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Wellcare Reviews

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About Wellcare

This profile has not been claimed by the company. See reviews below to learn more or submit your own review.

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
Pros
  • Affordable insurance options
  • Comprehensive coverage available
  • Quick claims processing
Cons
  • Poor communication from reps
  • Long wait times for support
  • Frequent billing discrepancies

Wellcare Reviews

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    Page 5 Reviews 380 - 530
    Customer ServiceCoverageTechPriceOnline & AppBillingRates

    Reviewed Oct. 17, 2023

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

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    Customer ServiceCoverageSales & Marketing

    Reviewed Oct. 12, 2023

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

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    Customer ServicePunctuality & Speed

    Reviewed Oct. 10, 2023

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 9, 2023

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

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    Customer ServiceCoverageStaffTimeliness

    Reviewed Oct. 5, 2023

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

    I called yesterday. I was really frustrated because I was told my insurance starts on October 1st and as of yesterday the 3rd I'm still not enrolled because they have no record of me calling or filling out anything. Oh yes and a supervisor name Ann took a detailed message from me and said a broker would call me back. Now today is the 4th and still no one's called me back. I don't plan on anybody calling me back either. They just don't give a crap!

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    Customer ServiceSales & MarketingStaff

    Reviewed Sept. 19, 2023

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

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Sept. 14, 2023

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

    I was told that they needed to know that I have taken other cheaper drugs before they could cover the one I was on which I had taken one by one over the last 11 years of having my condition. I complained only to have someone call and tell me again they couldn't help me. I spent weeks and weeks getting ALL of that history from multiple doctors over the years to my current doctor only to file an appeal another month later that was AGAIN denied.

    On one of the cheaper medications I had terrible side effects including something called a brain zaps similar to mini seizures for 3 months after discontinuing its use. They didn't call my current doctor or look into it AT ALL. They just denied it! Now it's been half a year. I have all over aches and pain, brain fog, stomach issues, exhaustion, anxiety, and now depression. If you are thinking about getting this insurance RUN AWAY. If you have this insurance GET ANYTHING ELSE!

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    Customer ServiceStaffBilling

    Reviewed Sept. 7, 2023

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

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    TechSales & MarketingPunctuality & SpeedStaffHonesty & Transparency

    Reviewed Aug. 23, 2023

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

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    Customer ServiceCoveragePriceOnline & AppRefunds & PayoutsMaintenanceTimeliness

    Reviewed Aug. 18, 2023

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

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    Customer ServiceSales & Marketing

    Reviewed Aug. 16, 2023

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

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    CoveragePriceStaff

    Reviewed Aug. 5, 2023

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

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    Customer ServiceCoverage

    Reviewed Aug. 1, 2023

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

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    Customer ServiceCoverageStaffTransparencyHonesty & Transparency

    Reviewed July 10, 2023

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

    All in all, the WellCare Advantage Plan is nothing but a disadvantage and you should avoid them at all possibilities. They all lie to you. Don't listen to that nice voice that is trying to get you to buy an Advantage WellCare plan, because it is nothing but lies. If you have WellCare, dump them, and you won't have any frustration once you get rid of them. There are so many better plans out there, read the reviews first, before you sign up with WellCare.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 26, 2023

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

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    Customer ServicePricePunctuality & SpeedRefunds & PayoutsStaffResolution

    Reviewed June 14, 2023

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

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    CoveragePricePunctuality & SpeedRates

    Reviewed June 13, 2023

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

    1. Sent prescriptions with no tamper proof covering on bottles.
    2. Have had prescriptions delivered with the bottle caps unscrewed and pills loose in the package.
    3. Half the deliveries are missing something. The enclosed documentation lists what they thought they sent, but prescriptions are missing.
    4. In the middle of the year they decided they could not send the quantity/dosage that they agreed to provide.
    5. Very disorganized company.

    6. Waiting for the end of the year to get a reliable company.

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    Customer ServiceCoverageStaffResolution

    Reviewed May 26, 2023

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

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    PriceRefunds & PayoutsTimeliness

    Reviewed May 22, 2023

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

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    Reviewed May 5, 2023

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

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed April 4, 2023

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

    Wellcare suggested Walgreens as an option. I just got a prescription from my eye doctor. My non-preferred pharmacy was $300. So I went to Walgreens. They want to charge me $375. At no time was I informed by Wellcare that they were pulling the rug out from under me. October can't come fast enough so I can kick this horrible insurance to the curb.

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    Customer ServicePriceStaffHonesty & Transparency

    Reviewed April 3, 2023

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

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    CoveragePriceRates

    Reviewed March 24, 2023

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

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    Customer ServiceCoveragePunctuality & SpeedBillingResolution

    Reviewed March 14, 2023

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

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    Customer ServiceCoverageRefunds & PayoutsStaffBilling

    Reviewed Feb. 27, 2023

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

    To top that off, they insisted on perennially forcing upon me gigantic boxes of “medically tailored meals” that made me gag at the sight of them. Receiving the first box, I immediately called to opt out. I even put in grievances for this, telling the grievance counselors that being elderly and disabled, being forced to handle and discard these huge boxes was a liability to my health and wellbeing. They did not listen, turning my doorstep into their veritable dumping ground for months. So, if you need good health insurance, DON’T get Wellcare by Allwell. They will worry you, aggravate you, even burden you with unwanted garbage, till you die prematurely of a stroke or heart attack.

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    Customer ServiceSales & MarketingBilling

    Reviewed Feb. 7, 2023

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

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    Customer ServiceCoverage

    Reviewed Feb. 6, 2023

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

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    Customer ServiceCoveragePriceRefunds & PayoutsStaffBillingRates

    Reviewed Feb. 2, 2023

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

    Then my ** which was $50 per month about, then went to $400 per month as quoted by this Wellcare firm, and I stopped the ** cause I was not going to pay that price. This is a horrible company and they have very bad customer services which I think is participating in the theft of services and dollars from Senior Citizens. I quit them and got another company. Get Lost Well Care, and I am reporting you to the Florida Insurance Department, The Florida Health Department and to The Governor of Florida, Ron DeSantis.

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    Reviewed Jan. 30, 2023

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

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    Customer ServiceCoverageTechStaffBilling

    Reviewed Jan. 27, 2023

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

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    Customer ServiceCoverageTechPricePunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed Jan. 20, 2023

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

    The agent who signed me up with this outfit never returned any of my numerous calls and so the moral of the story is: they DEFAULTED on what they've promised. The needling phone calls from an 800 number suddenly stopped coming! I had a 6th sense hunch this company was no good and so I was right .. DON'T SIGN UP WITH WELLCARE, they do NOT operate on the procedures they say they do .... BUNCH OF LIARS!

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    Timeliness

    Reviewed Jan. 19, 2023

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

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    Customer ServiceStaff

    Reviewed Jan. 10, 2023

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

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    PriceRates

    Reviewed Jan. 9, 2023

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

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    Customer ServiceCoverageSales & MarketingRates

    Reviewed Dec. 22, 2022

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

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    Customer Service

    Reviewed Dec. 13, 2022

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

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    CoverageTechStaffRates

    Reviewed Dec. 13, 2022

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

    My next move is to deal with a lawyer because I've fallen at least three times since I've been going there. I went deaf in my ear to wind up and have to have a hearing aid them telling me it's waxing my ear then he want to ask you, "Do you want to do a grievance?" For what? I'm stuck on stupid. I understand the game plan since being played out here. What are seniors? We made a pathway for others to come and this is how we're going to get treated like we're nothing. I don't even believe these are doctors. I believe they finishing the internship at these clinics cuz I've never seen a bunch of people stuck on stupid like I have and then come back and ask you the same question over and over again. Ain't nothing wrong with my mind.

    Please beware of WellCare. Find you a liable insurance company. Go to a doctor that acts like a doctor and have a bedside manner. I like matters to us our family matters to us. This is totally ridiculous but maybe if I do like they do and get in a pockets maybe they'll leave me alone and other seniors like myself and stop treating us like we are some kind of animal out there. Yours truly Lenore ** from Harper Woods.

