Horizon Blue Cross Blue Shield Of New Jersey Reviews | horizonblue.com @ PissedConsumer

Cheryl B Rsi |

Marlton, New Jersey

Billling is so screwed up and customer service tries but doesn't succeed.

Dec 11, 2023

They sent me a bill one day before it was due. That forced me to get auto-pay. They are still sending me bills even though I'm on auto-pay. Their billing is confusing. I've called them at least half a dozen times and I don't understand what they are doing with their billing. They never used to be this way but ever since I changed plans, nothing is going right. Avoid them!!!

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User's recommendation: Avoid them!!!

Stacie H Css

I AM ALSO A PISSED OFF CUSTOMER. HORRIBLE CUSTOMER SERVICE

Mar 05, 2021

1.0

I HAVE BEEN TRYING TO SECURE A HEALTH INSURANCE POLICY FOR MYSELF AND HUSBAND. MY APPLICATION WAS SUBMITTED WITH A LICENSED INSURANCE AGENT DIRECTLY WITH HORIZON BLUE CROSS BLUE SHIELD ON JAN 27, 2021. AS OF TODAY, FEB 5, 2021, WE STILL DO NOT HAVE A POLICY. WE HAVE SPOKEN TO SEVERAL DEPARTMENTS, SALES, MEMBER SERVICES, ENROLLMENT, THE ESCALATION TEAM AND STILL THERE IS NO RECORD OF A POLICY OR AN APPLICATION IN MY NAME. I HAVE GIVEN THE SALES AGENT MY CREDIT CARD INFORMATION AND THERE HAS BEEN NO CHARGES EITHER. THIS IS TOTALLY UNACCEPTABLE AND SUCH POOR QUALITY OF SERVICE. WE ARE SO DISAPPOINTED IN THIS COMPANY AND THEY WAY WE HAVE BEEN TREATED. HOW DO YOU LEAVE SOMEONE WITHOUT INSURANCE WHEN YOU ARE ONE OF THE BIGGEST NAMES IN THE INSURANCE MARKET.

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Cons:

Poor customer service

Preferred solution: Deliver product or service ordered

User's recommendation: GET INSURANCE SOMEWHERE ELSE !!!!

Anonymous

Guest-1550923

Melville, New York

Account & Claim

Jun 05, 2019

Attn: Horizon Staff

I have been unable to resolve an ongoing issue regarding account information and claim denial. As a result I have elected to seek the assistance from additional Horizon staff, Brown & Brown and my elected government officials.

Three months ago we receive dental cards containing the wrong name associated with our account.

We contacted our personnel Yvette Fuentes who quickly resolved the issue with Matthew McCarthy benefits consultant for Horizon.

Next we filed a claim for a dental bill which was not received after six faxes had been sent. Poor management made the claim difficult to process. We finally confirmed the claim had been received. Shortly after we were denied by Horizon.

Yvette Fuentes is a coworker but remains listed as my wife in the Horizon account.

As a result my wife, Karin Murek was denied her claim and lacks the coverage we have paid for.

Mr. McCarthy confirmed spending an hour on the phone with his contacts with no change. The problem is a mistake which has met with resistance on the part of Horizon and Brown & Brown.

At this time I would like to request the support of the NJ State leadership to intervene to resolve the theft of services and mismanagement of our benefits.

I look forward to your anticipated cooperation.

Respectfully,

Richard Murek

BrokerSupport@***.com

Diana.Gonzalez@***.nj.gov

Dillon.McNamara@***.nj.gov

lauren.Banks@***.nj.gov

Ashley.Campbell@***.nj.gov

Donna.Fletcher-Lugo@***.nj.gov

Thomas.Hilliard@***.nj.gov

Stefani.Thachik@***.nj.gov

Angela.Bethea@***.nj.gov

Chad.May@***.nj.gov

Maisha.Howard@***.nj.gov

Kelechi.Unegbu@***.nj.gov

Hasani.Carter@***.nj.gov

Janis.Flanagan@***.nj.gov

Errol.Bruce@***.nj.gov

Sarah.Carangelo@***.nj.gov

plosapio@***.com

To speak with an Advisor about your employee benefits program, call 888-537-****, or e-mail Phyllis LoSapio at plosapio@***.com.

Senator KRISTIN M. CORRADO 999 Riverview Dr., Suite 350, Totowa, NJ 07512

Assemblyman CHRISTOPHER P.

