Wellcare Reviews
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About Wellcare
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Wellcare offers government-sponsored health plans, including Medicare Advantage, Medicare Prescription Drug Plans and Medicaid services. Established in 1985, Wellcare offers integrated care management and member support, aiming to improve health care outcomes for underserved populations.
Visit www.wellcare.com- Affordable insurance options
- Comprehensive coverage available
- Quick claims processing
- Poor communication from reps
- Long wait times for support
- Frequent billing discrepancies
Wellcare Reviews
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Reviewed Feb. 16, 2025
Run away from this company. Don’t walk RUN!!!! What a terrible mistake I made by switching my wife’s Part D coverage to this pitiful excuse for an insurance company. As I write this review, I am starting week three of waiting for a return call that I was told would happen after 24-48 hours. We have been denied a refill of a prescription since 1/13/2025. Not a new prescription, a refill that my wife has been taking since October of 2024. All this after their representative told us, on 1/30/2025, that the medication was approved. Only to be told two days later that the medication was denied.
I have been promised a return call on three different occasions. The only calls that I have received from this company have been in response to the multiple official complaints that I registered with Medicare. They have called me all five times that I filed a complaint. They did not answer any questions or solve any concerns. They just promised a call from a supervisor that never happened.
Reviewed Feb. 8, 2025
Received a call from Raja from "Medicare Advocates" very insistent that her company could place me with a better plan than Aetna. I detailed how difficult it is to get medical/dental care in rural Pennsylvania, there is a lack of doctors and Dentists, explained that what I really need is dental care immediately. Told her that if she could find a dentist in an oral surgeon that would accept the insurance then I would switch.
She called me back and gave me the names, said she verified the insurance was accepted by both providers. So I switched. She also told me that my primary care position was included in their plan. I called the dentist and the oral surgeon and neither one accepts their insurance. 10 days after signing up received a notice from AllLies/NOTWELL stating that my primary care physician is not in their network and they have assigned me a new physician in a different city.
A big selling point that she kept pushing was their $192 a month spendables card. Turns out in my area the only place you can use. It is Walmart CVS and Walgreens. It’s supposed to buy gasoline, but the stations that accept their card guess what none of them are in my area. Also said, "You could use to pay your Internet or cable bill", guess what? My cable company doesn’t accept their card. She said, "You could use it to pay for auto repair", guess what - that’s a total lie. The only place I can use it is Walmart, I can’t use it nor do I need it to pay for prescription medication so there’s no point in going to CVS or Walgreens.
After doing some checking around, it turns out that Medicare advocates the company she works for is just a broker for AllWell, that’s all they sell, they don’t have a list of medicare advantage companies to choose from just AllWell. Don’t bother to sign up for this insurance, no doctors want to take it cause apparently they don’t pay very much to the doctors so none of them want to lose money taking out a new patient so they don’t take their insurance. Thanks, Raja. I think this whole thing is despicable.
Reviewed Feb. 7, 2025
Poor customer service. Very difficult to use online services. Mostly talk to people who cannot speak English. Tried multiple time to get Rep to help, no way to help....Then said they did not show I had a WellCare Acct.
Reviewed Feb. 6, 2025
All calls go to a call center in the Philippines even if it is a US number. They didn't ask to talk to my husband's parents when we signed up but wanted to talk to them when we wanted a less expensive plan. They did not send materials in a timely manner (payment booklet and new plan information). Refused to correct their error so that my in-laws had to pay for the higher priced plan this year. We will change plans as soon as we possibly can.
Reviewed Feb. 4, 2025
WellCare. Please do not signed up. I did and they have misrepresented their Health care plans.
2. Healthcare home assessment in my home. They said no it's not available.
3. They cancel the contract after I said Ed up with my PC Doctor. They had already plan to cancel contracts with the Doctor they gave me in network.
4. No I went to PC Doctor. Now they say $25.00 unavailable.
I tell the truth. They DO not so be careful. Beware. If you can please sign up go to another reliable honorable medicare plan, not WellCare’s. I do not and I will not recommend them to anyone.
D.H.
Reviewed Feb. 3, 2025
I've only been with Wellcare for 30 days. On day one there was a problem with medications being covered, the spendables card, and being billed for services that are covered. Very unsatisfactory services and I do not suggest this company for health insurance.

