Wellcare Reviews

They constantly call my cell phone despite my complaints. I received a letter confirming they would stop calling and I got a call the very next day.

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For many years now I have been with Wellcare. There is a medication that I need that was always a Tier 2 prescription, so my cost for it was just $5.00 per month. In January of this year (2026), Wellcare changed that medication from a Tier 2 to a Tier 3. The result for me is that my monthly cost went from $5.00 per month to $67.49 per month. I was shocked beyond belief and did not receive any notification of that change, otherwise I would have switched to a different plan during open enrollment late 2025. Now I am stuck paying this outrageous price until the next open enrollment later this year. The greed and corruption of Wellcare is shocking and absolutely disgusting. I can’t wait to drop this horrible provider like a bad habit!

Rude reception staff. They have verification issues every year, I'm sent here for my work physical even though it was sent numerous times by my employer. They make zero effort to resolve this. You have to give them the same info multiple times on different forms, rather than them just entering your info once they have it. It's like the McDonald's of healthcare.

Wellcare and Medicare are one and the same; they slipped on one of my many phone calls, admitting to this fraudulent setup. I asked Medicare to investigate the Wellcare fraud of not paying medical invoices, where now the hospital has collections trying to force me to pay. Wellcare in the beginning took funds from my SSI that I filed grievance that was found on my behalf but Medicare wouldn't claw back that is when I found they were one in the same by Medicare agents admittance to that fact. I have filed with the Attorney General of Wellcare a fraudulent way of doing business. Came to find Brian Thompson, the 50-year-old CEO of UnitedHealthcare, is also affiliated with Wellcare, who was assassinated by Mangione. WELLCARE IS A WELLFRAUD SERVICE!

Wellcare has been horrible to deal with. They cut off my coverage because $12 wasn't paid without my knowing I owed it. My autopay had discontinued and I wasn't notified, then since I was away when notices were mailed, I didn't find out until 2 weeks after their deadline. Medicare filed an appeal about my case, and that was repeatedly declined. Then a Wellcare case manager led me to believe if I called their Escalation Department and gave them a credit card payment, I could be reinstated. Instead they took my call & my credit card information, and then charged me $45 implying the larger amount was part of reinstatement. Then a week later I was told reinstatement was declined but the payment would be kept by Wellcare for backpay. Not only was this dishonest, but I now have no drug coverage for 6 months until I can re-enroll for a Part D plan during open enrollment (of course elsewhere, as I would never use Wellcare again).

I’ve had WellCare starting 2019. They automatically took premiums out of my social security each month. On January they stopped the auto from social security, and decided to request premiums to be paid by the individual. I never received notification of the change, didn’t know to make a payment. Since payments weren’t made they cancelled my coverage.Contacted WellCare, tried to get them to reinstate for “Good Cause”. Each person I spoke with wouldn’t budge and refused to reinstate. I explained I didn’t receive information concerning the change, still thought premiums were taken out of SS.

Awful customer service. Automated hell phone system. Reps don't understand English. That causes your info to be constantly messed up. No one anything, transferred and extended hell. Incompetent company.. I am a heart patient. I can't afford ANY medication screw ups.

WellCare has low cost for Medicare Part D prescriptions, but the customer service is crazy making. They do not “hear” and instead suck you into a major waste of time and energy when you have an issue.

I have been on a sleep medicine covered by Wellcare for years. Now they advise that as of 2026 this medicine is no longer covered and they suggested alternate medicines to take. Well the medicine I have taken for years is the only one that I can take as I am in heart failure and the alternatives they recommended both my regular doctor and heart doctor said no. So do not use this company. Now I have to source out reasonable means to get said medicine. Horrible company.

Wellcare was super friendly and helpful at the beginning. Then every week, several times, they have their people call to talk about different options. They dropped my dentist from their plan 4 months into me signing up. I will absolutely not trust them again ever.

This is the worst excuse for a "company" ever. They cancelled my mom after they switched systems and messed up her direct debit. They cancelled her over $11 after years of payments, and then refused to re-instate her. They met "as a board" and decided they couldn't continue her benefits, after it was their fault. Losers.

If I could give them zero I would. I echo everything the previous one star reviewers have said. They decided not to pay for my generic prescription after doing so for 20 Months since signing up for them. Gave me no notice (and lied about it) after open enrollment ended. Now I have to pay $600 out of pocket for the same drug they paid for. Every person you get is in the Philippines and they cannot speak English. I wish I had investigated this more thoroughly, and now I am stuck. They will not give me any straight answers whatsoever. Run away from this company. The are not trustworthy and you will regret using them. An expensive mistake for me.

Customer service garbage, she says all the attorney to call stupid, she won’t talk to me but my husband, their recording is dumb. A broken machine. They are thieves, their copays are high.

I switched to WellCare as they had the most attractive benefits for a Medicare advantage plan in my area. What a mistake I made! bait and switch. My dentist is not in network like they said he was. They deny every prescription and even though I ensured that my doctor sent in the preauthorizations they denied it and I had to file an appeal. This is for a generic medication that is $16 without insurance. Their customer service is a nightmare and from the photo I’ve included you can see in two days I spent 3 hours to no avail with them. To date I have spent over 30 hours on the phone with them with incompetent agents from outsourced call centers with people who don’t speak English. It has truly been a nightmare and I cannot wait for the year to be over so I can switch back to my old company. Greedy, incompetent, and the phone calls are never ending. Do yourself a favor and don’t use them!

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!!!! 🙄