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Health Insurance reviews in Kernersville

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  • BCBS is the insurance company that contracts with the State of NC for insurance coverage. Unfortunately, the various websites for the State Health Plan and Orbits (for retirees) do not communicate well with each other. It took nearly three hours to weave through the maze in order to have web access for the renewal period in October. For systems coordination, BCBS and the State Health plan get low marks. However, as an insurance company for health care, I have been pleased with the service and communication provided by BCBS. I have found that healthcare providers never have reservations about accepting BCBS cards.
    - Marilynn B.
  • We have a choice of Aetna or another provider.  We continue to choose Aetna each year.  Their Doc Find option (both on their website or by phone) has helped us to choose providers in our insurance network in order to keep our costs down.  We can use other providers if we desire, but the cost is a bit higher.
    My only complaint is that there is difficulty communicating with my Aetna Flexible Spending Account.  There's a pattern of paperwork that's extremely illogical, requiring me to submit Explanation of Benefits forms back to Aetna, even though they've been sent to me by Aetna.  It's frustrating having to put in so much time to a process that could be streamlined easily.  But it's definitely not a deal breaker for the good care we receive.
    - Caron A.
  • We cannot comment on the percentage or amount that Aetna pays on each claim as that is something negotiated between the employer and Aetna.  However, we have found that claims processing is very timely and accurate.  
    We had a situation recently where Medicare did not pay on a claim for my husband saying that the treatment was not Medicare eligible, but Aetna covered the expense.  
    Their website has recently been consolidated so that you can request prescriptions on the same website that you go to to find providers and to review Explanation of Benefits (which we have chosen to only receive electronically -- i.e. paperless).  It also provides a wealth of information related to health management.  They also have mobile apps.
    The only thing that I would say is average is when you have to call on the phone (thus the B rating for responsiveness -- claim processing is an A, telephone response time is probably a C).  Sometimes the wait time for a Customer Service person can be several minutes.  Usually, though, when you get someone, they are able to answer your question.  

    - Alane F.
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Health Insurance Providers in Kernersville

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