Reviewed Jan. 31, 2025
I’d like to thank you for being the absolute worst in your field. You aggravated me so much I luckily called United Healthcare who will cover all my medication, speak English and give me a card to spend on groceries or other bills. This company is such a piece of garbage to deal with it strived me to find another insurance company that isn’t a scumbag of a company. Also nice to speak to a English person rather than the nonsense of interpreting the words you attempt to describe
Reviewed Jan. 29, 2025
Terrible company. From my understanding they outsource part of their business to the Philippines. Which cost Americans jobs. Also, has the potential for personal information to be lost. The customer service is terrible. Had to request several times to speak to someone in the United States. Spent roughly 8 hrs to get answers. Have had the insurance since November. 1/28/25 was my first attempt to use the policy. It went terrible. Picked up new policy with a company with customer service in the United States, with better coverage and cost of $98 versus Wellcare cost of $117. Wellcare has less coverage and many more difficulties. Now, I am having to do their dance to get it canceled. Will be reporting my experience to Medicare, my State's insurance commissioner and to SSI. Sorry for being so long, but was truly a terrible experience. They totally stressed me out which did not help my medication conditions.
Reviewed Jan. 27, 2025
Received letter stating they needed more information for coverage. Called WellCare and gave them everything they asked for. (45 minutes). Two weeks last got a denial letter for lack of information. Called back and they said window for enrollment has closed and they apologize for the inconvenience. Lol. What a terrible company.
Reviewed Jan. 27, 2025
Trying to get their own insured portal to permit access to plan documents and actually give access to the plan I have has been impossible since December 22, 2024. The initial contact with customer service went nowhere and the problem was never even forwarded to their IT department. A second contact has still resulted in the problem being fixed so that I can access my own plan documents and policy. Each time, customer service says that it will take 10 business days to act on the issue. They can do nothing in a timely fashion. The old saying goes, "you get what you pay for" and WellCare is cheap. Their service is terrible.
Reviewed Jan. 24, 2025
On Dec. 23, 2024 I recieved a letter from Wellcare dated Dec. 12, 2024, that my premium was increasing by $33.50. Three days after the end of the enrollment period. They claim the LATE letter was a direct result of hurricanes in the Florida area. This letter should have been sent in early October. Were their printers located outside? This is the end of unwelcomecare for me!
Reviewed Jan. 22, 2025
I have been a member for years. Last year I noticed the service has gone down. They keep hanging up. I got hung on three times today, trying to change my primary doctor. It was the last straw, they called me back, only to hang on me again. Well I am no longer with Wellcare and I'm so happy. I got great service and better quality stuff with United Health Care. Don't be afraid to leave this horrible company!
Reviewed Jan. 21, 2025
This is by far the worst insurance I’ve ever had. Customer will put you through hell and back before they can give you any proper answers or resolutions on just about anything. Rude people who seem untrained on how to even communicate. It’s almost like they don’t take notes. I’ve had to repeat myself for a month about their denial of my insulin just for them to keep transferring my call to the next person. Horrendous experience.
Reviewed Jan. 21, 2025
I'm not going to write as much as so many negative reviews because all of these problems have happened for me! When I made a mistake (I thought I was signing in with Wellpoint) the Wellcare will not disenroll me until another year. DO NOT use Wellcare, it's a scam business!
Reviewed Jan. 20, 2025
I am an employee at a Health care facility. I have attempted multiple times to call for a patient's medication within the last week. Today, 1/20/25, I was transferred multiple times. Each time the representative was not able to assist me so they transferred me a total of 5 times. Currently on hold, it has been over one hour and a half trying to get a representative to help me so the patient will not be without medication. Even with faxes and electronic communication it seems they can't help. I have never had to sit on the phone with an insurance company this long for a simple medication. I would NEVER recommend this Insurance plan for a patient or family member.
Reviewed Jan. 17, 2025
For 10 years I buy the cheapest Part D drug plan to keep that Part D alive as required by Medicare. At the end of 2023 I noticed Wellcare Part D for $4.50 for the entire year, so I joined it. I needed a generic ** for a hip replacement in May of 2024. Their favored pharmacy told me with that insurance it would cost over $100 for 200mg 30 capsules. I was blown away. I went to Goodrx and signed up for their gold for a free month. The cost for the exact same prescription was $11.79. For $10/month I figured I would stay with Good RX gold.
I called Wellcare beginning of November to quit after trying to cancel on their website where I could not find a way to cancel because it does not exist. I could not understand the person on the phone and I believed they were going to cancel. At the end of the year I got a bill for $108.80, so on December 30, 2024 I did a chat with them and they said I could not cancel. I called them on 1/15/2025 after getting another bill and they said they would send me a form for a special disenrollment. I probably won't get it. I am going to call medicare at 800-633-4227 tomorrow and tell them I have another drug plan and that Wellcare sucks and they will get no money from me and they should be removed from the medicare approved list for being scammers.
Reviewed Jan. 14, 2025
SPECIAL ENROLLMENT PERIOD: 12.23.2024 I enrolled in Medicare Part D and selected Wellcare. I have spent several hours on the phone with various representatives (9 in total) at Wellcare, 01.08.2024 and 01.14.2024. I was bounced around from to a noisy call center in the Philippines to various other departments. I received a letter dated 01.02.2025 on 01.13.2025 stating that I was declined. The reason given was that I had enrolled outside of the open enrollment period. Not true. This was WellCare's error since I was enrolling under a "Special Enrollment Period", my major medical and drug coverage ended on 12.31.2024 through my employer.
The only option they gave me was to submit a new application which would then make the coverage effective 02.01.2025. Since they had declined coverage as enrollment "outside of open enrollment" and this was their error I stated that they needed to correct their mistake and that I shouldn't be the one who is penalized for their error.
I am eligible under "Special Enrollment" per Medicare because I had full coverage till the end of the year and Part B would begin 01.01.2025. Due to the ineptness of this organization, I contacted another company and an application has been submitted through them, with an effective date of 02.01.2025. What do I want? I would strongly advise Medicare to NOT renew their contract with Wellcare, no one should have to deal with scripted responses, multiple transfers and several wasted hours with the final result being unsatisfactory. If a company makes a human or algorithmic error they should be responsible enough to rectify the situation.
Reviewed Jan. 13, 2025
Pure Greed. The broker signed me up knowing all the bad reviews Wellcare receives. They're all making millions off of Medicare policy holders and not giving any benefits in return. Medicare Need To Stop This Crookery!
Reviewed Jan. 5, 2025
The "customer service" for WellCare Part D prescription drug plan is worthless. You can waste hours talking to someone in a foreign land who barely speaks English and has no power to do anything to help you. They lie to you and never do anything they say they will. Drugs that are supposed to be covered are denied, and they deny prior authorization for no reason. Their website is lousy, doesn't work much of the time. This is a dishonest company. Low premium, yes, but I guess you get what you pay for - Pay nothing, get nothing but a lot of frustration and wasted time.
Reviewed Jan. 3, 2025
Customer care reps are very difficult to understand. They are obviously not based in the US. I just started this plan effective January 1, 2025, and talked to 3 different reps, none of them that I could understand. Thick foreign accents.

