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WellPoint, Inc. complaints

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1 Well Point Way, T21A6
Thousand Oaks, CA 91362 | Get Directions

http://www.bluecrossca.com

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Total Amount in Dispute:
$9,439.00

Total Amount Settled:
$0.00

Complaint Experience

85%

Complaint Resolution Index (CRI)

Complaint Resolution Index (CRI) Explained The Complaint Resolution Index (CRI) is an indicator on how responsive a company is in addressing and resolving customer complaints brought to their attention by BCA. If they are considering doing business with the company, consumers can use this indicator to forecast the likelihood of having their issues addressed if a problem arises. CRI measures the company's customer satisfaction abilities through BCA’s complaint mediation process.

A variety of factors are considered when calculating CRI. This includes how quickly a company responds to complaints, the number of complaints against a company, whether the company addressed complaint allegations, and the outcome of the complaints. CRI is just a subset of the overall rating for the company. Consumers are encouraged to take into consideration the company's CRI, their overall BCA letter rating and other relevant information about the company so they can make a well-informed purchasing decision.

BCA's Summary and Analysis:

Complaint Closing Statistics

13 complaints against WellPoint, Inc. closed in last 3 years.

Complaints	Type of response
0	Making a full refund, as the consumer requested
0	Making a partial refund
3	Agreed to make an adjustment
1	Refusing to make an adjustment
9	Refuse to adjust, relying on terms of agreement
0	Unanswered

13 complaints against WellPoint, Inc.

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2/24/2025

RESPONSE: Refuse to adjust, relying on terms of agreement Amount in Dispute: $1,000.00 Amount Settled: $0.00

Customer Complaint

2/6/2025

I paid for health insurance yesterday at $1000 premium a month , automatic withdrawal. I was never generated an email receipt or given my needed member ID to secure a doctor. I was on hold twice to speak with Anthem blue shield , over and just under 2 hours each time with no answer. I tried to log in and it didn't work. I tried with my social number and it said an account has already been made . I sent a request to send an email to create a new password and the email never came. I did that at meat 5 times. It's not in my spam file . I've never had this experience in America with a health insurance company , especially at $1000 a month and we legally need to have health insurance. Resolution Sought I want my member Id I want a fluid communication from anthem blue shield . I want the $1000 premium for this long b to I be deducted . I needed to see a doctor yesterday as I'm flying to my mothers surgery today and will be assisting her for at near a week providing it goes well. She's 88.

Company Response

2/10/2025

We are unable to find a policy using the member's name. Please provide the member's date of birth and address. Thanks, Anthem

12/8/2024

RESPONSE: Refuse to adjust, relying on terms of agreement Amount in Dispute: $0.00 Amount Settled: $0.00

Customer Complaint

11/8/2024

Conflicting information about insurance plans. It states on the website and brochure before I bought into a health insurance plan, stating, "a copay is a fixed amount you pay for a covered prescription until you reach your out-of-pocket maximum." The copay for generic prescriptions for my plan is $15. Brand copay is $45. But when I go to the pharmacy they charge $245. When I called Anthem about this, they stated "you have to meet your deductible before the copay cost is what you pay per prescription." So which is it? I pay the copay until the out-of-pocket is met or I pay absurd costs for prescriptions until deductible is met? They're literally making it up as they go and fucking over my health and wellbeing. Resolution Sought Ideally, I'd like the company shut down like the fraudulent people they are. I have never had this issue with a health insurance plan before, especially a plan through my job. I'll take a refund for what I've paid so far and for my plan to be cancelled moving forward, because no health insurance is better than paying $360 a month for the plan, then paying 80 of the prescription cost. Lastly, I would give 0 stars if that was an option. Seriously. Shut then down. Anthem has no business insur

Company Response

11/26/2024

In order to review this complaint, we need the member's Anthem ID number.

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