Update by user Jun 26, 2018 Blue Cross will not pay for MRI. Original review posted by user May 27, 2018 Blue Cross Blue Shield of Alabama refuses to approve payment for a medically necessary MRI prior to breast surgery. I'm a breast cancer patient that required surgery post chemotherapy. Surgeon requested MRI to locate the lump in the breast that needed to be removed. Insurance company fails to approve procedure even after an appeal was filed along with letter from surgeon detailing the necessity of the test. I am in the process of filing a second appeal. I also filed a complaint with the insurance commissioner in the state of California. I will be filing a complaint as well with my employer that used this company. Besides their failure to pay for this MRI - the insurance company also would not pay for the Neulasta shot with each chemo that helps build up white blood cells. Their refusal to pay for the Neulasta resulted in me ending up in the hospital as Neutropenia (no white blood cells!) After my short stay in the hospital after being admitted thru the emergency room - insurance company finally decided to pay for the shots! Horrible company and I pray that my employer re-visits offering this insurance company to its employees.