Wellcare Reviews

I was considering WellCare Value Script for Medicare part D coverage. I called ahead of signup in order to ensure that my Tier 5 drug would be covered. It was listed in their formulary and initial agent told me yes it would be covered, but might need prior approval. I asked to speak to customer service about prior approval as I have been on the drug for more than 4 years. CS agent totally gave me the runaround. Tried to tell me it was not in their formulary. A lie. Then said they couldn’t submit anything for prior approval until I was member. Then told me they could, but not until Dec 2 and that the process would take 5-10 mins. Then told me it would instead take 72 hrs. Then mentioned all the hoops I would “be able to” jump through if they denied it.

Trying to get through to customer service, using the phone number supplied on the paperwork is non existent... An hour of circling around, hearing Spanish and starting all over again... Both my wife and I have spent several hours each week for 2 weeks... no luck getting through. The paperwork says I did not have drug coverage in the past... I am disabled with 50 percent VA, medically retired since 2013, have Tricare for Life, both of these are on the papers they sent, yet my wife and I will be fined for no drug coverage... the Wellcare Mutual of Omaha Advantage plan is the only plan available in the state, and the county we currently live in...

The customer service is so horrible. I am new to the plan. I am already having issues. I had a RX plan since 2018 with no lapse in coverage. They are saying I had one. I have filled out forms and called several times. I am placed on hold and have to repeat myself over and over for a fax number to send the letter in. It's unreal.

I recently discovered that I have paid several thousands of dollars that should have because Wellcare failed to provide accurate information. When I first signed up, no one informed me that Wellcare had preferred pharmacies. Two years ago, I called Wellcare to discuss my plan and complained that I did not see any benefit from the premiums that I was paying. The agent told me I might consider a more expensive plan but did not inform me that I would save by using one of their preferred pharmacies. I found out from a very knowable agent from a different company. I am now paying almost nothing in premiums and considerably less for prescriptions. This is a totally incompetent company.

I had trouble getting my insulin to the point that I ran out. They wouldn't tell me what brands they covered only that what I had previously wasn't covered. I had to research things to figure out what brands they would cover and it took 2 weeks after that to convince them that a diabetic person needs insulin at all! Then another several days to wait for their review process before they denied me AGAIN because even though I had the right brand, I didn't have the right delivery method of it that they would cover.

Previously, I had Wellcare by Fidelis. Now, I have Wellcare. I thought they were the same. Apparently, there's a huge difference. One of my doctors does not accept Wellcare, and the others complain of slow payments. Also, looking for a specialist, I called the list Wellcare provided and their offices tell me they do not accept Wellcare. Wellcare was extremely slow in approving diabetic meds and "durable goods". Trying to speak with Customer Service about the status was useless: they cannot explain where the process stands or likely outcomes. Also could not tell which doctors were in network: they referred me to the online list which was incorrect. Their Spendable card is also a huge disappointment. Their website gives unclear status. I have not tried in store, as it is not clear to me how to determine covered items.

After waiting from Sept 2023 until March 2024 to pay for my out of network PMP, my taxes were delayed wondering if they were going to pay. My prescription of almost 20 years requires preauthorization and a 7 day, then no 30 day can be written. This got me red-flagged at the pharmacy. Then it would have cost about 110% more than rx.com (50 vs. @$114). Now my provider did not file - guessing they would not wait 6 mos. to get paid. That got me my first Past Due notice this year. My credit score is north of 800 with no late payment ever. So far they paid $92 lab fee for all of 2024. The policy looks good on paper. Good luck getting reimbursement. Customer service will tell you anything. No more Medicare Disadvantage for me.

Wellcare overcharged me and continuously ripped me off with their ultra high prices. It was so bad that I started to use the Kroger Pharmacy without insurance instead of Wellcare --- and my prescription medicines at Kroger were half the price that Wellcare was charging me! After complaining to Medicare regarding the high cost of Wellcare, Medicare agreed to move me out of Wellcare 6 months ago and transferred me to a Humana plan with Centerwell Pharmacy. The prescription drugs are about 85% less than what I was paying at Wellcare. For example, I have to take this drug ** for hepatic encephalopathy, Wellcare charged me $49 for 3 months of **; Kroger charged me $25 for 3 months of **; and Humana Centerwell Pharmacy charges me $6 for 6 months of **!.

The false advertisement claimed that you may be qualified for a drug plan "D" if you have Medicare Part A and B. I was on the phone with three different representatives. The second person claimed that I qualified and I kept asking him are you sure. I went on and on asking a simple question for the company to be honest with me. The real answer is they could not tell me the truth. This company in my opinion is a disgrace and I do not recommend anyone signing up for this company. This claimed to be my member ID: number: ** what a joke and here is the other number they gave me (PDP) (**). Pass this message to your friends and family members. Let's stop this company from lying to consumers.

Keep in mind this insurance is not here to provide support for patients. They are here to make money. I am a medical provider and ordered a test for patient and received denial after 6 weeks and they immediately closed the case, which meant I had to get authorization again. This has been waiting approval for the 3rd week. This is already 2.5 months delay in care, possible missing a critical diagnosis like cancer! Shame on them! They are full of promises and deliver nothing!!!!

Medicare 2024 open enrollment season is upon us and I am happy to switch from Wellcare. It has not been a pleasant experience. Last year I switched from traditional medicare and called wellcare on a recommendation from a friend. Big mistake. I told them I did not want a plan with an extra monthly premium no matter how small. Agent told me that they had a plan called "Low premium" that normally is $9 per month, but because of the extra help I received, I would not be required to pay it (even though mymedicare listed the $9 premium).

Evil lying demons. Devils. Don't do business with with LIARS. Sick switched over. They said I get a spending card. When write on the computer it showed my Medicaid had dropped. It messed up everything. Lost most of my benefits.

When speaking to a customer service representative today they are idiots, most don’t speak English. I've been told one thing and another about coverage, the information changes with each customer service representative.

Very poor in every aspect, basically WellCare does not want to listen to the customer at all. They set in place their own policies and procedures and do not train their employees to forward valid issues to upper management so that the issues can be addressed. I have been with them for over 2 years and I have never been so unhappy with a service company. Extremely poor company.

I did what was needed for $25 reward (do a health visit with my Dr) ... and did it when I HAD Wellcare.... Now they won't give it to me. Their reps lie to get you on their insurance plan. I am not surprised why they have 1 star.

I am in the process of disenrolling from Wellcare for the second time. They are tenacious; this is the second time I am having to do this. (They also tricked me into enrolling for the second time.) The way they make their money is by blocking services; with straight Medicare/Medicaid, I'm able to access necessary health providers; with Wellcare, I'm expected to pay out-of-pocket for vision care, dental, and mental health services. Do not sign up with this company, even if you're presently healthy; I am disabled and am unable to get access to the most basic services; it's taking me literally days of waiting on hold with Customer Service and being shuttled from department to department in order to get removed from their rolls.

I recently moved from one state to another. I called WellCare immediately after moving because I remembered that they have different plans for different states. I wanted to report my new address asap and sign up for a plan to continue coverage for 2024 in my new state. That process took two separate phone calls totaling two hours (possibly more). The rep was very polite but shockingly incompetent. After all this, I have a confirmation code for the application which is 'under review'. I'm still not sure she did it correctly. WellCare is one lousy company. I'll be looking for a better company for 2025.

WellCare Insurance is not what they say they are. First I had UnitedHealthcare until they stole me away in April 2024. They don't send me a membership care and I had no proof of having them as my insurance company. I stopped with them in May 31 2024 and went back to United Healthcare. When I called them they couldn't find a record of myself as a client.

Wellcare is the worst. I never signed up for this. I have called 3 times to cancel my RX membership. You can not speak to an **. All you get is someone outsourced in another country who you can not understand.

My mother needed to be transitioned to a pharmacy plan after her employer sponsored program promised to retirees was ending August 2024. The broker for my mother's former employer recommended WellCare. This has been a huge nightmare for my mom. Wellcare cancelled my mother's policy without notifying her or me (her POA). They claimed notices were sent...absolutely not true! They refuse to re-instate her plan, refuse to provide an explanation for the cancellation. They cashed the premium check after they had supposedly cancelled the policy! Their only offer is for my mom to re-enroll....She has already started paying her deductible in September, why would/should she start over????

WellCare has been a challenge to work with. I have just 3 autofill prescriptions delivered by mail and they mess it up regularly. They’ll fill one but not the others. I’ll have plenty of refills left but they stop delivering and CVS calls me to pick up my prescription. No! It’s supposed to be delivered. Oh my! Calling to try and get things straightened out is a nightmare of difficult accents, being put on hold or transferring me to another inept department.

This experience is absolutely horrendous! First red flag, they called me over and over. Second red flag, bribing with a debit card for $170 which is absolutely useless! Nothing I try to buy even works. Spent the money on the online shop. It took the money. Shows no transactions and it’s just gone I guess. I need to get rid of this insurance immediately. I see all the reviews and they are clearly a fraudulent company SCAMMERS! I feel deceived and I’m scared to death, if I actually have to use this, it’s going to fail me and my family! Please steer clear! Don’t be scammed by the nice patient representative that contacted me with all these too good to be true statements. Take this business down before they affect more people’s lives!

WellCare Value Script Prescription Drug Plan is a bureaucratic mess. I have used them for years, with my Medicare and they seemed to be Okay. Now prescriptions that I have been getting filled for 6 years with them are being denied, or in one case the Pharmacist was told that they would only cover 1/2 a pill a day???? Pharmacies and pharmacy plans that I am not paying for have filled (at more than twice the price I was paying), which is a sign that Wellcare has lost its way. I just spent 45 minutes on the phone with one of their representatives who was nice but not very good at English, who promised me that they would fix this, but in the end it is being shuffled to an endless paperwork quagmire!! Yuck. Too bad 1 star was the lowest. Consumeraffairs

I have never had such a negative experience in my life. If you fall for the nonsense they sell good luck. They want you to use in network doctors yet will not even provide you the name of a PRIMARY CARE DOCTOR. Trying to customer service is useless, there virtually is none. I don't believe that this company actually has anything to offer. It's like absolute fraud.

