Questions And Answers - Recent Threads

Out of state plan/claims

DawnM — Tue, 30 Jun 2026 00:57:31 GMT

We have been trying to bill out of state Anthem claims for months, but they continue to deny saying we need to bill the Home plan. We have always billed the local state(IL) and not to the individual out of state plan. Their cards even say to bill your local. when I called customer service they were no help and told me I needed to bill the out of state plan. when we tried to do this, they were denied and were told to bill local. We have over 150 claims and tens of thousands of dollars in unpaid claims. I asked customer service for a manager, provider relations or contracting department and was refused. Who can I talk to as this is causing a financial issue and needs resolution immediately.

I'm the employee of a place that requires I pay BCBSIL. I HATE my health insurance plan. With more than I at got, because you keep taking it all. All my earnings, that is. What you even need it for? I get a letter from BCBS every other day. Times a thi

lisaelsner — Fri, 19 Jun 2026 20:49:24 GMT

I'm trying to find out how many days early from your last wellness exam can you schedule a future annual wellness exam and still have it covered at 100%?

janell98 — Wed, 17 Jun 2026 19:55:07 GMT

I had my annual wellness exam last year on 9/24/25. I can not find my doctor available for this same date and wondering if I scheduled it a week earlier, if it would still be covered at 100%?

Never received my id card and do not know my member id number. Cannot log in or register for digital card without the member id number. Was told via phone call someone would email me info and I never received email.

MichaelD — Tue, 02 Jun 2026 03:56:00 GMT

Need member id card. I do not know my member id number because I never received my welcome letter or card. I cannot log in or register. I need to see a doctor but am unable to without my member id. I called 10 days ago and was supposed to get an email which I never got. I am unable to wait on another hour long phone call. I see other posts saying to send private message but how?

New member still not received member card and can’t set up online member access despite active plan

mablewis — Sun, 31 May 2026 16:47:53 GMT

I paid my premium and my BCBS plan is active but I haven’t received my member card in the mail and i activated my plan almost a month ago and the verification to set up my online account is a blank link i’ve tried requesting new ones 15x, used six different search engines all the links are blank. What do I do?? I can’t even make doctor appointments because I’m still missing the Member ID this feels unfair.

Why can I no longer get in contact with a live representative to help with questions relative to my contract and paneling?

298824.davidgraypc — Fri, 22 May 2026 15:46:39 GMT

It seems that for sometime now there have been no live representatives to answer provider's questions. All options when I call in are either fully automated responses or require a claim number.

I am interested in questions that are not realtive to any of the options, therefore, I also do not have a claim number associated with the call.

I have tried many options on the provider call line but nothing will get me to a live representative. As providers do we no longer have an option to speak with a live representative?

Need instructions about signing for EOBs online instead of paper copies

Rosemary Wisnosky — Mon, 18 May 2026 17:43:41 GMT

None

I have already sent a private message, but our primary concern is connecting with a live representative. I am a representative from a provider’s office, and we are currently managing over 2,000 pending claims that require immediate assistance."

Errol Mosses Rodriguez — Mon, 18 May 2026 10:17:43 GMT

We are actively working to catch up, but Availity has not been reliable in providing complete claim information or check/EFT details, which is delaying resolution. Immediate assistance is needed."

By far the worst BCBS. No Live representatives at all????

LNope — Wed, 13 May 2026 16:46:14 GMT

This is by far the worst home plan i have ever had the displeasure of having to work with. No matter what prompt you go to you cannot speak to a live agent. They even patched up the workaround where you enter the birthday wrong 3 times. How in the world are we supposed to confirm benefits for patients in detail like this? It feels like a scam to avoid paying for anything... but of course insurance wouldnt do that!

Need to speak to live representative to obtain PAR

jsilbert — Wed, 13 May 2026 15:24:02 GMT

I need to speak to a live representative to obtain prior authorization for a client for MH IOP services. I have gone through the system repeatedly and have been told I need to talk to a representative, but when the automated system transfers me, there is a message that says "due to unforeseen circumstances, we cannot answer your call right now".

Are equipment rental or purchase covered

Savjac1970 — Tue, 12 May 2026 16:24:13 GMT

Are equipment rental or purchase covered. we need a Invacare lift to move me due to a stroke.

