Empire Blue Cross and Blue Shield
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UPDATED: Aug 20, 2020
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Company Overview:
Company History: Empire Blue Cross Blue Shield provides coverage to about 5 million people in a market that includes the New York City metropolitan counties and selected counties in upstate New York. Empire Blue Cross Blue Shield became part of the publicly traded corporation (WellPoint, Inc.) after the 2004 merger between Anthem, Inc. and Wellpoint Health Networks, Inc. That merger resulted in the formation of Wellpoint, Inc. Subsequently, WellPoint, Inc. acquired WellChoice (in 2005) which does business as Empire Blue Cross Blue Shield. Both Anthem and WellPoint Health Networks, Inc. had been known for rapid growth by successive mergers and acquisitions and subsequent aggressive growth of the acquired companies – a pattern which the surviving company is continuing to follow. The history of the organization can be traced to the 1980’s when for-profit insurers started winning business away from the non-profit Blue Cross and Blue Shield companies. As a result, some Blues combined and started using medical history data to differentiate offerings to customers instead of having one deal for all potential buyers. The most aggressive of these organizations converted to for-profit investor-owned companies and grew by adding other like minded Blues. WellPoint is a result of such activities. It now covers a third of the 100 million Blues customers.Blue Cross and Blue Shield plans grew out of a Texas project to provide hospital care to teachers and a physician care plan for lumber and mine workers in the Pacific Northwest. The 39 Blue Cross and Blue Shield plans today cover more than 99 million people in 50 states, D.C. and Puerto Rico. Empire Blue Cross Blue Shield returned to its downtown Manhattan headquarters location in the summer of 2007 after being forced to move to a temporary midtown location when its World Trade Center offices were destroyed in the September 11, 2001 attacks.Wellpoint, through its various subsidiaries offers health benefits through network-based managed care plans to large and small employers, individuals, Medicaid patients and seniors. In addition to PPOs, HMOs, POS plans, traditional indemnity plans, hybrid plans, consumer driven health plans, hospital only plans and limited benefit plans Wellpoint also provides managed care services, including claims processing, underwriting, actuarial services and other administrative services to self funded customer plans. Wellpoint also provides specialty products and services that include pharmacy benefit management, dental and vision plans and provides administrative services for the Medicare program.Marketing of products is conducted through a network of independent agents and brokers as well as through in-house sales representatives.
Principle Sales Methods: Marketing of products is conducted through a network of independent agents and brokers as well as through in-house sales representatives.
Health Business: Empire Blue Cross Blue Shield provides coverage to about 5 million people in a market that includes the New York City metropolitan counties and selected counties in upstate New York. Empire Blue Cross Blue Shield became part of the publicly traded corporation (WellPoint, Inc.) after the 2004 merger between Anthem, Inc. and Wellpoint Health Networks, Inc. That merger resulted in the formation of Wellpoint, Inc. Subsequently, WellPoint, Inc. acquired WellChoice (in 2005) which does business as Empire Blue Cross Blue Shield. Both Anthem and WellPoint Health Networks, Inc. had been known for rapid growth by successive mergers and acquisitions and subsequent aggressive growth of the acquired companies – a pattern which the surviving company is continuing to follow. The history of the organization can be traced to the 1980’s when for-profit insurers started winning business away from the non-profit Blue Cross and Blue Shield companies. As a result, some Blues combined and started using medical history data to differentiate offerings to customers instead of having one deal for all potential buyers. The most aggressive of these organizations converted to for-profit investor-owned companies and grew by adding other like minded Blues. WellPoint is a result of such activities. It now covers a third of the 100 million Blues customers.Blue Cross and Blue Shield plans grew out of a Texas project to provide hospital care to teachers and a physician care plan for lumber and mine workers in the Pacific Northwest. The 39 Blue Cross and Blue Shield plans today cover more than 99 million people in 50 states, D.C. and Puerto Rico. Empire Blue Cross Blue Shield returned to its downtown Manhattan headquarters location in the summer of 2007 after being forced to move to a temporary midtown location when its World Trade Center offices were destroyed in the September 11, 2001 attacks.Wellpoint, through its various subsidiaries offers health benefits through network-based managed care plans to large and small employers, individuals, Medicaid patients and seniors. In addition to PPOs, HMOs, POS plans, traditional indemnity plans, hybrid plans, consumer driven health plans, hospital only plans and limited benefit plans Wellpoint also provides managed care services, including claims processing, underwriting, actuarial services and other administrative services to self funded customer plans. Wellpoint also provides specialty products and services that include pharmacy benefit management, dental and vision plans and provides administrative services for the Medicare program.Marketing of products is conducted through a network of independent agents and brokers as well as through in-house sales representatives.