Never in my life have I felt this frustrated by a business. I get calls and letters on a regular basis to address an issue that I resolved (or thought I resolved) at the beginning of the year. Every time I am contacted about this matter, it’s as it’s for the very first time. I explain each time, am assured each time that it’s been taken care of, and then another call or letter will come. There is no service in their customer service. Just more wasting of my time, more irritation at speaking to people who either don’t know how to keep records or don’t want to, and more clarity that as soon as I can change my prescription drug plan to another company, I will. All this hassle for an account with one VERY inexpensive prescription. I can’t imagine how they must treat people with more complicated needs.

I transitioned to Medicare on 9/1 after retiring. I did a lot of research beforehand and selected WellCare PDP for Part D. On 9/27 I attempted to refill 2 scripts - ** & **. The pharmacist told me he was getting an error that he had never seen before and advised me to call WellCare. I called WellCare on 10/1, they told me coverage for the scripts was denied because the MD who ordered them did not participate w/ Medicare/WellCare. I asked why this was a problem since I was not asking for any of the MDs' services to be covered, but simply for my meds to be covered & they advised me it was simply their rule.

Very incompetent and doesn't really care about their clients. I've been waiting for weeks for authorization so I can go to physical therapy. The PT office has already sent 2. Wellcare says they haven't received any. Thank the Lord, October reenrollment is coming soon!!!!

I signed up with this company because of all of the benefits it had. Such as meals for certain medical conditions. It had silver and fit, which is an exercise program for elderly people so you can attend a gym. I got the plan with the Dental program, that was a joke. I called 38 dentists in nine different cities, I live in Tennessee. I contacted the insurance company. I contacted the Dental provider. It took four months of me calling dentist after dentist after dentist in my area.

Be aware that if you are dealing with this company, as with so many other American companies who routinely hold up their middle finger to the consumer so they can crow to their investors about how much money they are making them, you wil be dealing in phone calls on issues that arise with people on the other side of the world whose English-language skills (I have studied five languages) and accents are terrible, on phone lines that are WORSE, where they are nearly unintelligible. The woman I spoke to DID NOT HAVE A CLUE and put me on hold endlessly, multiple times, for a simple task, one that, with AAA, took me about 3 minutes to resolve.

Finally after some time my plan D was continued and corrected adequately as it should be. After receiving letter of it being cancelled it was reinstated to original form. I still stand by my original statement of other regarded issue due to lack of follow through with representative prior to any consent from me.

DO NOT GET THIS INSURANCE! By far the worst insurance there is. The reps have the worst customer service, not helpful at all, very rude, have you on hold for a long time, never call back when call is disconnected.

If I could give zero stars I would. Extremely incompetent. Answers to questions are incorrect. Meds never get filled on time. They go after the poorer population because they know that many people can't fight them. My goal is to do whatever I can to put them out of business before I die.

My wife passed away on June 16, 2024, I notified Wellcare prescription drug plan that my wife was deceased in June, but they still deducted a payment for that month was told Social Security would notified them of death. July another deduction, I called and was told that they would stop deduction. I Called again in August, was told that I needed to fill out a form stating that I was executor of the estate. The only money that would come back to me is the unauthorized payments they stole from my account.

WORST WORST WORST EVER!!! I'm searching to switch as soon as I can and dump this awful awful insurance carrier. I gave it one star because I can't give it none and there's no negative stars. AWFUL!!! They send reams and reams and even more reams of paper that I don't even have time to read and when I do read it it doesn't say anything I need to know! and that really pisses me off! And then the phone calls and stupid associates on the other end. "How do you feel?" "Are you lonely?" "Do you want to kill yourself?" Blah blah blah.... or, "We want to send a nurse practitioner to do a health and wellness evaluation?" Really? Why?

I recently went on medicare and had to pick a Rx plan. Either it was really expensive or I could choose a cheap plan and pay more for the drugs. I have the free plan but I get my drugs from CostPlus drugs. They are 1/10th the cost of going through WellCare. There is nothing well about it. How can Mark Cuban undercut a drug plan by that much.

Horrible place to work. 90% of the staff is contracted out offshore reps that have no idea what’s going on. Revolving door of new seat filler reps and constantly changing new rules. Their Systems and tools don’t even work. Don’t fall for the low premium rate trap, it’s a real crappy company and you’ll get trapped in the coverage gap mid-year. The “supervisors” are just regular agents they give the title to fill the seat and have 0 power to make any difference, they’re just there to get the yelling so the real management doesn’t have to help.

Was paying $42 a month for ** through them for 2 years. Now it’s over $100 a month. Called WellCare and was told they couldn’t help me. Will bag these clowns when the Medicare provider system opens next year.

I’ve been with WellCare since the beginning of the year and they only give you 24 rides. That’s it for the year. What am I supposed to do with 24 right. I need to see my doctor so I called them and I’ve been trying for two months to get more to go see my doctor and they keep giving me the runaround. Then they tell me someone’s gonna call me so I hang up. I wait three days no one ever calls. I will call back that person. Supposed to call me back. Wait three days nobody ever calls. Not only that. Today today is 31 July and they say they denied it. Wellcare sucks. That’s all I gotta say. I would never use Wellcare ever again. I am so done with it this year Care. They suck.

I’ve been with WellCare since March and I can’t get a PCP, get an appointment in less than 5 months, and many providers (eye doctors) don’t take it. It’s like having NO health insurance. My blood pressure Rx has expired and I can’t find anyone to refill it. NO ONE CARES. I’m getting out as soon as I can. Probably will spend time in the ER because I can’t find a doc!

My Dr. has to repeatedly send Wellcare preauthorizations and they deny receiving them for medications I've been taking 10 years. Never do business with this company. Completely dishonest. This situation occurs regularly with Wellcare.

Called their 24/7 nurse advise line and the customer service representative and nurse were AMAZING and understood that I (his daughter with approval/verification) was calling because my dad couldn't call for himself because of his symptoms (confusion/not functional). I then got transferred to a customer service representative that said we couldn't talk to a doctor since my dad has to register with them first. Mind you, he is not in the state to where he can even accurately state his own name and she wants him to register and won't even let me help him when he's on the line with us. Just don't need to talk to a doctor when you're unable to and you should be fine. *sarcasm*

I switched from Silver Scripts when they started a premium charge. I spoke with Wellcare before I switched to make sure they covered my meds, they said they were. First time I got my scripts filled, one was denied, needed pre-authorization. I called member services FOUR times to get it resolved. They needed info from my Dr which he TRIED to give, wasn’t able to on their automated system. Insisted WC insisted I get a different med which has huge side effects & no Dr in their right mind would prescribe it.

I have numerous examples of failed state of Wellcare Health Plans for my patients and my patients. One of the very frustrating ones are excessive delay for providing approval/support for services as simple as imaging. The worst part of their provider relationship is lack of ANY responsive individual and no actual provider relations. I have made numerous attempts ad nauseum. For hospitalized patients, after submission of nearly all demanded records, they again asked for all records. I resubmitted them. They corresponded it was NOT "legible". At my own cost, I resubmitted (mailed with tracking number), then they told me it passed the submission deadline.

I am a physician. Dealing with this insurance company is worse than pulling teeth. They denied a medication for patient for a reason that made no sense. They said that he had to be Philadelphia positive CML. Literally documented in my clinical note that he is philadelphia positive. Multiple labs and bone marrow biopsy showing he is philadelphia positive. Called their appeal line for expedited appeal and have to deal with pure idiocy. The clinical pharmacist was someone that was mentally slow. Took like 15 seconds to start answering simple question. 5 calls and nearly 2 hours later and getting no where. How in the world can this insurance be allowed to exist?

Do NOT even consider WellCare. No matter how carefully you follow all guidelines, instructions and rules, they WILL DENY your claim. When trying to get assistance, please plan on 4-10 hours on your phone.

Well they have most incompetent employees that work at that company. They tell you one thing but don't do what they say that they going to do and then tell you a complete difference story than what they tell you the first time.

Wellcare is extremely frustrating to communicate with! Representatives speak very poor English, they repeat themselves over and over and keep you on the phone for an extended period of time.. I have been misinformed about coverage and remaining deductible on more than one occasion. Very poor coverage on anything other than generics tier one drugs. Overall coverage is inadequate. I plan to switch providers during next enrollment.

DON'T RISK YOUR LIFE!!!! *These words are my personal opinion, based on LOTS of horrible experiences and all statements can be verified with collected evidence**. This company is GARBAGE. I spent 28 hours on hold in the last three weeks because, (after approving my prescription in January) they decided to deny it in May, and not tell myself, my doctor, or my pharmacy. It took 3 weeks for me to find out what was going on and it's NARCOLEPSY medication.

Would give zero starts if possible. My elderly mother has Wellcare Part D. This company sort of randomly rejects her payment checks, and sends them back to her in envelopes had addressed with a large magic marker and no return address. Then she get a threatening letter to her policy is going to be canceled. A Wellcare employee told me to "upload" my POA before they will talk to me about her account. Another employee told me there is no way to upload a POA and to mail it to them. Terrible, terrible customer service.

I was recommended to Wellcare. They seemed to have a good deal but when I signed onto Wellcare, their customer service was terrible! Representative knowledge was bad and most of the time they could not help me. I sent in a reimbursement form after I got many representatives telling me all different kinds of ways to submit reimbursement receipts and forms for an insurance that they were supposed to pay. So besides saying they took 30 days to process, they lost my whole submission for reimbursement, receipt, form, details and information and never corrected their mistake. I sent in all the correct forms and whatever was needed and information again and, still, I never got reimbursed.