Reviewed Jan. 2, 2025
This has got to be one of the WORST healthcare plans EVER! My issue was with their Spendables card which when I signed up stated that not only were OTC items like healthcare items provided, but so was a grocery allowance. I went in to my spendables account and what they told me was a LIE, a BLATANT LIE. There are no food items provided. So I go online to talk to their customer service which God only knows where this place is located because you can't understand them nor do they understand you. These plans I truly believe make it so trying to get anything done is nothing but frustrating. Reliable? No, they aren't. I don't recommend Wellcare Allwell to anyone, avoid this like the plague. I told the operator I just want to cancel out my plan and it was like talking to the wall! If I could give them no stars, believe me I would.
Reviewed Dec. 31, 2024
I signed up for a low cost drug plan in November 2024. My December payment was $3.70. Shortly after paying the December payment, I received a notice that my January premium would be $38.70 per month going forward. That is a 1,045 percent increase in 30 days!!! And their customer representative said that was normal because expenses go up. Let me repeat this…1,045 percent in thirty days!! How does Medicare allow this company to be a part of the drug plan program?

Reviewed Dec. 27, 2024
I had to move to Medicare last year because I am now a senior. Wellcare is my Medicare prescription drug plan. They do their best to place just about every drug above a tier 3 and some a tier 5. Meaning the all drugs are very expensive. I find the drugs much cheaper with a Good RX card. When you appeal for a lower tier on the Wellcare drug plan, again they do their best to deny a lower tier. I have an important drug that is saving my life and it is called Humira. I have been on the drug since 2008. In the year 2025 Wellcare has decided not to cover the drug and they told me to find another drug. I will not do that because Humira is a drug that is preventing my Crohns Disease from coming back.
I have had 3 major surgeries and I have lost a great deal of my small intestine. The drug has been working and I am not going to change a drug that I know works. I cannot afford another small intestine surgery. Wellcare is a horrible company. If I could give zero stars I would do that. Please do not select this company as your Medicare drug plan.
Reviewed Dec. 26, 2024
Do not use this provider. I sent in my forms to bet coverage for next year. A couple weeks ago I called to check on my coverage. I asked them if my coverage would change. They said no. And that I would have the same coverage as this year. No deductibles or premiums. But I got a letter today saying they were changing my plan to one with $2000.00 deductible and a $24.00 a month premium. When I told them I don't want their coverage anymore. They told me it was too late to cancel my coverage plan. I insisted in talking to a manager. They were not good at explaining anything. But it seems I will have to jump through all kinds of hoops now to get disenrolled. And if I don't want to be charged for next month, I need to disenroll before the end of the month. But you can't do it online.
They have to send me a form to fill out and send back with my signature on it. That's funny, they did not need anything signed by me to get enrolled in the first place. Today is December 26th. There is no way that form will arrive in time for me to fill it out and send back by the 31st!! Once they get their claws into your pocketbook they don't want to let go!!!!
Reviewed Dec. 26, 2024
Like all the rest of the reviews...this place SUCKS. They all do!! I've never had to get in the middle of an insurance company and the provider like I've had to with this place. CS is full of ** people with broken English.
Reviewed Dec. 25, 2024
It's my third year with Wellcare. My premium started with $8.00. Next year it was raised to $20. While this year it has gone to $29 quite an upward trajectory. As for the the OTC benefits the first year it was $750, next year it got reduced to $540 while this year it has fallen to $340. Moreover, in the previous years, balance rolled over to the next month and only expired at the end of the year. Now, the puny amount of $85 per quarter will expire at the end of each quarter. Other than these, every other benefit has been lowered while the cost has been raised. Thank You Wellcare. Adios. This is going to be my LAST year with you. I only hope if everyone looks into their benefits and costs as compared to previous year.
Reviewed Dec. 24, 2024
This has to be the most worthless company ever. My broker signed me up for Medicare advantage with this company without my permission. What a nightmare! I thought I solved the problem and I would no longer have to deal with them. Wrong! I am still getting mail correspondence. I believe this company is a scam and I warn others do not have contact with them.
Reviewed Dec. 21, 2024
My name changed in March because I got married. I called Wellcare many, many times to get my name changed on my insurance card, including my prescription medication card. I called them in December and complained. They said they would send me my new card in the mail. They sent me TWO new cards, both with my old last name. I called again about my healthy benefits card not working and they couldn't find me in the system under either of my last names. They said, let me call you back when I get this figured out. Still no call almost two weeks later. I did a wellness check and was supposed to get a $100.00 Walmart gift card. I called and they said there is nothing saying I had the check-up This is just a few complaints there are more.
Reviewed Dec. 19, 2024
If I could give a 0 star, I would. WellCare has gone the way of many other Medical Companies and to save money, so they can pay the Executives more $$, and increase the bottom line, they have CUSTOMER SERVICE in INDIA, where the English communication is almost impossible to understand! They require Prior Authorization for Rx's that the Licensed Doctor submits, even when it has been in use for multiple years! If you value your sanity and blood pressure, DON"T JOIN THIS COMPANY! Any call to Customer service will surely increase your blood pressure, and make you question your sanity!
Reviewed Dec. 18, 2024
Simply awful customer service. Shame on us for signing up for another year. For some inexplicable reason, they changed the spelling of my first name on my member card for 2025. We called to get it corrected. It took over an hour, going through 3 level of representatives -- for a simply spelling correction of my first name. Previous experiences, while more complicated, were similarly frustrating. Tier 1 support is obviously overseas, they are difficult to understand, and if reading their scripts don't answer your question, they have either no problem solving skills and/or authority. We had to threaten to hang up before they offered to transfer us to a "supervisor." The third level rep told us that we can ask for a US-based representative in future calls.
Reviewed Dec. 11, 2024
WellCare has the worst set a reps I ever seen in my life. Keep in mind, I have NEVER took the time out my day to write a complaint. I have spent hours on hold with him for no reason for days. I have called multiple times for help and nothing. I have requested supervisors, no callback. On hold with no Solutions, no results. They do not care to help you at all. I’ve been promised things that never happened. And when you talk to the next person about it, they’re dumbfounded, not one person is on the same page. WellCARE reps are a bunch of liars that try to get off the phone. I want to give 0 stars SO BAD. I don’t want.