How do I find my member ID # without the welcome letter or ID card?

MILL5669 — Fri, 08 May 2026 14:06:19 GMT

How do I find my member ID # without the welcome letter or ID card?

I never received my card in the mail and I can't create an account to login and get a new card.

Allyson Johnson — Tue, 05 May 2026 15:58:12 GMT

I never received my card in the mail and I can't create an account to login and get a new card.

How do I get EOB on old insurance plan that i had

demtom — Sat, 02 May 2026 13:29:53 GMT

How do I get EOB on old insurance plan that I had

HSA/FSA

teisa17 — Sat, 02 May 2026 10:44:35 GMT

How do I add HSA or FSA to my insurance?

College credits and coverage

kuzielcj — Thu, 30 Apr 2026 22:26:11 GMT

Does my child need to be full time (12 credits) in college in order to be on my insurance plan?

Missing Check

BILLINGBCBS — Wed, 29 Apr 2026 15:02:59 GMT

We are a provider group and received a paper EOB today dated over a month ago and there was no check included. How do we get a duplicate check for the one that was missing?

what are the drugs/medications covered in the tier 1, 2, 3

CHAZ1975 — Sun, 26 Apr 2026 16:33:10 GMT

what are the drugs covered under tier 1, 2, and 3 in my PPO plan? why is only 1 month of mounjaro covered? why am i having so much difficulty getting testosterone therapy?

This insurance has now made my prescription that $700 for a one month supply

sharog17 — Sat, 25 Apr 2026 15:34:49 GMT

This insurance has now made my prescription that $700 for a one month supply. Absolutely insane. if I could afford $700 a month on prescriptions I wouldn’t need pharmacy benefits. A deductible has been applied to the pharmacy benefits and now I cannot get the medication I need in order to have hip surgery so I can walk again. I’m paying at least $200 a month out of my paycheck to have medical insurance to now be faced with additional costs for a medication.

I haven't received my medical card or any communication regarding my account. Who can I contact to check status?

Veronica Lynch — Mon, 20 Apr 2026 16:00:21 GMT

Coverage should have kicked in o 04/01 but I haven't received any documentation regarding medical insurance. I'm worried it got lost in the mail since my home address doesn't get serviced by USPS so I depend on a PO Box for mail sent with that carrier. I need to make appointments for regular checkups.

I’ve never received my insurance card in the mail or anything. I think it may. I went to the wrong address. Who should I contact so I can receive my insurance card

Candyrain — Sat, 18 Apr 2026 03:43:12 GMT

have to to receive my insurance card. It’s been months. I think it may have went to the wrong address so who should I contact about receiving my insurance card because that my address is correct

No Medical Card

BCBSSignIn — Thu, 16 Apr 2026 20:49:04 GMT

I still haven't received my medical card after 2 weeks. Obviously it's not wickedly long, but I've been without my ADHD medication for 2 months so I'm really desperate for help.

Medical Attachments for claims

Drm — Wed, 15 Apr 2026 12:51:38 GMT

Hi,

At this point and time, for claims that have been submitted and additional medical information is required, the only ways to submit is through fax and mail correct? We fax attachments for patients multiple times, and are told BCBSIL haven't received them. Some of these claims are months to a year old, only to be told over and over again the fax hasn't been received.

When is an electronic upload for medical attachments for claims going to be available?

Tried to close account, account locked or closed, but still getting charged.

GarrettNDucharme — Mon, 13 Apr 2026 00:38:09 GMT

Hi, I tried to close my account several months ago, but I keep getting charged. I can't seem to log in or call in because the account is closed or locked.

How can I have my account actually closed such that I stop getting charged? I have not even lived in Illinois in six months.

I had to create a new account to ask this question, but it is also under Garrett Ducharme.

I never received my Welcome letter or my member ID card

msegovia — Thu, 09 Apr 2026 16:43:18 GMT

I never received my welcome letter nor my member ID card for Blue Cross Community Health Plan .

Maximilian Segovia DOB 5/24/2007

Please mail it to:

476 W. Deming Pl

Chicago, IL 60614