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Nancy's complaint:
July 29, 2014

Insurance Company: Blue Cross and Blue Shield Association
Coverage Type: Health Insurance

  • Claim Handling - Delays upon Delays
  • Claim Handling - Denial of Claim

My husband and I signed up for Medicare Advantage coverage with Lovelace HMO. The website listed doctors in network. My husband saw the cardiologist on the list after seeing PCP to get a referral and number. While waiting to get in with cardiologist Blue Cross bought Lovelace. Now they say doctor is not in network and we did not have referral number since number was issued before they bought Lovelace and we will have to pay the $5,000 bill. Also $10,000 in claims for me are denied, the reason given is I have insurance through my employer. I left the employer in August of 2013. BCBS customer service folks will not give me a number to fax a coverage ended notice from the last insurance. ONe claim was denied for a mammogram because they say it is not covered. The service is listed in the covered benefits section. DO NOT sign up with this company you will be very sorry and stuck with bills you cannot pay.

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