Reviewed Dec. 11, 2024
WellCare is the worst healthcare company I have every dealt with. I have them for Medicare Part D. Every couple of weeks, they call, often early in the morning, to ask the same questions about which medications I am taking and to remind me to take my pills. I only have 7 prescriptions with them. I have asked them to stop calling, but they keep doing so. This week, they called back three times. But when I want to call them for any reason, they are impossible to reach. Since it is the end of the year, I have switched to another Part D provider. Goodbye forever, WellCare. Provider, heal thyself.
Reviewed Dec. 10, 2024
Helped parent get WellCare's prescription plan. Sibling and parent called about a year later to remove sister's credit card on file for payments. Told removed. Logged in the next day, card still on account. Called to remove again. Told removed. Remained on account. Called again to remove. Told removed. Not sure why I'm being told it is now removed each time if it was removed the first time???? Months later, it's still on file. Told plan would cancel in June 2024 if no payment, advised WellCare to go ahead and cancel, not using. Told cancelled. Mother being billed each month, with bill now almost $800. Keep getting notices of non-payment and cancellation date keeps getting extended for some reason with each subsequent bill. Keep getting put on hold, then comes back on line each time, recites same verbiage, refuses to answer questions regarding bill and cancellation we were told was cancelled last year.
Said send in Power of Attorney (POA) to discuss, won't discuss with mother present despite it being her account, then says cannot accept POW the next day. Says will have manager call next day, never get a phone call. They are worse than Comcast ten years ago if you guys remember their historic customer service. Being nice doesn't matter on the phone. They honestly plan games with people calling.
Reviewed Dec. 6, 2024
It's open enrollment period and WellCare came up as one of 3 preferred plans for me in 2025. My husband has been a member for several years, so instead of calling the Wellcare salespeople who wouldn't know the answer to my question anyway, I used my husband's card to call in to the real personnel that I will have to work with. My question concerned some of my drugs that weren't covered and how easy it is to manage their prior authorization process. Ashley, in S.C. is an Escalation Supervisor who was extremely helpful and answered all my questions.
I was very concerned because of all the 1* reviews on this website. I had no trouble at all getting through to them and I wonder if the people who have written negative reviews, are dealing with the first customer service rep they get in the Philippines. He was helpful, but was giving me bad information and was hard to understand. All I did was ask to be transferred to an escalation supervisor and voila! all my questions were answered. Also, the supervisors are in the U.S. and there is no language barrier. She had all the information on her computer and was able to advise me knowledgeably about their plans. Next time you are having trouble with CSR who answered the phone in a foreign country, ask to speak to a supervisor and I'll bet your opinion will change.
Reviewed Dec. 3, 2024
Terrible - I have spent literally hours on hold. Can’t receive my benefits. No one will answer or return calls. Can’t order supplies that are supposed to be included in my plan. Website doesn’t work. No one will assist. Stay away!!
Reviewed Dec. 3, 2024
I called in and spoke to at least 3 people at Wellcare today and had trouble communicating with all of them. Phone delay issues leading to us talking over each other, and language barriers. Also, they did not know that Express Scripts (who fills Rx orders for them) had filled a prescription for me last month. By the end of each conversation I was completely pissed and frustrated. Unbelievable.
Reviewed Nov. 30, 2024
Wellcare has been awful. Reps don't understand nor speak English very well. Wait times are long and rep I had Anna was rude causing me to be rude back. After going to same PCP for couple years my Dr. office called to say there was a problem with Wellcare payment. Called Wellcare they tell me I had to get another PCP. My solution was to get a new insurance company. New benefits much better and service was much more pleasant.
Reviewed Nov. 28, 2024
I have had the most stressful and difficult experiences with Wellcare. They decided after months of coverage that they only wanted me to have 1/2 of a prescription my doctor approved, even though it was in the formulary at the correct dosage. Customer service? That's a joke. No one understands English and they can't explain their own coverage. They won't even cover the correct pen needles for diabetics, and kept restricting coverage. If you only have Tier 1 drugs, then you might be ok, but if not, I would pass on them. Can't wait until January 2025 to have my coverage with another company.
Reviewed Nov. 25, 2024
This company is a complete joke. Their agents are from some foreign country, so you have to repeat yourself several times 'cause they don't understand English. For simple. matters you're placed on hold forever. Their coverage on name brand drugs is worthless. Their copays on generics are exorbitant. So, if you don't care if you can be heard... and don't care if you're ripped off... Wellcare is a great choice!
Reviewed Nov. 20, 2024
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.
Next admitted that yes they could deny it period and refuse to cover it period. When questioned by me who would make coverage determination and how someone who does not know my medical history could possibly make a determination better than my own doctor, she assured me that WellCare reviewer was qualified to do that. Long story short, stay far away from this company. Even if I did not have a chronic (but common) health condition, I would not trust this company.
Reviewed Nov. 17, 2024
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...
Reviewed Nov. 15, 2024
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.
Reviewed Nov. 9, 2024
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.
Reviewed Nov. 9, 2024
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.
They didn't tell me this when they denied me. I had to call customer service half a dozen more times before I got somebody who knew enough to tell me that. After I got that, I had to get my doctor to send another letter explaining that the insulin was the same, just in a newer pen delivery package and that it would help before they said they never got the letter and I had to ask my doctor's assistant to send another letter while I had somebody on the phone watching the fax machine. It was an incredibly horrible experience and I just got notice that starting in 2025 they will no longer accept that insulin pen, so now I have to either change insurance or go through the whole process of figuring out what they will accept all over again to be certain I'll be able to have access to insulin.
Reviewed Nov. 8, 2024
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.

