Thank you Maria, you was great it was pleasure working with you today. Very professional and knowledgeable.

I agree with the one-star reviews for processing claims through Florida Blue relative to non-participating providers. I thought I did everything correctly upfront in purchasing hearing aids from Costco. I contacted them beforehand and provided the necessary data to receive pre-approval BEFORE purchasing the hearing aids. I received preapproval in writing and made my purchase in December 2025. I then started the claim process. I followed the instructions of various telecom Claims Support Specialist to make sure I had the proper documentation. (I was told I had to have a Medicare denial-even though Medicare specifically states it does not reimburse for hearing aids-by two Specialists while several others later told me it was not needed.) Once I received the Medicare denial, I mailed the data on February 6, 2026, with all the required information. I paid for a tracking number from USPS. The tracking information stated it arrived at the P.O. box on February 12 just before 7am. I was previously told to wait 30 days for the processing of my claim, so on March 6 I called the Claims number (1-800-333-2227) to determine the status of my claim. I found out they "never received" my documents. The woman that was helping me on March 6 said to fax the information to her (even though I was told previously the data could NOT be faxed) and she would get the ball rolling since I've waited long enough as is. It took over 12 calls to Claims over a 5-MONTH PERIOD to finally get my $1,600 check. I kept getting letters (some took 10 days to reach me from Jacksonville!) stating I did not provide ALL the necessary data. I tried sending data through the Secure Massage Center as they said it would be quicker. I received TEN COPIES of the claim form in the mail as they said they didn't have my signed form. Come to find out that two claims were being processed at the same time, each asking for information previously provided by mail, the Secure Message Center or by fax. The final straw came on May 4, 2026, when I got a denial for the claim as the employee entered the WRONG date in the system (12/08/25 rather than my provided date of 12/18/25). I finally got a great employee from the 1-800 number who spent 45 minutes on the phone with me and reviewed the data from all my previous phone calls. He contacted his supervisor and they agreed I provided all the necessary information, and they would rework the claim so I could receive my money. The Support employee stated, "For some reason, the Florida Blue system did NOT pick up my pre-authorization". My check FINALLY arrived 30 days later. Final note-you CANNOT reach the Claims department directly. The person(s) who are working your claim just send out requests for more information or send the denial. The Claims Support team can only send notes back to the Claims department and the coordination is weak at best. I was lucky to get a dedicated employee on my last attempt who stayed on the line with me and coordinate with a supervisor to finally end this long, drawn-out process. If you are looking for insurance and are also on Medicare, do NOT get involved with Florida Blue, especially if you ever plan to visit a non-participating provider. As other one-star reviews reported, it is a horribly run operation. No wonder health insurance costs so much these days, especially with Florida Blue!! read more

We have been long time fans of Florida Blue, and very disappointed at their 2026 customer care 1. Unethical - They require signed firms but give customers no option to email or upload forms so any claim dispute is stretched out for months often 2. Medicare / Older Workers : For older workers, where one spouse is in Medicare age and are still included in employers paid plan - they require signed and only "mail" forms no means of allowing elderly customers to email signed form and weeks after form is mailed - they still do not show in customers account and claims continue to be denied because they have not updated their system with the mailed in forms they forced elderly customers to submit Adding additional and unwarranted stress on elderly customers is not legal and not what we expected from a health insurance brand we had been fans of Whether on a federal or state level, these practices need to be investigated asap read more

FL Blue does not operate at the speed of business. Sending an email takes over 1 week to get an email reply back. Then another email is generated. To perform one task, it takes weeks. If you call them, you are on hold for a ridiculous amount of time and switched between one department and the next. It appears much of their staff works remotely and no one knows what is going on. So incredibly frustrating and not able to get anyone to resolve anything in a timely fashion. Unfortunately, for small business in FL, not much choice in terms of health insurance company providers to choose from so we are stuck. read more

I just got off the phone with Florida Blue with your customer representative, Kendra. Out of every customer service call taker I've ever spoken to in my life, she exceeded my expectations tenfold. She was incredibly helpful, courteous, and attentive in assisting me, and I could tell she genuinely cares about making a positive difference. As someone who used to work in customer service on the phones throughout my life before becoming disabled, I know how valuable and much of an asset people like her are... I dreaded calling today, but Kendra made such a positive impact that I even told her I'd leave a good review and did the survey at the end of the call. Unfortunately, I can't find where I can do so except here and on a couple of other websites, which I'll be doing... Thank you so much, Kendra C, for today's attentiveness and help. I'm thankful that the phone call I dreaded to make was the best customer service experience I've ever had, and if I could give 10 stars, I would!!! read more

