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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 6 Reviews 530 - 680
    Customer ServiceRates

    Reviewed Feb. 18, 2021

    In Bloomington Normal, IL, there are only two preferred pharmacies and they have incompetent pharmacists. At Kroger's north Normal, IL they don't fill the prescripts after a text is sent that the prescripts are ready. I have 90 day prescripts but the text message is sent every 30 days. And when I type STOP, it says this is an unmonitored account, call the pharmacist. I called and they said they would be ready, but they aren't. The pharmacists (this has happened 3 times) then tell me come back in an hour and when I return, the same pharmacist has done nothing toward filling the prescription, she is standing there shooting the bull with someone and doesn't even try to fill the prescript.

    Last time another pharmacist said it was expired, they had a call into the doctor. No they didn't and the prescript was NOT expired. I returned with my last bottle and it said 1 refill left until August 2021. And the pharmacist insisted it said expired. She was reading the date I last had it filled! OMG these "pharmacists" can't even read, and they are dispensing drugs to innocent people who rely on their knowledge and integrity. I will never use WellCare again. I would give them a -5 rating if I could.

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    Customer ServiceCoveragePunctuality & SpeedHonesty & Transparency

    Reviewed Feb. 17, 2021

    Every doctor I was told was covered by the Best HMO plan was not, and most didn't even call back. I have been a member since 2/1 and I urgently need to find a new pain doc and diabetes doc and customer service is just ignoring this. In fact, almost everything I was told were outright lies from people have no clue what is going on.

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    Customer ServiceBilling

    Reviewed Jan. 29, 2021

    Called to get payment book on Dec.31, 2020. They took money out of my bank account without authorization. Called back twice. Still haven't seen my payment book. They took money out on Jan 21. I never gave them my bank info, so they stole it from one of my checks or from Social Security from last year. They were supposed to e-mail me info on filing a complaint, still haven't seen it as of Jan 29. Watching bank account now to see if they take out more.

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    Customer ServiceSales & MarketingStaffBilling

    Reviewed Jan. 21, 2021

    My wife and I selected WellCare Wellness RX as our new PDP plan. Our plans became effective 12-1-2020. Since we joined WellCare, we have had on-going billing issues that have required at least 8 contacts with their customer service (either phone calls or chat lines). The first issue is their customer service call center is located outside the US and their agents do not speak English very well. The second issue is that when my wife and I signed up for WellCare PDP, we selected the option to pay by mail (personal checks). This requires WellCare to send us payment stub (coupon) booklets. It is now January 21st and neither of us have the booklets for calendar year 2021 - even after multiple requests.

    The third issue is the turn time that WellCare takes to process checks that we have sent them to pay the bill. We sent them 2 checks on January 6, 2021 to pay the bills due on January 20, 2021. It is now January 21, 2021, and the checks have just cleared. Per WellCare, it takes them 7 - 10 business days to process a check. So if the USPS takes 5-10 days to get the check to WellCare and it takes WellCare 7-10 days to process, you are looking at 12 - 20 days for the checks to get posted to your account. This means that you need to send the checks to WellCare about 30 days prior to the due date which is the 20th of every month. WellCare does not mention any of this in their literature. We selected WellCare partly based on the reviews seen on Medicare.Gov. I will probably be looking to change companies next year.

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    PriceOnline & AppRates

    Reviewed Jan. 21, 2021

    Wellcare, OTC Health Solutions, and CVS pharmacies offer a horrible selection of OTC products to Medicare advantage plan members. It is most obvious that one is grossly overcharged for vitamins and supplements when there a buy one get one free signs plastered everywhere but you are only able to purchase one item with your OTC benefits and a regular customer is getting to for the price of one. It is also annoying that you are barred from getting the larger less expensive size of vitamins, supplements, or products. One glaringly obvious example of over pricing is CVS allergy relief tablets 24 ct $ 4 while Walmart Equate Allergy Medication 25mg Capsules Antihistamine, 100-Count is $ 4. Very distasteful and unsatisfactory experience.

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    Contract & TermsCoveragePrice

    Reviewed Jan. 20, 2021

    This is the most pathetic ripoff company in the U.S. They should be reported. Had 2 medications, 1st year cost me $15, next year they changed the drug from tier 2 to tier 3 and now my cost is $106.31, but I got a better one. Med cost me $2 first year and now they tried to charge me $140.00!!!! Again, go, no, actually run to some other company as this is the most pathetic excuse for an insurance company I have ever seen in 60 years.

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    Customer ServiceCoveragePriceRefunds & PayoutsStaff

    Reviewed Jan. 17, 2021

    New retiree, started on Wellcare 2021, One order. Paid my deductible and copay 1.7.2021. Supposed to receive 1.12.2021. 20 minutes on phone with the helpless desk, amazingly awful experience, just like CVS,. I should have been smarter and realized that anything with CVS is a disaster.. They said Post Office has, filed a claim with USPS to track, Their answer is that Caremark generated a label and it never enter the postal system. On first call I asked to get a 10 day supply since I was running out on my cardiac med. Answer was, "No, your plan doesn't cover," so off to local pharmacy. 10 day supply for 200 bucks.

    Call Caremark again, nicer rep, but said it has to be at least 10 calendar days to send another order, which is tomorrow, that's fine, decided to make sure I don't pay another $545. Her answer was, "They probably will charge you again"!? and "when you receive the second order call back and file a claim"?.. I am so disgusted, angry with myself that I tried to save a few hundred bucks. If I EVER get this straightened out, I am just going to my local pharmacy that actually knows and cares about me and my family. If it costs a few bucks more, so be it.. Buyer Beware!! I wish I had seen these reviews before I signed up.

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    Customer ServiceCoveragePriceStaff

    Reviewed Jan. 12, 2021

    Hi. I would like to share my experience regarding WellCare for health insurance with Medicare. As of this January 1st 2021 we had just switched my mother to this health insurance because of the low out-of-pocket deductible. Relatively low I should say. But so far my experience is dealing with this corporation have not been good. It began when I tried to fill my mother's prescription through their mail order. I called and spent a half hour on the phone and the representative I spoke with assured me that everything would be taken care of and that my mother's medication would be delivered to the house. A week went by and I didn't hear anything so I set up an online account and there was no prescription even called in. I call them back that day and spoke to another representative each time spending a half hour or more on the phone I might add. This representative said, "I will take care of it. I will call you back in an hour."

    4 hours went by. No phone call back. I called them back. The prescription was not put in or even mentioned. And then after another 45 minutes on the phone the third representative told me that I have to have my doctor fax everything in and that they cannot do anything from their end. The amount of time it takes to get things accomplished on a telephone with these people and their lack of cooperation in doing anything is telling me so far they are a bad insurance company to deal with. Also trying to find a podiatrist for my mother online took over 45 minutes and the nearest one they could find was about 10 mi from my house. I am seriously considering switching back to United Healthcare as my experience with this company has been definitely less than favorable. If things improve I will write another review reflecting the situation. But so far my advice is if you are considering WellCare you are probably best to stay away.

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    Customer Service

    Reviewed Jan. 8, 2021

    All I wanted is to retrieve my user name. Spent over an hour getting disconnected and transferred to half a dozen departments. Finally hung up. This plan was supposed to save me money but I should have stayed with my previous plan. At the end of the year, I will go with someone else even if it means paying more.

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    Customer ServicePricePunctuality & SpeedStaffHonesty & Transparency

    Reviewed Jan. 6, 2021

    I got a ride to my Doctor appointment however, they stranded me 30 miles from my home. Couldn't find me a driver and didn't care. They jerked me around for 2 hours. Sent me a text message claiming a driver would be there at 6:05 that showed up. Kept putting me on hold. Lied to me. Even got the local sheriff involved. Had to call my own taxi costing a hundred. I'm in pain and waiting for the taxi. Started this at 4pm and now 8:34 pm. Changing to different company after this. Do not do business with them!

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    Customer ServiceCoverageStaff

    Reviewed Dec. 31, 2020

    Signed up with Wellcare in Dec of 2019 for 2020 coverage. I do not take any prescription medications so I am not able to relate any details about that aspect of their coverage. I did use their OTC benefits and I found the items offered in their catalog to be unsatisfactory. I ordered the adult incontinence underwear. I found it to be inferior to Walmart assurance incontinence underwear. I was dissatisfied with lack of information about the medications. I filed grievances online and received permission to purchase my OTC items and submit copies of the receipts for reimbursement.

    I was able to fully utilize the OTC benefit for 2020. I am currently attempting to obtain permission to do the same for my 2021 coverage. I find phone conversations regarding insurance problems to be most distressing so I communicate through grievances and faxed complaints. So far I mostly satisfied with this company. I received a reduction of my Medicare part B premium. I received a Fitbit inspire from silver sneakers. I received 60 dollars from healthy rewards. I received 480 dollars in OTC benefits. I had one visit to the primary care physician. I am currently distressed over the 2021 OTC products in the Wellcare catalog and praying I will be able to obtain my OTC items elsewhere and obtain reimbursement.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Dec. 30, 2020

    My elderly parents enrolled on Dec 1. I called on Dec 2 to check on this plan. These are brokers signing you up on these plans and by the way they beg so I assume they are working on commission basis. The broker told us that my parents would not have to change their primary doctors and did not need to show the WellCare card to their primary doctors. Upon checking this was all wrong information. All of this is supposed to be on recorded line so I am opening an investigation and having the phone calls pulled. I called on Dec 2 to cancel the enrollment process. It's now Dec 29th and still on the phone with them as I write this review. My parents have until tomorrow to get their old plan back or they will have to change their primary care doctors. My mom has heart issues and we were told later that there are hardly any doctors in that state who accept wellcare. It's hard to talk to someone you can understand.

    I worked in the medical field for 12 years working with insurance and have never experienced anything like this. The only thing I can figure out is they want these enrollments to go through because they know the elderly would not go through what I have been through with this company. I have 14 pages of notes of every phone call I have made and still have not solved this policy being cancelled.

    I was transferred to a supervisor I had spoke with on Dec 4th. I let her know we spoke before. She said, "No. We never spoke," when I gave her the date and a reference number on our call and told her to pull the recording. She all of a sudden saw that we had spoken. She told me she saw the cancellation of enrollment but didn't look like it got done. I can go on and on but will not bore you with the rest. I just want to impress on you that this company is hiring brokers to write these policies and they do not know what they are doing. Please be careful if you sign up with this company, please be careful. I wish that I could speak to a general manager or CEO of this company so they can know what I have been through.

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    Customer ServiceCoveragePriceMaintenanceHonesty & Transparency

    Reviewed Dec. 29, 2020

    When I went to get my wife's tier 1 drug at the pharmacy the charge was $15 instead of $0. I called Wellcare 3 times and got multiple different foreign people speaking broken English. Each person told me a different lie. They still refuse to cover tier 1 drug cost which they promise that they would cover. I had to pay full retail $$ with my Wellcare card. This company is comprised of liars who cannot get their story straight. I am stuck with these liars till January 2022 because the government forces me to have drug coverage.

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    Customer ServiceCoveragePricePunctuality & SpeedStaffCommunication

    Reviewed Dec. 28, 2020

    After signing up with WellCare, I had to follow up to see where my card was (there was a delay, and no communication from them). I learned that I would not get my card until WellCare received approval by Medicare. Finally got card, and then attempted to get my prescriptions filled only to learn that WellCare had entered my insurance incorrectly. They identified my WellCare plan as a "secondary" pharmacy plan and so CVSCaremark (who actually fills the prescriptions) cancelled my scripts through WellCare and I could not get refills. At least 5 hours worth of phone calls between WellCare and CVSCaremark, over a 2 week period and still no resolution from either company.

    Finally had to reach out to my physician and request that a SECOND set of prescriptions be submitted. WellCare kept blaming CVSCaremark, and CVS kept blaming WellCare. I am quite certain that this was WellCare's error in the beginning since they are responsible for submitting my pharmacy plan choice to Medicare for approval. Clearly, they submitted my choice as a "secondary" insurance and then declined to have scripts refilled because they were not listed as my primary plan. WellCare phone assistance horrible, difficult to work with the individuals who only follow a script, and they accepted no responsibility, did nothing to help me to correct this error. I have FINALLY straightened this out, but STILL waiting for medications to be delivered. I will probably have to take some meds every other day as I wait to receive my medications in the mail.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 17, 2020

    You can never get anyone who speaks English. Our ride today was late. Had two other people in the car. Had no seat belts and did not know how to drive. Her driving was erratic and if she had stopped short with no seatbelt on I would have gone through the window. I've seen teen drivers drive better & my hubby is waiting on package that's a month overdue.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 2, 2020

    It is impossible to talk to Customer Service in the USA. All calls are sent to the Philippines. The person there has to transfer the call back to the US in order to handle the problem. I waited for over one hour for a very nice representative in the Philippines to get the correct person in US and she still couldn't get that person. I don't have the time to give to Wellcare so I am cancelling my Part D policy. Humana answers the phone quickly and handles the problem very quickly.

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    Customer ServiceMaintenance

    Reviewed Dec. 1, 2020

    I have been trying by phone and message/email to get answers pertaining my specific medical situation to see if I might benefit by transferring into WellCare's Medicare Advantage Dividend plan. WellCare's own summary of benefits says people should get answers to these questions before they apply. Two separate email requests for info have not worked, and neither have phone calls to Customer Service. Either they can't answer the questions or they ignore the questions (in emails) entirely, that is if they answer the email at all. Looks like it might be a good plan. Who knows??

