Insurer profile · NAIC + CMS

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana's complaint record, claim-denial rate and reputation grade, drawn from published NAIC complaint data and CMS Transparency in Coverage.

A
Reputation grade
13.2%
Claims denied
1
States (CMS data)

The verdict

Blue Cross and Blue Shield of Montana earns a A reputation grade - far fewer consumer problems than peers of its size, according to CMS Transparency in Coverage filings, 13.2% of its marketplace claims were denied across 1 state.

A
reputation grade
13.2%
claims denied (CMS)

Reputation grade

A

Peer-relative, A–F

NAIC complaint index

N/A

1.0 = market average; lower is better

Claim denial rate

13.2%

CMS, 1 states

AAA
Reputation grade A (composite score 85.4) - A=Excellent, F=Failing. Based on NAIC complaint ratios and CMS denial data.

Graded on 1 of 3 measures: claim denials. The score is rescaled across the measures available, so it is not directly comparable with a carrier graded on more of them.

How we calculated this grade →

Other A-graded carriers in PlainInsurer's dataset include Lincoln National Life and Principal Financial, and the closest overall composite score to Blue Cross and Blue Shield of Montana's 85.4 belongs to Regence BlueCross BlueShield of Oregon (84.9), each rescaled across the measures that carrier reports.

Other A-graded insurers

Carriers with the same peer-relative reputation grade

Insurer Grade
Lincoln National Life A
Principal Financial A
TIAA Life A
Mutual of Omaha A
USAA Homeowners A

Closest composite score to Blue Cross and Blue Shield of Montana

Carriers with the nearest overall composite score (85.4)

Insurer Composite score
Regence BlueCross BlueShield of Oregon 84.9
Nebraska Total Care, Inc. 85.9
Kaiser Permanente 86.1
USAA 86.4

CMS marketplace filing

Reported appeal outcomes for Blue Cross and Blue Shield of Montana

336
appeals filed
104
overturned (reported outcomes)
31.0%
of appeals with a reported outcome

The reported appeals on this profile come from Montana (336 filed, 104 overturned).

CMS reports an overturn outcome for 336 of these 336 filed appeals; missing outcomes are excluded from the percentage. These filing totals are not a prediction for an individual appeal. View the CMS source ↗

What the data shows for Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Montana carries a A reputation grade in PlainInsurer's dataset, with a composite score of 85.4 (higher means more consumer friction relative to size). It does not yet carry enough NAIC complaint history for a normalized complaint index.

On the claims side, CMS Transparency-in-Coverage filings show Blue Cross and Blue Shield of Montana denied 13.2% of marketplace claims across 1 reporting state - a moderate rate that still varies by plan design and network.

See where Blue Cross and Blue Shield of Montana sits against every reporting carrier in the claim-denial rate ranking.

Source: NAIC Consumer Information Source complaint data (2024). Source: CMS Transparency in Coverage PUF (PY2026), cms.gov.

Aggregates only, not advice. Full terms on the disclaimer.

Questions about Blue Cross and Blue Shield of Montana

What does Blue Cross and Blue Shield of Montana's grade mean?
Blue Cross and Blue Shield of Montana received a grade of A, indicating far fewer consumer problems than peers of its size.
How many complaints does Blue Cross and Blue Shield of Montana have?
NAIC's public bulk data does not include a complaint-volume estimate for Blue Cross and Blue Shield of Montana - the carrier may be new, small, or file under a parent company. Absence of an estimate is missing data, not evidence of zero complaints.
How do I file a complaint against Blue Cross and Blue Shield of Montana?
File against Blue Cross and Blue Shield of Montana through your state's Department of Insurance or the NAIC consumer portal at naic.org.
Is Blue Cross and Blue Shield of Montana a good insurance company?
PlainInsurer's A grade for Blue Cross and Blue Shield of Montana reflects far fewer consumer problems than peers of its size relative to peers on published complaint and denial data.
What types of insurance does Blue Cross and Blue Shield of Montana offer?
Detailed line-of-business data isn't currently available for Blue Cross and Blue Shield of Montana. The carrier is licensed in 0 states.

Source: NAIC published complaint index + CMS Transparency in Coverage PY2026 Complaint index, reputation grade and per-state claim denial rates for Blue Cross and Blue Shield of Montana · 2024

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The full PlainInsurer extract, covering every insurer including Blue Cross and Blue Shield of Montana, is available as CSV and JSON. Underlying federal data is public domain; see our methodology for the compilation and grading method.

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Data: NAIC published complaint index (2024) · CMS Transparency in Coverage PUF PY2026. Not affiliated with NAIC or CMS.

Every figure on PlainInsurer comes directly from NAIC MCAS and CMS Transparency in Coverage data; no editor types in numbers. See our editorial standards or methodology, or report an error. Data current as of 2026-08-11. Grades measure only the published complaint/denial data; we don't recommend any insurer or policy.