DEPHILLIPS 201C Franklin Ave., Midland Park, NJ 07432

Assemblyman KEVIN J. ROONEY 1211 Hamburg Turnpike, Suite 301, Wayne, NJ 07470

Brown & Brown Office

24 Arnett Avenue, Suite 110

Lambertville, NJ 08530

609-397-****

609-397-**** fax

Brown & Brown Office

2000 Midlantic Drive, Suite 200

Mount Laurel, NJ 08054

856-222-****

856-222-**** fax

Brown & Brown Office

56 Livingston Avenue, Suite 220

Roseland, NJ 07068

973-994-****

973-994-**** fax

Brown & Brown Office

1129 Broad Street,

Suite 204

Shrewsbury, NJ 07702

732-389-****

732-389-**** fax

KEVIN P. CONLIN

Chairman of the Board, Chief Executive Officer & President, Horizon Blue Cross Blue Shield of New Jersey.

MARK L. BARNARD

Executive Vice President Government Programs (GP) and Operations, Horizon Blue Cross Blue Shield of New Jersey.

DOUGLAS E.

BLACKWELL

Senior Vice President & Chief Information Officer, Horizon Blue Cross Blue Shield of New Jersey.

MARGARET M. (PEGGY) COONS

Senior Vice President, Human Resources, Horizon Blue Cross Blue Shield of New Jersey.

WILLIAM D. GEORGES

Senior Vice President and Chief Strategy Officer at Horizon Blue Cross Blue Shield of New Jersey.

ALLEN J. KARP

Executive Vice President, Healthcare Management & Transformation, Horizon Blue Cross Blue Shield of New Jersey.

CHRISTOPHER M.

LEPRE

Executive Vice President, Commercial Business, Horizon Blue Cross Blue Shield of New Jersey.

DOUGLAS R.

SIMPSON

Senior Vice President and Chief Financial Officer for Horizon Blue Cross Blue Shield of New Jersey

LINDA A. WILLETT

Senior Vice President, General Counsel & Secretary, Horizon Blue Cross Blue Shield of New Jersey.

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DAN P Whl

Mount Laurel, New Jersey

Worst on the planet

Apr 15, 2019

1.0

paying nearly 3000 a month for my wife and i , thanks to obama,. and can't get coverage becasue i was enrolled in their FREE program to cover when you are away from home..

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Cons:

Horrible c
Terrible company

Reason of review:

Poor customer service

Preferred solution: cover my health problem

Nykema O

Newark, New Jersey

HORRIBLE SERVICE IN PROVIDER SERVICES

Jan 24, 2019

1.0

CURRENTLY BEEN HOLDING FOR A SUPERVISOR OR TEAM LEAD 58 MINUTES HAVE CALLED THREE TIMES AND MARIE J. HUNG UP ON ME ALL THREE TIMES BECAUSE THERE IS AN OBVIOUS LANGUAGE BARRIER I ASKED HER NOT TO READ THE DENIAL TO ME AS I CAN SEE THAT MYSELF SHE DOES NOT KNOW HER JOB OR HOW TO DO IT WHEN I ASKED HER WHAT IS THE SPECIFIC DENIAL SHE DISCONNECTED MY CALL. I HAVE SEVERAL PATIENTS I AM CONSTANTLY IN NEED OF PROVIDER SERVICES. THE CUSTOMER SERVICE I RECEIVED TODAY WAS ABSOLUTELY HORRENDOUS AND MAKES ME WANT TO NOT ACCEPT YOUR MEMBERS JUST SO I NEVER HAVE TO DEAL WITH YOU ALL EVER

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Cons:

Horrible c

Reason of review:

Poor customer service

Preferred solution: Let the company propose a solution

Anonymous

Guest-1373939

Boston, Massachusetts

You Suck

Oct 05, 2018

I called at 9:55am to get a prior authorization. After 5 minutes trying to navigate your menu I was hung up on by your system.

I called back and after another 5 minutes with the animated idiot system I actually spoke with a person who transferred me and that recorded menu hung up. I called back and after another 5 minutes made it to a person again. I asked to speak to a supervisor at that point. After 30 minutes on hold someone picked up and then promptly hung up the phone.

I called again and once again 5 minutes through the automated idiot I got a live person. I immediately told them to set the phone down and walk to the managers desk. Sommer then insisted that I have to follow their work flow. Well your work flow doesn't work.

Againa I told her to get me a supervisor. Eventually I convinced her and she got me Brian. Brian then said he would get a live representative and gave me call reference # 1-72********U. Currently I am hold waiting for that live person.

We are now an hour and ten minutes into the call and I still have not reached the person or department that I need to. Finally he is transferring me to Leah. ANd now and hour and twenty minutes in I am being asked the same exact questions for the 20th? time.