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    Coverage

    Reviewed Dec. 1, 2020

    I tried to switch my Medicare insurance with WellCare, it was a nightmare. Twice they messed up the application and keep denying it. I spent hours on line to talk to them, do not waste your time dealing with this company.

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    Customer ServiceCoverage

    Reviewed Nov. 30, 2020

    I have been with WellCare for this past year and I actually don't have a complaint about the coverage. I am dropping this company because they are UNREACHABLE. I have tried several phone numbers and the results are always the same. As usual, the automated recording offers different options, but no matter what option you choose it just takes you in a loop back to the beginning. The only exception is when you choose option #4 which is to leave a message, you just get disconnected. It is beyond frustrating.

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    Customer ServicePriceRefunds & Payouts

    Reviewed Nov. 25, 2020

    I had signed up with WellCare because of $0 premium, even give me money back on my Part B Medicare premium. But their customer “service” is beyond incompetent. Never can give me an answer to my question. Say they will call back with answer. Nnever do. I called Monday to ask question and was told they had a computer problem and could not access any account. Please call back in one hour. Same thing Tuesday. And you guessed it. Same thing today, Wednesday. Time to shop for another company. Benefits are not worth the aggravation.

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    Customer Service

    Reviewed Nov. 18, 2020

    Customer service people don’t know what they are doing at all!! Cannot even answer a simple prescription question on the phone for over a hour and no answers. Very very stupid people in customer service. Don’t use WellCare for your part D prescriptions!!! You will be very sorry if you do.

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    Customer ServiceContract & TermsPricePunctuality & SpeedStaffRates

    Reviewed Nov. 17, 2020

    Don't be fooled by the relatively inexpensive monthly fee because you'll be disappointed, as I was, when you discover how expensive the prescriptions are to fill. The customer service dept is obviously somewhere in Asia. Can't understand them at all and they don't seem to know much about the products, even when I asked for a supervisor. Super long wait times on the phone. They wouldn't let me cancel when I discovered my prescriptions, even generic were ridiculously expensive. They quoted me a price of $1,000 for a 30 day supply of a generic drug I had gotten prior to being on Medicare for no more than $60. Even to cancel at the re-enrollment period is taking me several phone calls to different agencies.

    They should remove the "Care" from their name because runaround is a more accurate description of what they provide. Good RX is the way to go. No commitment, no upfront fees, no network. Until the end of this year I am paying a monthly fee for a WellCare prescription plan I'm not using. Seriously, do not even bother with them.

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    Customer Service

    Reviewed Nov. 4, 2020

    Have been on phone for an hour trying to change my plan. They put me on hold five times and sent me to two different people. Horrible service. Asked me to take a survey, then hung up on me before I could do it.

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    Customer ServiceCoverageTechPricePunctuality & SpeedStaffBillingRatesTimeliness

    Reviewed Oct. 27, 2020

    This HMO health insurance is beyond weird and extremely unprofessional. They currently have a bunch of low ratings on Google. Last year during my pregnancy they cancelled themselves on the EXACT day of one of my doctor's appointments. They stated that my service from them ended the SAME day it started when I called to complain.

    Then right before I had my baby, they didn't want me to change to a different HMO provider. They began to call me to solicit home health aide vital signs visitations AFTER I found a place to live after being homeless for 4 months. They claimed they could help me with groceries, section 8, rental assistance and bills and they never contacted me back for THAT help, either.

    Then this company told me to go online on Careresource.org to request a physical doctor after I called Dr Patrice ** directly which was the doctor on my insurance card. So when I followed their instructions, NOBODY EVER CALLED ME to assign a doctor's appointment for me AFTER 3 ENTIRE WEEKS. I finally filed a complaint against this entity with Medicare to only attract another person from StayWell WellCare call me afterwards telling me they were gonna call me the next day to schedule me a visit with Dr Patrice **.

    THEY NEVER CALLED BACK. They're more interested in playing games with people's HEALTH. I had a baby in the month of May, 2020 and I could be dying RIGHT NOW and it would have been the FAULT of this unprofessional company for not giving me any medical attention which I've requested and NEED. I wouldn't recommend this insurance to ANYONE also being that a walk in clinic will charge you at least $50 for a quickie visit with StayWell WellCare as well, and usually their copays at drug stores are quite costly.

    Because I gave this company no "control" over my life, they never wanted to HELP me with my health or other "promised" needs. This company probably is used to "governing" the innocent lives of the elderly. I currently switched back to a different provider who are a better group of people and are more serious about my health.

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    Customer Service

    Reviewed Oct. 26, 2020

    WellCare has the worst customer service and phone system! They are rude, impatient & don't know what they are doing. I called and was transferred to 7 different people. I had 3 simple questions that should have taken 1 minute to answer. I spent 1 hour 11 minutes and 5 seconds and never got my questions answered! Horrible company. Don't bother with them!

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    Customer ServiceCoverageRefunds & PayoutsMaintenanceStaffBillingCommunication

    Reviewed Oct. 21, 2020

    Hello, while this feedback note is somewhat long, I STILL believe it will HELP YOU to AVOID EVER SIGNING Up with WELLCARE. In FACT, STAY FAR AWAY FROM them. A 'heads-up' note, I am quite tired while typing this, so please excuse any possible grammatical errors. Thank you. Anyways, back in August of 2020, my Mom had hip surgery. She went to get a PAIN Rx filled, and the pharmacy said she wasn't covered for the prescription. Please keep in mind that in 2019, she was having monthly premiums taken out by AETNA from her Social Security.

    When I called the phone number for AETNA it was no longer valid. IN FACT AETNA was BOUGHT OUT by WellCare. Was there ANY notice given to my Mom for 8 months about this? No, not one piece of mail regarding this. Please also keep in mind that my Mom doesn't use Rx very often, because she is quite healthy. In this situation though, she needed this particular Rx for her intense pain from her hip surgery. Anyways, I said to the representative when did this takeover happen? She said back in Jan. of 2020. The representative told me that my Mom hadn't paid anything since Jan. 2020. In the bed, my Mom said this is absolutely not true.

    After I did more inquiries with the representative, I found out that my Mom AS WELL AS MANY OTHER MEMBERS did Not have their account with Aetna transferred over successfully by WellCare. As a result, payments stopped happening in January 2020. Again, my Mom doesn't often use prescriptions, so she did not know about this. And in fact, WellCare NEVER informed my Mom about their acquisition of Aetna, AND they NEVER called or notified her that they hadn't been receiving payments from her. Specifically, WHY did WellCare NOT send her a notice in the mail back in FEB. 2020 stating that she needed to PAY her JANUARY 2020 bill??

    After my frustration with the representative, she said, "I completely understand, and your Mom does NOT need to pay ANY back pay, because it wasn't her fault, it was ours." I said, "thank you, and that is FAIR." She said she only owes for August 2020 and for the upcoming September bill. My Mom was RELIEVED and so was I. Well the story unfortunately doesn't end there.

    About a week ago, my Mom received a call from WellCare saying that she owed close to $1,000 for not paying any of her premiums since Jan. 2020. She could not believe this was happening. She called me, and I have spent close to 3-5 hours on the phone with NUMEROUS representatives AND so-called 'Supervisors' who have told me that they didn't see any notes about my previous call with this rep. I spoke with back in August 2020 after her surgery. I said, "That is not my issue, and that I was PROMISED she would Not have to pay ANY back pay, because WellCare FAILED to notify my Mom of ANY changes from Aetna."

    This company should have their license PULLED, REVOKED and NEVER able to practice this kind of business in the USA ever! They are horrible! In fact, just to back myself up, here is a CLASS ACTION LAWSUIT against this AWFUL company. **. Finally, another frustrating situation is that NO matter which 800 Number you call for them, they ALL GO to an OVERSEAS 'Customer Service' Dept., which I feel makes ANY situation that much more difficult to FIX. **** STAY FAR AWAY from this COMPANY. ****

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Oct. 16, 2020

    My wife and I moved from KY to GA and notified Wellcare of our change of address. They then advised me I was out of the geographic area and would need to enroll in another plan. The plan had the same name and a premium which was $1 less per month. I started communicating with the "Customer CAREless" department. They rattled off a bunch of things which I presume to be legal. I was able to get the change of address done in three separate 1 hour sessions having been transferred to a number of agents. You can't talk to the right department unless the CC agent has talked to you first... The agent lets me know they have an account associated with my number and proceed to give me the address which they wanted to confirm.

    I was then transferred to another department which confirmed everything the CC representative had been provided. I again was told I needed to be transferred to another department... dis-enrollment department. I talked to them and was told I needed to talk to the Plan Change Department. I had to again confirm who I was and they proceeded to tell me I had moved out of the area and had to enroll in another plan...which I had told them earlier. Near the end of each discussion of an hour or more they played six different audio clips to which I had to say "I Agree".

    I did this three times as I was receiving emails, phone calls and letters indicating my coverage was going to lapse and I would be disenrolled unless I got back to them. They then called to let me know they had to verify that I was who I said I was and go through all of the information again...moving, changing plans, legal gobbledygook. Needless to say this wore me out and I still am not sure I will be able to get the coverage I intend.

    They are inept, few speak good English...and apologize profusely for having me wait and take the time to complete this process. When we changed to other addresses of our life insurance, annuity, LTC and health insurance, the time required was less than 5 minutes. How they stay in business I don't know; however, I would love to do a consulting project to eliminate the paperwork and number of foreign people working...albeit in an unprofessional manner. They do stay to the script but repeat and transfer and confuse. Frustrated in GA

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    Customer ServicePriceRates

    Reviewed Oct. 3, 2020

    I recently moved from California to Nevada. I called Wellcare to change my address and the change in address required a different plan (really same plan but different price). It took 1 hour 10 minutes on the phone to accomplish this task. For my husband we tried a different plan and went on Medicare.gov and changed the plan. Change was very easy but Wellcare called to verify and he spent 30 minutes on the phone. People we talked to could not get the information we gave correct without endless repeats of the same info. In the next open enrollment period, we will choose a different carrier since I fear if there was ever a problem we would never get a solution.

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    Coverage

    Reviewed Sept. 25, 2020

    I've been using the same pharmacy for years. I've had this insurance for a year and now they are telling me they will no longer cover this pharmacy. Imagine, cancelling my pharmacy in the middle of a pandemic. They expect me to go to a national chain that I've tried in the past that had horrible service just like this horrible insurance company. Don't walk away, RUN!

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    Customer ServiceCoverageStaffTransparency

    Reviewed Sept. 23, 2020

    Their automated phone system does not have an option to SPEAK TO A REPRESENTATIVE. I made a simple address change online. Wellcare left me a phone message asked me to call (their automated), not a person but their frustrating system. When I did get to speak to a representative (after opening a HELP TICKET ((the only way to contact them))), they explained that while there would be no change in my Wellcare coverage even though I moved from Florida to Georgia, I still need to engage their system so they can update their Plan Number...I asked to speak to a manager and got the same unacceptable response. I told the manager to make a management decision and send me a new card with an updated PLAN NUMBER on it....I told them for $21.90 a month I will go somewhere else for my prescription Medicare supplement. YOU CAN'T FIX STUPID.

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    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 18, 2020

    I have been using WellCare for my drug insurance on Medicare. If you don't need to contact them by phone, all goes well. If you have a problem or need information, this is where they fall down with a thump. My experience in trying to get a less expensive equivalent drug has been disappointing. To start with the phone experience is initially automated. It took 4 tries for the computer to get my birthdate. It kept playing back the wrong year. After that I asked to be connected to the pharmacy. I was connected to an intermediate person both times I called and this person could do nothing but verify my identity.

    When I finally got the pharmacy, they verified my identity again. On my first call the representative was supposed to return my call with information I requested. After 2 weeks I gathered that call was not coming. I called back and repeated my first experience described above. This time I only needed to repeat my birthdate 3 times. When I finally got the pharmacy, the representative gave me incorrect information. While on the phone with her I looked up the drug and found the correct information. When I told her my experience, she said I should talk to my doctor. Of course I had already talked to my doctor who suggested I call the insurance company for a less expensive equivalent drug. Doctors can't be expected to know what insurance companies will charge for a drug. I will not choose WellCare again for my drug insurance.

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    Customer ServicePriceOnline & AppRefunds & PayoutsBillingRates

    Reviewed Sept. 16, 2020

    My wife required a drug whose retail price for 42 tablets was $1865.95. It is a Tier 5 drug on the 7/2020 formulary that requires a 25% co pay. The should be $466.49. Instead, WellCare required a payment of $782.52 suggesting that included an unpaid deductible. Yet all prior prescriptions used the co pay to reduce the deductible. In this case they charged the deductible and then added dollars to bring the actual co pay to 42% instead of 25%. They will not explain or justify the additional dollars. I will be switching at the next enrollment. As an aside, their customer service is atrocious.

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    CoverageStaff

    Reviewed Sept. 4, 2020

    WellCare is a bad company. A huge mess is paying. I paid with an online check, which didn't come even though my bank sent it. The bank proved they sent the money - and they didn't receive it. I believe in my bank -20 years I keep money and I have never had any problem with paying (Valley Bank). They have an excellent PC pay program. Briefly - escape from this insurance, which I have already done.

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    CoveragePunctuality & SpeedStaff

    Reviewed Aug. 17, 2020

    I left Well Care after 2 months. They told me I was covered for a service, then said I wasn't covered, over & over again. I wasn't covered for anything! I had 1 choice for a Dr & other services 30 miles away. After I canceled my account, they said I needed a prescription account so I said put me on the plan I had in 2019. They didn't do this & gave me a plan where I'm paying more and it was too late to cancel. They're out to lunch folks!

