCBS said that’s all she can help me with is what’s on the we sight. I asked to speak to Supervisor and was on hold for 10 min. So I hung up.

I told her this was a life or death situation but she had no compation at all. “P” was the rep.

So not sure why they try to put it on me. I need help.

View full review
Linda C Xiy

Pharmacy services

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AI Highlights
  • Rite Aid can't fill the script; CVS or mail order.
  • Doctor faxed the script 3 times; no confirmation.
  • Out of Symbicort and Albuterol; ER visit.

2 weeks ago i went to fill my script at rite aid was informed by their pharmacy that they could no longer fill the script i would need to go to cvs ,since cvs locations were inconvenient for me i was told i could use mail order after 3 times of having my

Doctor fax my script i was told that i would be informed that it was received after never getting informed i tryed to fill meds at a pharmacy (cvs) and was told they couldnt fill it due to it being mailed ,called pharmacy number was told it was mailed and couldnt be canceled got tracking number and it was never sent trying to resolve issue since im out of meds and am getting run around this really is a joke the meds were not sent as of today ,wont let me cancel to refill at pharmacy so i go without meds and end up at er by the way the meds are symbicort and albuterol your pharmacy service is far from the best

View full review
Virginia S Pvu

Worst of the Worst - NEVER GET INSURANCE FROM HIGHMARK

AI Highlights
  • Paid December bill over $1,000; December claims not paid.
  • Policy canceled Dec 1; I wasn't informed, and $1,040.22 for December wasn't returned.

I paid my December bill of over $1,000 and they were not paying my claims for December when I called them March 08th they said my policy was cancelled December 1st. They claim I owed them .48 cents - they never informed me they cancelled my policy - they had not intention of returning the 1,040.22 I sent them for the December bill - when asked why they did not return the money if they cancelled the policy - I received a lame answer of we can cut a check now.

Wait 4 months after you cancelled and never informed me. Refusing to pay any December Claims - have my money and cancelled my policy.

I guess since I did not renew insurance with them they decided they can try to take of advantage of me. WRONG PERSON TO MESS WITH!!!!

Loss:
$2264

Preferred solution: Full refund

View full review

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Anonymous

Highmark bcbs

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AI Highlights
  • Customer service is poor and callbacks are only at their convenience.
  • They should offer 24-hour support.

Hope you don't ever need to contact their office unless it's before 430 pm worst customer service ever they need at their convenience if they happen to call you back which is very drought full how much trouble would it be to have customer service 24 hours a day to help with questions hope this place goes bankrupt and burns downtown bad this lace doesn't care about individual just to collect your money and denie all possible clamps that it can hopefully you never get sick and have to use this they are pitiful and never answer the phone unless at a whim somebody does an a dare or accident

Loss:
$107

Preferred solution: Let the company propose a solution

View full review
Anonymous
map-marker Kentwood, Michigan

Pissed off company needs Physicians health

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AI Highlights
  • Poor customer service and unhelpful employees.
  • 12 days without medication due to form issues.
  • High deductible and limited plan choices.

I could not believe the crap of customer service and laziness of these employees to Simply put in one form in the computer I have gone 12 days without medication there should be a law against that and my husband is still paying for it with his company for this health insurance it's garbage no matter what plan you choose the deductible so high good luck reaching it so you're absolutely paying for nothing there are more choices out there to offer employees that should not be limited to just three choices of the same company!!

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Anonymous
map-marker Allentown, Pennsylvania

Unsatisfactory

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I have spend hours on the phone trying to get assistance for my mothers bills. No calls back.

No calls to nursing home. I have never had such a difficult time with an insurance company. Would no recommend. Agents are nice but you never get the same one.

My records of calls and there’s differ. Just one difficulty after another. Not sure what you need 100 words for. Just not happy and plan to change insurance.

Would never recommend. Thank you for all. Thank you for the opportunity to vent.

Thank you all again. Thank you for your understanding, can you offer any assistance?

Loss:
$5500

Preferred solution: Full refund

View full review

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