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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
26204 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
2156 posts
Posted on 5/28/26 at 3:27 pm to
frick'em both.
Posted by Gee Grenouille
Member since Jul 2018
8364 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
19484 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
23422 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
1452 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
1452 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
30225 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
8129 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
10961 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
17312 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
Posted by Tarps99
Lafourche Parish
Member since Apr 2017
13186 posts
Posted on 5/28/26 at 6:03 pm to
quote:

Blue Cross Blue Shield


I recently had to go with the Health Care Exchange for my insurance after my small employer felt he was getting a raw deal offering coverage.

In the exchange in my area, the only policies are from Blue Cross, and there are several different plans available, but the big thing to watch for is that there are two flavors of Blue Cross. You have your traditional PPO Blue Cross that is higher than a 1960's hippie, and HMO Louisiana which is a Blue Cross Company. Obviously the PPO Blue Cross has more participating doctors while HMO Louisiana is much cheaper because you are almost in managed care through the HMO and you primarily only have coverage in Louisiana, PPO Blue Cross will use the Blue Cross Network out of state.
Posted by ReedRothchild
South MS
Member since Jul 2019
1679 posts
Posted on 5/28/26 at 6:11 pm to
quote:

Hussain Bin Obama screwed everything up.


fricking this. I never even paid attention to insurance cost until that assclown fricked us all
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