Florida Blue - Health Insurance Offices Near Me - Jacksonville, Florida

Unfortunately all you read about this company s true in my experience. The customer service agents are poorly trained and many speak poor English. I could not have been clearer in the reasoning for my call but the agent could not understand after repeating myself twice. I asked for a manager. 15 minutes later was connected; explained my need and he said "one moment" and hung up. A great company until you need something. Then be prepared to be very disappointed. It is like the phone service industry. Is there a better option. Answer: probably not. They are likely all just as bad. Choose your poison. read more

We got our taxes done last Saturday, which I dreaded. Instead of using AARP taxes services, we used Real Sense through the United Way. Florida Blue partner with United Way To offer free tax services to low - and moderate income families. Your appointment was at 10 am, but we were nit seen until 11 am. No worries, coffee and water were supplied while we waited. Stevie and our team were wonderful doing the taxes and reverifying before being sent to the IRS. The taxes were done, and I owe uncle same over 2 grand. Not bad for a 1 hour wait! A couple of days ago, I came back for a class hosted by Florida Blue about Station medication. The nurse who presented was knowledgeable. I think I was the youngest in attendance. During the lunch and learn, we were treated to a salad, fig leaves, and a spinach roll. I ate so fast I forgot to take a picture. I am looking forward to possibly taking a class on mental health. Nit only dies the Florida Blue center offer tax return assistance and lunch and learn but also sponsor exercise classes free of charges to members and seniors. I am not a fan of Florida Blue insurance, but I am happy I got taxes done, checked, and ongoing classes to take care of my mental and physical state. Until next class, Florida Blue, adios for now! read more

Florida Blue - The entrance - Health Insurance Offices Near Me - Jacksonville, Florida

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They don't improve prescriptions needed. You end up back in the hospital. I guess that's less expensive for them. Not read more

Florida Blue - Health Insurance Offices Near Me - Jacksonville, Florida

I am so disappointed in the inability of Florida Blue to come to an agreement and contract with Baptist Primary Care. I have had Dr. Perry Carlos, a physician with Baptist Primary Care, as my PCP, since 1987. When the negotiations failed, Florida Blue assigned me to a different PCP 20 miles (a 40-minute drive) from my home. When I called to see if there was an alternative, they suggested a PCP in Fleming Island .... I live in Fruit Cove, over 50 minutes away! The agent on he phone was very understanding but could do nothing for me! My family and I have been with Blue Plans since 1975, and we are left with no other alternative but to look elsewhere. read more

I called to cancel my policy. Talked with the associate and she told me my account would be canceled in 14 day on the 1st of October 2024. What she didn't tell me I actually needed to contact Marketplace and cancel my policy. Either she was poorly trained or she didn't know her job, either way my policy was still active until I called again on October 16 to see why I keep getting late notices. I finally cancel with Marketplace and wrote Florida "Screw" a letter explaining their employee didn't do her job and asked them to review the phone conversation. I received a letter back telling me I owed the money and tough luck basically. I sent them their money and told them to eat a big bag of dicks but I'm sure no one cares they got my money and the government money so they win. Florida Screw can suck it! read more

I would not recommend this company to anyone. The customer service is horrendous. They keep you on hold forever then they disconnect you and do not call you back. You can ask the same question to three of their separate employees and get three different answers. they will tell you that you are covered and find out later that you are not covered read more

This plan is horrid. Any & all appointments must have full referral from primary. Delay. All bloodwork must be done in the training facility for flunkees known as Quest, despite there being a lab in my PCP & my oncologist office. Last time they couldn't even draw blood. Another afternoon off work, another trip in this congested, packed city. I have never left Quest without huge bruises on my arm. Prescriptions can only be filled at Walgreens--look at their ratings to see how that goes. The pharmacists won't even answer the phone from other pharmacies much less customers. They are virtually hostile. Forget getting top notch care from Florida Blue; Mayo won't accept them, & neither will Baptist-/which is nowhere near top notch. I wish I had dropped this trash plan & will either have to wait until next year or move out of state, & given the severe doctor shortage & never ending increase in population in Florida, that is the best option. read more

