Blue Shield of California Anmeldelser 

Hands down the worst customer service. I’ve called six times and nobody can figure out the issue. Extremely difficult to understand their customer service representatives. None of them care about the customer

Would give them zero stars if I could. Just wasted 1.5 hours of my time on the phone with a Blue Shield customer service agent named Ronna who spent the whole time either putting me on hold or doing her best to obstruct the resolution of their $50 overcharge on a copay. We even got a Labcorp supervisor on the line clarifying that the $50 was an overcharge by Blue Shield for that visit and the mistake was Blue Shield's. Asked Ronna to help us resolve this or to get a supervisor on the line. She did neither successfully. After 30 minutes holding for a Blue Shield supervisor who never came on the line, the Labcorp supervisor and I decided to hang up. This customer service rep at Blue Shield, Ronna, is beyond incompetent. Worst customer service ever.

For many years, Blue Shield has resisted implementing a mechanism that would allow subscribers to send secure online messages to customer service. This should be fixed!

I would give Blue Shield of California Medicare Advantage ½ star if I could. With Medicare Open Enrollment beginning October 15 and continuing through December 7, I would strongly encourage anyone considering this plan to carefully research its provider network, access to care, and continuity-of-care policies before enrolling.

My experience has been extremely frustrating, and I have been fighting with Blue Shield for nearly a year to obtain appropriate medical care.

Until December, I was under the care of an orthopedic specialist and receiving physical therapy for a diagnosed hip condition. Following a provider network change, I lost access to both my specialist and my physical therapy.

I requested continuity of care so that I could continue treatment, but Blue Shield denied my request. I subsequently filed a grievance, which was also denied.

Blue Shield assigned me a new primary care physician, but I was told that the earliest new-patient appointment available is in September. Because I am enrolled in an HMO, I must establish care with a primary care physician before I can obtain the referrals necessary to see a new orthopedic specialist and resume physical therapy.

As a result, I have essentially had to start the entire process over while living with an existing medical condition. During this interruption in treatment, my hip condition has significantly worsened, and I now have substantial difficulty walking.

This is why I cannot recommend Blue Shield of California Medicare Advantage based on my experience. Medicare beneficiaries should understand that a provider network change can have serious consequences when it interrupts established specialist care and treatment. Before enrolling, I strongly recommend confirming that your physicians, specialists, hospitals, and medical groups participate in the plan and carefully reviewing what options are available if that network changes during the plan year.

Worst part is I have used the insurance very little over the yrs and it has truly gone straight to hell! They fight me and my dr’s on drugs and procedures and I very worried soon they will not cover my procedures or anything! Worst customer experience I have ever had. I was forced to wait over one week while they denied my needed medication for Colitos and i suffered greatly until
My specialist gave in and said go with two pills a day!! The pharmacist could not believe it that an insurance company could be a dr and know better then he what I needed. Wake up folks we are doomed with companies like this!!

Absolutely terrible experience! I've been trying to resolve one simple claim since the beginning of March, and now it's almost August. After nearly 5 months, it's still not resolved, and my bill has already been sent to collections because of Blue Shield's delays.
Multiple Blue Shield representatives confirmed that I was assigned to the correct medical group, and it also showed correctly in my member portal before my appointment. I relied on that information.
My grievance, signed by Shannon C., was denied even though I submitted extensive evidence, including screenshots, phone records, and the provider bill. The response even referred to the wrong provider and asked me to complete an "enclosed" claim form that wasn't even included.
What is most frustrating is that it feels like none of the evidence or documents I submitted were actually reviewed. I keep being asked the same questions and told to provide information that I have already explained and submitted multiple times over the past several months.
I've spent countless hours on phone calls, emails, and uploading the same documents again and again, yet nobody seems to review the full history of the case. Instead, I keep receiving generic responses that restart the process from the beginning.
This has been by far one of the worst customer service experiences I've ever had with an insurance company.

Terrible experience. I have had health insurance for decades with numerous companies and Blue Shield of CA has got to be the worst. Terrible customer service. 9/10 times IF you get to speak to someone they are so unhelpful that you wonder how the heck they got this job. The coverage is terrible with so many of my standard doctors unwilling to accept it, even though they take BCBS. I am stuck however because it is the insurance plan offered by my company. To make it worse, I live out of state and it adds to the confusion.

I hate this company I used it to pull out 1 of my teeth they only covered half my bill. Which was not a lot then I tried to fix a teeth and I was told by the dentist I was not allowed to use the insurance until December.. meaning I was paying 80$ a month by the time I could even use it again I would already be like 500$ in! And they premium only covers half this insurance is a scam they would not let me cancel my insurance until I paid a bill that I inquired about my account to cancel when I had no balance and they didn't help me but all of a sudden I had to pay. That's abusive behavior that needs to be reported they are a scam period

I am completely fed up with wasting hours of my morning fighting Blue Shield of California over denied claims. I pay expensive premiums every month for a PPO plan, yet a bureaucrat with zero medical training gets to override my doctor's recommendations. It is unacceptable that desk clerks without proper education or expertise have the authority to challenge a licensed MD.

