Wellcare Reviews

Extremely poor customer support. “Bait and Switch” on covered drugs. Changed their story when I questioned them on some facts. I asked for a supervisor; I was put on hold for about 20-minutes to be told no one is available right now. Call back. English is NOT their first language and all they do is read from a script. Ask a question and they simply start reading over the same pre written script.

WellCare will do everything it can to not pay a claim! I had an approval code from WellCare for a procedure with an in network provider and they refused to pay the surgical center that they approved! I've been fighting this for six months! WellCare should not be allowed to be a Medicare Advantage Plan, they are liars and cheats!

I've been waiting 3 months for them to put money on my spendable card, and no money. I call, and all I get is an attitude, and the run around. I will not go back to WellCare next year. Supplies I need, they deny, WellCare has gone to shit. Oh and stop giving the illegal invaders health care.

Be careful and dig deep into the actual member website for details about drug coverage. I used the Medicare.com Part D plan comparison to shop every year, and I’ve found that several of my medications that I Ioad at the time come up with WellCare pricing that looks reasonable with the drug showing as “covered”. But… I’ve found that they can still be denied later on after you’ve committed to the coverage. You can be denied despite a legitimate prescription from your doctor. If you look at the actual WellCare site estimating tool you’ll find in the “fine print” something like “this medication has restrictions”, and of course it doesn’t tell you what the “restrictions” are, or offer any recommendations to remedy. The member service phone reps can’t tell you why or what you have to do. WELLCARE MISLEADS MEMBERS IN ORDER TO GET THEIR BUSINESS. It’s the classic “bait and switch”!

At open enrollment, the end of November, I signed up for Wellcare Classic because it offered the best prices, and had a better star rating than all of the other options. Checked the prices online again a few days ago before having my first Rx of the year sent to a pharmacy. I had it sent to the pharmacy they said had the lowest price, by far, which was very close to price listed at open enrollment. Now the pharmacy is charging $527 vs the $310 I had been presented at open enrollment and a few days ago.

Wellcare has been an outstanding Medicare Prescription Drug Plan. I am so grateful for the low cost, high quality, and good customer service. In particular, Gyjuana was kind, understanding, and effective in helping me with an appeal for a drug that was not part of their formulary.

The absolute WORST customer service reps EVER! AVOID THIS COMPANY! You'll be left spending hours on hold and get no help from these people! None of them know their jobs, and they will turn your time on the phone with them into a frustrating experience every time you need to call them! PATHETIC!!!

Wellcare moved two of my low cost generic medications from tier 2 to tier 3 resulting in many times higher prices for these drugs in 2026 compared with 2025.. I now use an online discount pharmacy for these drugs instead of Wellcare Part D prescription plan and get significant savings. These increases did not show up in the Medicare comparison tool during the open enrollment period. I pay monthly premiums and get no coverage.

I just got Wellcare Rx plan. I could not get registered online. I tried multiple times. When I called for help- the prompts said #7 for IT support. I found out after 1 hour and hanging up and calling back and asking the person if they were I, they said "no" and transferred me to their supervisor (thank God-finally). As it turns out there is no such thing unless they escalate it, which the supervisor did. Now I am waiting to be contacted- in three days. My gripe is that the first person had me do the same thing over and over with the same result and kept putting me on hold and then would get back on and ask the same things of me with no different outcome. When I asked if she was new to IT she said "I understand and I will help you". I finally hung up after 40 minutes and called back and got the IT escalation.

I've only been with them for 3 months, but never in my life have I ever spent so much time calling my insurance company, gotten transferred so many times, verify who I was every time, explain everything all over again every time & spent up to 2 to hours on the phone each time. The staff is great. They just aren't able to do what they promise to do.

Only two months with them and it's a nightmare. Terrible customer service. They denied my prescription AND my lung screen! Their "MASTER CARD" was declined at my grocery store. This company seems more like a scam than an insurance company.

Absolutely the worst customer service experience I’ve ever had. I never received the trash Spendables card that they offer that no establishment accepts. I changed my address in August of last year and I was still having issues with getting my mail, oh because they were still sending some mail to old address and the bs pamphlet was coming to the new address but the important mail was going to the old address even though I put a transfer in with the post office. When one representative keeps you on the phone for an hour if they have to transfer you, you have to re explain the same thing to the next representative and then you find out that the primary representative gave you some information you can’t cash!! I will just use Medicare until next open enrollment!✌🏼

This place is completely clueless about what they’re doing. And no one in their phone system seems to know either. Regardless of how many times you contact customer service, they just read from a script. The customer service people all seem to speak English as a second language and don’t seem to understand WellCare policies. I received a letter informing me that I had been approved for a specific drug, so I called the specialty pharmacy to place an order. The pharmacy sent me the generic version of the approved drug. Okay, not a problem. Then, I received another letter stating that my prescription was not approved and that I had been given a temporary supply. Not a single person at WellCare could provide any explanation. They claimed that the generic I received was a different drug than the one I had been approved for, which is simply not true. Again I just had a script read to me saying this was a temporary authorization.

They raised my copay by 500% this year and somehow forgot to mention it during open enrollment. Customer service is a HUGE WASTE OF TIME!

I just called to ask about a preauthorization for a medication. I got transferred but before that the woman told me that they didn't receive a letter from my doctor. Then I got a man and he said I had until the 29th to hear an answer. I asked him very simply if it was only this particular medication or would this be the case for similar ones. This man had such a language barrier it was disgusting!!! That seems to be a huge issue anymore!! Why should there be any language barrier when I call any business??!! If anyone does NOT understand English then don't pick customer service!!!! 🙄

If you have Wellcare be careful. I ordered a cane and medications on my OTC card online. They sent it to the wrong address and said they can't do anything for 10-14 days. So I sit unable to walk hardly at all. All she would say is, "I am sorry." They aren't the ones not walking. Very poor customer service. Very disrespectful.