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed Aug. 10, 2020

    I am disgusted and dismayed with the level of customer service at WellCare. With the number of billing errors made, multiple disconnections, customer service representatives who are difficult to understand and unable to make decisions, and transfer from department to department with the promise of a callback that is never received, it has been a nightmare. I would not recommend this company to anyone looking for Part D, and can't wait til the next open enrollment to go with another company's plan.

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    CoverageOnline & AppMaintenanceBillingEase of Use

    Reviewed Aug. 9, 2020

    I do not recommend Wellcare for Medicare Drug Coverage. I recently got a ** Shot at my local pharmacy. Wellcare provided no payment coverage although they say the vaccinations are covered. I contacted them online via their website, which was extremely difficult to navigate. The directions provided did not work. I was unable to obtain the form needed to request direct reimbursement for my ** Vaccination. Mind you, this is a shot recommended for all seniors and at least partial coverage should be provided by all Medicare Drug Plans.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 7, 2020

    I moved my mother to another state during the July and August timeframe. About July 24, I called WellCare about how to move and continue Wellcare coverage from one state to another and gave them what her new address would be, they never offered to switch me to the plan change department. According to them it seemed that all you had to do was to change the plan code from TN to GA. They told me to call back the first day she arrived. I told them that would be Saturday Aug 1 and they told me to call Monday Aug 3.

    When I called, they had terminated the plan because of the change of address. I never told them to cancel or terminate. Now my mother will not have drug coverage the month of August until she reapplies and then it will be Sept 1. I filled a grievance on Monday Aug 3. I was told I would be called in 3 business days of the results (which never happened). I was also told a supervisor would followup on Friday (which never happened). I called again Fri Aug 7 to get the results and was told I had to reapply again or file another grievance.

    In the transcript that was read back to me from from the date July 24 there was a lot of added detail that was never discussed with me. Information I would have needed about what would happen if you changed an address with no mention of cancellation. On the Aug 3 transcript the grievance information was lacking in details about how to resolve this without reapplying like they should have done in the first place. I spent probably 4 hours in all getting switched from one representative to another. I kept repeating the same information every time. I was on hold most of the time. My 85 yr old mother still does not have insurance. I have not call the State of Georgia Insurance Commissioner and I will be telling my Congressman. And anyone else who will listen.

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    Customer ServiceCoverageRefunds & PayoutsStaff

    Reviewed Aug. 6, 2020

    As a clinician, this company is extremely difficult to work with. You are routed to the prior auth department to speak with a representative located in the Philippines. All reps sound the same as if they're speaking through a vocoder. You can barely communicate & Medically Necessary treatments are held up from dispensing until they go through the review process. You may spend hours on the phone for them to deny, then another call to an individual who asks for patients allergies - they don't know what ** or ** is - how do you spell? I feel so terrible for the patients who pay for this insurance & you have to be routed to another country to speak with someone who has NO medical knowledge & can't speak English clearly. This is very disturbing - in the end the patients suffer - reroute your calls back to the US please! Let's take care of the patients. They live in the US - not overseas.

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    Customer ServiceCoverageTechStaff

    Reviewed July 31, 2020

    This Medicare advantage company committed fraud to take advantage of my 87 year old hard of hearing mother. She thought she was asking for information only and was tricked into enrolling in a company. They basically stole her Medicare and covered nothing!! None of the providers in her area accept this product. She had an excellent medigap policy that was calling and could no longer assist her because of this fraudulent enrollment. No one in their so-called customer service even speaks understandable English. I was able to disenroll her by contacting Medicare through 1-800-medicare. Filled complaint and was immediately able to get her benefits and medigap coverage through United healthcare back. Many thanks to Skylar Thompson with Medicare. Well Care needs to be SHUT DOWN! DO NOT ENROLL!!

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    Customer ServiceStaffBilling

    Reviewed July 2, 2020

    After reading of the other headaches this company routinely provides, there’s not a lot I can expound on. Their customer service reputation is warranted. I’m happy to be moving on as I was transferred to a supervisor, Monica, who wasn’t able to access billing questions past March 2020. Her robotic and dismissive tone wasn’t exactly welcoming- her not having access to information was notably surprising. I feel she did as little as possible to assist. I care about my health care needs and suggest that anyone else who does find another prescription drug company.

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    Customer ServicePriceStaffRates

    Reviewed June 22, 2020

    I can only say one thing about this so called company, DROP THEM LIKE A BAD HABIT!!! Total chaos in this company no one is on the same page. I think they should be investigated by the the federal government for all the fraudulent answers you receive from their customer service reps and so called supervisors. This company is out to rob you blind. They make their own rules month by month changing deductibles not notifying you until you get your prescription filled. I wonder if the CEO knows what's going on his own company. No wonder this rates a one star. Should be ZERO!!!! All these reviewers can't be wrong. We're all saying the same thing.. Please shut them down.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed June 10, 2020

    Customer service is the worst. Don't have to write a thing, all the other one star reviews say it all, probably would not get transferred or disconnected so often if I spoke Filipino. As other noted they let you know your query has been fixed/taken care of and you wait months to find out it hasn't.

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    Customer ServiceCoverageTechSales & MarketingPriceStaff

    Reviewed June 2, 2020

    I had signed up with Wellcare in 2019 as my drug provider with Medicare. My drugs were covered as stated in their ad. So far I have refilled my prescriptions and the customer service rep sent me to a store that charged me. The second time I had the ** vaccine taken per my doctors suggestions and they would not pay it. I had to submit it for review and they would not even look at it till I paid the $320 in full first then I could submit the claim. I have had to do more work and phone calls with this company than any other I have had. I will change providers this fall for sure.

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    CoverageRefunds & PayoutsStaff

    Reviewed May 26, 2020

    I've been trying for days to get my inhaler refilled, they refused to cover this medication that I have been on for many years. I have COPD and asthma and need this medication to breathe! Staywell/WellCare doesn't care that I am in immediate need of the proper medication to treat my conditions and is making the appeal process extremely difficult. They even insist I try an inferior medication, one I used many years ago and was switched from after it didn't work for me. After speaking to three people trying to get info on the documentation needed to resolve this, it's clear as mud! No help at all! I will be switching to another insurance company asap and until then end up paying for my medically necessary inhaler! Steer clear of this company!!

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    Customer ServiceCoverageRefunds & PayoutsStaff

    Reviewed May 14, 2020

    I was on the phone for 4 hours trying to make these idiots understand my husband no longer has my prescription plan coverage and needs the part d plan HE'S BEEN PAYING FOR ALL ALONG to begin paying. What a cluster **. When open enrollment starts again this joke of a company is taking a serious hike.

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    Customer ServiceRefunds & PayoutsStaff

    Reviewed May 12, 2020

    WellCare is a Medicare Advantage plan that provides the worst customer service in the entire industry. They maintain the position that it is required when you call them that you give out your date of birth. In my opinion that breeds identity theft. Shouldn't be part of the verification process. The only thing that's required should be you're a member identification number. That's more than enough to take it a step farther.

    They're Outsourcing American jobs to the Philippine Islands. You can't understand these people. They don't have any idea what your needs are and how to go about resolving any issues that may come up. A letter to President Trump needs to be written regarding this matter so we can bring American jobs back home to the USA. I contacted Medicare and in in-formed them about this date of birth verification process. Medicare informed me that it wasn't required so I followed up with a grievance. As Americans and paying for the service let's start denying them our date of birth as a part of the verification protocol.

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed April 27, 2020

    The so called customer service is non-existent!! First you have to make sure you are speaking to an American instead of someone in the Philippines with a strong accent you can’t understand. Then I’ve been transferred all around until someone is in the right department to handle my question!! My husband received a letter saying that he had requested a different premium payment option, which was false. It took me 35 minutes and 5 transfers before I get to someone who tells me nothing has changed and they have no idea why the letter was generated. I can’t wait for October enrollment because it sure as heck won’t be WellCare again!

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    Reviewed April 26, 2020

    I have had 22 claims denied from my oncologist and oncology radiology doctors, doctors that were referred by my PCP and approved treatments that saved my life and were medically necessary but denied blankety by ins without any review. 22 claims including a CT and PET.

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    Customer ServicePriceRefunds & PayoutsResolution

    Reviewed April 24, 2020

    They charged me twice two times and would have continued if I hadn't called. After several phone calls and almost three months, I still haven't received a refund. Even "refund escalation" hasn't worked. I keep getting a "follow-up" call assuring me that they are working on it. How hard can it be to credit my account?

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    Customer ServiceCoverageRates

    Reviewed March 28, 2020

    If you know the Philippine language you will be fine, but English is a second language at Customer Service. You must INSIST (their words) for them to transfer to an English speaking person. For the money I dish out this is a shameful way to save the company money. At another location this company received three stars. I bought their insurance based on that. It should never have received that rating. For me they are zeroes.

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    Customer ServiceCoveragePunctuality & SpeedBilling

    Reviewed March 23, 2020

    My husband sent Wellcare two electronic funds transfer (ACH payment) for both his drug plan and mine. The payments covered us both for the entire year, through to the end of 2020-- each payment was 158.40. The two separate payments were designated for each of us on the memo line of the ACH payment. However, only one ACH payment was posted - it was to my husband's account. No ACH payment was posted to my account. In fact, Wellcare insists no payment was made to my account. However, my banks has proof that Wellcare deducted two ACH payments from our checking account--One from my husband with his name on it and one from me with my name on it. I repeat, Wellcare only posted one of the two ACH payments.

    Two weeks ago, Wellcare sent me a notice saying my account was overdue and if I do not pay it immediately, they will terminate my drug plan. We have spent the last two weeks getting the runaround from Wellcare -- over the phone – waiting on line for hours on end and then, when we finally reach a person, they send us to their accounting department where we wait again to speak with someone. and then, the accounting department claims only one ACH payment was received -- namely my husband’s. They did not post the second ACH payment to my account – which, I emphasize, had my name on it. We have proof that Wellcare took the ACH payments out of our account. They tell us we must pay them again. I will not. Wellcraft MUST give us an accounting of my ACH payment they took from our account. Buyer beware is all I have to say.

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    Customer ServiceCoveragePunctuality & SpeedRefunds & PayoutsStaffBillingResolution

    Reviewed March 20, 2020

    Well Care was the insurance that essentially took over from Aetna between 2018 and 2019 for my father is on Medicare and was using Aetna and then Well Care for his prescription drug coverage. When I called in January to confirm that the transition was handled smoothly, the customer service agent told me that everything was fine and he could get his prescriptions. About a month later, I find out that the pharmacy is unable to accept his prescription drug coverage. Odd, because WellCare accepted a payment and they informed us everything was fine.

    The first time we call customer service, we were informed that because Aetna was showing non-payment before the transition, that WellCare would not cover my dad. They had already accepted payment. Furthermore, upon calling Aetna billing department, they discovered the non-payment issue was a mistake. This is about 2 hours into a phone call with WellCare customer service. They inform us that the issue will need to be escalated to a manager to handle and they would return our call in 24-48 hours.

    24 hours later, we do get a call back but the issue is not fixed, as the management team has not even opened the escalation. They promise to call us back in 24-48 hours. 48 hours later they call back. The new customer service agent though, didn't have any idea on what the original problem was (like he didn't read all the notes), and then once the situation was explained again, he still couldn't solve the problem. It needed to be escalated. He promised an agent would call back in 24-48 hours. It has now been 5 more days of waiting with no news, no solution. My father has now been without meds for over a month. WellCare is still accepting our money and not providing the service they are paid for.

    Cumulatively my father and I have been on the phone with WellCare customer service for over 8 hours, and still no solution. To a problem that is not our fault, and was a mistake from the beginning. I am so overcome with dissatisfaction and fear that my father is not getting the prescription drugs he needs for his health, and we don't have the money to pay for the drugs out of pocket, in hopes of getting refunded later. WellCare has been a NIGHTMARE to deal with since the beginning, I feel like they are blowing smoke, and I DO NOT recommend them at all. We are still waiting on a solution.

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsBilling

    Reviewed March 19, 2020

    I asked for a record of monthly premium payments. I changed banks and the old bank wouldn't supply the records without a stiff charge. I contact Wellcare and told them I needed the record. They said it would take 14 business days. Over 14 business days later - nothing. I called again and was told they would expedite it. I would receive a call the following day. No call. This is for my tax preparation and the refund amount is crucial due to the virus emergency. I was told they would email me the needed documentation.

    Called again and after long waits the person came on and said they would expedite it and what was my address. My tax appointment is tomorrow. The sooner I get the claim in the sooner I'll get a return. I switched coverage this year because of consistently poor service like this. Avoid at all costs unless you like waiting on hold, being given wrong information.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed March 18, 2020

    Attempted to get 4 Rx transferred to them vs. Kroger. After over a half hour wait for a live person, the employee got disconnected (their end) and did not call me back. As a healthcare exec, I find this service to be abysmal. Having someone wait 30 minutes for a live body is bad. Disconnecting the customer and not calling back when they have my number is worse.

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    Customer ServiceCoverageStaff

    Reviewed March 13, 2020

    Like many on here I transitioned in from Aetna. I was told three different things about how they were handling previous prior authorizations from Aetna, first that they would just be covered and rolled over and that was not the case when February 2020 came around and I started receiving denial letters for all my meds. Every time I call the prior auth department it seems like they just hire people off the street who have no knowledge of the WellCare computer system or how PAs work and just read off a script so if you have any questions it will completely throw them and they just give you the wrong answer to try and get rid of you. This is life and death for a lot of us and for WellCare to hire incompetent staff is irresponsible and inexcusable. They need to be investigated for fraud as they need to be held responsible for the misinformation their representatives are communicating to customers.