Terrible systems. Terrible customer service. Terrible formulary. Low cost per month. I’m getting what I pay for. This is a terrible company. Prices go up mid plan on drugs by 2.5x. They send messages saying there is an issue please call. When you call they can’t verify you are a member. Hold time over 20 min. Heavily accented reps. Failed call transfers. They are writing the book on how to provide terrible customer service. I would give zero stars if I could. Can’t wait for open enrollment this fall to make a better choice.

I'm a member of Wellcare. Had a prescription denied-not covered. Called Wellcare customer service. Agent was offshore and didn't understand English very well. I asked for an alternative and she gave me the name of a drug that wasn't remotely close. I got nowhere.

Hi everyone… If you want to save a whole lot of trouble stay away from WellCare!!! They have denied me four times, not only for medication I need to live a good quality of life, but are now denying medication they approved a month earlier. My dr has appealed four times and been denied four times! You would think after four appeals they would know I need this medication. Without this medication I can be in a wheelchair with severe pain!!!! If you don’t want a company putting your quality of life in their hands, stay far away from this company!

Wellcare does everything they can get away with in denying drug coverage that are in the Pre-Authorization category. I switched to Wellcare due to a life dependent drug being listed in the Prior Authorization list and of course deny, deny, deny. They represent everything that is wrong with our healthcare problems in the US. Medicare needs to stop accepting them in their Part D program.

My husband signed up for WellCare when he signed up for Medicare 4 years ago. He seldom needs medications and we had signed up for paper mail. As the mailing said we could access records from the online account, so we attempted to go online to cancel paper and use online access. His sign-on and password wasn't valid anymore and we called customer service. They cancelled the paper mailing and told me they were having issues and IT would contact me within 10 business days. I expressed that this was not good to not be able to access the info for this period of time but accepted it. Five calendar days later and we haven't heard from them. I searched and found complaints on this site. Time to find a new provider come open enrollment.

This is the most FRUSTRATING company to work with. Their portal does not work and it takes multiple calls over several days to customer service to get it fixed. This is unacceptable. I would suggest you find a company that has their act together -It's not WellCare.

Well care is don’t care. They denied critical medication I’ve been on for years that’s on their formulary even after my doctor submitted a letter of medical necessity. Don’t switch to this company during Medicare open enrollment!

I just started this plan April 1st and I absolutely can't stand it!! Haven't been able to use my card online to buy products or in the store. I think I'm going to go back to United Health Care 100%. Thanks.

My stupidity signing with Welfare is beyond my self comprehension but it’s my stupidity. This people don’t return calls when you have issues. Their prizing is self-made. I pay more now than my previous insurance. When I called to ask the reason that a prescription previously tag as generic for few years now is a tier 4 because they can. Even after googling also shows as a tier 1 medication. When I questioned now comes the arrogant tone and patronizing way of antagonizing me with laughing and, "God bless you. Have a good day answer." I ask for a review. It’s been 30 days no one contacted me. It’s not the first time this behavior with customer service. I hear dog bark in the background so safe to assume they work at home and just want to get you off the phone. The patronizing and laughing at me make my blood broil so keep laughing at me.

I signed up for the $0 premium plan as I don't currently take many medications and the ones I take are very inexpensive for the co-pays. But they call me several times a week and leave messages to call them. I know they are try to sell me additional coverage but I find this very annoying and harassing.

I do not know what has happened to Wellcare. They seemed to be a fairly good company one or two years ago however they have really gone downhill. I hurt my back & was sent to PT. PT started having trouble getting approval & payments. I saw the billing first hand. I would pay my $25 copay. PT would bill Wellcare & it would get denied: bill again & get denied: bill again & Wellcare would pay $35 on a $250 charge. $250 - $25 - $35 = $195 PT was losing each visit. The second time I was sent to PT, they informed me they no longer accepted Wellcare. So, a month or so later I was scheduled for a CT scan of my back. I paid my $250 copay, had the scan with a "Preferred provider" & again the claim was denied. When I called Wellcare they said I was not referred ???? & it was not a "Preferred provider" This last week I got a $2000 + bill from the hospital for the scan.

The absolute worst insurance. They told me all my doctors and medication were covered prior to signing up. Once signed up doctors and meds not covered. It’s like having no insurance at all. Customer service is worthless. One representative says one thing and the next another thing. I was new to Medicare, and this company pounced on me to take advantage of. Run far from this company!

From weekly mailings to nearly monthly phone calls about things like "free" services I "qualify" for, and when it's time to see your doctor, Wellcare is not only the absolute epitome of American healthcare spending waste, but also a perfect example of why we need to exclude the industry from the legislative process entirely... Especially when it comes to how we should spend our medicare dollars.

Updated on 5/8/2024: Another day without diabetic test strips and lancets, why?? Wellcare hasn't approved yet, it's going on 3 wks, I've been in a diabetic coma before and was very lucky to survive, now, wellcare is putting me right back on that diabetic coma again..

Wellcare support or the so called customer care, is everything but care. I have spent countless calls for hours on the phone with them to enroll in a plan. Medicare initiated the application because it was outside the enrollment period. Wellcare ran me through the same questions, which they could not clarify or explain. Only a simple yes or no would be accepted. There is no deviating from their questions. The result is you don't qualify. They even call me back to let me know that the application was not qualified. I escalated, and you still get bounced around to new reps. There is no documentation of previous discussions. No you have to start again each time you call. This is my far the worse experience I have ever had with a company!

WellCare changes what they will pay for on a daily basis...if they don't want to pay for an insulin drug or pen needles, they simply move it into a higher category/tier, and you will be charged the full (non covered price) for that medication. They want me to pay $8,000 up front as an out of pocket cost, before my insulin products are covered...this is per an EOB I received from them early this month. I called them in January after a letter stating that pen needles were not included in their formulary... The manager I talked with said, those were an appliance and Medicare had to provide those.. even though you cannot dispense any of the prefilled pen medications without a pen needle!! We would have never signed on with WellCare had we known of their rude policies...it will not happen again next year...someone should take them too task!! Where is the support from Medicare?

I’ve come back to Texas to help with my mom. She has this WellCare and it’s the worst insurance I’ve ever seen. If you don’t care about your insurance for your parents this is the one. They are not helpful at all and make excuses for everything. The needs of the elderly means nothing to them. Doctors are not able to help hospitals or no help either. It’s astonishing these are the people who help to build this country and they are thrown to the curb.

Absolutely worthless. They claim to have an extensive formulary but somehow almost every medication you take will need prior authorization and they'll deny it. DO NOT accept this insurance. They'll claim to lower your costs but you'll be paying out of pocket, full price for most of your prescriptions. Equally, their customer service is a joke. They don't answer your questions. They recite information you've already been provided while not answering any of your questions. No one at Wellcare seems to understand what wellcare's purpose is. I believe they are getting kickbacks for certain drugs. Get the insurance if you don't believe me. You'll see.

I switched to WellCare after being told my Rybelsus prescription would be $33 per month. When I got the bill it was $440 for three months. When I inquired I was told there is nothing they can do. In my business if I quote too low, I’m stuck with it, and I make a pittance compared to the exorbitant profits the pharmaceutical companies gouge us for. I’m changing companies as fast as I can!

Updated on 06/17/2024: The appeal was in our favor... got a letter saying we do not owe late enrollment fee. Today got a letter from WellCare saying we still owe late enrollment fee! I have a call into the appeal company and I also filed a complaint with Medicare. See what happens next! What a mess! Don't use this company!

Was on their insurance. Went to another then changed my mind. Went back to theirs. 4 days didn't even start other one. Said if I left the other one I could back on theirs automatically cause it wasn't 30 days but when I tried had to fill application start all over.

Not happy at all with this insurance company. I have so much trouble getting in to see doctors because many just hear the word " WellCare" and say immediately that they do not accept this insurance. Now, this year, I can't even get home Health care because it was dropped from my policy. I was told that today by one of their employees and then he proceeded to hand my phone call over to another person who I was told would help me with some ideas of where there maybe community resource to help. So basically a WellCare employee who is paid to give you a phone number to call for people that need help because they have no insurance. Lol, only in America.

Absolute worst health insurance company ever. I have to request prior authorizations for patients' care and they do their best to prevent patients from receiving care. Anything from "we didn't receive the request" to "it needs a faxback" or just deny for no reason. You can never get anyone on the phone that knows anything at all. Worst company ever (Basically all the Centene products).

Just filed an appeal with them for nonpayment of claims. I've had to pay the providers as WellCare stonewalls. Many problems with valid physician and hospital claims not being processed. Even some processed claims never result in an EOB. Phone service is 2/3 bad - 1/3 of the time you can't be located in the system and 1/3 of the time you have a poor English speaker (or both). Medicare coverage can't get here soon enough! Stay away from WellCare!

Well I just got on Medicare and I have Wellcare value plan. So I get my first prescription which works ok. I expect to be able to refill it in 90 days but guess what - no they will not let me refill it for 92 days unless I call and spend an hour on the phone with customer service. So every 90 days they cheat you out of 2 pills. That is not so bad unless it something that you really need to take every day. This makes no sense to me but I guess with enough customers they can save a lot of money shorting people a few pill here and there.

I've only been on this ride for two months and it's been awful. I have been having to call back to back. I personally, had to get out of my bed, get dressed, get in my car and go to my doctor's office in another city, and had Wellcare on the phone. I had the my doctor's ma come out and we exchanged fax numbers etc. Now they say, "they didn't get the approval" but I already picked up the medication, so how did they not receive the pre-approval?

My dad needed physical therapy and ended up in a place that reminded me of a horror film mental hospital far from his home, and my mother! He fell the first night and has been drugged out since! The night nurse is a liar with a crappy attitude! Needless to say, I signed him out and headed directly to the ER closest to his home! With the money he paid out for this policy, he should have been at the freakin Hilton! We were informed that no one near his home accepted Imperial Health because they didn't pay their bills! WellCare, you really need to do better!