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    Customer ServicePunctuality & SpeedRefunds & PayoutsBilling

    Reviewed Dec. 13, 2022

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

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    PricePunctuality & SpeedBillingRates

    Reviewed Dec. 7, 2022

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

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    Customer ServiceCoverageTechPricePunctuality & SpeedStaffRates

    Reviewed Nov. 12, 2022

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

    Services by an endodontist were sought after the regular in-network dental provider recommended a root canal, a service the WellCare in-network provider did not provide. After many hours and days, while suffering pain and inconvenience, an endodontist service provider in the Ocala, FL area could not be found through WellCare's member services. It was later determined that none of the endodontists or dentists in the Ocala area accept any health insurance for root canal services. WellCare represents in their Ocala, FL provider directory that they have many providers but when called, not any really accept WellCare dental insurance and state they have asked to be removed from the directory but to no vail. No WellCare in-network local Medicare provider could be found for a timely root canal on a molar tooth.

    When in significant pain, one does not want to drive a great distance especially when the service is questionable at best. WellCare will list many healthcare and dental providers in their provider directories but call some of them and see if they really take WellCare insurance, especially dental insurance which many WellCare advantage plans offer in the Ocala, FL area. WellCare indicates they have many providers, but the directories are not up-to-date or accurate. It was necessary due to much pain and suffering to have a root canal procedure by an Ocala, FL out of network endodontist at the out-of-pocket cost of $1,200. WellCare was asked for reimbursement per the advantage plan contract if an in-network dentist was not available in the Ocala, FL service area. WellCare has refused to answer the request and has refused to pay the $1,200 reimbursement per the WellCare advantage plan contract.

    The WellCare advantage plan was cancelled due to this poor service and failure to honor the Evidence of Coverage contract. This situation or similar situations are occurring for senior citizens on Medicare advantage plans all across the county. WellCare should not be allowed to offer advantage plans and certainly should not be rated by Medicare at a three (3) star rating to induce senior citizens to sign up for WellCare advantage plans.

    The CEO of WellCare, Sarah M. London, Chief Executive Officer, Centene Corporation at the above St Louis address, Medicare and others have been informed of WellCare's poor performance and they still offer Medicare Advantage Plans for 2023. Stay away from WellCare as a Medicare Advantage Plan provider. They appear to be the lowest cost advantage plan with many benefits in most markets in which they participate. Recommended Medicare Advantage Plans are United Health Care, Ascension, and Devoted if offered in the service area needed. Medicare should not approve WellCare to offer Medicare advantage plans for senior citizens on Medicare.

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    PriceRefunds & PayoutsStaff

    Reviewed Nov. 12, 2022

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

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    PriceBilling

    Reviewed Oct. 26, 2022

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

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    Customer ServiceCoveragePunctuality & SpeedOnline & AppStaffTransparencyHonesty & Transparency

    Reviewed Oct. 26, 2022

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

    This was not my first problem with this company. They failed to update my father's change of address after we both called numerous times which resulted in him losing his coverage. We attempted to change the address on their website only to find it had somehow been changed back later to the old address. I have been given wrong information from many customer service associates. I have also been given conflicting information. No one there seems to have any idea what they are doing or what they are saying. When I asked to be transferred to a supervisor, the supervisor was no better. On most calls with this company, I am disconnected numerous times, having to start all over again with a new representative when I call back. Today I spent literally two hours on the phone, a lot of that time on hold, and talked to about 5 different representatives.

    In trying to get a situation resolved where they told me insurance coverage would start November 1st, I call to inquire about the status and was told coverage would not start until January 1st. The customer service representative, who had a very difficult time understanding me as it seems English is not his first language, insinuated that I was lying to him about the Power of Attorney. After being on hold about 40 minutes, the supervisor comes on and was as disinterested as any of the other representatives. He also was unwilling to help me. Unreliable, unprofessional, incompetent; that is the only way to describe this company. In the end, I was so frustrated I decided to switch to a different company. I have wasted far too much time trying to deal with them.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 25, 2022

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

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    Customer ServicePunctuality & SpeedOnline & AppHonesty & Transparency

    Reviewed Oct. 24, 2022

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

    However that’s a lie! To make the matter was, as if my cancer could wait, they told me they will process the authorization as standard. It’s been a almost a month since I have been trying to get approved so I can get treatment. No doctors will see me because WellCare authorization department is not doing their job. I have filed grievance complaint but not progress far.

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    Customer ServicePriceRefunds & Payouts

    Reviewed Oct. 21, 2022

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

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    PriceRefunds & Payouts

    Reviewed Sept. 3, 2022

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

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    PriceHonesty & Transparency

    Reviewed Aug. 22, 2022

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

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    Felix increased rating by 2 stars.
    Customer ServiceCoverage
    After a positive interaction with Wellcare, Felix increased their star rating on July 23, 2022.

    Updated review: July 23, 2022

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

    Original Review: July 22, 2022

    I signed up for Allwell Medicare supplement insurance with Sara on 7/5. She said she'd get back to me by 7/18 to be sure signed up for August 1, 2022. It is 7/22 and I cannot contact her by phone or email. My wife spent an HOUR on the phone with Member Services, Customer services and Reg. more info reps. No one could assure I am on plan for August 1, 2022. I already regret having chosen Allwell of Texas Wellcare plan.

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    CoverageTechStaff

    Reviewed June 26, 2022

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

    I would have never chosen the plan to begin with if all of my doctors weren't on it. Within just the few short months that I've been with Wellcare my entire medical team has already been removed from their plan. How any Medicare plan can remove a member's entire medical team within just a few months without that person being granted a special enrollment period and the option to join a new plan is beyond me. Thanks to Wellcare I must now try replacing my entire medical team. Please do yourself a favor and stay well clear of Wellcare. They really do seem to care even less about helping their members than most other providers.

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    Customer ServiceCoverage

    Reviewed June 21, 2022

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

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    CoveragePriceRates

    Reviewed June 20, 2022

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

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed June 8, 2022

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

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    CoverageStaff

    Reviewed May 25, 2022

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

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    Customer ServiceCoverageMaintenanceStaffTransparencyHonesty & Transparency

    Reviewed May 11, 2022

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

    My client and I were on the phone for 35 minutes, gave the rep her new address, requested a card be sent, and then we're told he updated the address and confirmed verbal permission that they can speak to me on her behalf as she is hard of hearing with other health conditions that would make it difficult for her to be on the phone fighting with Wellcare for 2 hours. He confirmed the request to send a new ID card to her new address and THEN said he doesn't handle that.

    Transferred to THREE additional reps where no lie I had to verify her new address no more than 10 TIMES - I literally thought I was the twilight zone. My office mate heard the whole conversation and thought I was a broken record. They even made me call my client back and verify THE EXACT SAME information we did already in the first 30 minutes of this tortuous call. God forbid you have any actual problem AND how to they expect seniors with no support to go through this alone!? It's a nonsensical labyrinth. I can't speak to the actual coverage but the customer service in and of itself would make me tell others to run far away. This is my first negative review of anything ever. Thanks.

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    Customer ServiceCoveragePriceStaff

    Reviewed May 5, 2022

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

    Once all of the PPIs all had gotten generic approved then they couldn't cover ** under that tier because it was the only one not available on generic. So at the time my GI Dr got samples of ** to give me for over 5 years. The best GI Dr and staff. Recently they had to stop because ** was available in generic name is **. Here is the only time I really used it. Good Rx is always cheaper than Wellcare. I think there were 2 that I used with my insurance as they are on tier 1. First it wasn't on the formulary the generic but the brand ** was. So my Dr's Medical Assistant did prior denied because of all the other cheap PPI like **, ** and etc. So then the MA had to send in an appeal which was approved. Being on tier 4 would be subject to my Ded which was 480.

