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United Health Care v. Blue Cross Blue Shield

Posted on 5/28/26 at 3:19 pm
Posted by chinhoyang
Member since Jun 2011
26083 posts
Posted on 5/28/26 at 3:19 pm
Last year, my group health was with United Health Care. I had to take some really expensive infusions and my overall medical bills were a little over $1.0m. UHC handled the claims perfectly - no hassle and no issues. UHC approved everything that was needed.

Blue Cross Blue Shield has been ok until today - my RX got declined at the local pharmacy. I called and was told to go to CVS (45 minutes away, shitty service the two x I've been there) or by mail. But, I know the owner of the pharmacy and I want to do business locally. Moreover, when my wife broke her knee cap on a Sunday, the pain killer was called into CVS. I took her home (40 miles) and was told (when I got to CVS) that she had to be at the pharmacy in person because it was a scheduled pain killer (which was NOT their policy).

I know people hate on UHC, but they treated me very well last year.

Posted by IndianPower
Louisiana
Member since May 2021
1921 posts
Posted on 5/28/26 at 3:27 pm to
frick'em both.
Posted by Gee Grenouille
Member since Jul 2018
8116 posts
Posted on 5/28/26 at 4:01 pm to
quote:

Blue Cross Blue Shield has been ok until today - my RX got declined at the local pharmacy. I called and was told to go to CVS (45 minutes away, shitty service the two x I've been there) or by mail.


Need a Trump executive order on this shite ASAP
Posted by LSBoosie
Member since Jun 2020
19083 posts
Posted on 5/28/26 at 4:09 pm to
The closest CVS is 45 minutes away? That almost seems impossible
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
23069 posts
Posted on 5/28/26 at 4:15 pm to
BCBS with CVS is probably the worst combo imaginable.
Posted by braves21
Member since Sep 2022
1313 posts
Posted on 5/28/26 at 4:16 pm to
That's something that can be sorted with a phone call. Trust me. It's a pain in the butt but you gotta call BCBS. They want your business. I've had medicines just completely not covered. BCBS is top tier/top shelf.
Posted by braves21
Member since Sep 2022
1313 posts
Posted on 5/28/26 at 4:19 pm to
CVS/Walgreens does suck but BCBS is the best. In football terms, they're Alabama.
Posted by The Torch
DFW The Dub
Member since Aug 2014
29713 posts
Posted on 5/28/26 at 4:21 pm to
All health insurance companies suck now that Hussain Bin Obama screwed everything up.
Posted by pochejp
Gonzales, Louisiana
Member since Jan 2007
8116 posts
Posted on 5/28/26 at 4:49 pm to
quote:

BCBS with CVS is probably the worst combo imaginable.


Works flawlessly for me in Gonzales.
Posted by Grievous Angel
Tuscaloosa, AL
Member since Dec 2008
10904 posts
Posted on 5/28/26 at 5:31 pm to
quote:

but BCBS is the best.


Your plan is only as good as your company is willing to spend.

Teachers tend to have the best plan. I know people at BCBS...they don't even get the best plans.

It's your employer that decides benefits, deductibles, etc...again, how much they're willing to pay.
Posted by HeadyMurphey
Los Santos
Member since Jan 2008
17301 posts
Posted on 5/28/26 at 5:33 pm to
Exactly. And then some groups pick who their PBM is as well, often because it is cheaper for them and more for the member
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