Reviewed Oct. 31, 2024
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.
Reviewed Oct. 25, 2024
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 **!.
Reviewed Oct. 25, 2024
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.
Reviewed Oct. 24, 2024
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!!!!
Reviewed Oct. 23, 2024
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).
In January, I received a payment coupon book. The agent obviously lied. Next came the calls and seemingly endless mailings urging me to make an appointment with my doctors and trying to get me to agree to a "a free in home evaluation" with the promise of a $100 gift card. Even after explaining to them that I follow my doctor's recommendations on when to be seen and that I was not interested in anyone coming to my home, for something I did not need, regardless of the $100 "incentive" the calls and mailings persisted at least monthly. This month (October) I again got the "free home evaluation" call, and I had had enough. I let them have it and told them exactly what I am typing here.
"Between the paper mailings (and there were a lot of them), paying people to call me constantly and needlessly, and offering up $100 gift cards, Wellcare wastes taxpayer funding and contributes to the ever rising costs of American healthcare, and these are definitely not things I can support." The caller attempted to persist, but I interrupted stating that I would be dropping wellcare if I received one more call like this. It was then that I was finally told I would be taken off the call list.
Three days later I received the wellcare annual notice of change for 2025. The $9 premium (that I was never supposed to be paying in the first place) would be more than doubling to $20 starting Jan 1st. Needless to say, I logged onto MyMedicare and dropped wellcare for 2025. Final Note: When shown this plan on the Medicare website, we are presented with the following; Caution - This plan has received low ratings from Medicare for at least three years in a row.
Reviewed Oct. 23, 2024
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.
Reviewed Oct. 22, 2024
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.
Reviewed Oct. 22, 2024
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.
Reviewed Oct. 18, 2024
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.
Reviewed Oct. 18, 2024
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.
Reviewed Oct. 17, 2024
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.

Reviewed Oct. 16, 2024
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.
Reviewed Oct. 16, 2024
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.
Reviewed Oct. 14, 2024
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????
The reps on the phone of which I have spent hours speaking with are completely unsympathetic, uncaring and unhelpful. I plan to report this company to Medicare, Consumer Affairs, and BBB. Also considering legal action for the cancellation without explanation. They are the worst and my mom will be out a lot of money paying her pharmacy bill for which she expected to be covered for...DO NOT USE THIS COMPANY!
Reviewed Oct. 11, 2024
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.
Reviewed Oct. 11, 2024
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!

Reviewed Oct. 10, 2024
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
Reviewed Oct. 8, 2024
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.

Reviewed Oct. 1, 2024
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.
Reviewed Oct. 1, 2024
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.
I told them I understood, and would be happy to get a new primary care MD who is affiliated with Medicare/WellCare moving forward to prescribe my medications, but that I only had three days' worth of my medications left and would not be able to find and schedule an appointment with a new MD in that time. WellCare offered no solution other than for me to pay out of pocket which I cannot afford. When I asked if they could allow a 1x override and grant me a partial supply to allow me time to get a new MD, Katarina said “What's the point, the medication will still be denied after that”. I was shocked by how insensitive she was - I told her “the point” was to maintain my health while I got established with a new MD. Katarina continued to lack understanding.
I ultimately asked to speak to someone else, Katarina said they would “just tell you the same thing”, to which I told her I wanted to speak to someone about my experience and her crass attitude. Katarina said okay, and then strategically connected me to the “Community Connect” line, which is a third party that helps patients find resources to assist w/ drug costs - Katarina knew this was not what I was looking for and intentionally connected me to a different line so her actions would not be reported. I am disgusted by this experience and will be running out of my meds by the end of the week.
Reviewed Sept. 26, 2024
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!!!!
Reviewed Sept. 21, 2024
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.
I thought they were hoping for the year to end so they wouldn’t have to find a dentist for me. Supposedly after my insurance company calling numerous dentists, my insurance company WellCare finally got a hold of Dentaquest (this was an upgrade from the previous dental company. They used the previous year). The insurance provider finally found a dentist that would take me, mind you I just wanted to get my teeth cleaned. Which turned out was not really a dentist. They were a denture clinic. None of dentists would take this insurance. Not even Aspen Dental.
After I found the denture clinic, my first experience was horrible. It was a clinic that had been shut down for over a year, the dentist, the dental technician and the receptionist. It was all their first day on the day of my appointment. The dental chair was broken, they had to find a small blanket to put behind my head because the headrest didn’t work. They did not have running water in the room I was in. The tech was cleaning my teeth and only cleaned four of my teeth because he was talking to the dental assistant and asking questions and I think just lost track of what he was doing. He did do the fluoride treatment lol.
I was supposed to get free meals once a week through the end of the year after the first week, they told me the program had been discontinued. Also, I was entitled to silver and fit, which is a gym service they offer at local gyms in my area that was another joke on me. They Discontinued that program as well. It’s now just about time to renew insurance at the end of the year which somehow miraculously they reinstall all of those features they continued Since it is now, almost October, they now have silver and fit again and they are offering “mom‘s meals food service.” Joke, they just offer all of these things to draw people in and as soon as you are a member, they cancel all the services. If you call the insurance company, they have an automated phone answering service, which asks you to verify your name, your address, your phone number, and your identification number.
The human comes on the phone they ask you to verify your name, your address, your phone number, your identification number again. Just so happened to need a different department, which is always the case you will again be asked to verify your name, your address, your phone number and your identification number. In order to reach the department that you want you're normally on the phone for at least 10 to 12 minutes because each person that answers the phone says. ”Please stay on the line for 3 to 5 minutes while I get someone to assist you.” 99% of the time you cannot understand the person you’re speaking to either they have a terrible accent or their phone is so horrible. I’m assuming because they’re calling out of their house and or out of the country that you can’t get a clear phone conversation.
Reviewed Sept. 5, 2024
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.
THIS EMPLOYEE, WHILE NICE, KEPT REPEATEDLY APOLOGIZING AND KNEW NOTHING!! FINALLY I ASKED TO SPEAK TO A SUPERVISOR AND THE LINE GOT CUT OFF. If we, as consumers, do not DEMAND good customer service and do everything we can to expose crap companies like this who hate their customers, we get what we deserve. Note: got a call back from the same "supervisor" 3 minutes later. More apologies, confusion about the simple task I wanted before, after 39:08 minutes on the phone it was finally resolved.