I agree with all the other reviews about how horrible Florida Blue is; all BCBS plans I've ever had have been bad. Unfortunately since my employer uses a benefits administrator that contracts with FL Blue I do not have a choice of the provider of my health insurance benefits; unless I went the much more expensive route of private insurance. Since I recently just started being covered by FL Blue I hate it to sum it up. I have been using the same DME for over 5 years now and have always been pleased at my monthly bill after they billed my previous providers (Aetna, United Healthcare), but since being covered by FL Blue my bill has quadrupled; and instead of my DME billing me directly as they have this past 5 years I now have a 3rd party bill administrator (CareCentrix) contracted by FL Blue that I have to pay. I've called both CareCentrix (rude service) and FL Blue to find out why it is so much more and they still haven't given me a good answer. As far as other healthcare needs I'm on a HDHP which means before they pay anything I have to spend $3000 out of pocket to meet the deductible before I save anything. So yes, overall I really do not like FL Blue or my coverage that I have through them. They are part of the problem that is driving up healthcare costs and driving down healthcare services. read more

Florida Blue - Florida Blue's Member Site has been down for over a month. - Health Insurance Offices Near Me - Jacksonville, Florida

Florida Blue will drop the coverage you elected mid-year. You lose the doctors you selected and are reassigned doctors you don't know. Do not use Florida Blue, they are an unscrupulous provider. They do not care about their customers! Mid-year with basically no notice. Doctors and patients blindsided! Do not use Florida Blue! read more

I wish I could give zero stars. Run, don't walk away from this insurance company ! They were refusing to pay a couple of my claims, so I contacted the state Insurance Commissioner. Now not only are they still not paying the claim, they aren't even responding to the Insurance Commissioner! I am about to be sent to collections because of them and have my credit ruined. read more

Worst Health Insurance Company I have yet to deal with. Already on hold for another hour. Beed trying to get an issue resolved for the past 4 months but nothing gets done read more

So I had this insurance and moved to another state and told them this, they were supposed to make arrangements with healthcare. gov to transfer my insurance to my new state. I have been paying them and now nobody put in the transfer of insurance to my new state. I have a problem with people taking money that they know will not be covered because of my new location. read more

Despite hundreds of dollars a month for their 'best plan' Florida Blue puts patients last. Chronic hip pain, not relieved by treatment and therefore MRI ordered to look for issues beyond what regular x-ray shows. Has been under prior authorization for 13 days. When called customer service, they responded that Florida Blue had 14 days to decide, while every step I take has pain. Nickel and dime you on co-pays. That is why my entire company is dropping them as health insurance provider. read more

The Worse Co in entire Universe!! I'm not joking-it would take allday to explain nightmares w/FL Blue.Nobody knows anything ever! 10ppl give u 10 different answers.I was fool for signing up again after similar experiences 2yrs ago-Dont do what I did read more

Really bad company. Unfortunate that many people are stuck with it. Canceling old plans is impossible, billing gets denied consistently even when you have coverage, and it is a mess on the back end to fix anything and/or actually talk to someone. read more

One wastes so much time getting an English conversant speaker to resolve simple issues. E.G. change method of payment or find a facility. One wastes about 20 hours a year and goes through 3 tiers of supervision of management trying to perform simple functions. My recommendation, pay a few dollars more and go with any other company than Florida Blue. Poor automated system and inept Customer Service Personnel. read more

As much as I have to pay to have insurance I should NOT have to get prior authorization for my medication no matter what it is.... And when I have a question about anything I should NOT have to talk to someone from another country about my medical needs period...... I cannot understand people from India and they can barely understand me it's ABSOLUTELY RIDICULOUS!!!! How am I supposed to get any information or anything resolved when there is a major communication issue... It's BULLS**T!!! read more

I really appreciate my Florida Blue coverage. My claims are always paid quickly and if I ever have questions, I can submit a question through the website and I get my answers and it's explained why something was done the way it was. Sometimes a physician's office makes a mistake in coding. Or the Explanation of Benefits form doesn't communicate the whole reason for a payment. I'm happy with them. read more

