Pacific Blue Cross

Typical Insurance Co… they love to cash your monthly cheques but will do everything possible to avoid paying your claim. Do not think that because the brochure says something is covered that it actually is. There are many variables written into the parts of the policy you never see.
Do not assume, get everything pre approved!!!
They are they personification of why Insurance Companies have a bad name.
A Robb

There are 7 other reviews not shown here but 6 of them show Pac Blue Cross with a 1 star rating because zero doesn’t work.
After being a customer for 15 years, we have constantly had problems with customer service and they hide access to people behind general email addresses and abbreviated names. In the process of cancelling today, their own form says if you cancel before the next payment cycle, you won’t have funds removed from your account. Customer service says, no, you need to give them two weeks notice before removal of funds can be stopped.
This company denies claims every opportunity it can. Even when you obtain a «special warrant» or special permission from BC Government to allow coverage, they lost it, then found it then didn’t have time to put it in the system for 3, that is THREE months.
Staff are generally polite unless you catch them in a mistake or ask them to do something a normal person in a customer service role would do. Then they are immediately very defensive as if they have the weight of the world on their shoulders.
Bottom line is, after paying over $ 45,000 of premiums over 15 years, we calculated we received just over $ 22,000 of reimbursements and probably spent 30 hours on hold during that time.
NOT good value for the money. We are moving back to Calgary and hope to use the AMA coverage again.

I love the Caresnet app. Submitting claims is so easy and takes less than 1 minute. The claim is processed within the day and money in my account within 3. I’m all for saving paper and time! If you don’t have Caresnet yet, I highly recommend it.

We deal with PBC at least once per week due to our daughter having type 1 diabetes. I talked to 5 different representatives last week about coverage and each one had a different answer, in the end I’m still left in the dark. I can’t get a straight answer out of anyone.
Another time we submitted for a few hundred dollars of medical supplies and they figured that we submitted for $ 5000 in supplies, how did they screw that up? But we’ve been dealing with these clowns for years and I have dozens more examples of their incompetence.
Bottom line is that it’s not in their best interests to help us get the maximum return, they will stall you and screw you over until you lose your mind. They have the avabsolute worst service and lack of knowledge out of ANY company I’ve ever dealt with, everything is a fight with them. Know your group policy and don’t give up.

Hard to believe that there are no reviews for this place yet. I have amazing medical coverage, yet surprise, surprise, PBC rejects claims from basic meds and tells me, «Nope, not covered.» You need a certain med. but you aren’t dying of Cancer? «Nope, not covered.» You need a med prescribed by your doctor that is NOT used for aesthetic purposes, luxury use (because boy, are meds luxurious) or otherwise? «Nope, not covered.» You get the idea.
I have «online» claiming, yet when I try to claim online, I am told to send in receipts anyway and that online doesn’t work for me until I do. I just received another email today saying, «You can now claim online,» and then I try to do so – and nope, still can’t claim online. And when I inquire, they tell me that my claims are all in good standing, but «You still can’t claim that one or any others online.» Sheeesh.
They won’t accept faxes for most claims, and since one package of mine was «mysteriously lost in the mail,» I am now making a special drive to good ol’ PBC to ensure that they receive mine. Because really, what else could I be doing the last week before Christmas??? Getting more prescriptions to ease my tension? Nope, can’t do that either, obviously. They aren’t covered. (I am starting to feel like the antithesis of a Portlandia milk commercial.)
The one «plus» here is that people are usually kind on the phone, but for any Americans reading this, «So much for Canadian healthcare.» I am quite curious what kind of benefits the employees at this corporation receive, because the only cross in this logo is a big fat X. And yet, I’m stuck, and there is nothing I can do. I might as well be dealing with Telus or Rogers in good ol’ «Commuda». And we all know how those conversations end.
Bah humbug.