Rude on phone. They weaseled out of paying 4 drugs since January. Keep sending rejection letters over and over. Also phone calls. Weekly, "this is a courtesy call. We are not covering such and such drug.“ Just avoid this company.

Please know that WellCare, that is a joke in the name itself, does not believe you should be asking for a prescription override for a heart medicine over the weekend because they are closed. In fact, the agent said you can call back on Monday for a override. I told them it wasn't for a hangnail nor earache. It was for a heart medicine. First agent said he couldn't escalate anything nor help me in any way. Second almost the same.... Run Forest run, don't sign up for this plan or company. Because a pharmacy emergency never happens on the weekend.

I had a tier exception, they said I didn't. I had the paper. They still charged me for the higher tier. Also, they put $4.50 co-pay for this med in their Medicare site during open season. Then I was told it was $11.50 on the phone. I let my SHIBA rep know, and they found me a different company. I recommend changing. Funny thing, the med is indeed $4.50 with the other company. I hope they get fined big time for Medicare fraud. I would also like to see a class action suit by consumer affairs.

When I signed up for 2024 part D coverage for my prescription (**), the WellCare website showed zero cost. However, I just received my first 2024 medication (sent by Express Script on behalf of WellCare) with a bill attached to the medication. Their website is at a minimum incorrect and misleading (assuming the error is unintentional)

I agree with the other reviewers who say that this company's representatives lie to Members. I will also point out that in my experience with them, they "stonewall" in an attempt to make a Member "give up and go away." It's hard to tell whether the stonewalling is an intended practice, or whether it's their use of people who are not given the authority or have the ability to do anything other than "check a box." My experience is that you need to repeat things over and over before they understand (or pretend to understand) the issue. If you have an issue that doesn't fit EXACTLY into one of their "pre-proscribed" scenarios, you just simply can not get anything done.

I signed up with Wellcare RX because they had a Part D plan that had zero premiums, and zero payout. I only have one prescription medicine at this point that costs me less than $20 for a 90-day supply. I needed to enroll in Part D, and this plan seemed like a great solution, since I could change it at open enrollment if I needed to. I have worked for the same employer for 17 years. I was a state college employee with great medical benefits - including prescriptions. I received a letter from Wellcare stating that, according to Medicare, I did not have qualifying prescription coverage and that I needed to pay a late enrollment fee and start paying a little over $10 per month for the coverage. I contacted Medicare and they said they showed my prior coverage did qualify, and they had no idea where Wellcare got their information. I have spent hours on the phone (4 different calls), and at the end of each one was told it was resolved.

I am a case manager. I have had many interactions with WellCare, on behalf of their paying members (Medicaid and Medicare). It is impossible to get WellCare on the phone to discuss a member’s need. You call a number, then are switched to another dept, then another, until the call is finally disconnected by WellCare. And none of them can answer the initial question, which is usually a very simple question. The coverage is dismal-most high performing agencies are not in network with them. Getting decent medical supplies for members is impossible as WellCare rarely covers anything beneficial. Please look around before signing up with WellCare.

With WellCare medication insurance nine times out of 10 they will deny you your medication. It has to go to a review. You must fit their criteria to get your medication approved. Nine times out of 10 they will not approve your medication not even **. Just to be advised if you are a senior citizen and you have Medicare you're allowed to change your plan anytime of the year. So please take a note of that I've only had them since January and every single medication I am on has been denied, declined because I don't fit the criteria.

Customer service consistently lies and hangs up. Additionally, after my wife being on prescription for 3 years they asked for a pre-authorization for it. After contacting them their representative stated that they sent the paperwork to her prescriber. That was a lie. They then put in her notes that she decided that she no longer needed the prescription. That was another lie. At no time do they ever help and all they do is make more bullshit up to make it impossible to get the prescription covered. We will be leaving this horrid company as soon as possible. They should be shutdown for their criminal practices.

We have had nothing but problems getting our prescriptions. Common sense is out the door. My wife recently changed her diabetes medicine to **. Her doctor sent in the prescription to our local pharmacy. This was filled no problem. Then that was for 30 days to make sure she tolerated it. A new prescription was written by the doctor at the end of November for 90 days and sent to Express Scripts. About 5 days go by and she gets an email indicating the prescription was denied. Then had to call and find out why, they said she needed prior approval. We explained that she had already received one months and did need authorization that time.

I just started coverage by Wellcare this year... I have Medicare and thought I made a wise choice... NOT! This company has terrible non USA customer service agents... You can barely understand... Big chore to get thru... Sometimes they disconnect call and say they can't hear you.... I had my doc prescribe a topical cream. She called it in and they told me at my preferred pharmacy that my co pay was $120... After many many calls they say I need a prior authorization for this.... OMG... Even with prior my co pay is $54...they said I could get a different cream that does the same...for no co pay....

When I seen the ad on TikTok that my father could get a cash card if he called that number so I called the gentleman. Told me that it was for prescription pills so I change my father‘s provider for his prescription pills to Well care, not knowing that they would not let me Make any decisions for my father, unless they see my power of attorney papers. However, they did not ask that when they signed my father up, my father has had a massive stroke and now he’s in need of a bed to be able to come home and because well care did not inform me that I had to provide power of attorney papers in order to make decisions for him, my father has to do without because of well care.

I really want to thank Renee from South Carolina on tef to **. I hung up before completely the survey by accident. She was so helpful on the phone, I'm new to Oregon and she was so patient and kind with me. She explained by benefits clearly and answered all my questions. I hope she gets acknowledged for her caring professional attitude. Thank you Renee and thankyou Wellcare

To make long story short - this looks like an outsourced business. People are reading from the script, they don't understand much what they are doing, when their system is down they simply switch you to a different department without mentioning it and on and on. I think they need to be out of business all together with this kind of service.

Do not cover my medications but did not know until past enrollment date. Called to get unenrolled. Over 1 hours only to find out need my signature but have no form to mail to me. Have to handwrite and sign letter and they may not accept to give me unenroll # so I can choose another company.

My experience with WellCare the healthcare insurance system I was defrauded and got bills that I never had before when it came to healthcare services. They call you up, WellCare Representatives, selling you a bill of goods that they have found extra benefits for you to have on your regular classic plan, and when in fact they do not and, they change your classic plan to a PPD and then you end up paying more money when you go to a doctor.

I have had to fight tooth and nail to get my prescriptions filled through this carrier. Calling them back? Expect to go through multiple departments and then, not get assistance. Good luck dealing with WellScripts, too. Today was 1.5 hours in the morning; then returning THEIR call to me this afternoon over an hour on hold, their end hung up on me, I call back (there are people who answer the phone quickly enough, but first on phones can NEVER help) and another weak explanation that WellCare was just calling me to confirm my conversation this am. WHAT?? Background conversations are loud and TOTALLY inconsiderate/unprofessional. Can’t wait to get out for 2025 part D.

Called Customer Services twice. Both times I know I was dealing with Overseas service center. Loud voice in the background, reading off a script, placed you on hold with every questions you ask, and repeat your questions to you... After dealing with these representatives 20 minutes each time and I still did not get any answers to my questions I was done!

I called all around to find a doctor for my mom. Nobody takes this crappy plan. When I called they recommended I changed her medicare plan to United Healthcare instead of Wellcare. When looking here I see all the other problems people have with Wellcare as well. Gonna have her sign up with United Healthcare next year.

The Medicare drug coverage program called Wellcare is a sham and a scam. They barely cover any drugs, even when the doctors have shown medical necessity. The deductible is outrageous. I don’t recommend this company. You will not get what you need in terms of drug coverage.

I'm one month into Medicare coverage. I went with another Plan D Medicare plan in December (my birth month) then became aware that WellCare might be a better option. I enrolled but then decided it would be better to enroll in my retiring company's group Advantage Plan C. I have attempted to cancel the WellCare before it took effect, so I could meet the January 1st deadline for enrolling in the company plan. Overseas WellCare customer service (no follow-up or any opportunity for any stateside assistance) would not cancel my enrollment, and have left me into becoming an active member, so I missed the company group plan window as WellCare continued to enroll me in January, then told me I should have cancelled before January. Poorest customer service imaginable. Do not even begin to attempt to use this company. They do not "care".

Scam artists. Absolutely unbelievable what I have gone through my first year with Wellcare. They have me on the Dual Liberty (HMO D-SNP) H3561-009-000 plan. It included great benefits at first.. Let me rephrase that.. It sounded really good in the first year. One benefit it included was the Healthy Food Wallet. This benefit is a total joke. I never got to use it, the whole year. They lie and say you can spend it in store, online, or order over the phone. If you try to use it in store it won't work. You have to first be at an eligible store, then the fun begins. Good luck trying to find the brand name of the milk that's covered or whatever you pick out. Prepare to be embarrassed at the checkstand. Because your purchase will be declined. You have to locate the items that are covered under the benefit.

Insurance agent submitted my application for their Medicare prescription drug plan. I received a letter from Wellcare saying that they didn't get my Medicare ID number and I needed to contact them with such information by 12/22/2023. I called and spoke with a Wellcare agent 12/18/2023 and was told my application had been deleted. I called again the following day and was told they never received my application. No explanation of how or why I received a letter from Wellcare asking for more information. Nice to get this news after it was too late to enroll to another company.

My Medicare suggested I drop my current drug plan and go to WellCare. The first time I called, I realized they were outsourced, and as someone else said, did not understand English well. Plus, it was hard to understand them, but I couldn’t make them understand the drugs I was asking the prices of. I Photos had 10 drugs and I was on the phone forever and until I couldn’t stand it anymore, and I kept getting different prices from her for the same drug. She couldn’t seem to understand I had extra care and how that worked. I finally told her I couldn’t stand it anymore and I had to go and I hung up. I called the next day the person understood English better, but it was still kind of an aggravation compared to what I had gotten from my other drug company where they have really good customer service so I’m keeping my old drug company, it wasn’t my idea to switch anyway, it was Medicare plan.