Updated review: Oct. 9, 2024
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.
Original Review: Sept. 4, 2024
I was contacted by phone with a representative from this company explaining how much I’m missing out on without having this Advantage Plan. After a long discussion with him I explained why I don’t have an advantage plan due to my illness and all cap offs of inpatient hospitalization. "Let me just CHECK to see if you’re eligible," and he then proceeds to ask me questions to entail my current Medicare info and so forth. All while doing this while on the phone with him, mind you…No time to read anything as he just directs you to click here and check this and so on. Then he finishes the call with, "It’ll take a few days to see if you’re eligible to get these extra free added spending," due to my already having an existing acct with them for my prescription ONLY. THIS WAS MISLEADING AND FRAUDULENT.
After never hearing back from this person I get a welcome voicemail from WellCare, I call back right away only to be told I’m approved and enrolled in their Advantage Plan. It took me 2 days and over 8 hours on the phone to explain and report what transpired. After doing so regardless of the fraudulent misinformation from the representative that contacted me they still let the contract run telling me I would have to disenroll. After further attempts in my reports to explain that I NEVER should’ve been enrolled, I never approved it and I asked them to pull the recorded conversation between the obvious “sales representative“ and listen to the despicable misrepresentation of the content of my conversation. That went nowhere.
My only choice was to disenroll and yes it will have an impact on my current original Medicare plan that I expressed to the representative that contacted me in the beginning I am NOT looking for an advantage plan, I can’t afford it, I don’t want any cap offs and over and over it was explained that this was only an added benefit and no out of pocket fees. THIS WAS NOT TRUE. There were difficulties in speech and understanding multiple people I had to experience speaking with as they didn’t speak English only at a minimum, me being American I found this to be exceedingly difficult and stressful. I did enrolled and made sure that my presentation plan wouldn’t be affected. I was assured that everything would remain the same with that…. IT DID NOT. It was cancelled as well.
I highly DO NOT Recommend WellCare as my experience was the WORST EVER, and no issue has been resolved. Do your research and if they contact you as they did me and everything sounds too good to be true it is. I have cancer and this will affect me for my medicine. Please do your research and don’t fall victim to them “talking a big game“. I can assure you from experience just a few weeks ago there are better options than WellCare.
Reviewed Aug. 20, 2024
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.
Reviewed Aug. 17, 2024
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.
Reviewed Aug. 14, 2024
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.
I saw the plan, the more unauthorized money they could steal from my account the more they could put in their pockets. August was the first time Wellcare demanded an executor form, my supplemental insurance did not require this. Each time I talked to Wellcare the more excuses they came up with. I had to close my bank account to keep them from stealing more money. Social Security has already paid the Death benefit, it amazes me that a government agency is faster than welfare. This is one of the worst that I have ever dealt with (stay away from these people)
Reviewed Aug. 14, 2024
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?
Do you get extra credit for screwing the government over to pay a novice wanna be doctor to replicate and make redundant what the 3 real doctors I see, each twice a year, can manage to do just fine? I'm like don't freakin worry about me being lonely, I wish I could be lonely for just a day!!! Why don't YOU FOCUS ON PAYING THE BILLS!!! THAT'S WHAT I HAVE INSURANCE FOR!!! Not to stress me out with all this crap and over complication of simple processes.
Reviewed Aug. 13, 2024
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.
Reviewed Aug. 8, 2024
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.
Reviewed Aug. 5, 2024
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.
Reviewed July 31, 2024
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.

Reviewed July 29, 2024
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!
Reviewed July 24, 2024
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.
Reviewed July 23, 2024
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*
Reviewed July 22, 2024
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.
Finally spoke with a supervisor. Was treated like a five yr old with his calm condescending voice. He proceeded to tell me FDA had new rules 2024 regarding this drug & it had to have pre-authorization. Which is a lie, Silver Scripts NEVER had a problem. It’s not even a heavy drug. ** for sleep. They insisted on **!! **!! Now THAT’S a heavy drug! I think not! So beware of these people, they’ll lie to get your business, then not follow thru. I’m 67 and have NEVER had such trouble. Wish I could give negative stars.
Reviewed July 19, 2024
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 believe this scam must stop. It is systematically directed towards younger practices such as myself. I am very disappointed however due to the area I serve and the fact that many patients sadly fell for the false promises and now they are regretting it, I am bound with nothing but accepting massive losses unfairly and illegally enforced upon my practice, by Wellcare (nearly 15% of my patient cohort). Hence, damn if I do, damn if I don't. I felt it would be good to share my patients' overall tragic experiences with this plan to continue advocating for them. In addition, to also (hopefully) raise my voice as a very vulnerable independent practice on how these actions can negatively impact a community. I pray for some resolution or improvement of these unhealthy and unjust pattern.
Reviewed July 17, 2024
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?
Reviewed July 12, 2024
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.
Reviewed July 8, 2024
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.
Reviewed July 2, 2024
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.
Reviewed July 1, 2024
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.
The customer service agents don't know anything, they don't communicate with each other, they can't even tell me why I missed a robo-call saying I needed to call the company back. I'm done. I'm switching. RUN AWAY. If you need life saving medications or treatments, don't use this plan.. for Medical or Prescription. It's not worth risking your life and having them conveniently forget to send you denials or not telling you that they just randomly stopped covering your medication, weeks after it was due to be refilled. The customer service agents also lied about which doctors would be covered and I'm desperately trying to switch insurance because I'm disabled and in the middle of treatment. IMO, this is the worst insurance company, in Michigan, that I've dealt with, in my entire life.
On top of all this, it's nearly impossible to get someone from the United States on the phone. I'm really good with accents, I understand that overseas labor is less expensive, but it's really difficult when the representative isn't fluent in English and can't understand what I'm trying to ask. I've worked with a lot of different company's international reps before but Wellcare's are so bad it hurts. My doctor tried to get a hold of someone and kept getting tossed to other reps who knew nothing and none, not even in the Pharmacy Services department, could understand that I couldn't be on the alternate medications they demanded I try, instead the one I've been on for 3 years. I hate this company. They'll try and persuade you to join with a fitness plan, OTC coverage, transportation to doctors... don't... just don't do it ... It's 100% not worth it, in my opinion.
Reviewed June 20, 2024
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.
Reviewed June 8, 2024
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.
I left Wellcare as soon as I could and joined US Healthcare and it is much better! Great customer service and the advocates are so helpful and they really help you make the insurance work for you, as they should! A lot bigger network of providers too! I don’t think Wellcare even helps the providers they have because the provider still kept sending me bills “after” they had spoken to Wellcare when they should have been paid in network!! And so I used to dread calling customer service for anything I needed help for!!!

