Covered California

Recently was cutoff from one CA Covered customer representative by accident I assume and when I called back was answered by a man slurping his soda and long gaps of silence, rustling papers and no sense workplace pride. Nothing was accomplished. He said everything was done, and I waited for him to hang up to provide customer feedback, he just stayed online and never hung up, knowing I was waiting to give a feedback report.
I called back a third time and talked with a woman who was very professional, courteous and productive. It is unfortunate that one person makes a rotten phone experience for the others that Work hard to maintain a positive Covered California experience. There are plenty of people looking to fill jobs of people unwilling to work.

Biggest mistake ever getting this insurance! Don't do it!
They don't allow going out of state, even if an exception needs to be made because the nearest "in state specialist" is 5 hours each way (so it's an $$$ overnight trip) The Gastroenterologists who are in CA an hour away, won't accept new pts and/or won't accept covered CA! If I cross into the next state I only have a hour drive and can get an appt within days. So that's what I'll do- I'm going to have to pay out of pocket!
The way this health insurance works is completely unacceptable.
The customer support was also horrible- the woman kept looking up providers in counties I've never heard of- 6 hours away. She didn't seem to be using by zip code or town name. A nightmare all around.
Write your congressman/woman!

Covered CA... where you can also get toothpaste, deodorant, and laundry detergent out of someone's trunk. How the hell is this POS still being hired by our tax dollars to service customers? The idiots that work here are prime examples of what happens when you only take half the abortion pill.

No one knows their butthole from their mouth here. My account was deleted 6 times and every time I had to go back in and reenroll and go an entire month with no coverage. No one has any idea why my account keeps getting deleted either. A bunch of drool cup idiots!

Want to give a big shout out to Antanae for her amazing customer service and dedication for going above and beyond to help me. She not only figured out the issue regarding Blue Shields but, updated my account and made sure everything is accurate going forward. Thank you so much for the amazing experience!

Licensed agent Bob worked on my application. I gave him 5 stars for exceptional customer service. Management, you should increase salary him.
Thank you.

I called CoveredCA just today to cancel my 2022 MediCal plan. I am highly grateful for the Department of Health Care Services - CoveredCA program helping people like me that are economically disadvantaged.

Since it is 2022 and COVID occurring, the phone call left me with an unpleasant experience. At the beginning of the call today, the lady was coughing and asked how she can help me. I let her know about canceling my MediCal plan for 2022. That was fine until I asked about my cousin getting MediCal since he recently quit his job.

Somehow, she became triggered or something... and responded rudely (in her voice) saying that is an individual case. She said my cousin will have to talk to her. I responded with okay then I understand. She asked if he wanted to speak with her and I responded with a no that is okay. A few moments of silence... Then she quickly said have a good day and hung up the phone. (Note that this description is different from actually experiencing it without the attitude and irritated voice).

In reflection, I could hear her tone of voice that sounded irritated. For me, I felt like, whoa, I am sorry for asking such a question. I understand it is an individual case but the way she responded made me feel bad for asking such a question. It just sounded like she hates her job and is having a bad or just feeling bad with the whole COVID thing. Note: I will have to be careful in speaking with people as people get so triggered during these rough times of high inflation/costs and mask mandates.

Again, I would say the whole organization and what they are providing is fine (kudos!). However, with the human interaction of speaking with a person on the phone, I would rather not experience that again and feel like a punching bag of some sort. COVID during these times and a few words make people so angry and triggered.

This is the worse insurance on the market especially since California is one of the most expensive states in the Country. You might think that it is a good plan but once come tax season it will bite you because you are trying to make money. My Auntie got blasted with 11k that she needs to pay in taxes and the funny thing was she didn't make that much money either. It is around 60k in San Francisco and from what I heard from her that is not including 200 a month that she needs to pay in Premium. So what does this say about Obamacare in general? It is a scam (or legal scam) and the fact that Obama allowed this to pass makes him one of the worse Presidents in our history.

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

I picked the absolutely most expensive I could find because I am a 37 year old man and I have never seen a doctor. I figured it would be good to be highly covered in case there was any problems.