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    Customer ServiceRefunds & PayoutsBilling

    Reviewed March 10, 2020

    I paid my plan for 1 full year (my check was cashed). Then, I received a second payment book. I called the customer service and spoke to a supervisor who was an offshore person. He told me the reason I received 2 payment booklets was due to my address.... My address was the same on both booklets. Plus, the supervisor could not tell me what the address discrepancy was (since both were the same). I have a strong feeling this company is receiving double payment from members. Not to mention the waste of paper, which is passed on to - us the consumers. You bet next year Medicare enrollment comes around, I will not be signing up with this company again. They need audited and $ returned to those who paid double!!

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    Customer ServiceRefunds & PayoutsMaintenance

    Reviewed March 9, 2020

    WellCare is in the top 5 worst companies I have ever dealt with in 60 years. Promised smooth transition from Aetna, which I had 15-20 years with no problem, but even after hours spent on the phone, Wellcare can still not fix the problem. This is extremely serious. I cannot and should not have to pay for my medication. I will go into withdrawal if I can't get a couple of my medicines. I've spent $$$, that I shouldn't have needed because pharmacies say my PDP is terminated. This has been going on since the first of the year! Why is it still going on? I could die from this - no joke. I wonder if anyone else had this problem or if it is just me? Wellcare get your damn act together. This is absolutely ridiculous and shows a complete disregard for people like me.

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    Customer ServiceCoverageTechPunctuality & SpeedStaff

    Reviewed March 8, 2020

    Over two weeks of ** calls to Well-care Authorize Dept. In order for them to provide a ride to to a hospital that is 120 miles away. I live in a rural state. The two specialist I need to be seen by locally are want to be doctors that can't be anywhere else. They left a a deep hole in my leg open wound. It hasn't healed now going on five months. The wound has now spread and is affected elsewhere. Left from misdiagnosed treatment by their local specialist. They keep telling me everything is all set to go. So I call transportation that day to call they say it is outside their 30 mile radius. Will not provide transportation. So far three appointments have been canceled. Meanwhile my wound is spreading like wild fire from the size of a silver dollar to now four inches wide by six inches. Do they care. No.

    They sent me a lot gauze pads that are useless. The tread gap is large. You are better off just using sewing thread and wrapping the wound that way. So stay away from their pharmacy over the counter. You will do just as good going to to the Dollar Tree. Nothing but the cheapest Chinese garbage they could find. Thank god I rejected their offer on wrist braces. They most likely fall apart removing them their packaged. Well-care Medicare, Medicaid, MaineCare, insurances is not accepted by real doctors. Worst care providers around only accepts their insurances.

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    Customer ServiceStaff

    Reviewed March 4, 2020

    I called their customer service AGAIN because of an ongoing issue--I can't log in to the portal to order OTC items. The call took 45 minutes and I was asked for my Member ID and state I was in 4 or 5 times because the incompetent rep kept closing herself out of the screen she was on. Anyway, she told me that my username was all lower case letters and they had since changed the criteria, requiring an upper case letter. (For USERNAMES?) She said that usernames "stay with you forever" and that nobody can change it, that customer service can only change passwords. I laughed and asked her if she was telling me I could never log into my account again, which she confirmed! She said something like "you'll just have to call when you want to order OTC." Un-freaking-believable. You have to be ** kidding me. I filed a grievance immediately after talking to her. Great customer service, WellCare! Keep it up!

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    PriceRefunds & PayoutsStaffRatesTransparency

    Reviewed March 3, 2020

    Since Wellcare took over it has been a hassle to get my scripts! Always have to have a referral for meds from Dr. Co pays for certain drugs have more than tripled. Jan and Feb I only paid $8 for my **. Went to pick it up today and now they say it is $40. Same with another script that was only $2 and now it is $30. No explanations, no warning, no nothing! I am on disability and can not afford these prices. They said nothing would change when they took over. They are liars and apparently do not care for their customers.

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    CoveragePriceRates

    Reviewed March 3, 2020

    When Wellcare took over Aetna this year they told me that there would not be any changes to my coverage. Last January 2019 one of my prescriptions cost $3.00 for 3mos. (Tier 1 generic) with Aetna. This year in March same prescription & same manufacturer cost $199.00. Regulations won't allow a Prescription D company to exceed a deductible of $435.00 and that is what WellCare's deductible is now. What's wrong with this picture? Pretty obvious WellCare is a price gouger! All the reviews for WellCare Plan D have the basic same complaints. When are you going to get IT?

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    Customer ServiceStaffHonesty & Transparency

    Reviewed March 2, 2020

    I have not been able to log in to the portal since (not kidding) mid-December of last year. I've tried to reset my password but I always encounter an error that tells me 'the information provided does not match our records'. I've called four times since then. You can't just call web support-- you have to be transferred like it's some special department. After every call they tell me someone will get back to me and they never, ever do. They also give me a "ticket number" which is misleading-- it is not a number to track anything, just a reference number for the call which is absolutely useless. The reps are from Bangalore, and don't give a ** one way or the other. I've NEVER experienced anything like this-- not being able to log in to an account for almost THREE MONTHS. Unbelievable.

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    Reviewed Feb. 28, 2020

    Like others here, I ended up on WellCare Plan D as a result of their takeover of Aetna. My Doc submitted a script for a $12 generic med I take for an eye condition and WC denies it! Says take ** or **, both of which failed when I came down with this condition over 20 years ago. When a flare-up occurs, my sight is in danger, but their "experts" know more than my ophthalmologist. When renewal rolls around in Dec., it's goodbye to this poster child for customer disservice. Run, don't walk, away from this outfit!

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    Customer ServiceCoveragePriceStaff

    Reviewed Feb. 25, 2020

    WellCare has forced me to use their Part D prescription plan since they took over Aetna from CVS and now they will not answer me regarding my ATTESTATION submittal to see if it has been accepted. I am the Agent for my wife who has Alzheimer's disease and cannot communicate with WellCare. All I need is for WellCare to allow their monthly fees to be charged to my checking account. WellCare has threatened to Cancel our Medicare Insurance if they do not get a reply from us by March 31, 2020? I have a Insurance Broker and access to elder lawyers which I will contact if necessary and could add a comment to Yelp. Beware of WellCare!

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    Customer ServiceTechPriceStaff

    Reviewed Feb. 22, 2020

    I don't understand how a customer service group can be so completely incompetent, uncaring, unresponsive and ignorant of any content essential to delivery of a drug plan. Unbelievable. Forced into this relationship by acquisition of Aetna account has created a nightmare for gaining assistance to understand pharmacy options. Avoid this vendor at ALL costs.

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    CoveragePrice

    Reviewed Feb. 20, 2020

    Like many others have said, I was roped into WellCare when they purchased Aetna's medicare part D plans. What started out good soon turned into disaster. They covered my meds for the first month then everything changed. The costs all went up, one med is no longer on their formulary. Which happens to be the med that is most necessary. At first they said it was there, but if by some chance it was removed, I was to do what I did before with Aetna, which is to file an exemption. They claimed it is done all the time. No problems.

    Well guess what, it's a problem. Denied the exemption. Pushed the Dr's office to agree to a generic. Went to refill my Rx and see this generic med. WTF. Dr's office said they never changed it. Wellcare and CVS say they did. So now I'm either stuck with some generic crap med or no med at all. It's a PAH med, not some quart of oil. I refuse to take some generic med for a life threatening condition. This company flat out STINKS! Stay away if you can. I'd give zero stars if I could.

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    Coverage

    Reviewed Feb. 16, 2020

    Horrible company. I’ve had to fight for every Script. The told my pharmacy WellCare couldn’t approve as they were not my primary coverage. They are and I have had to prove it FOUR times now because they don’t fix their issues. It looks like fraud, feels like fraud, smells like fraud ... I think it is fraud!! They should be shut down!

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    Customer ServicePricePunctuality & SpeedStaffBillingHonesty & Transparency

    Reviewed Feb. 16, 2020

    When I initially chose Wellcare it was, called Welcare Texan plus. When it was bought out I began having communication problems due to foreign representatives. I have a habit of always calling into Welcare to make sure approvals are in order before having tests etc. I had a nuclear stress test done in the later part of 2018 and specifically told me my copay was $25.00. The institution I had it done billed me $121.12. Each months welfare told me the copay was $25.00 and each month I received a bill from the institution I had it done bill me for $121/12 forcing me to keep calling.

    Here it is February 2020 and they tell me I have to pay the $121.12 as it is 10% of the cost. I have spent hours, literally on the phone being on hold and communicating this issue and !literally reciting the documentation from their manual saying I do not have to pay. I even had an approval codes along with reference numbers from all the representatives I have called. I have filed a grievance but I still am stuck with the bill. The representatives you call the words "I apologize" is fixed in their brains for reciting. They read from scripts all the time and it is very frustrating telling you over and over to hold while they look into it or promises to call you back and never call you back.

    I have had complaints from my physician's offices as well when they have called on my behalf because something was in error. How can you trust a company when they stall and put you off or literally lie when telling you they will call you back. Texan plus Wellcare use to be a five star company. In 2018 it turned to dirt. Now it is, a zero star company.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 15, 2020

    I’m new to this drug plan. Attempted to call 3 times. No one speaks English and I was given the waiting to get a return call from broker to find a new plan. It appears they’ve outsourced their customer service to either the Philippines or India.

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    Customer ServiceCoverageTechSales & MarketingPricePunctuality & SpeedRefunds & PayoutsStaffBilling

    Reviewed Feb. 13, 2020

    As some of you may now know, Aetna Plan D business was sold off by CVS to WellCare (either in 2019 or 2018...both dates appear on various internet news articles). I contend that Aetna did not make it clear to their Medicare Part D insureds in a timely fashion that they were in the process of being sold off (had already been sold off to WellCare...whichever applies) and that, as a result, numerous Aetna Part D insureds were arbitrary with the sale passed over to WellCare. (I even found one old business article that said the amount to be paid by WellCare to buy the Aetna Part D business was between $1 billion and 1.5 billion, depending upon the number of insureds passed over to them as part of the sale.)

    What I received from Aetna by way of paperwork to do with the impending WellCare involvement as of Jan. 1, 2020 did not make it clear what the actual circumstances were and appeared to me to be more of a contract of some kind with WellCare to ... what?... collect the Aetna premiums for Aetna starting in 2020? There was a letter from WellCare giving a different (Chicago PO Box) address to send the monthly premiums to as of January 1.

    A card did arrive in mid-December - a WellCare membership card but, again, since I received nothing specifically informing me that Aetna Part D would be no more as of 2020 (and Aetna did increase my Part D plan premium and sent that notification on an Aetna letterhead late in 2019). I was deprived of my option to change my Medicare Part D to another insurance company entirely due to missing the annual legal window of opportunity which, in turn, was due to Aetna's failure to adequately notify of the true situation.

    It was actually due to following up on a specific prescription situation that I found out what had really transpired regards the sale of Aetna Part D to WellCare. Last summer one of my doctors prescribed a cholesterol lowering drug for me called **. ** is not a Statin and works differently from Statins. I can not physically tolerate Statins and so a drug like ** is vital for me to lower and keep down my cholesterol level. Since ** is a newer and much more costly drug at this point a doctor has to fill out paperwork showing medically why a given patient should be on the drug. The drug's manufacturer has a foundation through which, at least for now, the patient can qualify for a no pay situation on the co-pay but it has to be re-approved by the Foundation at the beginning of each year.

    In 2019 the application for ** had been filled out and faxed to the pharma foundation along with a requisite accompanying letter from Aetna stating that Aetna also approved the prescription and the amount of their co-pay if needs be. So for 2020 I needed to secure from Aetna a current letter stating the same thing as last year's and have Aetna transmit that to the pharma company. On calling to secure such a letter was when I found out that I no longer had Aetna but instead had WellCare. Not only that, but WellCare refused to provide me with the needed ** letter and told me they didn't cover that drug in their formulary.

    I then advised WellCare that a) I had never applied for any coverage from them for Part D - in fact, I had never even heard of them outside of the minimal paperwork received at the end of 2019 - and b) they were obliged under Medicare rules to cover the drug (I double-double checked with Medicare that this was so). So with WellCare still refusing to provide me with a ** letter and the fact that all their phone numbers that I could come up with ringing at some office in the Philippines and no way to get to talk to anybody in the U.S. with the listed home office of WellCare, I filed an official complaint with Medicare.

    Medicare did act upon the complaint within a week and, based on the circumstances overall and the basis of my complaint against both Aetna and WellCare, Medicare then gave me the option of retroactively having Part D coverage with an entirely Part D insurance carrier as of Jan 1, 2020. I definitely took them up on it, especially coupled with having done some research going back over a few years (news articles of various kinds I found on the internet about WellCare) at the historical record of WellCare.

    While I was providing the complaint information to Medicare they asked me if I had received a specific notification letter from Aetna in August/September timeframe sent out to advise their insureds that Aetna Part D was being sold and the coverage would no longer be available in 2020 with them and I said, "No, I had never received any such letter." The Medicare person then told me that lots of their insureds that had had Aetna Part D through the end of 2019 had told them the same thing! So although WellCare was removed as my insurance carrier of record for Part D and I have one I feel comfortable and trusting with, I am still not done with WellCare in that before I learned the true circumstances I sent the January and February premium payment to WellCare at the PO Box in Chicago that had in their letter that came in December.