Reviewed May 30, 2024
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.
Reviewed May 30, 2024
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.
Reviewed May 21, 2024
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!
Reviewed May 19, 2024
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.
Reviewed May 14, 2024
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.
Reviewed May 11, 2024
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.
Reviewed May 10, 2024
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!
Reviewed May 5, 2024
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.
Reviewed May 3, 2024
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.
Reviewed April 30, 2024
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.
Reviewed April 26, 2024
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.
Before I decided to change insurance co. I ordered my meds through the mail order. Yep you guessed it. After delaying for 2 weeks. They did not fill the order & I ran out of meds. I am now with Aetna Ins. My daughter & husband are also on Wellcare. They went to a "Preferred provider" just to be told the provider did not take Wellcare even though my daughter had called Wellcare & was assured the Dr. was in the system. So as soon as possible daughter will be changing insurance co.
Reviewed April 26, 2024
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!

Reviewed April 24, 2024
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.

Reviewed April 24, 2024
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..
Updated on 05/06/2024: So, Wellcare automated service just called, they wanted to ask me if I had my ** filled this month, yes today I finally got it, wants me to rate them..6. I said because they did pay for 4 meds, not 1 question about my diabetic test strips or lancets!!! I need them NOW!!!! Way past now!!! Wth is wrong with you wellcare! I'm a diabetic! I hung up. Done answering stupid question but no questions about my test strips or lancets.
Original Review: I've been on WellCare a year or a little over, I've had trouble getting several meds, and what's bad is they don't write me or email and tell me "Hey, next month you need to get authorization for one of your meds", no, I call them in and suddenly no diabetic test strips and I'm going through a hard time seeing that my meds work, so I've been rushed to the hospital 3 times due to unstable, chest hurts, feeling funny.. After waiting 2 wks now still no diabetic test strips so I have someone run to Walmart and buy some! Totally unacceptable! I'm writing everyone I can think of to do something about this insurance. Elderly people are suffering because of it, oh and when I did call them, I can't understand a word they say, but God bless the young lady trying to tell me about my meds a few mos ago.. This insurance isn't good insurance.. We should not have to be told when we're out of meds, that we have to get another prior authorization for it..

Reviewed April 23, 2024
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!
Reviewed April 23, 2024
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?
Reviewed April 20, 2024
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.
Reviewed April 17, 2024
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.
Reviewed April 17, 2024
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!
Reviewed April 9, 2024
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!
Original Review: My husband and I both have them. Their customer service is terrible. When you call you can't understand them. They are charging my husband a late enrollment fee and saying he didn't have prescription coverage before them which is not true. I have been trying to get this resolved since Feb. Today I finally talked to a rep there that told me I have to appeal their decision which will probably take another 3 months. No one could have told me this 2 months ago. I think would give them a minus 10 rating if I could.
Reviewed April 9, 2024
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.
Reviewed April 5, 2024
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.
Reviewed April 3, 2024
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).
Reviewed March 30, 2024
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!
Reviewed March 27, 2024
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.
Reviewed March 19, 2024
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?

Reviewed March 17, 2024
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!
Reviewed March 5, 2024
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.
Reviewed March 2, 2024
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.
Reviewed March 1, 2024
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.
Reviewed Feb. 28, 2024
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)
Reviewed Feb. 26, 2024
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.
The frustration level of dealing with them is compounded by the fact that they apparently have no one manning their phones who has English as their native language. It is almost impossible to determine what they are saying. I need to ask them over and over to repeat what they said. New PDP plan at the next open enrollment.
Reviewed Feb. 22, 2024
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.
Today I received a text asking when would be a good time to call me. They called, and then I was put on hold and eventually talked to someone asking why I had called THEM! I corrected them. Then the representative went into a spiel about how I was behind on my monthly payment. I informed her that I did not owe them anything, and once they actually looked at my records, said they could see I was disputing my "late enrollment" and fee. I believe they are hoping I will just give up and start paying them the $10 per month. But that is not what I signed up for. Beware of going with this plan.
Reviewed Feb. 21, 2024
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.
Reviewed Feb. 16, 2024
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.
Every single medication you have must be reviewed over and over again and to make it worse when you call customer service they take a note, you get to a supervisor and the supervisor does nothing but shouts about rules and regulations and what's even more pathetic Medicare already pays for my medication that has been prescribed but they will not cover it so I'm assuming what they're doing is they're taking the money from Medicare keeping it for themselves. Not to mention they have you going through a melon pharmacy and bouncing back to your doctor blaming everybody else but themselves. So if I was you stay away. Don't even think about it. Having to pay $15 a month is worth your sanity instead of the $4 a month it's not worth it. My health is declined since I've had I've had this insurance for my medication.
It's nothing but a headache. Makes you angry, frustrated, whatever else and I found out a neighbor down the street. Apparently he needs insulin and they denied him his insulin. He is now in the hospital. So this company is not for us. It's only about themselves and nothing for their patients. It continues and continues and continues so if I was you I'd run, run as fast as you can. But remember if you're on Medicare pharmacy plan you can switch your plan anytime you want. You do not need to stay with them
Reviewed Feb. 15, 2024
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.