On phone time and time again repeating the same thing over and over again. Will leave this Company during Active enrollment. The worst company ever. Get on phone with a problem and you just repeat repeat repeat. Over and over again . Like they don’t have your Information on the computer screen. Seriously what’s the point keeping people on phone and repeating same thing over and over. These people are history to me. I would Never recommend this health insurance to no one. Better to not have insurance and go into hospital as a homeless person. You will get Better service !!!

OUTSTANDING! Blue Shield Customer support. I was lucky enough to have the pleasure of speaking with Justine S! I feel like I need to withhold her last name because I don't know if this could get her into trouble. She assisted me today, spent two and a half hours on the phone with me today because I had 2 medical insurance policies at the same time. We filed the retro-termination, and this was a process that I just didn't know, nor was I informed by my broker/agent of his mistake. Her knowledge and experience helped me file the claim to get monies returned that rightfully should have never left our bank account due to broker/agent miscommunication. Justine is, hands down, the person you should request. 🙌🙌🙌🙌🙌

Blue Shield of California uses a company by the name of Evolent to deny care to its members. Sadly, patients were forced of their Anthem plan to Blue Shield of California which gives death care, not health care, through its third party health denier Evolent! Evolent denies standard treatment.

they only exist on paper. this is no actual vender management to execute health care

Blue Shield HMO, replaced BS PPO in CA. Worst decision, worst plan ever for over 65 seniors in CA
6 months until open enrollment when I can dump BS HMO.

Crooks they just take your money, ther worst then crooks in streets because these crooks get away with what ther doing.like ripping seinors off money free money just take my money with no service unless I pay more money.sick DEMOCRATS LET THESE SNAKES DO THIS

Zero ownership. Every interaction is a complete breakdown. I explain the issue clearly within seconds, and they still waste an hour circling the same basic information.

Support is clueless, disorganized, and painfully slow. There’s no urgency, no accountability, and no sense that anyone knows what they’re doing. Even the simplest data pulls take forever.

This isn’t just bad service—it’s operational failure. Easily one of the most incompetent companies I’ve ever dealt with. I am glad I switched to Kaiser

I can't express enough how much I hate Blue Shield of California and hope they burn to the ground.

Last year, 10/29/2025, I had to make a post-birth newborn appointment. My hospital would not let me leave the lot without booking an appointment to see a pediatrician for an evaluation post-birth. This was set 5 days after my birth. OBVIOUSLY it would take time to add my son to my policy, because you know, Blue Shield is slow with every damn thing. This appointment took place on 11/3/2025. My son's pediatrician's office sent the bill to Blue Shield. My son then had a 1 week appointment follow up on 11/10/2025. They sent the bill to Blue Shield as well. Thought all was well, haven't heard from anyone regarding any issues. Here we are, months later, my sons pediatrician's office now tells us they have been sending the bill to Blue Shield but keep getting denials sent back. Why you ask? No one has a god damn clue. We've provided all the necessary documents to "pRoVE" my sons birth happened, he was added to my policy per my HR rep at my job who was helping me during my very difficult post-partum healing. But no, according to Blue Shield my son was never added. I new something was going to go wrong because not only was this during the government shut down last year, but they initially denied adding my son to my policy at first because the discharge papers my hospital provided did not have my son's name at the top. BUT HAD EVERY OTHER DAMN THING ELSE ON THERE FOR ME AND HIM!!!!! My HR rep forced them to approve it because my son's pediatricians office was not going to see him for his next visit because there was so much back and forth about him being on the policy. I just tried to call them today, was on the phone for 38 damn minutes just to wait for a "claims rep" named Phillip to get on the phone and say they are having technical difficulties and he can't help me, to call back later because he can't even take messages currently. The system is complete bullshit, Blue Shield does NOTHING to make new parents live's even the slightest bit easier. I should not have to JUMP THROUGH 450 HOOPS TO GET MY SON ADDED TO MY INSURANCE POLICY THAT I PAY SO MUCH FOR EVERY SINGLE MONTH. I hate Blue Shield and the employees that keep that shithole still operating. They do nothing to help ANYONE, and i can't wait until the burn to the ground.

horrible service, requires using a stupid app that is worthless, they make everything impossible to find out ahead of time how much they will charge you, so if you use them, expect a lot of surprisingly high bills

I have been on the phone for four hours this morning. It was several hours yesterday and last week and the week before. If I use their website to establish my first PCP, it will say they’re accepting new patients until I use the number listed and find out they are not accepting new patients. I also call time and time again with someone assigning me a PCP that cannot actually see me. Calls keep dropping while I’m put on hold for 40 min at times until the call drops and no one calls back. It is insanity. I would never recommend blue shield of california.

Employer pays a fortune for insurance
Had to have an ultrasound, had to pay $100+ up front before the procedure and still got a $300+ bill in the male . Insurance covered $261
This company is a fraud!!!