    Now I am trying to get those premiums back. It's not that it's a lot of money (about $65 or $70 total) but nevertheless it's still owed me. However, I am back to getting only their Philippines office (which they seem to mostly use as a buffer between the insureds and their US office) and being given diverse information on when I will get the money back.

    So far I have been told everything from: a) "You were our insured until February 1, 2020"; b) "OK, we have corrected that to be January 1, 2020 but now we need to amend the instructions to refund 2 payments to you"; c) "A check will be going out within 30 days of this request"; d) "A check will take 14 days before its mailed"; e) several statements about having filed emails to their billing people for sending a refund to several other statements about how they show nothing in their system about prior emails for a refund having been internally sent so they are sending one now; to f) "We sent a check within 14 days of your first refund request (which was something like January 10) and the check is in the mail on its way to you already." Nope I haven't received any check from them so far, at all. I suspect it's far more likely I won't, either, if I don't keep on top of this.

    Given the number of complaints Medicare told me it had received to do with this Aetna/WellCare situation I am very surprised I haven't come across word of a class action against them mentioned somewhere on the internet. Especially since I also had found news information that, in turn, WellCare was in the process of being sold off to some other company, which sale should close around the middle of this year.

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    Verified purchase
    Customer ServiceCoveragePriceMaintenanceRates

    Reviewed Feb. 12, 2020

    When I learned that Aetna had merged or was purchased by Wellcare, I telephoned Aetna, asking if Wellcare's premium and current prices and benefits would be the same. I was told that all would be the same. I then called Wellcare, ask them the same question and was told that the no changes would occur with the takeover. After the changeover, I was notified that our monthly premiums for my wife and I had gone up from around $60 per month each for Rx to $78 per month. My wife is diabetic and was paying $47 for a thirty day supply of ** including one package of five ** and one more attached to the box.

    In January, 2020, it was time for a refill and my cost was $94 for the same product. I called Wellcare customer service, spoke with a smart mouth by the name of David, attempted to explain the situation and all he would say was "You had a time period until December to review the plans and make your selection"...he sounded like a broken record, apparently not listening to anything I said. I finally told him to go soak his head in a bucket of water and hung up. I then had an insurance broker investigate and she determined that they were charging me $57 for the one extra ** and only $47 for the five ** in the box.

    We both agreed that this made absolutely no sense. What appears to be a company ripping off senior citizens living on SSI with fixed income appears to be borderline fraud, especially in view of the false promises they made. The insurance broker also contacted Medicare and they couldn't or wouldn't do anything about it. Wellcare, in my opinion, is greedy, a liar and a cheat!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 10, 2020

    Wellcare took over Aetna and they had done a fabulous job so decided to give Wellcare a try. I can't get past this first year fast enough and away from incompetent CS agents who are all from another country. They absolutely do not care to help you out and I was even hung up on in one phone call from a CS agent. I signed my Dad up on 11/20/19 and here we are 2/10/20 getting my application denied time and time again for information they ask for, I give them and they say over the phone they don't have it. I am seven total phone calls in with 8 agents because one hung up and still nothing has been resolved. I am in the process now of filing a grievance and I most certainly will never use them again.

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    Price

    Reviewed Feb. 6, 2020

    Wellcare will only provide a small number of non-childproof caps. After you receive a few, you must save them to use on new prescriptions. I have been given no reason for this. I am 69, have arthritis in my hands and no children in the house. Reusing caps is an inconvenience, to say the least. I was put on hold 3 different times by 3 different people for a total of 30 minutes to get 6 regular caps after I received 7 prescriptions through mail order and 6 of the 7 had childproof caps after I requested regular caps a few weeks ago. These plain caps must be very rare or very expensive for Wellcare to treat them like they were made of gold. Ridiculous.

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    Customer ServiceCoverageRefunds & PayoutsMaintenance

    Reviewed Feb. 4, 2020

    When Aetna switched over to WellCare I received a pmt booklet. I called on Jan 5th to have my monthly drafts set up. I specifically told the girl to set up the first draft for Jan 15th. The draft went through on Feb 1st. So, this put me behind for Jan draft. I called to fix the problem and I was told to speak to someone on Monday to make sure the draft date is corrected. Ella made me pay for Jan draft over the phone by cc. And told me that I would have to cancel my draft and start over to get things corrected for the draft to go out on the 15th. The first girl messed the entire process up. I was on the phone for 43 minutes trying to get this resolved. I am very disappointed with WellCare customer service. I will consider shopping elsewhere for insurance.

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    CoveragePricePunctuality & SpeedStaffBilling

    Reviewed Feb. 4, 2020

    WellCare is going to destroy people's credit and put them into bankruptcy! They either do not pay or take so long to pay that medical/hospital accounts go into collections. They "hold" payments so long before releasing them that the pile of Bills and paper work becomes so overwhelming you just give up. The wait to speak to a representative is often 2+ hours and IF you finally do get a person they don't help and you can't understand them. I may never get out from under the mess of Bills they have left me with. I had Wellcare as a medicare advantage plan. After a year of suffering with them at 0 premium monthly they dated to start charging a monthly premium. As a disabled person I was able to change ins coverage, but not before they have destroyed me financially.

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    CoverageStaff

    Reviewed Feb. 4, 2020

    I never leave reviews. I strongly suggest that you run, do not walk away from WellCare. They do NOTHING they say or promise. Change forms and send wrong forms to doctors to completed. Change tiers on medications .....FRAUDULENT tactics. This is about medications, not wrong shoe size!! CSR barely speak or understand English. CSR in the states are clueless. Reporting company to the State Insurance Board, Medicare and the Attorney General’s Office.

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    Customer ServiceStaffTransparencyHonesty & Transparency

    Reviewed Feb. 2, 2020

    Updated on 6/25/2020: These people lied in mind me on for 3 weeks regarding meal help after my surgery for 3 weeks. I talk to about 11 different people and spent about nine hours on the phone and got all different stories all different processes never the same answer and still no out. They do not provide meals to anybody that has been not hospitalized for three or more days but yet they don't tell you this in the manual and or they didn't tell you this when they sign you up. Horrible people that will keep you wondering for weeks and weeks and weeks and then not help you and leave you hanging with nothing.

    Original review: I've tried calling in on three different days now to be told that they are having technical issues and I need to try to call back in a few days. This has not been a good experience. I don't enjoy having to try to figure out when I can keep trying to call these people and interfere with a week of my life while they try to get their computer equipment to work right. Meanwhile I go without for the week that this is going to throw everything off for me. Just bad business. They don't offer any good reason for why they're having such technical issues either.

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    Customer ServiceTechPunctuality & SpeedStaff

    Reviewed Jan. 31, 2020

    I called WellCare four times before I was able to make an appointment to see a dentist. A crown on a molar broke off so it was a fairly urgent matter. I was put on hold twice and eventually, the call dropped each time. On another occasion, I was routed to the wrong department. Each time a call is placed, you have to go through a lengthy verification.

    After seeing the dentist, I was informed that I need to get a root canal. The dentist said I need an orthodontist and that I should call the customer service line to get referrals. When I called, the representative said she cannot give me a referral and that it must come from my primary care physician. I don't understand why a PCP would be the one to refer me to a dentist. When I complained that this doesn't seem right to me, I was put on hold and no one ever came back to the line. Shabby treatment!

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    PriceStaff

    Reviewed Jan. 31, 2020

    I was given a prescription for generic ** which was sent to CVS. I went to pick it up and they told me it cost $160 for one month supply. ** has been around for 50+ years and is a generic medication but Wellcare placed it in tier 3 so that they could rip off their patients. I am a dentist and I went to my dental supply company and got a month's supply for $10.

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    Customer ServiceCoverageStaffRatesTimeliness

    Reviewed Jan. 30, 2020

    In December 2019 I switched my Medicare Part D coverage to Wellcare who works through CVS Caremark. I submitted a request for my medication on 1/26/2020. Since I am new to Wellcare CVS Caremark, they needed the prescription. I looked up my Dr. on the CVS Caremark website and submitted the order. It was accepted and I received a confirmation email.

    Today (1/30/2020) I logged back into Wellcare's website and checked order status. They had no order on file. I called Wellcare (888-550-5252). After being transferred about 5 times (I lost count) I was finally connected to an agent who said that they had fax'd my Dr's office and received no response so they deleted the order. When I said I'd gotten no notification (no email, no phone call) that Wellcare CVS Caremark was having trouble and had cancelled the order, she said that someone had called my home phone earlier this morning. There was nothing on my answering machine from them.

    The agent suggested I call my Dr's office and have them submit the prescription. Although I don't work for Wellcare CVS Caremark (in theory, they work for me) I did so. My Dr's office said they had no record of receiving a request. In less than a minute, the agent had submitted the prescription. After my experience with Wellcare CVS Caremark "customer service", it was refreshing to work with someone competent. We'll see how long it takes for this prescription to make it through the nightmare that is Wellcare CVS Caremark. I wish there was a zero stars rating.

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    Customer ServiceCoveragePrice

    Reviewed Jan. 29, 2020

    When I was moved from Aetna to WellCare I was told the cost of the insurance and coverage would be the some and I called WellCare and checked on the Drug Coverage and got the same info.. When I went to get my medication I found they had changed the Tier Level of two of the drugs from Tier 1 to Tier 3 and my cost went from $26 for 3 Months to over $300 for 3 months. ALSO, My cost for the insurance was to come out of my Social Security, but when I called I was told I had a Past Due Account and had to settle it or it could affect my credit. It appears Wellcare takes 3 months to set up the Social Security draw and that let your accounts go past due and Wellcare appears to think it is the customer's problem..

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    Customer ServicePriceStaff

    Reviewed Jan. 28, 2020

    I have called WellCare three times over taking my premium out two different times. They will tell me that it will be removed from my bank account and not do it. They transfer my call to a special team of theirs that does not know anything. I cannot get anything done about it. Rip off company and unprofessional staff. So disappointed my husband took out this drug plan!!!!

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    Customer ServiceCoverage

    Reviewed Jan. 28, 2020

    Like many other of the reviewers I was switched by Aetna to this company with coverage commencing Jan.01.2020. I was due to get my prescriptions refilled 3 days ago and so far they have refused to pay and this is also after my doctor contacted them. The phone number on your membership card is designed for mail-order customers and the chances are your call will get dropped or never be answered by the correct department. When I got the right department the person handling my case couldn't spell and seemed close to being illiterate. I had had a similar problem with Aetna but it solved to my satisfaction within 30 min. So far it's been about 80 hrs. since I contacted WellDon'tCare, I ran out of meds 2 days ago and I have no idea if they plan to pay. I have already switched insurance companies beginning February.

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    CoveragePriceStaff

    Reviewed Jan. 28, 2020

    We signed up for our Medicare plan D prescription coverage with WellCare. When my husband placed his order for **, a documented tier 2 drug, we were charged $86.62 instead of the $20 co-pay. When we questioned the WellCare representative, she insisted it was a tier 3 drug so was allowed to charge the full amount. We asked for documentation and she refused. By their own admission published on the internet, it is a tier 2 drug. Every other prescription plan offers it as a tier 2 drug. Clearly, WellCare is fraudulently overcharging its customers. This has been reported to Medicare and we will continue to dispute this charge. Hopefully, Medicare will drop WellCare from its prescription plan offerings.

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    Customer ServiceRefunds & PayoutsStaff

    Reviewed Jan. 27, 2020

    I selected WellCare's Part D Prescription Plan even though I take no medications. WellCare assigned me two different account numbers. I paid the full 2020 year and the check was cashed, which turned out to be an overcharge on their part. It has now taken me 3 weeks and 12 phone calls + computer "chats" to attempt and get my almost $100 refund and still no one has resolved the mistake. DO NOT SELECT this company for anything. Their service is non-existent. All phone calls are with staff whose first language is not English (I speak multiple languages) as are the computer chats. As well, no one seems to be authorized to send me a refund check, even the supervisors. I repeat, DO NOT USE THIS COMPANY for anything.

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    Customer ServiceCoveragePriceBilling

    Reviewed Jan. 27, 2020

    My Medicare Part D coverage was switched from Aetna to WellCare. Ever since I have had problems getting my basic generic prescriptions covered. Multiple calls to customer service for hours have not resolved my problems. Basically the pharmacy reports that I have other primary coverage and WellCare denies my prescriptions. The coverage that WellCare claims I have is Aetna that they purchased and switched my part D coverage to WellCare. I am in a catch 22 situation in which WellCare denies payment because they claim I have primary coverage from Aetna which they purchased and transferred to WellCare but I cannot get them to acknowledge that they are the primary coverage. They collect the premium but will not cover any coverage.

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    Customer Service

    Reviewed Jan. 26, 2020

    The phone associates are absolutely incomprehensible. They cannot be understood. A member gets shifted from one associate to another. System is always down so they can't access info. They have no idea what they are doing. Obviously have too many members - not prepared for this. Do not sign with this company. How can the CEO, Ken Burdick sleep at night? I really do not know what to do to get their attention. Medicare should not approve using this company.

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed Jan. 24, 2020

    I enrolled with Wellcare late last year. They sent me a letter indicating I was approved for 2020 and sent me a payment booklet. I paid the full year's subscription, which Wellcare collected on January 9. When I went to fill my prescription on January 24, I found out my subscription had been terminated. I called Wellcare and spent more than 3 hours on the phone being transferred from one person to another. In total, I spoke to more than 10 customer service agents, but none of them could explain why my application was pending. Needless to say, I can't get my medication for a few more days until this is resolved. I'm extremely frustrated.