Warning!!!! If they have an option to select neg - 100,00,000 stars would be my star. This is the most scammed and horrible plan to sign up for. I signed my elderly mother for this plan in nov 2023. The broker that sold us this plan completely lied that my mother's doctors was in the network, but never verified if the doctor's was contracted with Wellcare. So, my mother has to search for all new doctors with having serious health conditions. I request to disenroll her immediately from this mess. They placed us on hold for 2 hours, after one of their rep said to us that he was sick and tired of them selling this plan and they have to take the hit because they have lied to customers. He said this may be his last day, and placed us on hold for 2 hours and never returned. So, we had to start all over.

What they offer to the member is all lies. They stole my rewards that approved me during 2022. I have received ridicule and lies from member service. They are a real disaster. Please choose another Medicare Advantage.

Applying to Medicare for the first time and chose WellCare. Their customer service is untrained and incompetent and barely speak English beyond stock phrases that they have been taught. Have filled out the form that confirms we had employee insurance at least 3 times now, once with the customer service person filling it out with me in their system. We are still getting letters that they have not received the forms and have to pay a penalty. Ridiculous.

Worse Advantage Plan I have been a member of. They do not cover all they say they do. No transportation at all. And they will promise you a 100 dollar gift card for doing a wellness visit. I called three times about it. The last time they said they mailed it already. I checked that mail faithfully. It was a lie. A lot of people never received that card. It had to have been one of their employees stealing the cards. I thought it was so nice of them to be doing that for the wellness visit. It has been three months and it makes me so angry that they apparently gave me something like that, then turned around and conveniently put the blame on me. It never came! And I can't do anything about it. I changed insurances starting in January because really that was hurtful for me. I had never been given or won anything like that.

I am now filing a complaint with the inspector general and governor's office. I have a disabled adult child who wasn't walking at all for years and Wellcare by Fidelis denied services. Also my asthmatic daughter never received the proper inhaler...I will not allow them to get away with this...My daughter's inhaler gives her rapid heartbeat. I will sue all involved. I will never stop until they are out of business and charged with crimes they have committed

I have been using WellCare's Values Script plan for 4 years now and have had no issues. Customer service is very knowledgeable. I get my questions answered quickly. All my prescriptions have been covered or have had a very reduced out-of-pocket. Everything is as expected.

I don't understand why it took writing a terrible review to get my insurance issues handled, but that's what happened. Wellcare contacted me and through speaking to an individual who actually knew how to resolve my issues, I am now able to use all my benefits they provide. Here is my advice, if you reach an agent that doesn't have answers, ask immediately to get a tier 2 agent on the line, that will save you from going through unnecessary transfers and disconnections. They do have a great team of doctors, they still need to work on their front line of operators and making it easier to get card balances. Thank you team Wellcare for your quick response in this matter.

You will be changing Doctors and Pharmacies with this plan all for the sake of their bottomline! Also, unexpected out of pocket vs. traditional Medicare B. They are partnering up with high volume, low value medical services. “Get in line please!”

Probably one of the worst customer service experiences in my sixty years on earth. You know, a company is not honest and lacks integrity when they make it as difficult as possible to cancel their services or plans. They are quick to sign you up and take your money BUT if you no longer require their services, it takes jumping through many many hoops to get it canceled.

I was matched to Wellcare for a prescription drug plan by SmartMatch. My policy is supposed to begin on 11/1 but I'm dropping them as soon as I can before 11/1. First of all their website is broken so I can't add my account or pay my premium. Secondly their customer service is in some faraway land and every time I call them I get disconnected before they can do anything for me. Based on my short experience with them and all the negative reviews here, I'm cancelling my policy as quick as I can and finding a quality plan and company based in and whose customer service is in the US.

Wellcare used to be GOOD. Now they are the worst. Their customer support is useless, from some third world country, completely unintelligible, and gives wrong information. That should be enough for you to move on to another provider, but here is more. Their Website CAN NOT BE SEARCHED. It is a waste to try to log in. You get a convoluted number of pages that try to sign you up to additional insurance, followed by the first login screen. Don't try to contact a chat, it doesn't exist, and sends you back to the buy more insurance screen. It gets even better. Call support to get the price of a tier 3 prescription, you get a lowball $30 copay. After 3 months all of a sudden you are being billed more than $400. Choose a different provider.

Boycott Wellcare health insurance. I disenrolled a month ago because my doctor doesn't take them and my doctor called today and said I can't see them because my Wellcare is still active when it isn't and they're still stuffing my mailbox full of their junk mail. I just gave them a bad phone call.

In 07/2023, WellCare stop providing transportation for medical appointments. My appointments are crucial to my recovery because I couldn’t drive and family members used their available time to take me. I’ve escalated through WellCare with no success and no return calls. Then I filed a complaints with Medicare that trigger a call from WellCare just to say they contacted me. In the meantime, I’ve missed over a dozen appointments and physical therapy sessions. Due to WellCare non action, my health and quality of life suffers with limited mobility. WellCare uses enrollment time to lure Medicare recipients to their plan. Once the recipient enrolls, they’ll have to wait until the next year to change. Therefore, if they evaluate their member’s needs during plan year, additional transportation service should be provided. It’s now October 10, 2023, without a resolution and missing life-threatening appointments.

Hubs turned 65 a couple of months ago. Needs a RX that requires a Prior Authorization. Should take only a few days. They refused to take my old employer off as Primary, even with Medicare Coordination of benefits calling them. Still waiting. Now the PA we can’t get back with the Pharmacy department. Offshore employees refuse to send us to someone in USA. Their call center loses money when they transfer you. We are getting away from this Mickey Mouse outfit. Why are offshore companies handling anything to do with our MEDICARE???

Called to enroll on September 27th. Spent 40 minutes with Joshua ** then the phone dropped. Nobody called me back. He asked me, "Can I please have your phone number in case we lose connection and I'll call you back." The next day I called again. I spent over an hour speaking to Zandra. She transferred me to the broker. Her name was Samantha. Got done with Samantha. She gave me a confirmation number. I said to her I'm going to repeat it to make sure I have it correct. I repeated it and the phone dropped and again nobody called me back. I don't understand why they keep taking my number if they're not going to call me back.

I have been trying for months to get reimbursement for a ** vaccination. WellCare's form for drug reimbursement requires all fields to be completed, but a vaccine does not fit all the requirements like a regular drug prescription would. I first tried email and received directions to download the reimbursement form. That form was not correct. Then, I tried 'chat' and that wasn't helpful. Then, two calls to Customer "Care" (actually Customer NO-Care). My husband has Aetna SilverScript and they have a separate form for Vaccine Claim Reimbursement that makes total sense.

They don't care at all. This company is the reason for half a year of my pain and suffering. It took me months of being referred by them to doctors that don't take their insurance. Calling doctor offices and even setting appointments and waiting months to be told they don't take my insurance to finally find one in my area (Tampa, FL). This behavior caused a class action suit in many states but IT'S STILL happening. THEN they denied coverage of a medically necessary medication that I was taking before moving and getting their insurance.

I tried to make an online payment several times for the past couple of days, but there is something wrong with the company's website. There is no one available to assist me. I made a payment over the phone, but had a lot of difficulty. I was finally connected to an actual person who was difficult to understand due to her foreign accent. I had difficulty communicating with her. Customer service with Wellcare is absolutely terrible.

Bottomline... There are no doctors in my area that take wellcare. I can't find a doctor. The salesperson lied, and I can't wait to dump them. I am 65 and up until now I had the same provider for 15 years. Now I don't have a doctor due to WellCare lies.

Years ago I was prescribed a drug that cost $350+/month, no generic in the US but there WAS generic in CA. Although I had insurance, I refused to let the greedy pharma co rip anyone off, including the insurance co, WellCare. For years I paid around $60/month, didn't think about claiming it but now decided to. WellCare's response: "We won't reimburse you for something bought from Canada:" I saved these ** thousands over the years by buying the generic in Canada and they refuse to pay me a dime. That's reprehensible, greedy, slimy, unethical. AND their website is always broken, their people speak bad English, and once, they unilaterally refused a prescription I'd had for years because I had a birthday. They took weeks to get this right. Incompetent, greedy slimeballs.

First, the young, very personable salesman called me 2X & showed up at my door! I got promises upon promises, and told "You can opt out at ANY time". WRONG! Two weeks after enrolled, it took me TWO hours & 3 people (with strong dialects who spoke quite rapidly). I had to repeat some info 6-8 times (yes, they understood me quite well). I was told my disenrollment deadline was 8/4 (4 days after being enrolled !). In the end, I was made to feel they were "making a special exception" for me. My reason for canceling? I learned that they scrape off money that is due to the government. DON'T fall for this please!

This company cover nothing. Maybe $2 of the medication cost if you're lucky. Needs to change their name to SCREW YOU CARE WE DON'T CARE. Avoid the company like it's COVID-19. Nothing but extremely expensive medication.

Every month Wellcare puts me on a three way call with the medicare coordination of benefits to verify that Wellcare is the primary insurance before I can get my prescriptions. I don't have other prescription insurance.

When I got signed up for the WellCare Advantage Plan, it all sounded great. Until you need to speak with someone. That is nothing but frustration because you can't understand them and they're not knowledgeable. When you explain what your issue is, they just keep apologizing, without any explanation. 99% of the phone conversation, they can't explain anything and have to send you to their supervisor. After talking to the supervisor, they tell you it's all fixed, and then you realize it was all a lie. There have been at least 8 phone calls asking for them to give me the correct insurance membership card. They say they understand and are going to send the correct one, only to get the wrong one again!

I have talked to 6 different agents at Wellcare and left 2 messages for a supervisor who has not returned my call. They are all idiots and no help at all. Wellcare is not in the network at my local hospital, really, a hospital, I can't go to a hospital cause it's not in network, crazy, right. I can't wait to change my advantage plan.