    So I called customer service at Wellcare. I use to get intelligent representatives, now I don't know if it's a language thing but it seems like they don't know what they are doing. I am very patient with them because I believe they try to help me but the Insurance is one of my worst experiences with any company that I've dealt with in a while. I finally got that my Dr could request a tier exception. We got one approved for tier 2 but instead of the generic it was the brand. I didn't realized this at first but when Walgreens put in medication it was picking up the appeal because that was approved for the generic **.

    The brand ** I thought would be approved. No. When my Dr's office called them they said the tier exception should of never been approved. They had denied it now because it's not on the formulary list. They already had the appeal approved. I have Gerd extremely bad and my Dr said I need this medicine or else something needs to be done. My recent EGD had 5 places on my esophagus that were suspect and my Dr did biopsies on 4/14/22. They showed a lot of erosion from my Gerd.

    Anyone out there who really wants fair Rx coverage stay away from there. I mean the customer service really tried but unfortunately it's over their heads. I did get the tier level approved mailed to me. Seems like they should have to honor that. I wish I had of known that the generic ** would be covered. I tried to tell a story how this insurance did me but the customer service was really trying. Too bad they won't allow customers to talk to the people that are actually doing these different Auth. Thanks for this platform.

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    Profile pic of the author.
    Customer ServiceTechSales & MarketingStaffBillingHonesty & Transparency

    Reviewed May 3, 2022

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

    I spoke to WellCare several times, and a supervisor 2 weeks ago, have yet to receive a return call. I was never told this test would be sent out and after 30+ years of medical billing and have never heard of a Doctor/facility informing patients when they send out blood work for specific tests nor is a patient obligated to ask what blood tests go where and is the laboratory in network!!! This is just another ploy/scam/deceptive for WellCare not to pay a claim in full!! I have needed CT scan for lung cancer, mammogram, etc. and putting these off because now wondering if they will be denied because the radiologist is out of network, wouldn’t surprise me. Shame on WellCare for dishonest and deceptive practices toward the elderly.

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    Customer ServicePriceStaffRates

    Reviewed April 13, 2022

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

    Finally, one of my generic drugs is a tier 3. The cost is $42 a month. However, if I go to my local pharmacy which is a preferred pharmacy and not present my card, I pay $17.50 a month. A big difference. When I brought this up as a grievance, I received a letter describing it as a tier 3 and I should understand the costs. So in essence, I am paying the premium to be charged higher prices.

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    Customer ServiceSales & MarketingPriceStaff

    Reviewed March 30, 2022

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

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    Customer ServiceSales & MarketingPunctuality & SpeedMaintenanceStaffResolution

    Reviewed March 29, 2022

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

    The customer service is outsourced to other countries that don't speak English well and even hear roosters in the background several times I have called. It is annoying to not only try to understand these people with deep accents but also hearing loud crowing in the background is nerve-racking. I will be filing a complaint with the BBB and also starting a lawsuit against this company for false advertising practices!

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    Refunds & PayoutsStaff

    Reviewed March 24, 2022

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

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 23, 2022

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

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    Customer ServiceCoverageTechPriceRates

    Reviewed March 22, 2022

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

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    Customer ServiceCoverageSales & MarketingPunctuality & SpeedRefunds & PayoutsBilling

    Reviewed March 21, 2022

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

    The wait time for the first level of customer support is about 5-10 mins - the second Department transfer was problematic - first time it was more than 10 mins and no one answered - second time the wait was 10 mins and then I was transferred to a third Department and no one picked up - the third time I go through two Departments after 25 mins - and they wanted to transfer me to a third Department - but, I had only 5 mins left before I had to be in a client meeting. No one in any of these written or called attempts could simple cancel my coverage. I get nasty letters from them dunning me to pay up or they will "dis-enroll" me!! How can that be? I just want to cancel the coverage - tried many times since January to no avail. I will never do business with them in the future - nor do I recommend anyone else choose this plan.

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    Customer ServiceCoveragePunctuality & SpeedMaintenanceStaffFollow-Through

    Reviewed March 21, 2022

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

    I applied for their Medicare Part D ValueScript plan in November and was advised I was enrolled in the ValuePlus plan. I called to advise them that was incorrect and I wanted to enroll in ValueScript, not ValuePlus, and was told they would change it. In December I received an email stating Medicare had approved my enrollment in ValuePlus and $69 per month would be deducted from my Social Security. I called again and was told I had cancelled my enrollment and it was too late to enroll in any plan.

    When I demanded to speak to an agent located in the U.S. I was told he would fix the problem. It wasn’t, and over the next month I contacted them to no avail a total of 7 times and spoke to 15 different agents in their offshore and U.S. offices. They continually informed me that I had cancelled out of both the ValueScript and the ValuePlus plans and that I’d missed the Medicare Part D deadline. I finally filed complaints with Medicare and my state Insurance Commission. Only then did I get resolution from Wellcare and enrolled in ValueScript. Since then I’ve had to re-register my newly created online account. They claimed I hadn’t used it in two years and cancelled it.

    Today I got a letter that they had received information that my address had changed to an area that was not in the service area of the plan I was enrolled in. Unless I could confirm my permanent residence address, I will be disenrolled. I had to call them again to clarify that I have not changed address and live at the same place for the last 14 years. I definitely will not be using this company in 2023!

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    CoveragePriceRefunds & PayoutsStaff

    Reviewed March 13, 2022

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

    You can bet I won't be using this company next year for sure. Not even sure what I'm paying for as I don't use this insurance or any insurance for prescriptions.... GoodRX and Single Care beats these every time even on co-pays. I can get better dental and vision insurance by buying plans outright. I will seek out a real insurance agent next year to help with this even if I have to pay him. I will be better off. No gym benefits, no grocery / food benefits, nothing that seems to be worth the extra cost.

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & Payouts

    Reviewed March 12, 2022

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

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    Customer ServicePriceStaff

    Reviewed March 10, 2022

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

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    CoverageStaff

    Reviewed March 9, 2022

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

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    Customer ServiceCoverageStaff

    Reviewed Feb. 24, 2022

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

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    Customer ServiceStaff

    Reviewed Feb. 15, 2022

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

    Today, Wellcare refused this on the grounds they - Wellcare - don't think it is "clinically necessary"! Necessary? Really? Wellcare hasn't even contacted the subscribing doctor to know ANYTHING! This is all according to the representative I called, and spoke with. After I ask for a supervisor I was on hold for 15 mins. This nonsense has taken up 45 minutes of my time! Next year I will commit to another company. This isn't the type of company I wish to partner with for my health care and wellness.

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    Profile pic of the author.

    Reviewed Feb. 11, 2022

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

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Feb. 9, 2022

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

    A hour later after her time and time again putting me on hold leading me to believe she'll get the ** approved. They think the medicine is a months supply but what I got on Jan 22nd was only 1.6 oz that would only last two weeks if you're lucky. I was told the prescription got rejected. WellCare is a pathetic heartless uncaring company that could care less about people that are sick and need medicine to clear their ailment. I have a staph infection under my armpits and now I have to go without medicine for two days. Medicare has pathetic wellcare insurance co handling part d prescription coverage which is a joke.

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    Customer ServiceCoveragePriceStaffTransparencyValue

    Reviewed Feb. 9, 2022

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

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    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 2, 2022

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

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    Customer ServiceTechPricePunctuality & SpeedStaff

    Reviewed Jan. 31, 2022

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

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 22, 2022

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

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    Customer ServicePunctuality & Speed

    Reviewed Jan. 21, 2022

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

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    Customer ServiceTech

    Reviewed Jan. 19, 2022

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

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Jan. 19, 2022

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

    Their drug coverage is a joke. Many drugs can be obtained far cheaper from GoodRx...in which case, why are we required to have Medicare drug coverage??! I could essentially parrot many other reviews and it would apply to my experience. Better to pay any amount for other coverage than to deal with this company. They surely must have an idea of how terrible their service is because they will not make contact information for their board members and officers available....and for what it's worth, I usually don't bother writing bad reviews----but this company has been so exceptional (in a bad way) that I feel morally bound to warn people away. Take heed!!!