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    Customer ServicePrice

    Reviewed Jan. 24, 2020

    For the past three years my blood pressure medicine, **, has cost about $3.00 per month. This year, after Aetna merged with Wellcare, the cost went up to $40.00 per month. ** is a standard blood pressure drug and there is no reason for the exorbitant rise in its cost except that "they can" charge for it. All of the blood pressure drugs in my category were the same expense. Plus, the customer service is a joke. You are routed to countless automated services before you get a "live" person who often seems very inexperienced. I can't get out now until next year.

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    Customer ServicePunctuality & SpeedStaffRatesTransparency

    Reviewed Jan. 22, 2020

    Like others, I too have spent forever on hold, been told by multiple reps I needed a different dept, been put on hold again, and/or the call would be dropped. I’ve lost count of how many times the rep said they would ‘call me back.’ Did not happen. Like others, we had Aetna and ended up with WellCare. Shame on us for not checking out the company before it was too late. I went from paying NOTHING for my medicine to being told it will be $444 for a month’s supply (went from tier 1 to a tier 4). Trying to get the tier reduction has taken over a week with NO resolution in sight! My doctor’s nurse has tried in vain to contact WellCare on my behalf and was also caught in their revolving door of reps. They have poorly trained representatives who have perfected the skill of STONEWALLING!!’ I was actually told by one rep to ‘go to the ER to be checked out in order to get my med while the tier reduction process was ongoing. What planet is this person on!!?

    Learned yesterday from a supervisor the delay is because they never got the proper forms. My doctor’s ’experienced’ nurse has faxed them THREE times! Interesting to note: Every time I called last week for a status update. I was told the case was ‘under review’ and I’d hear within 72 hours. It’s been 8 days and I’m Back to Square One with the phone calls and holds. What a nightmare! Think we might want to start a support group! Please RUN from this company if you can. I feel for anyone who opts to give them a try.

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    Customer ServiceTechStaff

    Reviewed Jan. 22, 2020

    Forget Customer Service or Care. The other day the queue for the Chat was 135 people in front of me. Customer Care is also horrid. The support people do NOT know what they are doing, can't answer questions and often give you the incorrect information. This Company is just what You Don't want as a healthcare provider. Leaving the first chance that I get.

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    Customer ServiceCoverageTechPunctuality & SpeedStaffRates

    Reviewed Jan. 20, 2020

    Not one to complain so sending out a true warning. Run from WellCare if you're in Pima County AZ. I have spent over a month trying to find one dental provider in network. Zero located and customer service will hang up on you and provide continuous dead ends. Vision?? Same. I was assigned a Nurse as my primary care. Horrid insurance plan! Go with a well known insurance company as WellCare is not interested in you or your health, this much I know!! Run as fast as you can!!

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    Customer ServiceRefunds & PayoutsStaff

    Reviewed Jan. 18, 2020

    I can appreciate everyone around the world wanting a job to help pay for their family and their needs.. WellCare provides jobs in India for customer service representatives. The only problem is you cannot understand a word they’re saying. They sure are nice but the language barrier is just way too much especially for older people. Worst customer service response time ever!! This is a nightmare!! Try and see if you are able to get your RX help elsewhere!!

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    Customer ServiceStaffCommunicationTimeliness

    Reviewed Jan. 17, 2020

    I was trying to find a doctor. First call I was transferred 3 times, struggled through repeated comments of not understanding me, and obviously new employees. I was given a name of a doc taking new Medicare Advantage patients. After calling SIX different clinics, each with an average of 12 GPs, I gave up for the day and took a large dose of **. Repeat experience the next day. I ended up contacting an Agent and changed health care plans.

    1. Poor communication skills. The people I talked to did not understand English and had thick accents, difficult for me to understand.

    2. Failure to verify the information they were providing as fact.

    3. 3-4 transfers to get correct person.

    4. Working with an insufficient number of clinics for their customer base.

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    Customer ServiceCoverageRefunds & PayoutsStaffBilling

    Reviewed Jan. 16, 2020

    To be very direct, Wellcare accepted our payment, via our bank, for the first payment of the year. Unfortunately, when my husband filled his prescription, he was told he had no coverage. We knew he had coverage, especially since the first payment was taken out of his SS payment. Pharmacy said he had 7 days to get things straightened out, and then he would be reimbursed.

    It took 2.5 hours and 3 phone calls, just to get an ID# from WellCare. And when my husband took the info to the pharmacy, he was told he wouldn't be reimbursed for his last prescription, even though he was covered for this service. I do not understand. If the payment was made (in full) and my husband had coverage, why is HE the one out over $100, and not WellCare? What kind of insurance is this, and how do they get away with this?

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    Customer Service

    Reviewed Jan. 15, 2020

    I have called 10 times on formulary tier issue and I'm no further along than after the first call. I was forced to switch after they bought Aetna Part D program. With Aetna this took one call to resolve. Wellcare is awful.

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    Customer ServiceStaff

    Reviewed Jan. 14, 2020

    I was placed on a PDP plan that was not what I requested. My Agent has been awesome trying to correct the problem. He submitted the plan I wanted and I was placed on the wrong plan and can't get it fixed. Customer Service is a nightmare.

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    Customer ServiceCoveragePriceStaffBilling

    Reviewed Jan. 14, 2020

    I first attempted to Chat. I provided name, DOB and Plan ID to the chatter who came online. She (Carol **) asked for my DOB. Gave it a second time. Then she asked if I was a member, I reminded her that I gave her plan ID. Just a terrible encounter. Called and spoke to lady about why on account shows I owe double the premium and why they sent me a payment book for old plan? Apparently the double reflects two months, pretty confusing. Old plan payment document was a mistake. As a former Customer Service Officer at a fortune 500 Insurance company, this was the worst service (chat specifically) I have ever encountered. Thanks god that the premiums are low and the managing of my prescription process is generally acceptable.

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    Customer ServiceCoveragePunctuality & SpeedStaffRates

    Reviewed Jan. 14, 2020

    We selected WellCare for RX coverage for 2020 based on rates. From enrollment to getting the correct plans set-up has been a nightmare. Calling customer service takes forever in wait time and to get an issue resolved. Previously had Omaha RX no problems, my husband had Aetna, which WellCare took over, no problems. But just transferring from one plan to another has been horrendous. I have never in my life written a review about any company but I feel this company needs to review its procedures on how to process enrollments and most definitely improve the wait time and it would be very helpful to be able to contact the home office with complaints.

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    Customer ServicePunctuality & SpeedStaffBilling

    Reviewed Jan. 13, 2020

    Hold time exceeds 1 hour each call! WellCare processed claims WRONG, the Dr is billing me because they have exhausted their time trying to get WellCare to process without involving me. Reps are not trained properly and their equipment is severely lacking. If you don't mind holding for over an hour to correct THEIR mistakes, and repeating your member ID 6 or 7 times EVERY TIME, then this is the Medicare "Advantage" Plan for you!

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    Customer ServiceCoverageStaffRates

    Reviewed Jan. 13, 2020

    The very last claim I had for the year was denied with the reason being the service is not covered. It is covered. They went from a 4 star rating with me to a 1 star. The rep hung up on me so I filed a complaint with Medicare. I am looking forward to finding out why a covered service was denied as not a covered service (eye glasses page 134 of Evidence of Coverage). Last January I was warned that they deny claims!!!!

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    Reviewed Jan. 13, 2020

    I recently had Aetna prescription plan, since WellCare took it has gone downhill. With Aetna there was no spend down, now I have to pay almost $500.00 in total spend down besides the monthly premium of $34.00. I was never informed of this spend down. I need to find another company. This is my opinion of WellCare.

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    Customer ServiceTechStaff

    Reviewed Jan. 13, 2020

    This is to let people know how to get better customer service. Tell the operator you want to speak to someone ON THE MAINLAND. I had no major problems with Wellcare but changed Medicare providers because I wanted a plan that did not require a referral from the primary care provider and because one of the hospitals in my area (3 miles away) was not in the Wellcare network.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Jan. 13, 2020

    Run as far from this company as you can. They can’t even do enrollment correctly. My husband went to get two different prescriptions filled and was told it wasn’t activated. A day later he ended up in ER with a blood clot in his lungs and CHF and was admitted to the hospital. His doctor tried to call Wellcare PBM program to find out if certain drugs were covered and was told he wasn’t activated. I called for my husband and was transferred 7 times on the phone for over 2 hours only to be disconnected. One of the people told me he couldn’t help me because of Hipaa. Keep in mind I wasn’t asking for any health protected information, I was trying to give the PBM information. My husband wasn’t available to talk to anyone. I just needed them to re-activate his insurance. I was told they “accidentally” de-activated some members. I have been in insurance for over 30 years and this is the most poor excuse and incompetent company I have ever seen.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Jan. 10, 2020

    I was previously enrolled in Aetna prescription coverage for 2019, which was taken over by WellCare. I was told that the coverage would be the same as it was with Aetna. Well, the first time I tried to use the prescription drug plan, the cost was four times the amount than last year for the same generic drugs.. When I called wellcare, I waited 30 minutes to speak to a rep, and then I was told there was a $435.00 deductible that had to be met for generic drugs. I told them that that wasn’t disclosed to me and that wasnt the case with Aetna. They transfer me to a supervisor, and I waited for one hour on hold and my call was never answered. Why would I need prescription insurance when I can buy the generic drugs cheaper than the monthly premium WellCare is charging?

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    Customer Service

    Reviewed Jan. 10, 2020

    Poor customer service. They don't mean badly, but so far I'm on the line half an hour and still don't even know what my pharmacy is. I am sorry I signed up for them because this is to time consuming. And this is just my first question.

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    Customer ServiceCoverage

    Reviewed Jan. 10, 2020

    WellCare is my son's secondary prescription drug coverage. They list themselves as primary. I have been on the phone for many hours being transferred to people that do not speak good English. My experience with this company has been a nightmare. I encourage everyone who reads this to consider another drug plan.

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    Customer ServiceTechPriceRefunds & PayoutsStaff

    Reviewed Jan. 10, 2020

    I was new to Medicare in December. I selected WellCare based on the premiums and the overall out of pocket. What I did not realize was the horrible customer service. I was enrolled to have my premiums taken out of my SS check. I was contacted by WellCare that I was past due. They never acknowledged that I was set up to pay thru SS. They said I can pay it out of my checking account. Well lo and behold they are being paid twice! And I'm still marked as being past due! For two months now.

    I have spent over 4 HOURS on the phone trying to resolve the issue. They speak English as a second language, they are polite but are handcuffed by what they can resolve. I've gotten two confirmation numbers from them but they refuse to confirm it in writing via an email. Yesterday they called to speak to me to resolve the issue. They left a message for me to call back. I did and they put me on hold for 30 minutes, came back online and said someone would call me in 5 business days. The reps are doing their job the best they can. It's their back office that is utterly in chaos. The phone reps do what they can but their hands are tied.

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    Customer Service

    Reviewed Jan. 10, 2020

    In the transfer from AETNA to WellCare (without prior communication) WellCare cancelled my policy. I cannot get my policy re/instated, hours and hours on the phone, endless transfers with incompetent people.

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    Customer ServicePunctuality & SpeedTransparency

    Reviewed Jan. 10, 2020

    No problem to set up account to pay. Tried to go back in later and they've never heard of me. Filed grievance with no reply. #**. Contact on telephone is also nightmare as they put you on terminal hold with no updates on wait time.

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    Customer ServiceCoverageStaffRates

    Reviewed Jan. 9, 2020

    All I can say is I wish I had done my research on this company before signing up. I'm new to Medicare and was previously covered by an employer healthcare plan that included prescriptions. I'm not to repeat what others have reported below. But I will agree and confirm that my experience with WellCare so far is exactly as others have reported. And with all reviews there are a few that are pleased with the company. But read the reviews and notice the trends of reported dropped calls, uninformed agents, multiple call transfers, and poor English. You'll have to decide for yourself, but I don't think anyone giving WellCare a one-star rating is making it up.

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    Customer ServiceTechStaff

    Reviewed Jan. 8, 2020

    If their customer service is any indication of the rest of the company, I will be switching my PartD Medicare provider without hesitation. I am so sick of companies who hire employees that give "I do not know" answers. I ask for a supervisor and get transferred out of country. I despise companies that outsource! I ask for an agent in the US and she explains the issue is less than 5 minutes, however to get to that agent in the US I have to waste 20+ minutes of my time. When I call customer service for English speaking representatives and get transferred out of country it infuriates me. They do not understand and all they do is read from a wall of scripts. Just based on customer service, I would NOT recommend this company!

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    Customer ServiceTechPunctuality & SpeedStaff

    Reviewed Jan. 8, 2020

    I had an appointment with my surgeon. Transportation got me to my appointment 15/20 minutes late. The driver gave me the number for dispatch to call when I was done. Both my companion called to let them know I was done and ready to go home. We were told it would be 15 minutes until the driver would pick us up. Move forward and 10 calls to transportation later with my mother calling too. No one showed up until 8pm to drive us home. I waited 3 hours only to be told by the driver who picked me up that he was told I had already been picked up and to disregard this call. Bottom line. I was left for 3 hours in the dark and it was cold. I cannot believe that this happens to us disabled people. It really upset me that the first people I spoke to at the transportation center thought it rather comical that I was left without a ride home. Shame on WellCare for using such poor service providers. Leaving disabled people alone at night in the dark.