BEWARE new plan incentive calls. The agent who called and signed me up for the new WellCare advantage no-cost PPO plan did not do his research. Agent#** was incompetent to say the least or just looking for his quick payout and didn't care if he messed me over. None of my specialists were In Network, nor did they want to sign up for this plan; we found out after another WellCare agent called to give me info on my new plan. To add insult to injury, there were no other specialists within my 25 mile radius that were In Network. No one in their right mind travels 50 miles for gyno, orthopedics, etc. Thankfully the customer service agent at Wellcare connected me to another good rep like her in escalations and they were able to cancel this mess before it actually started. 2 stars are for the agents who reversed this mess. Thank God.

The price may be attractive, but my experience with Wellcare is terrible:

Worst advantage plan ever! First off customer service is horrible, very few if any doctors in that take this Medicare advantage plan. I’ve been searching for months for specialty doctors. Not one on the list they provide accepts the insurance. Called customer service they could not find any doctors in the area either. Customer service escalated the issue to a member advocate who was supposed to call me back within 10 days. Never did. I called many times and each time spoke with a different customer service rep. Of course had to explain the situation over and over again to each person I spoke with. Long story short never received a call from the member advocate. I’ve had issues with finding specialists for months. I cannot get the treatment I need. Stay away from this company!!

They said several times out of pocket cost was 33.00 including on the same day they mailed the drug. When it arrived I learned they charged my visa card 538.00. They refused to let me return the drug unopened. After grievances with them and Wellcare and Medicare and appeals, I was told there was nothing that could be done. It's a long story but they refused to accept responsibility for what was their computer malfunction.

My very disabled son has been on a high dose of morphine for a decade. He has an awful, non curable bone infection. They increased his morphine but WellCare took a week denying, now on a Friday, they finally approve but heading into the weekend and it has to be ordered, no one keeps that dose on hand. He'll suffer 3 more days. I hate WellCare with my whole being.

I have had Wellcare as my insurance for prescription drugs for 4 years. Didn't have a problem until now. It seems they have removed the neighborhood pharmacy where I fill prescriptions and made it "non-preferred". Now the 2 meds that I have gotten for less than $12 (for both) jumped to $47. When I called Wellcare they told me I should change pharmacies to CVS. The CVS pharmacy near me is stocked with people who don't care if they do a rotten job. They certainly don't care about you. I would never entrust my health to them. So the phamacy that has known me for a long time and I trust, I can't go to.

I would strongly advise to avoid WellCare. In my opinion their customer service is one of the worst. Their calls are outsourced and you can barely understand the reps. They also have given me an enormous amount of incorrect and misleading information. You have a hard time getting a supervisor on the line. Every rep gives you different information. No consistency. In my opinion, I would avoid this company at all costs.

We have found that WellCare covers very few of the drugs we have recently been prescribed. And those they do cover are at insanely high costs. In every case we can use Good Rx to get a much better price. Stay away from WellCare - they add no value, you can get better deals without their insurance.

I have had the worst experience of my life with Wellcare. I have been trying to get this account corrected since day 1 of January 2023. This account was set up for auto-draft and is not being done. What is being done is their office calling me every month since January for payments when the money is sitting there for them to draft. Now I'm being told I'm in jeopardy of losing coverage because of their error. I spoke with Jasmine today in Louisiana who states she a supervisor. I ask to speak with a manager of billing, no number to provide. They have to send a ticket for escalation. This was done as well in February. I have got to wait 24 to 72 hours for someone to call me back. This is a disaster waiting to happen. I just pray I can make it until 1/1/24, Lord willing. My number is **.

Wellcare by Allwell is the UNDISPUTED WORST health insurance there is, in my opinion. I had a Medicare Advantage plan with them for 14 months, but it was a decided DISadvantage. They seemed to take pleasure in denying me every benefit to which I was entitled. They repeatedly failed to reimburse me for out-of-pocket expenses, and refused to let me see the excellent doctor, who served as my PCP for a whole year under a previous plan. Instead, they directed me to a doctor who proved to be the worst doctor I ever had in all my 66 years. I had a $0.00 copay for emergency room visits, but I made a single ER visit and they tried to stick me with a bill of $120.

Like many reviewers I a frustrated at having to endure heavily and sometimes unintelligible English when trying to get something done. I tried to get something as simple as a payment coupon book sent to my address. Guess what, never happened but I did start receiving sales calls for additional WellCare products after making the call to Philippines based customer service. Epic fail.

When you call, phone is picked up by people with English at 1 for scale of 1-10. Spend whole day trying to get a simple antinomic approved (** liquid form ) that they do not cover, couldn't get anywhere. I will have my wife change to insurance to another company.

This company's internal services are so bad it's either the worst brainless people working there or the company tells its staff to stonewall everything and just take as much money as they can get. They promised a $74 payment on the addition to what was supposed to be given by Medicare, but they did not. In getting an MRI done on my knee, they quoted to the MRI people more cost than what other MRI facilities charge and then told the MRI people my contributing payment of 20% would be all the MRI facility would pay. Total rip-off.

Everyone be warned. If you have Wellcare Open access, Medicare and Medicaid, Wellcare will offer you all the extra benefits. Once Wellcare thinks you're suckered they will cut those extra benefits and deny you. Good luck!

My husband got a TDAP vaccine from my doctor in 2022. He switched Medicare Part D plans from Wellcare to a different provider for 2023. We received a bill from the doctor January 2023 for the TDAP vaccine because Medicare Part B doesn't normally cover it, but Medicare Part D does. WellCare will not let me file a claim for the vaccine now that he is no longer their customer even though he was their customer at the time of service. After two online chats with their agents, they shut off my log-in and I can no longer view his prescription claims from prior years.

I am on Medicare, but signed up with "Wellcare" last year to just get them to STOP harassing me with phone calls! I was granted certain $ amounts for medical needs ... Getting reimbursed for my eye dr. appointment took forever until some "firebreathing dragonlady" who pursued them fiercely, they finally gave up and reimbursed me. Not so with dental services they said I was "covered" for $1,200 worth. My dental vendor DOES NOT deal with insurance companies which they told me up front, and so I paid for the services with my credit card. I submitted the invoice and receipt for new dentures for reimbursement which after 3 weeks Wellcare nixed stating that the dental vendor was "required"(?) to render their services by way of my Membership card and they would not reimburse me ...

This makes the fourth time that I’ve been cancelled on in the same day. My sons have no other way to the doctor and this was the only way, they have canceled on me so many times that my youngest son can’t get his ears checked because of them doing this.

Have called or been called 3 times in the last 2 months. Agents routinely get or give the wrong information. Read other reviews... You'll get the idea. This last time I could not get the agent to commit to sending me written confirmation of my transaction in any form - digital or physical.

I had Wellcare prescription D plan in 2022. I had a new prescription for ** in December 2022 and they charged me 69.98 for 15 pills. My new plan Jan 2023 will charge me 40.00 for 30 pills. The pricing disparity is very off and appears Wellcare overcharges. My new plan costs around the same as Wellcare. This is a common drug.

I called Wellcare in October 2022 to let them know I was cancelling December 31, 2022. My plan is auto deducted from my account. December 21st, I noticed another month's premium had been taken out to cover January. I've talked with three people, including a manager, to no avail. My next step is the Insurance Commission and Better Business Bureau. There's a reason why this company's review ratings are low. They're basically scam artists. I gave them one star only because there's nothing for "no star."

I ordered a WellCare drug plan to begin on Nov. 1st, never got my plan, called for assistance, and got transferred 13 times and still didn't get my problem resolved, called all week and was told it was resolved, never got a drug card. Called again to be transferred 5 times, and finally got a drug policy #, but the pharmacy said it didn't work, called back WellCare, got transferred another 5 times to be given another drug policy #, and gave it to the pharmacy and it still didn't work. I gave up after calling about 10 times and getting nowhere. I finally got a drug card in the mail, 6 weeks after I signed up for it, don't know if it works. Now I get a letter telling me that my medical plan with them has been canceled by me, but I never canceled my plan, luckily, my new plan from Humana will start in 2 weeks.

My name is Lenore ** and I am a patient of Oak Tree and WellCare is the insurance company. I just want to put out there to my seniors like myself if you value your life you will not trust your life with this company. They only interested in making sure you're a head count. They make sure that you get there and they bring you back home. They only write scripts out. They don't run any type of test on you. I have diabetes but yet I had no A1 test. Since the code virus came out the actual patient is the computer. It's not you. This makes no sense. I feel for my seniors as well as myself but I love my life and no quack is going to cause me a problem.

I was approved for herniated disc surgery last week and went through preop,, I went in for surgery today and was already prepped and just about to be wheeled in when my doctor's office called to say they had sent a message at 6:50 p.m., long after the office was closed, denying the surgery. I was already prepped and just about to be brought into the operating room when my doctor's office opened at 8:00 a.m. and got the message. I have spent hours on the phone with their customer service and they cannot explain why I was approved two weeks ago and had pre-op but they waited until the night before surgery to deny it. If my doctor's receptionist had not seen that message first thing, they would already have started surgery and I would have been left with a major hospital bill to pay out of pocket.

After one year of more or less acceptable service I was switched to 4 times more expensive price without my consent. When I received a bill it was too late to change or enroll in any other. So this year I was paying them 67? month while my drugs cost only 55/month. In December I had to pay cash for my medication because I needed to travel before due day, and they refused to refill. I tried to terminate it, but they said it can be done only in written, by mail, and no later than December 7th. And if I put it in mail on December 7th it would be too late. So to enroll they needed no consent. To terminate they need written one. I think it is all disgusting. Sure will never enroll with them again.

WellCare Advantage Insurance Plans should be avoided by those on Medicare at all costs. WellCare is usually the plan that offers the lowest premiums or no premiums at all and promises many benefits to senior citizens. WellCare is an operating business unit of Centene based in St. Louis at 7700 Forsyth Boulevard, St. Louis, MO 63105. While I can relate many other poor business practices, the well documented experience my family had with WellCare involves their contractual promise to provide dental care when an in-network provider is not available in the area where service is needed such as a root canal by an endodontist.