And now Leah is going to ask someone what plan the patient might have? You can't make this stuff up. Your company is laughable, it really is. And now they've figured the plan out and they don't process that plan so I'm being transferred again.

And I was transferred to an automated menu that doesn't recognize the member ID # and the only options it gives me is to go back to the main menu or to hang up.

So I will do my own research to come up with a phone number. Thank you for an hour and half of stone walling, poor customer service, and absolutley no help.

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Anonymous

Guest-1311326

Newark, New Jersey

It was heartbreaking.

Jul 24, 2018

1.0

It denied my son addiction treatment and he overdosed and died.

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carol n Qzb

Newark, New Jersey

Medicare NJ Insurance Dept complaint is next

Apr 03, 2018

Got vaccines in January 2018 for flu and pneumonia from Walgreens. These were COVERED expenses. Medicare yanks it out of my Medicare but Horizon keeps listing it as my responsibility. I HAD coverage, a card and a letter from them stating it started Jan 1 2018. Vaccines were given Jan. 28 2018. Something is starting to stink here. Medicare and Nj State Insurance complaints are next. Talked to a Lloyd in Feb and someone in their office after that. Nothing done on this. IT'S APRIL. 3months to correct this. Someone needs to be canned here. This is BS. Horizon's computer system stinks. I have spent TOO much time at a pharmacy or Dr. waiting for THEIR system to respond. They complain about it to. I think the longer you wait maybe they hope you go away or they don't have to pay out what got put in.

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Pros:

Regular blue cross

Cons:

False denial of claims
Horizon medicare has no email
No email or chat to solve medicare problems mail and phone

Reason of review:

Bad quality

Preferred solution: Let the company propose a solution

Tierra Opa

Newark, New Jersey

Unable to Cancel

Dec 16, 2017

2.1

I was a contractor but got a full time job with health benefits. I filled out Horizon's "Request for Termination" for and emailed it to them. The next month they charged my Costco Citi Visa card for the $1,000 premium. I re-sent the email. Called Blue Cross, but could only get to a person though the new applicants number. The first call, I was given a bogus email address. The second call they confirmed the email address that I originally mailed to and gave me a bogus phone number to call. After that, they just hung up on me. I sent certified mail, which still has neither been delivered or returned. I disputed the Citi Visa charges. Citi was unable to contact Horizon. Despite assurances from Citi Visa the next month Horizon debited the Citi Visa another $1,000. I reported the Citi Visa as stolen and requested that Absolutely NO New Charges on the old card be transferred to the replacement card, their default is to transfer charges. So, any charges to the old "stolen" card, I am still responsible for. This is the Citi Visa written policy. In an online chat with Horizon, the representative wrote back that the policy was canceled and I am to receive a $463.06 refund. I have not received the refund and I'm still being billed.

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Loss:

$4000

Cons:

Systematically unable to cancel policy

Reason of review:

Fraudulent policy of not allowing policy cancellation by shutting down all methods of communication.

Preferred solution: Send a check for the refund. Undo all damage to my credit history. Remove those responsible for this fraudulent activity.

Anonymous

Guest-1125127

DO NOT GET BLUE CROSS BLUE SHIELD IN NEW JERSEY

Nov 02, 2017

It is very hard to get to talk to a real, live person. You will be routed and rerouted to the automation all the time, which is such a waste of time and energy especially if you need to call from your office or work.

The number that they placed on their ID card: 1-80*-355-**** does not have any function that says "if you need to speak to a representative". You will have to second guess their automation and functions to be able to speak to a customer service person. And this will take up more than half an hour of your time. Whoever designed their automation and card needs to be fired because there are so many people who have the same difficulty.

I had to get their phone number online--which is a different phone number in order to speak with a customer service person directly.

This has happened on several occasions. The best insurance to buy, if you can afford it, or if you are choosing from work, is the one with where you can speak to a customer service immediately and the ones with knowledgeable people.

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Reason of review:

customer service automation

Preferred solution: Fix customer service with real live people who are knowledgeable like the Marketplace HAS BEEN FIXED AND IT'S BECOME A PLEASURE TO TALK TO MARKETPLACE PEOPLE NOW.