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    Customer ServiceCoverageTechStaffBilling

    Reviewed Jan. 8, 2020

    I called WellCare because they enrolled me without my consent for 2020. I told them I cancelled in January 2019 but they apparently didn't have that on record. AFter relaying all my information to disenroll, the representative who speaks English extremely poorly and is hard to understand decided I should write a letter with proof of my current health provider insurance information. I've worked in insurance for over 3-4 years now and I know this is completely unacceptable. I never even enrolled to begin with! I shouldn't have to write a letter when I've provided all the information over the phone!

    I asked to speak with a supervisor and was placed on hold for over 30 minutes. I'm still on hold as I write this and my issue has not been resolved. Wellcare should NOT need proof that I am enrolled with another healthcare provider and should be able to resolve the issue over the phone. It only makes them look like they are forcing coverage and payments regardless and I will file a lawsuit if necessary.

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    Customer ServicePriceStaffRates

    Reviewed Jan. 8, 2020

    I contacted the company about getting a price on a drug over a week ago. No one seems to care to return emails at this company sorry I ever signed up for this plan. It seems like they get you and forget you.

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    Contract & TermsPricePunctuality & SpeedRefunds & PayoutsStaffBillingRates

    Reviewed Jan. 7, 2020

    Let me be brief/concise/direct... Do not select them for your plan! Do not fall for the lowest priced plan, I.E., be smarter than me! Being of Medicare, one would think that I should know the (generally speaking) truism: one gets what one pays for! The employees (plural, plural and more plural) speak better English than I speak Cuban/Mexican/Spanish, but what does it profit when the customer cannot comprehend (no comprendo). When one asks for a more fluent english speaking employee... Yep, another lengthy wait and (you better sit for this one) another heavily accented employee. Combining that with age-related/compromised hearing loss... I (and surely others) have no chance. Worse yet, they apparently have too many customers to provide dependable service.

    This is my second year with them. - I've already admitted that I should know better (fool me once, shame on them, fool me twice, shame on me; there will not be a third time!) and to establish a plan, price, method of payment, accurate agreement on price has been a struggle both years. December 2019 I/we agreed to switch plans ($14.20) as to avoid the 2020 new $17.10 monthly charge, received a confirmation snail mail letter in december, agreed to have the charge paid out of the checkbook; yesterday's snail mail: they informed me that I hadn't paid by snail mail (wait for it) the $17.10. So,not counting this dissertation, I have a few hours of consternation (read: being p.o.) to attempt to save $35/year. In conclusion: do not choose this company... You deserve better!

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    Maintenance

    Reviewed Jan. 7, 2020

    I was with CVS-Caremark's Aetna Medicare Rx Value Plus (PDP) plan for two years and was a very happy customer, using their Mail Order Pharmacy. Now that Wellcare has taken over, I am unable to access the "Mail Service Pharmacy" through their link, as Wellcare does not recognize "Safari". Their IT department seriously needs to fix this.

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    Customer ServiceStaff

    Reviewed Jan. 7, 2020

    My experience has been only 3 occasions (separate issues) with customer service representatives (CSR) and was like that of innumerable poor reviews on this site in regards to inability to communicate and lack of knowledge. The last time I called, however, the CSR advised me that the web support team would be able to assist me with my issue and she transferred me, but they don't work weekends. Today I called directly to that department and, in less than 5 minutes, Thomas happily and pleasantly greeted me, obtained necessary information from me, walked me through and made my day. I did express my elation that I was speaking with a person whom I could communicate with. If I could give 10 stars to Thomas I would.

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    Customer ServiceStaff

    Reviewed Jan. 6, 2020

    If I could give this company -10 stars I would. I wouldn't recommend this prescription drug company. Calls are transferred numerous times. Customer Service Representatives don't have a good command of the English language. They don't understand your questions. No matter what time of the day you call hold times are ridiculously long. I didn't sign up for auto refills however they shipped more medication when I still had almost two months left. Yet when you attempt to refill your medications it takes an act of Congress to get it done. Unfortunately I am locked into Wellcare until December 31, 2020 however I will be dumping them on that day.

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    Customer ServiceSales & MarketingPricePunctuality & SpeedRefunds & PayoutsBilling

    Reviewed Jan. 6, 2020

    Have tried multiple times to pay my premium online. The website payment system has never been operational when I've tried to pay in 2020 for my new enrollment. I have called multiple times, and the CSR has tried to process a payment from her end with no luck. I've been told that 'someone' will call back when the systems are up, but several days later, no call, but the systems are still down. I've also received multiple duplicate hard-copy mailings regarding my new enrollment and containing several duplicate coupon payment books. I guess I will be going back to the old process of paying monthly premiums by mailing a payment coupon and a check.

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    Customer ServiceCoverageMaintenanceStaff

    Reviewed Jan. 6, 2020

    Wellcare may show up well on paper, but the back room support and follow up from people who are supposed to fix problems is horrific. When I cannot assist a client in completing a simple enrollment because of subpar enrollment technology, I stop representing the insurance company. Poorly trained staff hurt everyone, not just the client. There are good people at every company, but they are far outnumbered at Wellcare.

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    Customer ServiceTechPunctuality & SpeedStaffBilling

    Reviewed Jan. 6, 2020

    Wow. The reviews I have read are unbelievably bad concerning WellCare. Like some others, I was recently moved from Aetna Drug Plan to Wellcare. I have been for the last 45 minutes, trying to register a new account so that I can make a payment. No luck. System has given me errors on 2 occasions even though it says that my account is now already in the system. It errors out when I try to get a new password since it bombed the first time when I tried to input a password. Response time on every occasion runs over a minute. So, I called the customer service number and waited 23 minutes for someone to talk to. I am now on hold while waiting for a transfer to someone supposedly that can help me. I think I will be looking for another provider if I can get away from Wellcare.

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    Customer ServiceStaffBillingTransparency

    Reviewed Jan. 6, 2020

    I have a WellCare plan but on a visit to my primary care physician I picked up a free RX card from a box on the counter. I’m glad I did. I went to fill a statin drug at King Soopers and on my WellCare card it was $236.00, so I said try this free card I picked up at the doctors office thinking it can’t hurt. I paid less than $20.00. What a shock! Since then I moved to a state that is out of WellCare's area of service so I called to inform them. Now they say I need to send a letter, etc etc or my account will be cancelled as lack of payment. What a crock. I called and then I’m threatened if I don’t send them a letter that I was told they have 15 days to process after receiving it. DO NOT use any product these people are selling. How they stay in business is beyond me. I am writing the letter and will update this with any future interactions I have with WellCare.

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    Verified purchase
    Customer ServiceCoverageTechRefunds & PayoutsStaff

    Reviewed Jan. 4, 2020

    Today was my first experience with this company, and will hopefully be my last. I saw my doctor today to get a prescription refilled. He sent it in to the pharmacy, so far so good. I went to pick it up, and was told that Wellcare wouldn't cover it (my plan with Magellan last year covered it all 12 months). I paid for it out of pocket, and when I got home I called Wellcare. After talking with 3 different people I was told: 1) my address was incorrect because Social Security had it wrong (while on the hold I went online and checked--both Wellcare & Social Security both had my correct address), 2) the medication is in fact covered, but because I'm new to Wellcare they didn't know, 3) they would try to get the pharmacy to refund what I paid and have it put under my plan (this took a call to the pharmacy and the rep came back on the phone & said they never gave me any medication.)

    I demanded she call them back (while once again going online with the pharmacy showing that I did indeed pickup the medication), and the pharmacist said the wrong name...the Wellcare rep gave him and incorrect name! Is this company new? Have they trained anyone? After 2 1/2 hours on the phone with them, I still have no idea if I'm covered. I take 7 different medicines daily, am I going to have to go through this whenever I need a refill?

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsStaffBillingTransparency

    Reviewed Jan. 3, 2020

    Updated 02/15/2020: I sent them a check for $181 on Jan 3rd and they said it was for the wrong account...that the check would be returned to me. I contacted them again on Jan 16th and they said the there was a delay...should get it on the 28th. I called again on the 29th and they said there was a delay...should get on Feb 6th. I called on the 7th and no one knows what happened to my money. Are you kidding me?!! Today is Feb 15th and I still have not received my money. I may take this to small claims court as Wellcare seems incompetent of even returning a check that never belonged to them! Horrible company....stay away at all costs!!

    Original review: I was told I was getting one plan for $15.10 a month but when I went online to check out the plan, it was a different plan for $21.90! I had already sent in the money for the year's payment ($181) and have been waiting for over a week for someone to resolve the issue. I wait for over 25 minutes on the phone only to be disconnected when they switch me to a "supervisor". I filed a grievance and have yet to hear anything. Just horrible service with incompetent employees! Whatever you do, do not choose this company for any insurance needs!

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    Customer ServiceCoverageStaff

    Reviewed Jan. 3, 2020

    I was transferred, like all other Aetna PDP members when Aetna had to cease selling stand alone PDP plans at the end of 2019. I knew it was happening because I sold Aetna Medicare insurance until April 2019. I had no problems with Well Care for 2019. However, I decided to switch to a different Well Care plan for 2020. As of Jan 1 I had not received a card for the new plan, but had one for the old.

    Today I received a letter telling me that I could not have the new plan because I did not have Medicare and that I had not responded to their requests for information. So, if I didn't have Medicare why did they cover me for a year? More importantly why did their customer service rep tell me I was covered under the OLD plan? So, I am either going to die because they can't get their act together or not. But it would be nice if they could get their ducks in a row. Anyway this will be the last year I deal with them.

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    Customer ServiceCoveragePricePunctuality & SpeedStaffBilling

    Reviewed Jan. 3, 2020

    So far I have been on hold for 17 min and still waiting; Customer service reps do not speak very good english; I just signed up for their prescription plan, called to find out why I have not been charged for 1st payment and was told that I have been cancelled; the rep could not tell me why I am still waiting to speak with supervisor; I should have been notified with some sort of phone call or mail. At this moment I am still holding and no one has come to talk to me. Very upset. Do not know what to do. I am due to get a refill in 10 days and don't know if I have drug coverage. What kind of business are they?

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    Customer ServiceCoveragePricePunctuality & SpeedRefunds & PayoutsStaffBillingCommunication

    Reviewed Jan. 3, 2020

    I am new to WellCare and prescription drug coverage for Medicare recipients. I have found their consumer service representatives to be inaccurate, incompetent, disorganized and constantly hampered by systems that are "down." I waited 45 minutes for the rep to resolve a request for a refund on my month's premium. I paid by check and was to be told when the automatic debit was going to begin. (Can you imagine? they can't even tell you when it will start!!) So they took out the premium for December after I had already sent them a check for December.

    Payment is due on the 28th of the month of coverage but they took out the funds from my account earlier than that, and didn't notify me when automatic debit would begin. Representatives do not speak English well. The hold time is outrageous. Since I just started, I can't even say if the plan is worth it!!! But I can tell you that it is extremely difficult to get results with this company. I will begin looking now for another drug plan for 2021.

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    Customer ServiceCoveragePunctuality & SpeedStaffTransparencyResolution

    Reviewed Jan. 2, 2020

    My mother actually had to write a letter to WellCare explaining why she needed mastectomy bras and was seeking reimbursement for them. She actually had to explain that she had cancer and was missing a breast and therefore needed a special bra to hold her prosthetic boob. That was after spelling the word "Bra" for the customer service rep repeatedly. 2 Months later, she gets a check in the mail from American Progressive Life and Health Ins Company of NY with no explanation of what the check is for, no accompanying letter, no account #, no mention of Wellcare whatsoever, nothing.

    Not wanting to cash an unknown check from a life Ins company we do not recognize and to our knowledge we have never done business with, especially since my father just passed away and cashing a life insurance check could be waiving our potential claim to a policy, we look online and can't find any working # for this company anywhere. Brilliantly, the number you do find online is for an unrelated company with the same name. Only when we google "Why did I get a check from American Progressive Life & Health Insurance Company of NY?" did I learn the apparently secret connection to her Medicare Ins Co - Wellcare. So I called Wellcare to see what the check is for, and as I write this, I am still on hold after being passed around for an hour and 45 minutes only to be told it is reimbursement for her mastectomy bras, but the CASE is still pending and she can not cash the check!!!

    So I get transferred to a "resolution specialist" Agatha ** who asks me what the "Validity Date" on the check it. I tell her the check is dated 12/24/19 and states "not valid after 90 days". And then Agatha ** - the supervisor tells me that is why I can't cash the check - THAT IT IS NOT VALID YET - not for 90 days from 12/24/19!!!!" A supervisor I waited an extra 20 minutes to speak to who doesn't understand how checks work. The end result after being on the phone for an hour and 58 minutes, we still can't cash the check, and it had to be sent to the escalation team who will supposedly call us back in 3 business days. I have no faith that we will ever get that call. If my mother didn't need the money I would just say screw it. This was for a reimbursement of less than $100. What would happen to someone who really had a serious health problem? I am so thankful that I moved my mother's medicare from this awful company.

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    Customer ServiceStaff

    Reviewed Dec. 30, 2019

    I simply want to cancel my plan before it goes into effect as I've decided to enroll in a medAdvantage plan. Sounds simple, right? Nope. I've called 3 times to cancel and keep getting the run-around. Today I have been on hold for over 20 minutes waiting for a supposed "supervisor". Meanwhile my new plan CANNOT go into effect because Wellcare can't cancel it. INSANE!!! Medicare you need to ban these people from Plan D!!!