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    Customer ServiceCoverageSales & MarketingStaffTimeliness

    Reviewed Jan. 18, 2022

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

    Also... trying to speak with a customer service rep is an absolute nightmare. Extremely long hold-times only to finally speak with someone in another country with an accent so strong I can't understand them. I learned to ask for a rep in the US, but twice now I held for over 15 minutes before connecting with someone I could understand BUT who then put me on perma-hold: I literally sat here for half an hour (with absolutely no sound on the other end) to finally realize that the US "rep" had abandoned me. I actually wrote to top-tier WellCare managers about this & received no response. My husband & I definitely will NOT choose WellCare ever again.

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    Customer ServiceCoverageStaff

    Reviewed Jan. 17, 2022

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

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    PriceStaffRates

    Reviewed Jan. 14, 2022

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

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    Customer ServiceBillingTimeliness

    Reviewed Jan. 12, 2022

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

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    Customer ServicePriceRefunds & PayoutsStaffRatesResolution

    Reviewed Jan. 11, 2022

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

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    Customer ServiceStaffTimeliness

    Reviewed Jan. 10, 2022

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

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    Customer ServicePunctuality & Speed

    Reviewed Jan. 10, 2022

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

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    Customer ServicePunctuality & Speed

    Reviewed Jan. 10, 2022

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

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    Customer ServiceCoveragePrice

    Reviewed Jan. 7, 2022

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

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    Customer ServiceCoverageStaff

    Reviewed Jan. 7, 2022

    I spent over 5 hours attempting to reach a customer service agent to assist and was placed on hold for 3 hours and 21 minutes the first call (cut off), 49 minutes the second time, 37 minutes the third time, 15 minutes the 4th time (cut off), 45 minutes the 5th time and now on hold presently on my 6th call after being transferred. The call centers are handled by individuals who sound like they speak English while reading a script, but do not comprehend the English language. Needless to say, this is beyond frustrating. I would go with another company when shopping for health insurance or a prescription plan.

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    Customer ServicePunctuality & SpeedOnline & AppStaff

    Reviewed Jan. 7, 2022

    Yesterday I called WellCare for some assistance. I was put on hold for 45 minutes. I hung up and called back. This time I was transferred to a survey. I hung up and called a diff number and waited on hold for about 30 minutes till I finally gave up. Today 1/7/22 I called again and was put on hold. So while I was on hold I decided to use the chat feature on their website. It took 30 minutes for the chat to answer. Keep in mind that I am still on hold on my phone. I typed in the chat feature the reason I was contacting Wellcare and the next thing that happened was the chat person disconnected me. All this time I am on hold on my phone. I finally gave up and hung up. I am in the process now of contacting my Agent who signed me up with Wellcare to see if there is a provision that will allow me to change Medicare Advantage companies.

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    Price

    Reviewed Jan. 7, 2022

    Provides a low cost alternative to other companies offering Part D subscriptions. It is a "network based" approach so independent pharmacies are not supported. Their network does include major drug chains etc so it's not a problem.

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    Customer ServiceTechStaff

    Reviewed Jan. 5, 2022

    Wellcare uses call centers in the Philippines. Nothing against people there but I find them extremely difficult to communicate with. They have a lack of understanding of the product they manage. To add to the problem, they lack a grasp of the English language. They may sound like they speak English but there is a comprehension problem. The result is very frustrated customers. Next year I will look into other drug providers to avoid this frustration.

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    Staff

    Reviewed Jan. 3, 2022

    I have now been on hold for 2 hours I have spoken to 9, yes 9 representatives that all make me repeat my info and NO ONE HELPS!!! This is atrocious. I'm trying to get a medicine I need that they changed the date on. JUST HORRIBLE!!! I can't believe what I have experienced. So, so many unprofessional representatives.

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    Customer ServicePunctuality & SpeedOnline & AppStaff

    Reviewed Dec. 31, 2021

    While waiting on hold for a customer service agent to pick up (it is going on 40 minutes now) I chatted with WellCare websupport agent Chester **. I asked for assistance in cancelling my WellCare policy. He said I had to do that on the website. I wrote, I don't see where to cancel. His response, "I already told you this is the websupport dept. We just help with the website." I told him I tried calling, no one is answering. His response, "there is nowhere on the website to where you are able to cancel a plan!!!" I wrote, "please enter a ticket number for the missing function." Chester responded: "Thank you for contacting WellCare Web Support" 1:10:08 p.m. Agent has left the conversation." Nice (not!).

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    Customer ServiceCoverageStaffRates

    Reviewed Dec. 9, 2021

    WellCare Value Script Prescription Drug Plan has provided me with terrible customer service. Their English-language capability is poor. I am hearing impaired and I cannot understand most of their off-shore staff. I spent over 1 hour 40 minutes today trying to get one simple question answered. What short-acting insulins are covered by my plan? I was transferred 12 times and spoke with 13 people. Most spoke poor English that I could not understand. No one could or would provide the names of short-acting insulins covered by my plan, until the 13th person. I rate them 0 stars.

    Steve **

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    CoveragePricePunctuality & SpeedBilling

    Reviewed Dec. 6, 2021

    I sent in a letter to cancel my coverage as of 10/31/2021. Wellcare would not allow this and DENIED my cancellation request. I further requested that no further ACH payments be withdrawn from my bank. Wellcare DENIED my request and at that point ILLEGALLY WITHOUT PERMISSION TOOK MORE MONEY OUT OF MY ACCOUNT!!! The reason for the initial cancellation was due to Wellcare canceling the plan that I was on and putting me into a plan that had a fee of 300% more without my permission. Wellcare is holding me and my bank account hostage and 60 days later still refuses to cancel my coverage and ACH. Pathetic as it is, they are blaming Medicare. BEWARE!!!

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    Customer ServiceStaff

    Reviewed Dec. 6, 2021

    Apparently all phone calls to customer service are outsourced. Very heavy foreign accents. I am 78 years of age and had too much difficulty communicating. Requested to speak with representative that speaks English. Transferred to yet another outsourced Rep. with heavy accent.

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    Customer ServiceTechPricePunctuality & SpeedOnline & AppStaff

    Reviewed Nov. 29, 2021

    I signed up with WellCare Medicare Advantage because they offered vision and dental at no extra cost. I selected a primary care provider that was supposed to be nearby. Turned out the PC was in another town and a significant drive, and WellCare didn't even have the correct phone number. After one unsatisfactory visit I changed PC Provider. Piedmont Healthcare physicians are in the network. They set you up in their MyChart system but their physical therapists are not in WellCare so when I needed physical therapy there was no one listed for what I needed (shoulder-arm); I did without.

    The WellCare web site is difficult and confusing, providers are listed that aren't in network or don't provide services listed when you call them. Customer service just pulled up the same web listings that I already had gone through so no help there. The only dentist in the area on the plan was like a visit to a third world dental office. Old equipment in a run down shopping center. They wouldn't clean my teeth and wanted to set me up for extensive implants and crowns. I got out of the chair and left.

    I was diagnosed as needing cataract surgery and found that Emory would take WellCare but WellCare couldn't confirm in writing how much I would have to pay. And the flex debit card that WellCare touted was not accepted by Emory. I decided to cancel the surgery and will find another Advantage plan for the new year. The Piedmont system wasn't much better; not all of my prescriptions transferred when I changed PC and the new Doctor was out on medical leave even though his office wanted me to schedule an appointment to renew the prescription.

