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Dealing with Horizon BCBS of NJ is a nightmare at best. Members are treated as disposable commodities. I just spent 45 minutes trying to change my primary care physician and it was like stabbing my eyes with knives it was so painful! I wasn't even trying to get...
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#513028
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I am 58 years old and have a HMO plan single and pay $981.00 A MONTH for coverage. i have no deductable to meet $ 30.00 co pay doctor ect..Then i had to be admitted to the hospital for a life threating infection ..was there for 4 days ..My plan states that i pay...
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#453222
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I think it's telling when you want to select a provider in the BCBS directory to see if you desire a change in insurance..but oh have to be a member first! In other words the user experience prevents any review of providers, which is the key reason one chooses a plan...
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caffeyw
caffeyw

Flat out lie. I know www.bcbstx.com has the provider list on the main page, no logging in. Since BCBS use a common provider list you can use this one regardless of the state...

#421255
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my mom tried to cancel her insurance ...and they wouldnt cancel it they keep making her call all these different numbers..she has cancer and there not letting her get her chemo treatments or her surgery done for her bone cancer..her doctor will not see her and will not...
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Anonymous
me

A doctor takes an oath he has no choice but to treat her he can bill her and not accept your insurance and she can chose not to pay but he has to treat her...Maybe its time to...

caffeyw
caffeyw

Story makes no logical sense. A doctor wouldn't refuse to see a patient just because they have insurance. Even if the insurance is not currently paying anything they can't r...

#399595
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Have just recently entered this bizarre and truly stressing world of trying to get " covered" benefit actually paid to my providers. Have u noticed there is no one to actually complain to on the HBCBS nj web site? I did all my due diligence prior to scheduling a...
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caffeyw
caffeyw

It sounds like the problem you're having is either a coding error, or more likely an issue of coordination of benefits with Medicare. When a person has Medicare and a supplem...

Anonymous
***A

You may have to file an appeal. Call them and arrange this. Once the appeals process is started, then it must be resolved or denied. If denied, I would find a lawyer. BC/BS is...

#390941
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I had health insurance with Horizon Blue Cross Blue Shield of New Jersey (Horizon). In network outpatient lab work was provided by Laboratory Corporation of America Holdings (Labcorp). Due to the limitations of the policy, there was a limit of $500.00 per year for this...
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Anonymous
SMB7462

I am very familiar with Horizon\'s lack of payment. We are looking for someone who is interesting in challenging Horizon\'s underpayments to out-of-network providers. We nee...

Anonymous
CSREP

That\'s what you get for purchasing the most worthless policy that Horizon offers. The EPO Plus... I deal with people like you all day who complain about their benefits becaus...

#280104
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Horiozn Health Insurance denies claims for no reason. They say they reimburse 70% of out-of-network costs, but this is not true. I followed all of their procedures to get preauthorization yet they still denied my claims. Their phone reps said all I needed was a...
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Anonymous
Chris

At least be a man and tell me to my face, you ***...

Anonymous
lol chirs

is a drug using call center junkie

#276577
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Horizon BCBS is the shoddiest operation I have ever encountered. Every claim that I mail in gets "lost." After several phone calls following up on where my claims are, I then "am allowed" to fax in my claim, which even though I have proof of fax transmittal, sometimes...
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Anonymous
anonymous

I can sympathize with everyone here. In the past i too have had problems with this insurer and i too was very fustrated with their incompetance. Then i became an employee of...

Anonymous
another victim of BCBJ

I have same problem with BCBJ NJ. I have to see a out of network Dr and hence have been filed my own claims for a year. there\'s only about 50% that they \"receive\" my claim....

#266094
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Horizon Blue Cross repeatedly denies claims from my health providers, citing that we needed to get pre-approval or the doctor has to write a follow-up letter specifying medical necessity. Rotator cuff tear--won't cover it. Son has severe allergic to yellow sting...
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#265933
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My husband has brain injury, he has limited short term memory and cognative problems. Horizon is denying further coverage for rehab because his progress is "too good". His doctor states he needs to stay as in-patient but horizon thinks it's to expensive and I...
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Anonymous
SMB7462

I am very familiar with Horizon\'s lack of payment. We are looking for someone who is interesting in challenging Horizon\'s underpayments to out-of-network providers. We nee...

Anonymous
TBIFAMILYMEMBER

Dear Marie, thank you for your reply. we had the doc call the insurance company as well as send a letter. his progress is \"too good\" for them. He has cognitive problems as w...

#249828
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