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    CoverageStaff

    Reviewed Dec. 30, 2019

    Well Care health insurance is the worse company I insurance co. I've ever deal with. You can't get anyone that can speak English. They pass you off from person to person and you get nowhere. Next enrollment they are history. Don't waste your time with this company!

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    Staff

    Reviewed Dec. 28, 2019

    I was enticed with an offer for Dental and Vision coverage. It sounded like nothing would change for my Medicare, except that I'd have added benefits. First, I couldn't use the add ons because it would involve starting with new providers, from scratch. Second, they damaged my relationship with other existing providers by refusing to pay. The treatments being denied were ones that plain Medicare pays without problem. Third, they assigned me random PCPs in my account info, the first one being 1800 miles away from my home. When I changed that online, they changed it again to a completely random doctor I've never seen. I was told by someone in one providers office that they are referred to as "Hellcare". That sums it up.

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    Customer ServiceStaff

    Reviewed Dec. 24, 2019

    I've been on the phone an hour and a half and transferred to multiple different departments because they have my incorrect address on file (note: I've lived at my address for 2 years and WellCare won't let me change it online). None of the representatives can understand this simple task that I need to have the right address on file. I can't understand most of the representatives and many will not provide me with their ID #s. I did receive Nea (ID #**) and Miles in the escalation department (would not provide me with her ID, a reference or ticket # but transferred me back to the Enrollment department for the 3rd time). I'm hanging up and will be filing a grievance instead as I have no idea if I'm enrolled or if they disenrolled me. Totally unacceptable WellCare. Invest in the money to get quality English speaking representatives.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Dec. 23, 2019

    Updated on 02/05/2020: I signed up with Wellcare for my part D. I sent them 2 months of premium. I called customer service for one quick question. I got an overseas call center. That was it. I got another company. I didn't get a refund so I called. Got overseas again. Tina (ha ha) said my check was on its way. Since it's been over a month, I pressed for details. She said she would transfer me. Yeah! Getting US right? Wrong. Got some else overseas who said she needed to put through a request for refund. They love telling you over and over how they want to provide high quality healthcare when they have no clue what is going on. First rep told me one thing. Second told me another. Next time I'll make sure customer service is in US first.

    Original Review: First got India. Always a bad sign. Had to ask for American then a supervisor who refused to confirm in writing that I won't be billed a late enrollment penalty. A supervisor who has no authority to send an email?

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    Customer Service

    Reviewed Dec. 23, 2019

    Paid for full year premium on Dec 9. I have been informed by social security that they are taking the premium out of my social security. Called, aware of problem (after 40 minutes on the phone). Can’t get a refund because it hasn’t happened yet. (Not received my check.) So therefore I was informed to call back after they have received the extra payment. I asked if there was any way my account could be flagged so that I would not have to call back and spend another 40 minutes on the phone. Was told no. I guess they have no regard for their customers time (or maybe they hope we will not bother with getting one month’s premium back...helps with their profit margin).

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    Customer ServiceCoverageOnline & App

    Reviewed Dec. 18, 2019

    I am on Medicare and was set up with Anthem PDP. I was very happy with the way Anthem handled my PDP coverage. Then Medicare enrolled me into WellCare PDP. It is now December 18h 2019. The paperwork that WellCare sent me says that my coverage starts on January 1st 2020 and that I owe WellCare $34.60. I had a few questions about the prescription coverage.

    I called the member service telephone number on the back of my card. I was on hold for an hour and a half and No One ever answered the phone. I tried calling the following day and was put on hold for an hour. I went to the WellCare website and created an account. I left 2 messages on their website and still have NOT received any response. WellCare is the worst company that I have ever had to deal with. I’m going to find another company with PDP coverage. I WILL NEVER, EVER USE WELLCARE IN THE FUTURE!!!! My suggestion to other people is Stay Away from this company!!!!

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    Customer ServiceStaff

    Reviewed Dec. 17, 2019

    I enrolled in 11/1/2019, to be effective 12/1/2019. I got letters stating that my effective date would be 1/1/2020!? I called to change the effective date, got put on hold, told that they changed it, hung up on and spent over 4 hours on the phone with these people; Jessica, she just transferred me; Milton, dumber than a rock, he transferred me to Quel who after 2 hours told me that she changed the effective date to 12/1/2019 - she lied! I have to go without my meds for one month because of the incompetent, inefficient, downright lying people at this company. This company needs to be investigated, they are hurting senior citizens. Doesn't anyone care?

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    Customer ServiceStaff

    Reviewed Dec. 17, 2019

    I was on the phone for 2 1/2 hours trying to get 4 mail orders done. I did get my frig completely cleaned, dishes all done, etc!!!! while on hold. Couldn't understand them and was told that Filipinos are taking over their Call Centers. Bad Choice when you have to have them spell and repeat. Then got a gal who spoke English but was so incompetent she kept putting me on hold. I had to verify exactly what would happen... Lo and behold, talked to a supervisor and found out the other gal hadn't even placed my order. After all of that!!!! Too late to change out of Wellcare now, but I will never sign up with them again.

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    Customer Service

    Reviewed Dec. 17, 2019

    I have been receiving a lot of calls from robotic medical advisors since I hit 65 years old. I decided to power off my home phone because sometimes the calls would not even stop ringing at night. It was a nightmare. Today I received the congratulation letter from WellCare notifying me that I'm a member of their prescription plan and the card with member ID was attached to the letter. I tried to call them back to refuse the card but nobody picked up the phone. This is getting out of hand. I don't know why the government does not fight this. There are a million companies that make people lives miserable by endless scams on the phone, mail and emails... It must stop!

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    Customer Service

    Reviewed Dec. 17, 2019

    In early November 2019 I submitted 2 applications for Medicare Rx Select (part D) for myself and for my wife. On December 5th I got my RxID but nothing for my wife. When I called about my wife's missing RxID I was told that TerribleCare could not find her application - it simply got lost. I have filed a grievance and never heard from them back about it. Have tried to contact them for days now and I seem to get nowhere. Left a phone number for call back - still waiting (4 days...). At the end of 2020 I will cancel my plan with TerribleCare. Be forewarned and join at your own risk.

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    Staff

    Reviewed Dec. 16, 2019

    WellCare bought Aetna Part D RX business. Failed to notify people who were part of Aetna until after the Dec 7th deadline to change providers what the monthly prem rate would be. By the time I rec'd my coupon book on Dec 13th it was too late to switch. I spent the entire day speaking to one of the their reps in the Philippines who basically said there is no way to appeal the rate increase. I am not attorney, but to me it looks like a clear violation of the Fair Trade Practice and Consumer Protection Act. I wish there was an attorney who reads this note would file a class action law suit against this company. I am sure there are thousands of people that would join the law suit.

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    Customer ServicePunctuality & Speed

    Reviewed Dec. 14, 2019

    I became Medicare eligible last January. I signed up with WellCare as they had the best monthly premium for my drugs. I never received a bill all year, just received late notices. When I called to ask why I never received a bill, I was told that they do not send out bills. Then this month they took $93 from my checking account, without my authorization. (My monthly premium is $16.90) I called to complain and request a refund. I was transferred, several times, before getting a supervisor. I only owed for my last two months, then my new Part D plan starts in January. Still waiting for my refund. Don’t waste your money with WellCare.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 12, 2019

    I signed up recently as a new Medicare recipient with their part D plan. I also signed up my 93 year old mother switching her part d plan to WellCare. It's very difficult to understand the customer service representatives. They all have thick accents. They sound Filipino. I wrote and called them to ask that they stop contacting my mom since she has difficulty hearing and their accent makes it nearly impossible for her to understand them. They were calling to ask, "How are we doing?" Her coverage doesn't begin until Jan 2020. So far the company rep have not been knowledgeable either regarding coverage information.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 9, 2019

    I kicked into Medicare on November 1. I went and applied for 2020 coverage. I realized I had a two month gap with no supplemental so I called them up to see if I could get covered. They said yes and signed me up. I called in to find out about an eyeglass provider, and was told I wasn’t covered yet. I called back and they was told they canceled my 2019 coverage because you can’t have two applications. So now I have three weeks to go with no supplemental, because they messed up. Nobody told me you couldn’t have two applications. The lady said I was covered and I got a letter in the mail assigning me a doctor. Turns out I have no coverage until January 1. These people are a mess. Everybody at the customer service 800 number has such a thick accent you can barely understand them. Avoid this insurance at all costs.

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    Customer Service

    Reviewed Dec. 7, 2019

    I was sent a written notice that the Aetna plan I had researched was no longer as it had been bought by Wellcare. The sent a gushy letter and a membership card and told me to check whether the pharmacy I have used for 25 years was on their list. I went to the site on two different computers and two different browsers and got a blank screen which stayed that way for a half-hour. I got through to the phone number after only 15 minutes of listening to the same 16 bars of the same techno-bop 34 times and only then did they confess the joint was closed UNTIL AFTER THE SWITCH PERIOD IS OVER. I no longer care if they are any good. As soon as I can get out, I am never using them again.

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    Customer ServiceStaff

    Reviewed Dec. 6, 2019

    Wellcare charged me $350 for a prescription I was able to get at Shoprite for $18. I realize it sounds impossible but it happened. My Medicare advisor was flabbergasted and spent an hour on the phone with them. I was there. I am changing companies and saving about $500. Thanks to mymedicarepro.com.

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    Staff

    Reviewed Dec. 2, 2019

    I have an autistic 9 year old son who is in DIRE need of help! He has an extremely long history of violence, abuse, self harm and several trauma incidents (mother abandoned him, sexual abuse by his half brother etc..). CMS (Wellcare) keeps denying him treatment in a residential facility. My son has recommendations from a neurologist, a pediatrician and mental health professionals (for residential treatment) not to mention a multi inch stack of incident reports from a previous school of violence and self harm. Things are extremely bad at our house because we live in a constant state of violence and abuse....

    -He is unable to attend school due to his violence and the baker act.
    -He has no friends.
    -He keeps destroying his expensive toys (tablets, mp3 players etc.).

    -He frequently destroys other things like expensive bass boats, walls in the home and windows etc.

    WTF is wrong with wellcare???? Why cant we sue them???? WTF is it going to take to get this kid help??? We are almost at our wits' end with this situation and before too long we will have no choice but to turn him over to the state. Sad that an insurance company can get away with crimes against humanity....completely immune to retaliation. NEED BEFORE GREED WELLCARE!!!!

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    Customer ServiceStaff

    Reviewed Dec. 2, 2019

    I have been on Medicare for 19 years now and have had good experiences with every company that I have signed up for until 2019. I made the mistake of signing up for Wellcare Today's Options Medicare Advantage plan because Today's Options was bought out by Wellcare in 2018. I have never dealt with a company that denies claims for no rational reasons. Their customer service is the absolute worst in the industry. You can't even understand the person you call as they farm out their customer service to overseas countries. I have to call 3-4 times to get any service and then they put you on hold for 30-40 minutes and each time you talk to a different representative who you have to tell them the same issue all over that you started with the first representative. They have denied all of my out of network claims that I sent in with all the required information and tell you that it has to be pre-authorized before they will reimburse you for your out of pocket payment.

    In their plan documents it clearly states that you will be reimbursed 70% for any out of network claim. I have paid over $1000 out of pocket this year because of this issue. My Doctor purposefully does not accept Wellcare Medicare Advantage plans for this reason. They want to be paid for services and companies like Wellcare just flat out denies their claims. I am signing up with Excellus Blue Cross Blue Shield for 2020. They are a 5 star plan that most medicare providers accept. You can count on your Doctors being paid for their services. I recommend you stay as far away from Wellcare Medicare Advantage plans. You will regret you did the first time you call their customer service department and can't understand their representative or when you get your first denial of benefits letter from them.

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    Customer ServiceStaff

    Reviewed Dec. 2, 2019

    This was the worst time I’ve ever had trying enroll in the plan. I just wanted to have get on the payment plan and I had to go through all this other enrollment. I tried to explain that I already had a card with a membership number but was told I still had to enroll again. I didn’t understand why. If I have two accounts that’s on them not me and they will need to straighten that out. I know I better not be billed double charged. Why couldn’t they get the info from the other group and switch me over. They had my name, address, and other information. I just wanted to cry I was so frustrated and confused. I tried doing it online but got to a point I didn’t understand so I called them. Next open enrollment you can count on me changing everything to another plan.

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    Customer ServiceCoveragePriceStaff

    Reviewed Dec. 1, 2019

    My husband retired with the best Medicare and Anthem. WellCare called and offered their D program. He agreed to prescription coverage only. WellCare to over his Medicare and Anthem without permission. It was not even open enrollment. After hours on the phone they told me to write a letter, they still would not release him back to his plan. They could not play the recording where he gave permission for them to take over. They then told us they fired the customer service rep that took over my husband's Medicare and Anthem.

    My husband went into heart failure and we rushed him to the hospital. The hospital said they do not take WellCare and referred us to one that does take WellCare. They denied my husband a life saving machine called Trilogy that he needed to come home with after 5 Days in ICU and 3 Days in regular hospital room. I was directed to a boy in the Philippines. The company that has the machine said they nicknamed them WeDon’tCare! They did all of this to pad their numbers so company looks like it is worth more than it is. They hold you hostage till open enrollment. Do not take a call from them. They are crooks.

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    Wellcare Company Information

    Company Name:
    Wellcare
    Website:
    www.wellcare.com