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    Customer ServiceCoverageSales & MarketingStaffHonesty & Transparency

    Reviewed Nov. 24, 2021

    My wife received a marketing piece of direct mail advertising from Wellcare for their Medicare Advantage Part D. This is a prime example of what is WRONG with health care and the insurance industry! This mail ad was formatted to look like my wife had already chosen Wellcare as her company to buy their product. Never has she come close to this! To me, there is no excuse for using these tactics, especially on seniors who may be especially susceptible to being misled. It's confusing, potentially, to receive and try to process "communication" like this. Just give it to us straight, Wellcare! Tell us the advantages of buying from you over the others. You suck, to put it vulgarly; which you deserve! I would never do business with a company using these tactics. Many have tried to hook us like this over the years and we have always flat out rejected any company stooping to this type of marketing.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Nov. 22, 2021

    Seniors have a hard time as it is: Wellcare came to my rescue. Had issues with the Element Dental office saying they didn't get authorization from the insurance co. The insurance had to (3x) call the Dental office (Office disconnected) and they had the authorization for 13 working days. Then they said 6 weeks for an appointment which takes to the new year. Wellcare help me find a new Dentist and what I needed to do. I saw a lot of reviews about Wellcare ins. and I give them 5 stars on the Dental part for sure. That's Wellcare for hiring good caring people.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 12, 2021

    On Friday November 5, 2021, I came into WellCare Urgent care in Mohawk Commons Schenectady NY, complaining of severe back pain. The front desk nurse asked if I had an appointment. Then told me I had a 2 hour wait. She suggested I wait in the car. I could not considering the pain I was intense. My friend drove me to the store to get **, and the receptionist called about 20 minutes later to come in. I told her I was not there, but will return to the clinic. Upon returning, I was told to wait another 2 hours. They were all rude and condescending. Very unprofessional. When I asked for a supervisor, they claimed they did not have one. Their behavior was despicable at best.

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    CoverageStaffTimeliness

    Reviewed Nov. 4, 2021

    Thought I lost my insurance. Panicked then convinced by a broker (wrong move) to go with Allwell which will be WellCare in 2022. Found out I still was able to get my old insurance back. Cancelled Allwell same day. Allwell will not get off of Medicare so I cannot use my insurance, need injections, need care for Asthma and COPD, need cataract surgery. My Drs won't recognize my Insure because my Medicare says I have Allwell. I will not use them nor tell anyone else to. Being told it may take up to 90 days. Unsatisfactory.

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    Customer ServiceTechSales & MarketingPriceStaff

    Reviewed Nov. 4, 2021

    Two out of three of my newly prescribed medications this year have been rejected/no pay by Wellcare Part D this year - including a pain medication. You find out from the pharmacy and when you check Wellcare’s website or customer service you are directed to go back to the Doctor and ask for a cheaper drug. Who has time for this when you are sick or in pain? Should I really be tying up my health care provider with inquiries for cheaper drugs when they are overwhelmed? If there is not a generic for the drug you have been prescribed you have to pay the entire cost, ex. **. At the end of some days you decide to forego a medication your Doctor wants you to have. This Company is not proactive and does not proactively communicate with its customers. They put the monkey on you to run around and save them money by rejecting your prescriptions. This is sad, unethical and unbelievable. What a scam. Be advised!

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    Customer ServiceTransparency

    Reviewed Nov. 3, 2021

    Worse Health Ins Company to deal with. They cancel and change Medicare members' policies without prior authorization during the middle of the year. They do not update their systems, and calling customer service gets you NOWHERE other than losing hours of your time on the phone. Cannot even get prescriptions due to their mistakes. WORSE COMPANY for a Seniors.

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed Nov. 1, 2021

    If One day we decide to go to other company that provides Plan D is, Wellcare Billing Dept. Since I joined this company I had issues about billing that had to call them. Wait on the line for 10-25 minutes, talk to a CS rep which is not trained well, they give you incorrect advice that you have to call back. They cancel auto payment and then send letters/message that payment is not received and you are about to lose your benefits. Today, I was on the phone for more than 25 minutes and then was cut off. Chat prorgam had 18 people in waiting. What a sham of CS.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 30, 2021

    Very poor insurance!!! My family doctor told me I need to see a urology right away. WellCare insurance gave me the run around. I made 4 complaints and they done nothing!! The supervisor suppose to call me. I had to go to the emergency room after waiting for 2 months and still no urology doctor appointment. My family doctor was piss off and so was my wife and I. It's been 5 months now. Still no call for WellCare. I must have called them 20 time or more!!. So never use them for health care or you might die waiting. Just saying.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Oct. 19, 2021

    I have only been a member since 9/1/21. Customer service is the pits, they always have to put you on hold. Always asking to repeat because accents are strong and can not understand what they say.. Thought I was getting flex spend, turns out it is not what agent explained. Made a dental appointment, went today just to find out they do not take HMO, yet were in directory. I will be changing.

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    Customer ServiceContract & TermsCoveragePricePunctuality & SpeedMaintenanceStaffTransparency

    Reviewed Oct. 7, 2021

    Never in my life have I signed up for more confusion and frustration. I was told I didn't need doctor referrals, wrong. Took me 3 weeks of repeated calls for an address update. There is no obvious link in their phone systems and I was constantly disconnected, forced to redial, misdirected, and wait an hour to be disconnected again, cannot understand the rep. Repeat in an unending loop.

    Their doctor database for my hometown is nearly empty. The ONE dentist is an hour's drive one way (stupidly in a much smaller town). I cannot find an ophthalmologist at all in the program. (There are probably six offices within 3 miles of home, the town of a major university.) To find specialists, you are given a list of 14 program names and phone numbers. No descriptions of the programs at all. Happy cold-dialing them all! Same great phone system. The benefits aren't worth the frustration. WellCare makes things very complicated for my doctor by refusing lab test codes.

    I feel like I am trapped in health insurance hell. I fantasize daily of my return to the hell of Medicare because the heat temperature is lower, but it will cost me about $100 more a month, so I'm stuck. I seriously would rather drop dead where I stand right now than to have to call WellCare one more time. Save yourself from the stress this company has put on me. No one has the time or the nerves to waste for this garbage. If you can afford anything else, break the sound barrier to get away from WellCare. Toss me a tow line when you do.

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    Customer ServiceCoverageSales & MarketingPunctuality & SpeedStaff

    Reviewed Sept. 15, 2021

    I became eligible for Medicare August 1, 2021 and chose Wellcare and a PCP from the list they gave me. Unfortunately, I had an emergency (sudden swelling of face w/ breathing issues) and was referred by urgent care to er. My blood pressure was 192/105. I was prescribed a hypertensive med along with antibiotics and an antihistamine. I was instructed to call my PCP immediately...which I did the first available day following the er visit.

    I was told that Dr wasn't accepting new patients (although Wellcare signed me up with them just weeks prior). I was told to find a Dr and change my PCP. I complied. Then I was told it wouldn't take effect until next month and to schedule my appointment after that. I'm wondering if that Dr will be taking new patients next month when I'm eligible...and in the meantime should I just hope I don't have a stroke? This is not healthcare insurance. This is a waiting list for possible healthcare insurance. Will I still be alive after the waiting period? Will I have to experience a new waiting period if this Dr is not taking new patients after the first How many waiting periods before my next premium? Does it matter? Feels like bait and switch...but maybe that's the point.

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    CoveragePriceRefunds & Payouts

    Reviewed Sept. 10, 2021

    Do NOT subscribe to this plan. I had great health insurance but I thought this would be pay the difference. I now pay the additional cost for this premium plus more for my prescriptions and cost of some of my medications have been declined. Did not pay for prescribed medications, such as needed for bronchitis as well as other conditions new onset of TMJ. Now my primary health benefits does not pay anything because of WellCare. I definitely will be leaving Wellcare in Open Season in October 2021. Again Do NOT subscribe to this plan. It has been a big mistake.

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    Customer ServicePrice

    Reviewed Sept. 8, 2021

    I used the website. Received a drug I had previously declined because of cost. Now have a $550 dollar prescription I did not order, cannot take, and do not want. Customer service says “too bad” because I used the website.

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    Customer ServiceCoveragePunctuality & SpeedStaffHonesty & Transparency

    Reviewed Sept. 7, 2021

    When I went to sign up in May for Medicare, I verified with agent that both my dentists were covered under Wellcare. I went to call to make an appointment for teeth cleaning but Dentist office said they didn't except Wellcare. So I called Wellcare again to verify and they said they were not on their Dentist list. So I was lied to get me to sign up.