The worst insurance company ever. Agents are dishonest, claims are never covered, and service is horrific. If your company is offering Empire – run for your life.
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I have never had any problems with claims
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As long as all you do is go to yearly check-ups it isn’t that bad but once something goes wrong and you have to visit the doctor for an emergency, forget it. This insurance company is so tied up in bureaucracy that it is very difficult to figure out who you are supposed to talk to when a question comes up. Not to mention the fact that many birth controls are inaccessible to many women because of the crazy co-payments that we have to pay every month. Insurance is a scam, they are selling you something that doesn’t have any actual value and when something goes wrong you find out what you do have is worth even less. I wish that insurance companies were not for profit organizations. I don’t think problems like this would happen if they were existing only to help people with their health problems, instead of existing to try and make the most money out of sick people that they can. They are bullies who take advantage of people who do not have the resources to stand up against them.
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Empire Blue provides Medical Insurance through my employer. A witch doctor throwing bones on a smoking fire would provide better information than Empire Blue. The customer service department is a tangle of unresponsive and condescending individuals who have no understanding of how to resolve a complaint or even how to provide a reasonably responsive answer.
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Their website is horrible and does a disservice to its members
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Indignant unhelpful employees in the enrollment department could use some refresher customer service training.
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They had sent my claims more than once for a expert review and was denied because of this. I might as well paid out of my pocket for health insurance. In my opinion their so called experts are medical school dropouts.
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This is the absolute worst health insurance company I have ever used. Their automated service is unreliable and doesn’t recognize my active account which is paid in full every month. I can’t pay by phone because the system doesn’t recognize the account. When I finally get through by phone no one is able to tell me why it’s not recognized and who I can talk to about fixing it. Their phone service is unreliable and it takes ages to get through to an agent many of whom have no idea about the details of my policy. The language of my policy is confusing even to them and I’ve gotten conflicting answers from different agents. My doctors that I found on their website as in-network doctors are regularly marked as out of network by billing and I have to call and have it changed every time I get an EOB. Every month there is some headache with them. The online payment through their website is cumbersome and doesn’t list all of my payment history just payments that I’ve made directly through their website none that have been made by phone or through my bank. The online chat personnel are not agents and can’t answer any questions regarding your policy this makes them completely useless.
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This company has been the best for decades. NOW THEY ARE A POOR EXCUSE FOR A HEALTH INSURANCE CO. Took them 8 months to play my wife’s ER Claim until I spent full days on the phone and nearly took them to court with the hospital as a co-plaintiff. STAY AWAY.
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I have their silver ACA version. The company call line or online are unable to tell me which doctors are in my specific plan. This makes it almost impossible to find care let alone choose a doctor. When I started calling every doctor on their list I found about 10% were actually on my plan.
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Plan is excellent, they cover a lot of services. However, customer service sucks.
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4,days until my coverage starts and I have not receive my insurance card. I am unable to call them because either no one picks up their phones or they just simply disconnect. I cannot log on to their website because there is server error. What kind of a company is this. I am going to sue you on small claims court for the 800 dollar premium because i cannot use your service and you don’t render your service
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