Robbery with white gloves ,i did updated at the beginning of the year my insurance with a representative of company to get a PPO since the referrals were very hard to deal with I did request to keep my primary doctor they said ok , but they are charging for a primary doctor visits and the agreement was to keep the primary. after 8 months paying for specialist 95.00 they are billing 50.00 for my primary that I do have for several years . if you want to avoid surprise billing do not used them at all. I DO NOT RECOMEND THIS COMPANY AT ALL read more

Florida Blue is a cesspool of inefficiency, high prices, fraud and the worst customer service. I recommend very strongly that you look for a different option when considering health insurance! If I could leave a negative rating I would!! read more

Florida blue Consumer alertPLEASE READ AND SHARE TO SPREAD AWARENESS‼‼‼‼ Florida blue doesn't really care about every individual. I am a physician assistant and my husband is also in the medical field. He has been suffering for over 30 years with debilitating back pain. Due to the progressive pain and refusal by insurance to help, despite everything , he has been unable to see his own patients or work for over a year. He has jumped through every hoop that this company has put him through to try to get a simple noninvasive procedure done on his back called Intracept that could restore his quality of life. For two straight years they have denied him as he has gotten worse by the day. He has done every medication out there, seen physical therapists,alternative med options, chiropractics, acupuncture and massage and he only gets worse. Not to mention the enormous amount of medical bills we have had to pay for copay's, deductibles and non covered services to try to get any relief He has 5 children and can no longer do the fatherly things he loved to do with them. It's a shame to see insurance agencies coming between drs and their patients. He has 4 discs issue and heart problems which both put him out of commission for a major surgery which would also cost hundreds of thousands of dollars, where this procedure would be literally a fraction of the cost and outpatient with minimal to no risk! How on earth does this sound like a company that cares about us as individuals or quality of life. It's even sadder to think that they would rather pay out exorbitant funds for a surgery that could cost him his life and raise all of our premiums even more than the 24 percent we are getting in 2023 then to just do the right thing. This procedure is a last resort for him. We have paid premiums religiously for over 20 years and when we need to utilize the Insurane they would rather try to act like they know better than his doctors and jeopardize his life. They have already taken away his quality of life and his ability to work and provide for his family. I guess they won't be happy til they put him on the operating table and risk 5 children losing their father. What a shame ! I'd be curious to know how many others out there are being denied what their doctors say they need ? Florida Blue read more

Florida Blue's new tactic in 2022 for bigger profits for Guidewell Mutual Holding Corporation? "Not medically necessary". Even when not one, but two doctors request a CT scan, Florida Blue states "we don't feel this is medically necessary. Paying $1293 a month for this worthless "Platinum" plan. read more

In violation of their mission statement, not paying claims they erroneously pulled back payments even after admitting error. Just get dead-ended with runarounds. Now having to pay claims to protect credit. Obtaining Legal counsel. This is now personal! Lock them up! read more

We have had a great experience working with Audrey Barrientos, Retail Sales Consultant, at the Sarasota Florida Blue Center. She is a competent professional who worked with us on our Medicare Supplemental coverage and always ensures that we are satisfied with the outcome and that she has answered all of our questions. Plus, Audrey is a great service person...friendly, kind, and will go above and beyond to ensure satisfaction. We wish that all sales and service people were like her. Thanks so much, Audrey! We truly appreciate you. read more

I'm not able to speak with a telephone agent who doesn't have a strong accent. I can't understand them at all. I don't know where to go to get help. read more

I have a Florida Blue PPO plan. In May my doctor requested approval to do a $500 procedure. A week later I got a letter in the mail from Florida Blue with approval number and stating they approved the procedure. Went in to have it done and when my doctor sent in the bill it was denied. Florida Blue said the code was wrong even though the procedure was word for word exact on the bill and on the approval letter. Called Florida Blue and was told they needed a code modified. They called the doctor's office and they sent in a fix. Florida Blue denied the claim again. I no longer trust Florida Blue as I don't feel I can trust their approval process. Now I have to pay for the procedure out of pocket. No wonder so many doctors offices that I call say they don't accept Florida Blue insurance any longer. read more

The worst Florida blue outsourcing to a company to sitting behind a desk making decisions about people health ignoring doctors to delay and turn down services. the company hired to do this for them is bonused or rewarded for making Floridas Blue money if not how else do they prove their worth to Florida Blue. Meanwhile people health suffers at the expense of Flirida Blues profits to make sure they shareholders and everyone can make their bonuses saving the company money read more