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    Customer ServiceCoverageTechRefunds & PayoutsStaffBilling

    Reviewed Aug. 31, 2021

    Well, you get what you pay for, I guess. Signed on with them for the payback feature as I needed the money. However, they are never open at all on weekends, the provider database if very disappointing and very skimpy on choices. I called to see if my once yearly diabetic eye exam was covered, some girl answered with a dog barking loudly in the background. I'm an RN with many years experience in case management which deals with patients' insurance. I had to explain what kind of eye exam I was needing as she was clueless, didn't know the difference between an optometrist and and ophthalmologist. She said it was covered, finally, but now I am getting a bill and have been on hold over 45 minutes while they research. I will get away from this company as soon as I can.

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    CoveragePriceRates

    Reviewed Aug. 26, 2021

    This is my first year with them. I'm on Medicare, and WellCare is my Part D insurance. It's reasonably priced, and has paid good share of my insurance (so far, my $20 monthly insurance charge has saved me more than $20 out-of-pocket charge for prescriptions).

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    Customer ServiceCoveragePriceStaffRates

    Reviewed Aug. 26, 2021

    This is my 2nd year with Wellcare Rx insurance and I am not happy. I find their customer service reps lack the knowledge To accurately provide the information requested. One pharmacy said my Wellcare cost was $92 for Rx. I had Rx transferred to another pharmacy to get the Rx $55 cheaper. When I called Wellcare & asked why the 2 prices were so different they told me it was because the ingredients was different. I called pharmacy #1 back & found the medication they sold was from the same manufacturer as pharmacy #2 sells. I am not using Wellcare after this year.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 19, 2021

    I have been on private insurance for decades with never any issues! As soon as I switch to Medicare and choose WellCare as my prescription drug plan everything explodes!! I am type 1 diabetic; I need insulin. I started calling 2 weeks ago about my novalog insulin 90 day supply. They have received my Doctor's prescription. On the 16th of August I was on the phone for over an hour with CVS Caremark on 2 way and 3 way conference calls trying to square away. After an hour the lady said, "You are all set, we will fill and send out."

    Well I call today and get the same unacceptable ** on the phone. She said there is no supervisor to speak with and tried to transfer me to someone else, but there was more than normal (high call volume) so I could not get through. Meanwhile I get all my other drugs at my local CVS. She asked that I call my Doc again and have him fax it there. That is what I did. I will get rid of these morons as soon as I can!! I have only been with them since July 1, 2021. Just ridiculous! I can’t even imagine a more elderly person having to navigate this crap! So much for socialized medicine from 65 and older!! God help us!

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    Contract & TermsPriceStaff

    Reviewed Aug. 14, 2021

    I like WellCare medicare PPO. It is very much like Aetna except WellCare charges $10.00 less for Specialist whereas the other company charges $10.00 more. If I order my medication it cost me nothing and the other company cost a lot more.

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    CoverageRefunds & PayoutsTransparency

    Reviewed Aug. 13, 2021

    Have supplemental insurance as well. Between the two, have never had a problem with getting the things I need, i.e., prescriptions filled, doctor visits, surgery, etc. and paid for. One less thing for me to worry about. They also keep you up to date on any changes to their policy, well ahead of time, so you're not scrambling last minute to make any adjustments.

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    CoverageStaff

    Reviewed Aug. 12, 2021

    Remarkable. I have had some unusual ailments, and WellCare has come thru like a champ. As a Medicare participant, WellCare fills the gap wonderfully from prescription drugs to chiropractic to major medical and more. I highly recommend to anyone who is seeking REAL HEALTH CARE COVERAGE.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Aug. 11, 2021

    I have my Rx coverage through Wellcare. They have always been prompt about resolving any problem I have. I can always get someone on the phone and they appear to be from the United States which is a real plus for me.

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    Customer ServiceCoverageTechSales & MarketingPricePunctuality & SpeedRefunds & PayoutsRates

    Reviewed Aug. 7, 2021

    So I've had Wellcare for a prescription provider for a few years because they were cheap, and I'd been previously covered by a spouse's insurance, which provided pretty good prices. But now that I've had to use Wellcare as the main source for prescription coverage for a few months, it's a nightmare! Prices are a lot higher at the pharmacy, making me wonder if I had a deductible to meet, so I went online to check. But there's no way to do that even after logging in (which is a multi-step process); and no discernible way to check the formulary list to make sure an RX is covered; and at what price tier. So it's useless... And this isn't the first time the website has been totally whack, either.

    But what I *did* see is an solicitation to become a Wellcare Broker right on the homepage; and plenty of solicitations to join a Wellcare plan. And that's *after* you log in. So it's pretty clear that's where Wellcare's focus is - money from new customers. Guess you're SOL if you're already a member. I *DID* send them an email using their webpage's form, so we'll see if they get back to me with a formulary/price list. But even if they do, I can't wait for Open Enrollment later this year so I can dump them! The premium I already paid for this year was a waste of money, clearly! It shouldn't be so hard to find basic information for a product I'm already paying for.... I mean, I had better luck looking up prices on a website for a Pharmacy Discount Card I got for free at the pharmacy, so what the heck?

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Aug. 6, 2021

    My husband has been with WellCare for a couple of years already. Bad experience I’ve had today with two agents. I talk to a lady named Anna and she verify with my husband that she can give me information and she places me on hold for more than 3min. My phone disconnects after those two minutes and i thought she’d call me back but NO she didn’t. I call back again and another lady by the name of Tanisha answers and she needs to verify again with my husband, I tell her Anna already verified that and Tanisha says she can not help me if she doesn’t verify with my husband again and she hangs up on me.

    Wow!!! You call that professional? I don’t. So then I get online and since my husband hasn’t logged in in a while it wasn’t letting him go online either. I Chat with and agent as well and she was rude also. I just didn’t want to deal with any of them. I just didn’t bother to call back or chat with anyone. I’m just going to wait to see when they can return my call. Didn’t want to give them a one star either but had no choice on zero stars, so yea. Whatever.

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    CoverageTechSales & MarketingStaff

    Reviewed Aug. 3, 2021

    I am a mental health provider. I no longer accept WellCare insurance because they make absolutely everything as difficult as possible - both for me and for my patients. I have never had more trouble with an insurance company, and that is saying a lot. I strongly advise consumers against buying WellCare insurance, no matter how promising their sales pitch sounds.

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    Customer ServiceTechBillingFollow-Through

    Reviewed July 22, 2021

    I have been on advantage plans for 12 years and since Wellcare took over the original "TEXAN PLUS", it has been absolutely awful regarding referrals, customer service, follow through, and timeliness on giving medical providers answers and/or payments. I have had numerous doctors and medical facilities over the last few years that voice similar experiences. As far as I am concerned, the only good thing about them is "0" copay and good prescription plan.

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    Customer ServiceCoverageRefunds & PayoutsStaff

    Reviewed July 7, 2021

    As a healthcare professional, working with numerous health plans, I have never seen an insurance company with such shameful ethics and so artful in dodging attempts to authorize patient healthcare, regardless of their health condition. Trying to get authorization for surgery to remove a patient's malignant brain tumor, vital pre-surgical imaging, necessary for the safety of the patient, was denied. All requested medical records were submitted. Still denied.

    While calling the urgent appeal line, I was transferred and redirected SEVEN times and eventually had to resort to fax, with no indication when I may get a response. The fact that this company is so poorly organized and representatives unwilling to offer any assistance above and beyond their given script is shameful. If you are shopping for insurance, this company will risk your life to avoid having to pay for your care, no matter how dire the consequence. Keep shopping for plans, this company does not care about anything but the bottom line.

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    Reviewed July 6, 2021

    I signed up with a broker strictly for the lowish premium. When it was time to renew 1/1/21, they stopped the EFT premium draft from my account and cancelled without any contact other than snail mail.