Anonymous

Guest-1081005

Incompetent and not helpful at all

Jul 29, 2017

1.0

July 28, 2017. I have had cancer cells of the breast. The first part of NJ DIRECT BC/BS paying and handling my account was fine. HOWEVER, i was recently given a script from the cancer center. I had it filled and called BC/BS to find out how to get reimbursed. I called the member phone number on the back of the insurance card and finally after a long series of button pushing and listening to a recording, i made it to a representative who knew absolutely nothing about reimbursements. I was on hold several times while she looked for answers. That time really didn't bother me as i was anxious to get the info i needed. Finally she came back to the phone and said she had to transfer me to another department, which, she did. The auto voice asking you to push buttons to reach the correct deptment was totally unbelievable and frustrating. Any button i pushed just brought me back to suggestions that fit none of my criteria. Over and over, it repeated itself with useless information. Finally, as the minutes piled up uselessness, i was transferred to a real person. I thought i was home free. I thought too quick. i was told again i was in the wrong department. I was again transfered to another department. At this point i had been on the phone what felt like an eternity with absolutely no results. This transfer took me to a hold that played horrible music that went around and around and around playing the same thing for almost an hour. I never even got the usual rhetoric stating "We are sorry.....". I finally hung up totally exasperated. After awhile i called back with no success. I called back again and got the run around from the recording telling me to push this button than that button each time getting no closer to my answer. I actually got a home care recording when i tried to access billing. By this time, i was so aggrivated. This is an insurance company. Most people who call NJ DIRECT are in need of assistance to solve and answer their important health related questions. These people are clients who are real people with real concerns. These people, like myself , are clients that deserve respect with an objective of being treated properly. BC/BS phone info system does not address all issues, thus i could never get a representative to actually discuss my whole situation with the intent of getting a correct answer and guidance. Today a person representing BC/BS was taking a survey, gathering info on how well their representative handled my situation. I told her exactly what happened and how i was still in need of help. I was told my experience did not fit into their criteria so she declined taking down my statements. Actually, i did speak with two representatives who did not understand a simple request to talk to a person about reimbursements for medical items already perchased. So now we know that BC/BS picks and chooses which statements they will accept for their records. As a represntative of BC/BS she rejected my experience and hung up. I find this appalling. This is an example of our caring NJ DIRECT BC/BS insurance company. I worked really hard long hours to have this insurance. I expect better care and employees that know how to help or are willing to get a supervisor who HOPEFUL will. Am totally disgusted with their whole system. My time is valuable too and a resolution to my situation should be a top priority for BC/BS. Each client deserves a proper handling of their health issues. Get it together BC/BS.

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Reason of review:

Problems with payment

Laverda Bmw

Cant access my account

Nov 04, 2017

I need my meds and cant acsess my account

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Henrry Nvn

Mount Laurel, New Jersey

Illegitimate claims denial

May 24, 2017

1.0

Updated by user May 25, 2017

According to information available on the internet, at the time of service, Horizon Blue Cross Blue Shield was the ONLY insurance company that did not automatically cover the tests in question, as all the others had admitted using the test actually produced them net...

Updated by user May 24, 2017

After talking to a supervisor they have now changed their story! It is now denied as "not medically necessary" + "time ran out".

Funny how 3 prior calls told me it should not have been denied due to something totally different, now this? Seriously?!

Original review May 24, 2017

HBCBSNJ denies claims for false reasons, and hopes you lose track of them, running out the clock on claims, then tells you they are 're-processing it' after a problem becomes apparent, but ultimately re-denies claim on basis of 'timely filing'. Unknown to me, a member of my family had a claim denied in 2013 (!) with a Lab company.

Everything appeared fine until recently (despite continuous use of same lab for intervening years), she went to that lab with our current insurance, which is 100% covered and has a direct payment relationship with them. Suddenly she had a huge bill from 2013 and they tried to refuse her service until it was paid! After investigating, I traced this back to a claim filed with HBCBC NJ (I have no idea if it's even legitimate or who filed it). After retreiving and reviewing the claim, they immediately admitted it shouldn't have been denied.

They then turned around and denied it on basis of timely filing! I am presently fighting with them. DO NOT use this company! They expect you to be a medical claims processor and clean up after their mess.

They should pay me to do their work!

If anyone else has had a similar experience, would you please post. I suspect this is systematic behavior, perhaps even across the industry.

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Loss:

$1549

Cons:

False denial of claims

Reason of review:

does not deliver paid for service

Preferred solution: Full refund

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

Mar 7, 2021

In this video interview, Charles R. Gallagher, an attorney, explains what sort of insurance fraud happens with consumers. Find out more about insurance fraud, the worst cases discovered, and how to protect yourself from insurance scam.

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Charles

Charles R. Gallagher, an attorney and managing partner with Gallagher & Associates. His practice focuses on insurance litigation, foreclosure defense and consumer law.

