Covered CaliforniaReviews 65

I was forced to buy the Covered California Insurance when my current coverage was taken from me. Got a great price on $83.00 per month on what I thought was comparable insurance to my old policy. Finally, months after signing up I got my card and began looking around for doctors in the Blue Shield Network. Fancy that, all though I got a list of doctors in the Blue Shield network, none were in the Covered California Plan.

Blue Shield (BS) explained that they could not provide up to date information on all their doctors and it was up to me to call all of them to find who in my area was in the plan. Well BS seems to be able to track millions of subscribers but not thousands of doctors, makes sense to me, does it make sense to you.

BS has no doctors in the plan, they hide that by using a shell game providing their entire list of all medical staff in the system to prevent the obvious from being exposed.

Mary

SINCE THE AGENT FILLED OUT OUR FAMILY AGI WRONG WE NOW HAVE TO PAY BACK ALL THE ADVANCED PREMIUM TAX CREDIT WE GOT. WE NEVER GOT ASKED IF WE ONLY WANTED PART OF THE ADVANCED PREMIUM TAX CREDIT OR THE WHOLE THINGTHEY JUST DID IT. NEVER EXPLAINED THAT WHEN YOU GIVE THEM CHANGES YOU HAD TO TALK TO A PERSON. NOT JUST FAX YOUR CHANGES TO THEM. FOR THE MARKETPLACE TO DO NOTHING WITH THE INFORMATION. THE WHOLE EXPERIENCE SUCKS! NOW I OWE THE IRS $7293. 00 FOR WHICH WE DID EVEN GET THAT MUCH MEDICAL CARE FOR THE WHOLE YEAR FOR ALL OF US. WE WOULD HAVE BEEN BETTER OFF DOING NOTHING AND PAYING THE $285.00 TAX PENLTY FOR NOT HAVING INSURANCE.

Do I really HAVE to give Covered CA one star? There should be NEGATIVE Stars! Most of the phone representatives are incompetent and cannot give a straight answer and like to "pass the buck". If I explained in detail all of the problems / issues, it would take all day to do so! The rep I spoke to yesterday just about interrogated me asking if I had proof that I applied for a specific plan through Covered CA. Um... I have the ID cards from that health plan and they have the Covered CA logo on them... is that enough? NO! Due to a Covered CA rep's mistake my insurance plan was TERMINATED, so now my family is w/out ins for the month of Feb and have to wait 'til March 1st. NO ONE at Covered CA is Capable of changing my start date, yet overnight it went from March 1st and me being enrolled in a plan to Jan 1st and me not being enrolled in a plan. I was NOT going to then choose a plan and pay for the month of Jan when I did not receive any medical services that month and the expected start date was supposed to be Feb 1,2015. I had already paid my Feb premium, yet the health plan is sending a refund chk due to Covered CA telling them I wanted to terminate my plan... THIS IS NOT TRUE! This list goes on... and I am too tired AND DISGUSTED with the incompetent people at this CALL CENTER!

I signed up for medi-cal through covered CA in May 2014 for a family member who is confined to a skilled nursing home. She has used up all of her medicare, and will be out of private funds in October. The first application was done on line through covered CA and was lost due to a "glitch" in their on line system. I then mailed a second application priority mail with a signature required. This was lost and they could not even tell me who the person was who signed for the envelope.
I then applied a third time, on the phone, in August and was told today by calling the assigned case worker that she has a pile of applications on her desk that she hasn't even started that are dated Jan. 2014, 8 months old. She gave me no hope that our case would get any special attention due to their losing the form or their system being broken or not enough case workers to effectively get the cases done in a timely manner. I have spend numerous hours on the phone trying to zig zag through their inefficient phone tree, on line, going out to the main office, with no productive results. Is the affordable health care act system broken, YES. Don't let anyone con you into thinking otherwise.