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    Customer ServicePunctuality & SpeedStaffRatesCommunication

    Reviewed June 28, 2021

    Laughably Yellow Cab is the choice of Well care Tampa Bay for transportation. 3 telephone calls and 2 1/2 hours in the sun waiting. On ride to Dr. Appointment. The transportation dept manager at Well care cancelled my ride, said I was hostile - go figure. Well care Tampa Bay needs to get with the times. Yellow Cab doesn't have enough drivers, no communication not to mention language barriers if you do get a call. Rating - 00000

    Jackson ** - Tampa, Florida

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    Customer ServiceCoverageSales & Marketing

    Reviewed June 12, 2021

    WellCare refuses to cover some necessary services, and constantly makes telemarketing calls and sends me junk mail (even though I've made it clear they're required to stop). My phone rings almost every day with their telemarketing garbage, often in the form of prerecorded calls.

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    Customer ServiceCoverage

    Reviewed June 4, 2021

    After my numerous calls to WellCare and three way calls made by my doctor's office they will not let me use the preferred prescription for diabetes strips. My doctor called in a new prescription last April in 2020 for me to "try" the Free Style monitor when I was with a different prescription plan. Once I got it I decided I wanted to stay with the strips I had used for 40 yrs. I never used the monitor or the equipment. They would not let my pharmacy fill my old prescription saying I was using the new monitor even though my doctor called them numerous times and said I had never used it and gave the new prescription to them. They refused to cover my original strips.

    My doctor's office and I went through all the steps numerous times they told us to in order to reinstate my original strips and got the same result... a refusal to cover the strips. We finally gave up. I decided to give it one last try to get my testing strips on June 5, 2021 and... yup... same result. I have never encountered such incompetence. I was new to this prescription company and so sorry I switched from my old company. Never had a problem before. Rest be assured I will be dropping the WellCare Prescription Plan ASAP! I am 76 yrs. old and have used diabetic supplies since my 30's always using the same testing strips. You can't get a straight answer from them. Awful and frustrating experience.

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    Customer ServiceCoverage

    Reviewed June 2, 2021

    To anyone considering this insurance just let me say I have never dealt with such an incompetent insurance company in my Entire life!!! You can call this company 5 times and ask the same damn question and get 5 different answers every time and generally none of them are correct either!!! I am so disappointed, frustrated and angry with this company I could scream, unfortunately I don't have a lot of choice where I move 6 months ago from Florida to Western Kentucky! I have gotten nothing but a complete run around from them and rude inexperienced customer service workers every single time I have talked to them and I'm not exaggerating.

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    Customer ServiceCoveragePunctuality & SpeedStaffBillingResolutionHonesty & Transparency

    Reviewed May 15, 2021

    Almost 5 months has passed, and Wellcare still refusing to provide me what I requested and I am still paying Thousands of Dollars to the dentist without been able to know if those bills are legitimate or not. I requested MORE THAN 70 TIMES from Wellcare:

    1-The booklet Description of DENTAL benefits and copayment, schedule (A) 2021 showing (CODE, DESCRIPTION and ENROLLEEPAYS).

    2- Monthly DENTAL benefits and copayment statement on papers.

    Wellcare customer service told me, "You must request it from Delta dental directly" and Delta dental told me, "We do not accept direct request, because your insurance is Wellcare, you must request the information through Wellcare and Wellcare will request it for you from us." In the last 5 months I filed more than 70 complaints at www.medicare.gov, The Wellcare people answering my Medicare grievances are not honest, all they do, They send me any document HAS NOTHING TO DO WITH MY REQUEST and they close the case, here are some of my complaint numbers that they closed without solving it: **.

    I filed more then 70 Grievances at Wellcare.com it was like sending a grievance to Wall. Wellcare's name should be changed to Wall care. Here are some of Wellcare Grievance Tickets number that I filed in the last 5 months: **. All these cases were closed but not solve. I requested several times my case to be ESCALATED to higher up management team, also the Wellcare Employees REFUSED TO ESCALATE. You read my story, now you will make your judgement (Wall care or well care?)

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    Customer ServiceCoveragePunctuality & SpeedStaffHonesty & Transparency

    Reviewed May 14, 2021

    I had called Wellcare about possibly opening a policy. They informed me I would be under no obligation unless I signed paperwork and filled out a Medicare questionnaire. Wellcare lied and automatically enrolled me and I was informed by my caregiver that I had changed my insurance and now Wellcare was denying my claim. I have had a horrendous experience trying to call Wellcare. Outrageous hold times, hard to understand customer service people. Grievance policy goes nowhere. Do not even call this company. I have filed a complaint with Medicare against Wellcare. Medicare was understanding and Helpful. Waiting for this to resolve and to go back to the insurance I had before.

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    PriceStaff

    Reviewed April 26, 2021

    Per my experience, the only way this Prescription Drug Plan (PDP) would work is if your prescription costs are extraordinarily high, $4K+. The ceiling amount to go from stage 2 to stage 3 where the PDP will begin to help, is only if your medications EXCEEDS $4K. If you don't spend that on your prescriptions per year then this PDP is not for you.

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    Customer ServicePriceRates

    Reviewed April 18, 2021

    I have been with Wellcare CVS using their mail order service for over a year. Their price competition is very good. Their service is the worst I have ever experienced from any type of company. They have not gotten one order correct or on time since I have been with them. I wrote them an email on April 16th 2021 asking them to contact me, providing my phone number, to try to get whatever the problem was straightened out. I have not heard from them as of the 17th. I placed an order on April 12th. They sent an email indicating that one of the prescription refills was not approved by my doctor. Strange since I have had to be on this medicine since having a heart attack, and wasn't told to discontinue it. And for another one, they indicated that they could not reach the doctor even though he had already approved two. I would recommend that you stay clear of their mail order service - not just bad, but HORRIBLE!

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    Customer ServicePriceRefunds & PayoutsMaintenanceRates

    Reviewed April 17, 2021

    My deductible is supposed to be somewhere around $450 but this year I paid nearly $1,000. Even after that, the price I’m paying for my prescriptions are 2 and 3 times more than I was supposed to pay. I cannot speak to WellCare about it because frankly no one there can speak English well enough for us to communicate and all they do is tell me I’m wrong. I don’t know how to fix this and get my money back!

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    PriceStaffRates

    Reviewed April 17, 2021

    As a physician, I am very disturbed by WellCare. They offer patients low premiums, but the patients will pay the price of denied and delayed care. WellCare requires pre-authorization for standard treatment and routinely denies approval and loads the doctor with paperwork. This paperwork delays patients’ timely care. The low premiums come at a cost - denied and delayed care. I have decided to stop participating in WellCare as I cannot be a part of a business that lures budget-conscious patients in with low premiums and in reality delays and denies their care. This is no deal. This is predatory.

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    TechPriceOnline & AppRates

    Reviewed April 16, 2021

    I'm on Medicare Part D and used their website to find the "best" prescription drug plan for me for 2021. WellCare had a high rating and by using their preferred pharmacy, CVS, I would save almost $300 over the next leading provider. From day 1 (January 2), I had trouble getting my prescriptions filled and having them cost the right amount, wasting time at CVS every single visit. It wasn't CVS's fault, either. They could show me where WellCare had quoted them the incorrect amount for my prescription. It's been a frustrating nightmare. I still have one prescription. I only get 58 pills every month instead of 60. I have no idea why when the doctor prescribed 60 (since it's a 30 day supply at 2 pills a day). Don't waste your time with them to save $25 a month. It's not worth the headache. It's really not.

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    Customer ServiceTechPricePunctuality & SpeedStaffBillingRatesHonesty & Transparency

    Reviewed April 1, 2021

    I've been a member since 7/10/2020. I was promised certain prices for a list of very common medications. They began charging me $58.00 for **, a 60+ year old medication. I was PROMISED no more than $10.00 would be charged. Simply not the case. They lied. Then, trying to go through their system to address it through their "grievance" process, they promised an answer in 90 days! Stupid but I went with it and did WITHOUT my medication. I just spent 2 1/2 hours on the worst designed website (you have to fill it out in a very precise manner that is unlike ANY normal website) and phone with their representatives. Not a single thing had been addressed! I was on the phone with a horrible connection on their end, with them using the worst microphones imaginable (God forbid you have hearing loss) and the only thing they were concerned about was the increase in my payment not being addressed.