Anonymous

Guest-1039709

Horizon Blue Cross Blue Shield Of New Jersey - Medical Claim Review

Apr 26, 2017

1.0

For years Medicare was our primary and BCBS of NJ our second insurer. No problems with payments. Then, in January of 2017 BCBS/NJ switched us to "Medicare Advantage" without our permission and we have had nothing but headaches. I had foot surgery which cost $25,000 and BCBS/NJ is roadblocking payment. Describing how they roadblock requires its own little essay but it is ***. This country needs single payer yesterday if not sooner. We have a fascist administration in the White House giving every one of our rights to giant corporations. This BCBS stonewalling is all part of the push to privatize health care in the US. We are an international scandal: the most powerful country on earth and it refuses to care for its citizens.

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Reason of review:

Problems with payment

Jemar Fgo

Incompetent Website Developer + Dense Technical Support = Horizon BCBS Website

Jan 05, 2017

Horizon Blue Cross Blue Shield Of New Jersey - Incompetent Website Developer + Dense Technical...

Following the need to understand arcane details of my Horizon BCBS policy I ventured onto their Member Website to download a PDF copy of my MEMBER HANDBOOK, a 100+ document which described every detail of my insurance coverage. The link to download this document is busted - it points to the fricken twilight zone of Internet top level domains (TLDs) : ".local" https://spgate.corpads.local/a/payer/d/DMSPBB...

(about 200 more characters) Put succinctly, .local is not a routable internet top level domain. There are lots of TLDs that everyone knows, like .com, .net, .edu, .us, (etc), but .local is not one of them. It is only useful on a local network, NOT across the Internet. TRY GETTING THAT THROUGH TO Horizon BCBS technical support.

No amount of explaining will get them to believe there's a problem because every time THEY TRY IT, it works - .local is only meant to work from the point of view of a local network user, NOT AN INTERNET USER!!!!!!!! (Seesh! I'm getting all worked up again) Anyhow, I'm a software developer with over 30 years experience and I'm at my wits end trying to relate this issue to Horizon BCBS, so here I am venting at PissedConsumer.com (notice how the .com TLD works just fine?) No matter how many times I tell BCBS about this issue they insist on asking my to clear my browser cache and cookies, log out and in, reboot the computer (blah blah fricken blah) and no one there actually LISTENS to what I am saying or READS what I'm writing to them, or PASSES ALONG any of it to anyone who actually gives two ***.

OK, I feel better now...... But I still don't have that PDF of my MEMBER HANDBOOK!

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Reason of review:

Damaged or defective

Preferred solution: Let the company propose a solution

Anonymous

Guest-1020899

Horizon Blue Cross Blue Shield Health Insurance Review

Mar 14, 2017

1.0

refused to reimburse me for prescriptions because i bought the generic. i had no information about this when i got the scripts and i saved hundreds getting the generic. they are ridiculous. they continue to refuse to pay me and i had to pay hundreds for premiums to back pay and here they wont reimburse me. why have insurance

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Reason of review:

Return, Exchange or Cancellation Policy

Contact Information

Website:

www.horizonblue.com

Mailing Address:

Three Penn Plaza East

Newark, New Jersey 07105

United States

Phone:

(800) 355-2583

Contact Horizon Blue Cross Blue Shield Of New Jersey Customer Service

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Horizon Blue Cross Blue Shield Of New Jersey

Horizon Blue Cross Blue Shield Of New Jersey Overview

Media from reviews

Top Horizon Blue Cross Blue Shield Of New Jersey Reviews

"I AM ALSO A PISSED OFF CUSTOMER. HORRIBLE CUSTOMER SERVICE"

Billling is so screwed up and customer service tries but doesn't succeed.

I AM ALSO A PISSED OFF CUSTOMER. HORRIBLE CUSTOMER SERVICE

Account & Claim

Worst on the planet

HORRIBLE SERVICE IN PROVIDER SERVICES

You Suck

It was heartbreaking.

Medicare NJ Insurance Dept complaint is next

Unable to Cancel

DO NOT GET BLUE CROSS BLUE SHIELD IN NEW JERSEY

Incompetent and not helpful at all

Cant access my account

Illegitimate claims denial

Insurance Expert Talks

Exposed: Types of Insurance Scams and Fails

Horizon Blue Cross Blue Shield Of New Jersey - Medical Claim Review

Incompetent Website Developer + Dense Technical Support = Horizon BCBS Website

Horizon Blue Cross Blue Shield Health Insurance Review

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