I have had the insurance for 5 months now, I have yet to see a doctor (ok there was a pandemic) but then they skipped doing their scheduled phone doctor visit. I asked them if I could see a psychiatrist for depression and it was ignored.

I would like to get screened for all the things a 37 year old man that has never been to the doctor should get screened for. But they have not scheduled any tests or screenings - apparently I am supposed to schedule everything myself. Well, I don't even know what all things I should be taking care of - because I am not a doctor.

I have zero access to medical services of any kind - its just a scam to get me to pay for other people to get care.

The system is a nightmare. God help you if you have insurance obtained through Covered CA because-- you'll probably be sick or dead after navigating the RI-DIC-U-LOUS number of mistakes, mishaps, and sheer lunatic backwardness that occur within the CalHeers platform and during an application process. My experience has been similar to other expressed experiences- "the County" REPEATEDLY makes unnecessary and unwarranted changes to the application without my knowledge or consent. No one can explain why this happens-- Covered CA blames "the County," and "the County" blames Covered California. The Consumer is left at the short end of the stick and forced to navigate weeks' worth of phone calls and bureaucratic cyclical-cycle nonsense. Trying to resolve issues becomes a full-time job for me as a Consumer. Nothing ever ultimately gets resolved. My experiences have been so horrific that I've vowed not to use the Covered CA exchange ever again.

No one can help, I can't enroll at all They will not help at all. I'm so frustrated. Lots of case numbers to reference ZERO help. I don't know why these people are there.

Tried to figure out how to cancel a plan. Could not find it on the web site. Googled for it, and found doc saying, "If you need to cancel your health or dental plan, you can do so by logging into your Covered California account." Logged in, and then could NOT in any way shape or form find any way to cancel. Every action was a dead end. This web site has no functionality for the most basic things and/or no way to discover how to do anything. It's amazingly bad, one of the worst.

After having insurance throughout 2020, which I later found I could have saved a lot more on, I applied for 2021, ended up with two accounts instead of one, both useless, both took over a month to sort out to make just into one. Then I log in to choose a plan and had to figure it out. So a few days later just a day prior to an expire date, I go to log in, and the page cannot be found! A 404 error, on the signin page! WTF?!? It's one thing after another and I'll probably get penalized for not having insurance when they were the ones that caused the foulups in the first place. Fx$k! Covered CA!

Now Covered California wants to fine people. Covered California lost my application for 10 to 20 days in December 2017 missing deadline when I did my part. Tried to out me on Medical like a relative of mine when I could have reapplied in January? They didn't tell me that because they wanted to make me a Medical case like a relative who got away with welfare fraud And now you want to penalize me again. IRS won't tell me if they penalized in 2016 when I only missed one payment in December 2016 and Covered CA sent me wrong tax forms. Got burned for my tax refunds and didn't get that itty bitty check either. Maybe they sent it to a relative because of Covered California lies and cover-up.

Initially when I filed with this company, even though I am low income, they could not offer me a program that actually addressed my medical needs. Then, after filing for insurance and paying out of pocket for my plan, they canceled my insurance without telling me due to a system glitch. When they tried to fix the issue, they misfiled my case and sent it to the wrong processing center. I had to delay a medically necessary appointment for two weeks now due to their incompetency, and there was ZERO compensation. I am beyond disgusted by this company and recommend to avoid using them at all cost.

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.

Every time I need to get on the site to make changes, my account is blocked, username not correct. Why? I am very tech savvy and organized, like most of you out there, shop on line and do everything on line all the time. But if I try to sign in my accout with my correct username and password, it wouldn't let me after 3 tries. Who is there messing around with my username and password? I feel Cover CA just want me to make the call, but all I needed to do is to pay the bill since it claimed the check didn't arrive.

Everytime if I have to make some changes, it's another 2 or 3 hours of my time. Hello? People do know how to pay online okay? The insurance agent sounded like I'm so stupid that I messed it up, now he has to act like a hero to save me. Look, who doesn't know how to retrive password and username?

Long story short, I have very lousy experience and like some recomendation to purcahse insurance else where when looking for the next job. Thank you.