Reviewed Feb. 10, 2024
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.
After 1.5 hours on customer service they provided a authorization form to have the doctor fill out. That was done in one day, no more communication from Well Care/ES. She logs on and finds that it is still denied. Now it is 4 days until she needs her next injection, nobody would tell her what exactly needs to happen to get her meds on time. She tells them we need it expedited to get to her on time. This call was 1.5 hours.
Now the day she needs it she logs on to well care and sees it is approved but express scripts does not show it shipped. Well now it is Saturday 2 days past when she needed it and nothing. Another call to well care and first they said it was not approved, and after some checking they said it was approved but they have not received a new prescription from the doctor. We have no idea what they are talking about a prescription started this whole process and now they need another! So it is Saturday and the doctor will not be available until Monday and who knows how long it will take to get to us
Reviewed Feb. 9, 2024
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....
Upon more outrageous phone calls I find out that the cream my doc prescribed is a generic already...but on Wellcare the generic is a tier 4 ...so the high co pay... I called my old provider(Aetna) and my co pay would be $5.00 no pre authorization.... I rarely take the time to review companies but BEWARE of this one... Had I realized any of this I would never have switched... I can't wait for this year to pass because you cannot change mid year until open enrollment with Medicare.... Seems that Medicare should read the negative reviews and take this company out of their program.... BAD BAD BAD.

Reviewed Feb. 7, 2024
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 wish I would never of called that number just to try to get the food card for my father and his prescriptions lowered. It’s been a nightmare. They should not allow sales people to switch someone’s carrier to theirs without giving them all the details. Now I’ve lost the people that I’ve had coming to my father‘s home, helping me take care of him because of well care. I was under the impression that it was for prescription pills. Miscommunication.
Reviewed Feb. 6, 2024
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
Reviewed Feb. 1, 2024
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.
Reviewed Jan. 27, 2024
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.
Reviewed Jan. 26, 2024
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 went for a 15 minute cleaning of my ear and they tried to charge me $500 from that system plan from PPD. I had argued with them for hours trying to get back on my regular classic plan but unfortunately what I was told was a lie, that I did not actually get back on to my classic plan and the reason why I kept the appointment . I was told I did otherwise I would've canceled the appointment until back onto the classic in January when the new plan for prescriptions and everything else was available. Anybody else has had this problem we should get together and have a class action suit against WellCare the health insurance system.
Again my example was as I was called and was offered to get cards that were available that would only be an added benefit to my classic plan and so upon acceptance of that word which I have all of the phone conversations that I recorded. They end up changing your plan it costs you money more money when you go to the doctors. Prior to this I paid no out-of-pocket expenses 71 years old and a flim-flammed me.
Reviewed Jan. 19, 2024
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.
Reviewed Jan. 12, 2024
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!
Reviewed Jan. 9, 2024
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.

Reviewed Jan. 4, 2024
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.

Reviewed Jan. 2, 2024
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".
Reviewed Jan. 2, 2024
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.
The card you use for the purchase isn't a regular debit or credit card. It some antiquated membership card that you have to swipe without a PIN #. You can't insert it. It can only be swiped. It never works. I also get to get gas on the new Spendables card, which now has a Visa logo. Doesn't matter.. It doesn't work! You can only swipe the card at the pump, not inside at the cashier. Gas stations don't have swiping at the pump, only the insert option. Since you can't use the card inside at the cashier, it's useless. Oh, you also have to go to a eligible gas station. Just stupid stuff designed so that you can't use the benefit.
My second year that started today was worse than my first year. Brand new Spendables card that was supposed to start working Jan.1, 2024. Didn't work anywhere. Ended up running out of gas and ran my battery down, just trying to put gas in my car. I see they try to make it so difficult to use, that you give up trying. They taped me stealing away benefits from your second year. Every review on Consumer Affairs for Wellcare, got 1 star, the lowest rating you can give. They don't deserve a 1!.
Reviewed Dec. 20, 2023
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.

Reviewed Dec. 19, 2023
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.

Reviewed Dec. 18, 2023
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.
Spoken with several supervisors, hours on the phone and they ensured us to send in a letter request to disenroll my mother by the (dec. 7,2023) and provided us exactly what we needed to put on the letter. Sent both priority and faxed before deadline. Well?? No results after spending hours, days and weeks. They will try any kind of way to force you give up staying on their plan and make it so, so, hard to disenroll. My god, this was a headache!!!! No one should not have to go through this. Please do not enroll in this plan if you care about your health and doctors. All caps are for a reason!!! Horrible, horrible, terrible, awful, plan and experience. Do your research before signing up with these advantage medicare plans. Make sure your doctors are contracted, not just in their network. Stick with what you have to avoid the trouble and headaches. Most doctors do not want to be contracted with wellcare because of their poor reviews. Beware!!!! is all I got to say.

Reviewed Dec. 16, 2023
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.
Reviewed Dec. 12, 2023
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.
Reviewed Nov. 30, 2023
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.

Reviewed Nov. 29, 2023
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
Reviewed Nov. 15, 2023
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.
Updated review: Nov. 17, 2023
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.
Original Review: Nov. 13, 2023
The salesman was the only positive thing about this company. If you need any help getting balances, or questions on benefits, you will only get the runaround via phone transfer, website that doesn't work. I've lost over $700 in benefits I'm was entitled to because of this. This company does not care once you have signed up. You will receive constant mailings from them, and if you have questions on any of the material they sent, there is absolutely no one who will give you a straight answer. Their rating should be minus five stars. Just beware, I don't normally send reviews, but I don't want anyone else going through what I've been through these past few months.
Reviewed Nov. 2, 2023
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!”
Reviewed Oct. 30, 2023
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.
Reviewed Oct. 25, 2023
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 Company Information
- Company Name:
- Wellcare
- Website:
- www.wellcare.com