Pacific Blue Cross BC V5G 4W6

Hi. Just had a very good experience witth the Tech Support gentleman who helped me. Was having all sorts of trouble submitting a fairly straightforward claim. The support person quickly talked and walked me through the online procedure and discovered I had not selected a particular action button that was necessary. It was not a button that was obvious to me at first, but ... boom ... everything worked perfectly and easily thereafter. Had not used the online claim system for a while so a bit rusty. Great support, Thank you!

So many unhappy customers. Like everyone else I have been told to wait up to 4-6 weeks to have the "back office" review a claim. We have called in about 3 times for this particular claim, the amount of time the call centre reps spend dealing with our complaints and delays could be better utilized manually processing the claims. In the meantime I will be paying all my current claims out of pocket which can get quite expensive. Some people have gone the Better Business Bureau route: Customer Complaints 56 complaints closed in last 3 years 31 complaints closed in last 12 months Can't believe they have an A+ rating.

Is it possible to give 0 stars? Applying for certain coverages requires either mailing in the approval form or fax, like we are still living in 1992. Upon faxing the forms I emailed PBC to confirm it was received. No confirmation via email that anything was received. Had to repeat the process multiple times because PBC fax line actually bounces back as busy. Once received you are looking at about 8-10 weeks for approval. They will tell you 6 but that is incorrect. The online claim process is not strait forward and payment for your claim will take another 8-10 weeks. Hopefully you can afford to wait that long. If you have doctor approval on coverage that will only last for a certain time period (ex. 2 years) they will not warn you that your approval is about to run out. You will then have to re-apply for coverage and pay out of pocket while waiting the 8-10 weeks for the coverage to be approved again.

By far the worst health insurance I've ever dealt with. Overall, these companies are as cheap and difficult as possible but Pacific Blue Cross truly takes the cake. I had an essential medical procedure covered under numerous providers but Pacific Blue Cross denied this coverage despite numerous letters from my doctor. In addition, their online submission is awful. There are many procedures I've had to mail in because they aren't available to submit online. They only have a select few select medical expenses which can be processed online. Finally, when you do send in materials OR if you have to submit additional documentation (ex extra forms, appeals etc.) it takes 6 - 8 weeks. The first time around, they lost one of my forms and didn't take any responsibility for this mistake. There's no way to bypass the process apparently, so I had to resubmit to wait another 6+ weeks. I'm part of a group plan but will be contacting the provider to suggest they go with literally any other insurance company.

Pacific Blue Cross has demonstrated a shocking level of deficiency with their app, which consistently rejects legitimate claims without providing any actionable feedback to users. The app's inability to handle larger file sizes without notifying users to resubmit smaller files is a glaring flaw. Despite multiple attempts and calls to customer service, I have not received my reimbursement due to these persistent app issues. This company's failure to address these problems and ensure a smooth, transparent claims process is both frustrating and unacceptable. Such negligence in providing a functional service is appalling and reflects poorly on their commitment to customer satisfaction. After providing proper documentation, including a doctor's note and receipt, I still have not been reimbursed for an RMT session from last year.