Normally a great company but this year customer service has been poor, misleading, and a parent has paid too high of prices and failed to communicate with parent or the doctor to assist with getting medications priced properly. When audits are requested, ownership was taken then denied and continued to allow a senior on fixed income to overpay for failure to do their part in the process. Also a headache to get consistent answers and approvals on medications recently and they lack the understanding of life or death medication. Even asking for the US agents did not help.

This is the worst customer service that I have experienced in quite some time. They left me waiting, had to check with others, and provided unintelligible instructions. They not only did not solve my issue, but left matters more confused. We were assessed a Late Enrollment Penalty that was incorrect. We filled out an online appeal and got nothing back. Called them and got one of the worst runarounds I have ever gotten. 30 minutes on the phone and nothing resolved, said they would call back and nothing. I recommend staying away from this company, they are pretty much useless. One star because they don't have negative stars.

For 2026, I signed up with Wellcare Value Script for my Part D prescription insurance plan. I saw where Medicare had provided the plan a decent rating so I figured I wouldn't have have any problems with it. Indeed, for the 5 years I've had Part D coverage, I never had any problems with my past Part D providers. I switched to Wellcare because I thought I could save a few bucks. OH WHAT A MISTAKE I MADE! So far this year, I have filled six prescriptions and I have run into trouble with Wellcare on five of them. For instance, the second prescription I filled was for a very expensive drug whereby once I met my deductible, the cost would be split 60% Wellcare/40% me. There was also a manufacturer's discount that offset my cost. The calculation of my share of the cost is actually fairly simple. Any 6th grade student that is proficient in math should easily be able to calculate it. But Wellcare got it wrong.

I had WellCare Medicare Advantage from 2023/2024 and this company denied everything my doctor ordered that was just for basic preventative care. I was so embarrassed and changed insurance providers once open enrollment for 2025 started in October 2024. It's 2026 and my current insurance is Humana with no out of pocket cost for preventive care and my medications have low or no out of pocket cost as well. Elders need an insurance plan that won't give them the runaround and you can understand what the agent says especially with no wait time on the phone. So glad I switched over to this provider.

The worst service of any company I've dealt with in my entire life. You start out in Afghanistan (?) where they pay people what, $0.15 cents per week, and things go downhill from there. Once in the US, you talk to incompetent liars, fools, and people who can't find their peers, notes, files, etc., and those are the Supervisors! Today, returning their phone call, I've talked to nine people, each one dumber than the one before.

It's cheap at $6 per month compared to the $165 per month I paid last year for little to no copays. However, so far this year (2026), as far as I can tell, they have paid nothing for the 2 or 3 medications I needed this year.

In the 2 weeks that I have had WellCare value script, it’s been nothing but problems. I am so fed up with their bs. Prior with due to number of pills, one week of coverage for 30 day supply, now waiting for contact w/ physician due to dosage. All for medication I’ve been on for 20 years. On top of that, lack of medication causes withdrawal and of course they won’t make up for the missing meds.

Before they approve the medication for me with a coupon from the manufacturer of the company I would only have to pay $60 a month. But with Wellcare it’s 10 times the amount. It would be $300 a month at the minimum even after I’ve paid off my deductible. I called up to find out how this is possible and the customer service agent blamed me and said that it’s my fault for signing up for this plan. I don’t understand why I pay for medical insurance if with medical insurance I have to pay 10 times the amount out-of-pocket. It makes zero sense all of these companies should be shut down.

Worst company I have to deal with. Been on the same medications for 3 years and Medicaid had no problems. Now Wellcare is taking away my prescriptions including the preventive care treatments that my doctor prescribed. They do not issue nicotine patches to anyone when even the crap insurance out in Las Vegas does this. They don't care at all! All this company wants is money from big pharmaceutical companies. I really dislike this company 100%. I don't care if I have to talk to CEO of this company. Until they catch up and want to show care then this review stands.

If you need life saving drugs, this is not your company, they will deny your prescription, then when you complain, they will say, "We expedited it",,,,Don't fall for it 'cause you will go back to the pharmacy, they will tell you it's denied, you will then spend another hour or better on the phone, and they will jack you from rep to rep, before they inform you that, it has to be reviewed by outside teams, and will not have an answer for you for 2 weeks, and so you go to your pharmacy, they tell you out of pocket is 3000.00 for your lifesaving drugs. So you end up either broke or dead, and these scumbags don't care. If you're considering Wellcare.....DON'T.

Wow I have Wellcare as my part d pharmacy plan. I pay them a monthly premium and if I go thru this plan they try to charge me literally 4 times the cash price at public. When I called they told that's because I haven't met my deductible yet that gives them the right to steal from people. We are senior. We don't deserve to be treated like this.

If I gotta be extorted for money after I died twice and refused to get EMDR just so they can give me whatever prescription medications will grease their bonuses from the pharmaceutical companies. This is bullshit. It’s extortion.

The low price is the only redeeming quality of the service. They cover very little of any expensive medication. Don't expect much and you won't be disappointed. I wouldn't say customer service is bad but definitely offshore and not very much help.

Wellcare is the absolute worst in all ways!! They will deny everything, then put you through phone hell with non English speakers for hours. Stay as far away as you can!!!