The salespersons make promises that are fraudulent. Florida Blue has been reported to CMS (Medicare) for enrollment fraud. Do not believe the co-pays nor other expenses. They are all lies. read more

These people are criminals they do everything they can to monetarily bend you over a barrel. and insult you as much as possible they could care less about serving you, the customer but more about forcing you to comply and not giving any reason why they don't want to help or clarify their Policy. After I signed up, I realized I was paying more for prescriptions. Only had the choice of going to Walgreens, which also is terrible. filed a complaint saying I was misrepresented when I signed up never heard a response. Charge me more than my old insurance because I was in the silver tier and cover less of all of my bills, including co-pays specialist visits prescriptions things like MRIs. Now they have preemptively canceled my plan because I had to use my policy and paying $4000 in deductible fees because they actually had to honor something that they claimed they would. $23,000 bill I still pay 4000 of and get preemptively canceled letting me know they no longer will provide me with health insurance. Disgusting if anyone has any questions please reach out and I will tell you in exact words how disgusting and useless this insurance company is they should be criminally charged for what they are doing to people. read more

I've had a Florida Blue ACA policy for several years now. It's a bronze policy that I pay $1,150.00/month for. I had to go to an urgent care facility for the first time in December, so I went online to see which one was in my plan. I put in my policy number and it told me where I could go without a copay, so I went there. I was charged a $100 co-pay and Florida Blue said that I should have clicked another filter in my website search and it would have told me that that facility wasn't in my plan. I explained that I entered my specific policy number and the Florida Blue website should have automatically filtered out places that weren't in my plan. By now I was speaking to the supervisor and he said that they've had that problem a lot. I told him that I pay $14K a year for this policy and that I've been a fairly long-term Florida Blue client, that I don't shop other companies during open enrollment, and that I just go to the Florida Blue storefront each year and get a policy (all of which is true). He said that he couldn't make an adjustment. It told him that I won't sign up again with Florida Blue. If he cared, he didn't say so. I won't sign up with them again. I've paid well over $100k in premiums to them over the past 10-12 years with only routine claims for doctor's visits. As a business owner myself, I'm shocked that they would lose my business over something as minor as this, especially when their own website mislead me. But I'll be true to my word; I won't buy insurance from them again. I've been loyal to them, but they clearly have no loyalty to me. read more

I have only had this insurance plan for a month and I can't fill 3 out of 4 of my prescriptions because Florida Blue is requiring pre-authorization. I have missed doses on all three medications because of this, without warning or being able to wean. When I called Florida Blue I got transferred to an extension where I sat on hold for over 45 minutes before I hung up. I finally got through today to a very unapologetic, uncaring representative who just said that once my doctors send in the prior authorization it would be another 3-5 business days before my prescriptions might be approved. These are not new prescriptions. I'm already looking for another insurance company as this one has so far covered nothing, and has horrible customer service! read more

Horrible experience. There was a huge mix up and the staff claimed I was lying to them. The fault was on them because they didn't have the correct information. I was out of insurance for nearly a week because of this insurance. Not the mention I'm recently pregnant and needed to see a doctor ASAP. I do not recommend this insurance company. They also let their employees talk back to the customer like they are being a total waste of time. Steer clear. read more

For the last year and a half they were fine to use, 5 stars. For my renewal for 2023 my premium went from 206 to 912 a month! Yikes! Thats not affordable! read more

worst customer service in the world! they are very rude and cant even speak English correctly! terrible answering service !

FL blue is a horrible insurance Co if you have a serious illness, you need a referral to see a specialist even if you have been diagnosed with a terminal illness. A case manager assigned me a new primary which was horrible. Her name was Ana of Doral FL. It was so far and such a long wait. Not even sure why she didn't go with the primary I had given her the names of. She claimed this facility was there preferred facility. It was a big inconvenience for me the customer. To top it off, after the long drive in traffic, they could not even give me the referrals. I swear I think the case worker is undermining my efforts. The stress from dealing with them is likely to kill you before your terminal illness. was very happy with there PPO but the price shot up and is unaffordability. Goodbye FL blue. You are giving me the blues. read more