Spoke with representative who stated my co-pay for certain medication would be $42.00. Went to website for WellCare and then cost $502.00, they are unable to explain the difference. So not sure if their representatives really known what they are talking about.

I had Wellcare a few years ago and enrolled again this year 2022. I purchased a refill in July from the preferred pharmacy Walgreens. I just received a bill 10/23/22 from Wellcare stating that there was an error when processing my refill and that I owe an additional $42.00. I obtained another refill for the same drug on 9/15/22 and paid the same amount as charged in July. So I guess I will be getting a bill for that refill. I have never received a bill from a drug plan. Now I nervous that I will be charged for other drugs purchased prior. Am going with a different company for 2023. Wellcare cannot be trusted.

I have Power of Attorney for my father who is elderly, hard of hearing and has memory problems. I have submitted my Power of Attorney form to this company and have been able to speak with representatives on his behalf many times. Suddenly, however, when I had a real problem that they didn't seem to know how to help me with, they told me that they did not have my name on the Power of Attorney. I told them I was looking at the document and that both my father's name and my name were clearly stated on the top of the first page. They said they had the document on file but they didn't have it on file. I was then told they had "no department" which could help me with it.

I would like to disenroll from the above plan. However, each representative, including supervisors give me the run around or wrong information. I have called every day since Oct. 15th of this year but no one resolves the issue. I was told to write a letter so that I can be disenrolled. The representative gave me the details in which the letter needs to include. I did exactly that. I mailed the letter on Oct. 15th and also faxed it on Oct. 25th. No one still gives me the solution. All I want to do is disenroll. Wellcare is quick to accept members that wish to enroll and take their premiums but make it virtually impossible to disenroll.

I I am a Medicare Advantage HMO member. I am at the last stage of cancer. I wanted to get a second opinion outside of network since there is no treatment for me in the state I live in. WellCare keeps denying the authorization form submitted by my doctor and the appeal forms. I have talked to customer service and appealed the issues as stated in their website. On their website, it reads “ You can ask for a fast appeal if you or your doctor believe your health could be seriously harmed by waiting up to 30 days for a decision. We’ll automatically give you a fast appeal if a doctor asks for one for you or if your doctor supports your request. ”.

I got a call from this company in 06/2022 and thought they were an o.k. company but it turns out they charged me $456.52 and then would not pay for the prescriptions that my doctors had me on. It also turns out that they send me a letter saying that I would have to get generic brands such as ** and other off brands. They cashed my check and the back of the check says: **. Nothing about WellCare. Beware of this company.

I signed up with Wellcare on Jan 1st, 2022 for Medicare Advantage. They use the cheapest low cost products for Hearing Aids, Prescription Glasses & Dental. The only hearing aid benefit were out of date, discontinued hearing aids unless you paid for current ones. They use Walmart Vision for glasses which is a very poor eye exam & glasses. I have a few missing teeth but the dentist did not offer implants. They use dentist that just clean your teeth. I'm sure all these services are told to offer the absolute minimum service. Wellcare is just a money-making machine for shareholders!

This is a terribly dishonest company. My thyroid medication went from 10.00 a month to 53.00 a month. They also snuck in a huge 500 deductible. I am on Medicare. I cannot afford my thyroid medication and the generic for ** which is ** is not the same. We actually got an approval letter for the ** after my Dr approved my need for **, and Wellcare is now denying that they sent that letter. If you need to reach them you will be routed to the Philippines and be holding for an hour. If you request someone from the States you’ll hold for another hour. I know others have experienced this terrible company and if there are enough of us we can start a class action suit.

I was able to contact another repr. and they resolved my issue.

Due to the Railroad Retirement Board failing to coordinate with Social Security and screwing up getting me signed up for Medicare I was granted a special enrollment period and have only been a Wellcare member for a few months now and not since January 1st like most. As somebody who has terminal brain cancer keeping the same medical team that has helped keep me alive over the past three and a half years was extremely important to me. I made absolutely sure that my current primary care physician, oncologist, and cardiologist were all on the Wellcare no premium HMO plan before signing up and they all were on the plan.

The customer service is a joke. I've been calling trying to cancel but they kept giving me the wrong information. The incorrect address incorrect Fax number. They're only doing this to get money from the government. I refuse to use this health coverage. I'm considering suing them. My next step is to file a complaint with the attorney general office. Their service stinks.

I just went and picked up a prescription and had to pay full price. In checking the website, I find the decided NOT to cover the medication I was taking, even though they did cover it when I signed up. These people are not a reliable company. I intend on reporting them to Medicare for this action.

This is the worst insurance ever I have encountered. Everything they promise is crap. If you need groceries, yard help, and house cleaning you will be waiting for over 3 weeks mostly longer. To see your other doctors that's in network, it's always long wait for WellCare to respond. At 65, I really cannot deal with this, I have high blood pressure. It's gotten worst dealing with wellcare insurance. The product they allow you for over the counter is crap, trying calling and all they keep telling you "do you want to file an grievance." So much I want to type but it will be too long. know this. When wellcare come calling to enroll you please decline. The representatives are courteous however, their carriers (of wellcare) are not to be trusted. Please go to any other insurance besides wellcare. I cannot tell the problems am having and everyone keep passing the buck. Do get caught with insurance please, please and cannot stress this enough.

Holy crap if you are any type of injured seriously you do not want this company. Almost 5 months out on lower back sciatica injection.. along with shoulder injection. 3 surgeries on shoulder already with current tear... 3 screws in hand .. disks neck and back scattered... True pain patient take a drug test every month...I didn't choose this.. I was very athletic in highschool, 36 inch vertical jump...I didn't choose this. God did... I shouldn't have to suffer with legit medical needs... I've been waking up with blood pressure in 200 range on 45 mg bp meds. I'm 39.. I'd hate to say it but I'm very mad I want different insurance asap.

Hands down worst customer service I have EVER experienced. I have a highly stressful job and am described by my peers as calm and having the patience of a saint my entire career. Wellcare customer service nearly drove me off the edge. I was on the phone for 2 FULL HOURS just to help my client update her address post move and request her new Rx card be sent to her new address, completely simple request that should take 2 minutes, not 1 hour and 46 minutes.

I got on Medicare because I got on Social Security Disability because of a chronic illness that I got back in 2013. Was approved for SSDI in 2016. I was around 57. I had previous Medicare Part D plans and for the most part no problems. I discovered Good Rx when the insurance wouldn't cover a drug. Before I got on Wellcare in 2020, I was thinking about not even getting on any drug plan, because most of my medicines have been on Good Rx for cheaper than the insurance. There was one very expense PPI for Gerd. The drug name is **. Silver Scripts approved it for a tier 2 or 3 and my portion was $20. It was the only PPI that worked on me.

I reviewed Medicare replacement plans with my provider’s facility and the WellCare (HMO) plan seemed a good fit, just need referrals if I go out of network (recent telephone conversation was told a referral doesn’t matter and to call WellCare first). I am on a medication for anxiety (have been for years, never an issue in MA). My new Doctor in TN ordered blood work, some was performed in the facility lab but not the “extensive” drug testing my Doctor demanded, stating it is a requirement here because of the huge drug problem. This testing was sent to an outside lab. Needless to say I received a large bill from the lab. This has been an extremely frustrating and stressful situation, after many calls to find out why I am receiving a bill.

As others have stated: Seemed like a good plan. Picked them from the Medicare plan site. However here are some of the problems. Their customer service representatives have English as a second language. Hence hard to understand and hard to speak to them. Next issue is the cost of drugs are higher than the Medicare website.

We felt we had done our homework including using a broker before we picked the Wellcare value script plan; however, as other customers have pointed out, once they started using the plan, the tier levels for a lot of the drugs I use were changed to another level, resulting in my paying more than I would if I use Good Rx coupon. I will do what I have to do to bring my costs down before I can change my Part D to a better company. Lastly, in most cases you simply cannot understand the representative on the other end of the line. Customer service is not high with this company outside of the enrollment period. Stay away from this company!

I have WellCare dual liberty nurture hmo and switched from United Healthcare because I was promised a utility flex card and other perks that United didn't have...Big mistake! It is 3 months later and still haven't received my flex card benefit or cvs card for otc products. I have called the company over and over weekly and am getting nowhere. I keep getting told someone will call me in 7-10 days to activate my utility flex card to my eye & dental flex card but hasn't happened. I have been sitting on the phone for hours and days on end trying to get someone to fix this problem but still not a damn thing is being done to resolve my issue.

I switched from Humana PPO because specialists' co-pay was too high and needed a close by primary … WellCare is working out great for me… Love it.. Even paid for new glasses and four crowns for teeth..

My wife and I are caretakers for both of her parents. We have filled out all the necessary Wellcare forms to be Authorized Representatives for them. However, every time I call, and I mean every time, it takes at least 30 minutes to find someone at Wellcare who is able to confirm we are authorized to speak on my in-laws' behalf. Today it took 55 minutes and me requesting the supervisors three times before they finally let me talk to an agent on my in-laws' behalf. My experience is that they are seriously under-trained and unqualified. Clearly, their system is not equipped to quickly identify Authorized Representatives and when dealing with Medicare subscribers, I would think this would be a common situation.

Seemed like a good plan.. Picked them from the Medicare plan site.. but... then the first time we had to pick up pain medication the prices were very much higher than it still shows on the Medicare site. You put down your drug list when comparing companies before you enroll, so it was very important to us they covered this medication. Not so... Wellscript moved the medication to tier 3... not tier 2 like other companies, and this made it vulnerable to the high deductible before they would pay anything. The exact opposite of what we wanted, and why we picked WellCare. Going to move off them ASAP when we find a better provider. For now.. we can pick up this medication at Krogers for 1/3 the price on their RX card. Sad but true.... Stay away from these people, as customer service is not a high priority.

