Wow, save your money and don’t deal with Blue Cross/CanAssistance
by GrannyA on Mar 22, 2024
1 out of 5 stars
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Do not get this insurance
It took me 5 hours in PAIN to get an ok for treatment. Got a confirmation that my arm was broken Got meds to get back to Canada Long story short. I had surgery in Canada 15 screws and a titanium plate. They oked the treatment but as of today Feb 14,2024 They will not pay the bill of $1922.00.
Do not get this insurance. They don’t pay out. They lie on the phone and don’t keep proper records. Shop else where. Run from Blue Cross.
Taking them to court. 😡
My daughter was sick on the way back from NYC. We called BlueCross who informed us any big emergency hospitals will accept Canadian BlueCross. The hospital thinking it was US fortunately accepted the number (initially) as we would have been charged $2600 US dollars.
I filed a claim when I received the hospital's invoice in September 2023 after all the documentation was sent. It is now late January 2024. They informed me the adjuster recommended it would be paid. I have since received numerous collection agency phone calls and bills.
I have emailed the adjuster numerous times to gain information on the status - dead air. I am calling now. My estimated wait time is 45 minutes.
I have since bought new travel insurance and never again with Blue Cross. People are now asking, who was the provider you had issues with BLUE CROSS. I know a lot of people and am about to email my ombudsman.
We’ve been with Blue Cross for many years and just renewed for the year starting October 1, 2023. Due to our age (70’s) and waiting for surgery, 1-2 year wait, we called to cancel.
Over the years we were led to believe the coverage could be cancelled and money paid back pro-rated. Which is fine being this started October 1, 2023. Here it is November and they refuse to do what is not only the right thing to do but we were misled right from day one.
So Never ever deal with this company. This is not the only negative review on this pathetic scam.
Their 3rd party adjudicator CanAssistance is horrible. They work at a snail's pace. Filed a claim on Aug 2nd, it's Dec 22nd and I haven't seen the money. No one contacts you. You have to keep calling them and every customer service representative is telling you a different story. They don't know what they are doing. They sure know how to frustrate the clients and not pay out the claim. There is no way to escalate your complaint. If Blue Cross wants our business better change your adjudicator.
Received two separate emails a month after filing my claim asking for the same thing. Finally decided to call to follow up another month later waited an hour on the phone and got the rudest agent ever. Not helpful, clearly couldn’t pull up my file and give me any information on status of the claim being processed. Just waiting for them to email me back in another month asking for more info…ridiculous. Will never use it again, a huge mistake...
This company is fantastic if you like paying for a plan and never intend on requiring health insurance. They take your money and do not pay out claims. Furthermore, the process to submit a claim is extremely misleading and convoluted- the adjuster ignores you and then when you seek status updates on your claim they send a list of “missing” documents. The documentation is not listed anywhere in the initial form, even though the initial documentation submitted is substantial. They refuse to give you the name of the adjuster handling your claim. You do everything right and they will reject it. Months to process. Scam artists.
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Submitted all necessary documentation totalling $775.50 for an acute gastrointestinal infection while on vacation likely bacterial or parasite. They do not ask you for everything when they make their initial contact with you. Every week or so they will request additional information and I am assuming that is a delay tactic. I have always acquired travel insurance and have travelled frequently over the years. This is the first time I have had to make a claim and did not realize what an agonizing task this is. Hopefully I will eventually get reimbursed but will be researching more reputable insurance coverage in future.