    Per their own website, THEY OWED ME MONEY! They STILL hadn't addressed my issue. They are, by far, the worst healthcare provider I could EVER imagine. I was promised today that they will "EXPEDITE" the requests now that I've spoken to one of their crack representatives. I already know this is a lie. Over six months for a simple request. I'll never get an answer. Come December 16th I'm dropping these failures as fast as a phone call can happen!

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsRates

    Reviewed March 31, 2021

    After I was locked into paying my WellCare Medicare Part D insurance for another year, they stopped paying for a blood pressure prescription I previously paid a $24 copay for. Now I pay $148 for the same thing. I can't change to another company until the next Medicare enrollment period, so I'm stuck for the rest of the year with this. I called to ask if it was a mistake, but was told they moved that medication into another tier, so now I have to pay more for it. The customer service people don't speak good English. Very hard to communicate with them. It's a horrible company to stop covering something they used to cover as soon I was signed up for a year. I never want to do business with them again. It's a rip off to quote one price and then raise it without warning after it was too late for me to find another company.

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    Customer ServiceRefunds & PayoutsStaff

    Reviewed March 31, 2021

    I have POA and guardianship of my sister who has dementia now. She has been moved to assisted living. She had misplaced all her ID card. I was able to get replacement social security card, her Medicare card but NOT her WellCare prescription card. Why? Because they kept telling me that without her ID or plan # they could not assist me. If I had her ID or plan # THEN I WOULDN'T BE CALLING THEM!! Three different supervisors, the first two overseas where their customer service is located, last one in the US...and nothing. No help at all. She is paying for her plan but can't use it. In short, I can't get her plan number...without having her plan number!!! Never deal with this overseas company or you too will be pulling all your hair out. They are totally worthless to their customers.

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    Customer ServiceTechPriceRates

    Reviewed March 29, 2021

    Cannot access drug pricing on website. Cannot load preferred pharmacy on website. This has been an ongoing problem for weeks if not months. Wellcare acknowledges they have a problem, but after weeks/months there is zero resolution. No given time frame to resolve. This is not a glitch but an inherent design problem in the Website. Useless IT department and sub-standard customer service. Will not contract with Wellcare in the future.

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    Customer ServiceStaffBillingTimeliness

    Reviewed March 23, 2021

    I called the customer care line in Oct. for a change of address. We received a letter on 3/10/21 dated 2/10/21. Stating if payment is not received by 2/18/21 she will be disenrolled from the plan. We called the next day and they took payment the back fees and then told us that she was unenrolled. We told them that we have moved and the the mail was sent to the wrong address and we just got it through forwarding. I could go on and on but they couldn’t tell me how they got the other change of address but couldn’t find my change to our new address. Please be very aware that if you chose to use the WellCare Ins co. You have been warned. They will take your $. Still you have a issue.

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    Customer ServiceCoverageTechPunctuality & SpeedOnline & AppStaff

    Reviewed March 16, 2021

    If you are looking for a health insurance company that's a PPO & supports online access to in-network providers, this is not going to work for you. You cannot verify any information online, unless you are speaking to a customer service representative (who won't give you their name so you can hold them accountable for the information provided) you will not be able to go online to schedule or FIND imaging centers or providers in-network. Very disappointed in their customer service and their website.

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    Customer ServiceCoveragePunctuality & SpeedStaffBilling

    Reviewed March 16, 2021

    On the suggestion of my representative I went with WellCare Rx because I am not on any medications. Since January I have spoken to their customer service company probably on ten different occasions. This is all regarding billing mind you. I gave them my bank account routing number and account number on three different occasions or more. Each customer service agent assured me that it is fully taken care of and each time I received a letter stating that they were unable to put it through.

    On one occasion I stayed on the line with the agent as she put it through for two months and she assured me that it went through only to find out it only went through for one month. Calling back again after a letter I asked for a supervisor stateside that could help with this debacle. This supervisor stated, "Obviously this is operator error and I will make sure this is taken care of and will escalate this to the customer service department." Yes you guessed it. I received another letter on Thursday of last week saying they were going to cancel my insurance for non-payment.

    I looked on my banking statement and it showed they deducted two payments. However, no one seems to be able to figure it out. I called again and they are just clueless. Today I received five phone calls. Two before I called them and three after I had confirmed with a customer service agent who assured me that everything was set up appropriately. Six phone calls later and I told them to stop calling me. I am a busy clinician myself and I deal with Medicare all of the time but I have never in my 30 years of practice seen anything like this. I am ready to let go of my Rx insurance and take the penalty from Medicare for not having Rx insurance. Medicare needs to take a look at this company because I truly do not understand how they are even in business. Can anyone do anything about this?

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    Customer ServiceTechPunctuality & SpeedRefunds & PayoutsStaff

    Reviewed March 9, 2021

    The agent who signed us up for WellCare said they were the best and that Costco was an in network provider for eye and hearing care, so when I ordered my new glasses at Costco the girl helping me said they never heard of WellCare. So while still there I called the help number on the card and they said Costco was approved and just send the receipts to the address on the back of the card so I had the customer rep talk to the person helping me at Costco to make sure I had what was needed to get reimbursed, yes you guessed it. I got a letter denying the claim but wait. There’s more.

    While waiting for my reimbursement my wife also purchased new glasses from Costco and I purchased new hearing aids. After calling the WellCare rep to make sure I would get reimbursed her reply was “Yes you will get reimbursed, my records show Costco of Palm Desert CA. Is an approved provider so just send us your receipts and you will be reimbursed.“ You guessed it again. Denied again for wife’s glasses and my hearing aids. Still fighting with customer service and looks like I’m out $2200.00 so back to United Health Care next year. ZERO STARS!

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    Customer ServiceRefunds & Payouts

    Reviewed March 5, 2021

    I’ve been trying to get reimbursed for a shingles vaccine (that I met all the requirements to receive) for months and have gotten nowhere. Customer service is horrible. Multiple calls from my dr and myself and sending in all the paperwork they wanted and they still refuse.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed March 3, 2021

    My 91 year old mother signed up for this insurance through a broker who said it was the best. She has a cataract that needs to be removed. We called Wellcare to see what doctors did this surgery. They gave us a name of a doctor, we made an appointment and showed up. They told us they never heard of this insurance. We left. Two weeks later we called Wellcare again and they gave us the name of three different doctors. We called them and they said they don't accept this insurance. We have had it. What if she really gets sick? We are going to Blue Cross Blur Shield tomorrow and sign up with a reputable company. We have had it.

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    CoverageTechPriceRates

    Reviewed Feb. 26, 2021

    This company acquired my Medicare part d drug insurance provider and proceeded to charge me a copay for a generic drug that was 700% higher than the listed retail price at other drug stores. Charging a copay of $82.00 for a generic drug that can be purchased for less than $10.00 is not reasonable. If you have this insurance, you should cancel and file a complaint with your state insurance commissioner and with Medicare.

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    Customer ServiceCoveragePrice

    Reviewed Feb. 19, 2021

    A WellCare broker called me to offer my mother a medicare part D supplement for zero premium. The plan would cover Rx co-pays and OTC items. We accepted the offer. But what actually happened has been a nightmare. Wellcare did not enroll my mom in the medicare D plan we discussed on the phone but instead enrolled her in a plan I've never heard of; a more expensive plan called Wellcare Premier which replaced her traditional Medicare part A and B. I don't know if this was a mistake or intentional but Wellcare hasn't taken any accountability for the mess this caused.

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    Wellcare Company Information

    Company Name:
    Wellcare
    Website:
    www.wellcare.com