First, the coverage is awful. I have only one medication - a generic - and I have to spend more than $400 out of pocket before WellCare will pay - and then my co-payment is greater than what I can get through Rx discount service. I have tried multiple times to cancel my coverage with them at year's end - I sent two letters of cancellation and then I called their 800 number three times - each time I was sent on to another department after which I was sent on to another department.

This company should be prohibited by the U.S. Government from ever handling any government sponsored medical plans. Their Customer Service is handled by an offshore call center with agents who do not understand/cannot speak English and are poorly trained. Their management team is totally out of touch, does not return phone calls as promised, and could care less about their customers.

Had to go to a doctor which is in network but no in-network medical equipment companies in the area. Dr recommended two (but no out of network benefits on Wellcare) and because I had Wellcare - I lost the medicare benefit which would have covered 80% percentage of the brace I needed. REALLY???? I had to pay out of pocket the cost of the brace and it doesn't even go to my out of pocket cost!!! Why am I paying Wellcare?? It seems it only covers prescriptions and Dental and Vision but you lose any medicare benefits with this card.

I recently retired and added them as my Part D, insurance. I went through and listed all of my medication and got feedback that my out of pocket would be $1,300 a year. I have only been with them three months and it exceeded that. One of my blood sugar pills they considered Teir 3, and thus that medication alone was $472 for a one month's supply so it is back to Canada to get it for $100 a month. My common pain meds were not paid for or cost reduced in any way. When I called to talk to them, yes in the Philippines, she said I needed to get them preapproved, she told me to go ahead and buy them as it takes a while to get through the approval process. A month later, sure enough the answer was no. Seven months and counting till I replace them. I wish I would have read this before I went with them.

WellCare raised my premium more than 250% in one year. Called to find out why and couldn't understand their outsourced customer service group from the Philippines. They were no help. Called again on a prescription drug charge and still could not get an adequate answer. I am going to switch to another company. No one in their corp. office available to help.

They refuse to pay whenever they can. Their associates do NOT understand English and will speak in circles to confuse the issue. If you are looking for coverage, spend a little more and get look elsewhere.

We've been with Wellcare for almost 2 months and can say without hesitation that they are the worst insurance experience we have ever had. Chat, website, phone reps have no ability to get anything done except refer us to someone else who still can't do anything. Save your sanity and get another insurer.

I have only been a customer for 45 days and they rejected my first prescription! 5 years ago, after being tested for low testosterone, my physician ordered testosterone gel, which I have used successfully for FIVE YEARS. Over this time my previous 2 pharmacy companies honored my doctor's subscription and paid a small amount towards my refills.

They keep claiming my address changed. I have not moved from ** and I have no intention of moving. I am very frustrated with WellCare. I have verbally and written notice that I have not moved. They keep denying my claims claiming I moved. I verified with Medicare and Social Security and they confirmed my address yet WellCare keeps giving nothing but grief.

I was put on hold multiple times. Had to explain myself multiple times. The first person I could barely understand and the phone kept cutting in and out due to poor reception. The customer service was in the Philippines so due to poor English and reception I asked for someone from the states and the guy kept asking questions after I told him multiple times the phone call reception was bad, he puts me on hold for a good 15 minutes then I get someone with good English so I figured it must be a guy from the states, well the guy was useless as tits on a bull and gave me the run around only to connect me back to a woman with not good English neither from the Philippines.The woman kept putting me on hold and telling me one more minute over and over saying she was getting me approved for a refill of lousy antibiotic ointment ** 2%.

It is hard to stay focused on your problem when you know you are talking to a wall. I have had at least 3 or 4 contacts which were never resolved. The language is difficult, although polite, the reps don’t have a clue. Put on hold for at least 25-30 minutes - no answers or explanation. Calls always get cut off. I am looking for basic answers not instructions on building a rocket. Their low premium is NOT worth it. Will not keep them next year unless they clean up their act. It’s been 2 years & I can’t set up an online account for my spouse…gave up on that one. Now I just want explanation of coverage and can’t get that either. Thanks for the sounding board but how can we get resolution?

Health care insurance agent advised WellCare Part D Medicare would cover all my medications for 2022. They are all cheap generic medications but they all have a copay. Now at least one is denied. I filed prior authorization and denied. Told to fill-out paperwork to appeal denial. I have called them repeatedly which is a total waste of time because the customer service workers do not understand and/or speak much English. Today I filed a grievance. I am stuck with this Medicare Part D insurance for one full year 2022.

Been a Wellcare customer since Nov 2020. Now retired the plan they provided in 2021 worked great. Oct 2021 I got an email stating my plan will change in 2022 and be on the look out for a second email outlining the changes. This year has been a fixed income person's worse nightmare. Costs have skyrocketed and the folks at Welcare have been of little or no help. It's too late for me to change providers and Medicare doesn't feel that my case warrants special conditions and so I am stuck...my bad. Live and burn.

Well Care is great coverage and gives dental vision spending card but you can't actually use the card. I've tried multiple times without being able to still months later. The times I've called I have waited way too long for them to answering the phone being put on wait.

I joined the WellCare drug plan in late November and have been attempting to contact them ever since with questions regarding my plan. Made numerous phone calls, put on hold for hours and then call dropped. Tried the virtual "Online" customer support which is actually non existant. Notice came up I was 1 minute away from service and then it went to 3 minutes and on and on...Never did get any service! Wellcare has absolutely no customer service. They take your money and it's over as far as any communication. I paid a whole year in advance, never got a receipt and it shows I owe for next month. I am very disappointed and would not recommend.

The online provider site didn't work. I called customer service: transferred to no one; called back transferred twice, put on hold, then hung up on again. I had verified my phone number but of course Missy didn't call me back. So I gave up. I wanted her to send me a provider catalog but she didn't know if she could. So ridiculous. Horrible Customer Service. So I have to go through the same thing again tomorrow.

Like other reviewers, would leave no stars if I could. The phrase "customer service" is an oxymoron... there is NO service. Be prepared to spend hours on the phone waiting for a live person; when you finally get to a person be prepared to spend much of it on hold; be prepared to chat with someone who speaks poor English, doesn't care and/or understand what your problem is, and does nothing to solve it. If you have the stamina to make more than one phone call, be prepared to go through your story in it's entirety again...and again.

I renewed my Part D (prescription) supplemental insurance with WellCare for 2022. When I signed up I was told that a generic med I've been taking would CONTINUE as a covered, Tier 1 med. Now, when filling an Rx for that same drug, WellCare tells me it's a Tier 4 UNcovered med. Another med I've been taking for a long time has changed from Tier 1 to Tier 2 so that now I'm expected to pay more. All this in the time between signing up during open enrollment & filling my first Rx in 2022. Classic bait & switch fraud.

I have been trying to find a MD/PA/NA or anyone I can see with no luck. I have even called for help and have been given numbers that are not taking new patients. I did call and request the book that shows doctors in the plan and it arrived in a foreign language- from India?? I just tried to sign up for the CVS program and I am not shown in their system as a member. I did reach out to the CVS site and verified I am not listed as a member. Insurance coverage is important when you need it... So far I have had to go to Urgent Care- at least they are available.

My premiums jumped over 150% this year and was told by their representative that a letter was sent informing us of the increase. I do remember seeing the letter telling of an increase but unless it was in the small print I never saw a number like 150% increase. I now pay 69 dollars a month for a prescription that is less than 13 dollars every 90 days. The retail price I learned is 1/3 the price of my premium. I would not recommend this company and as soon as I can will be dropping them and under no circumstances will I ever use them again.

My monthly premium rose from $27 to $69 without me being notified. I only found out when Social Security deducted this new amount from my monthly payment. For several days I have tried to call their customer service line. Every time I get disconnected after 22 1/2 minutes on hold. I also have sent several emails asking for a call and have had absolutely no response.

Too bad 0 stars is not an option. I've used their Part D plan for 3 years; for 2022 they unilaterally decided to change my name. Over 2 hours of on-line chat: "Sorry, can't help, call the Customer Service number" (although she did state that my account is not in the "new" name even though the new ID card). 90 min on hold on the Customer Service line - "sorry, can't help, I'll escalate to my supervisor". Supervisor never answered. 2 submissions to Contact Us - "sorry, call the Customer Service number". This will be the last year I use them. Although I have few prescription meds (and not enough to meet the deductible), their rates are low - a great example of getting what you (don't) pay for.

Benefits that they offer for me are over the counter health products, that are specifically named in a catalog. Also a $50/month grocery benefit which also restricts products and are to be delivered from somewhere (unknown at this time). However information seems to change according to the agents spoken to. I was transferred to the concierge department and was on hold for 3 hours and 27 minutes without anyone answering my call ... The recording was saying the agents were helping other members (yeah right) and I could press "1" for a call back by the next day? Nothing happened when I pressed "1"!!

If you're on Medicare and chose Wellcare in PA., for the prescriptions you need to live this year, you're in big trouble. It's been days and hours and hours on hold to try and get registered and order the medicine I need. Horrible customer service! They just put you on hold, my battery died while waiting. Called back and I said, it's imperative to get my meds and customer service said, they're not answering, they're busy. You are screwed!

The customer service number on the WellCare website takes you to an operator who then transfers you to the department you need. This might be OK if the operator answered quickly (they don't, 15+ minutes on hold just for the operator), or if the operator transfers you to the correct department, or if you didn't have to wait an additional 30 minutes on hold to get to a person. Annoying automated systems are better than being on hold for 2 hours and still not being sent to the correct department. TLDR - Pick a different company, this one sucks.

I called WellCare to find out why my pharmacy charged me the wrong amount ($74.80 instead of $4.30) for drugs covered by a WellCare PDP. My pharmacy (HEB) said I had to call WellCare because WellCare had to make some changes in the database before the pharmacy could correct the charge. I suppose that many other WellCare PDP customers are trying to contact WellCare with like problems.