Wellcare Reviews

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About Wellcare

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Wellcare offers government-sponsored health plans, including Medicare Advantage, Medicare Prescription Drug Plans and Medicaid services. Established in 1985, Wellcare offers integrated care management and member support, aiming to improve health care outcomes for underserved populations.

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 640 - 840
    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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    Customer ServiceStaff

    Reviewed Nov. 25, 2019

    I had the unfortunate experience of having to speak to the Aetna/Wellness customer service personnel regarding prescription drug plan pricing. I spoke to 2 people. First was the screener then they sent me to someone else. The first person had trouble understanding English, but we muddled through. The second person had more trouble and couldnt understand very much at all. It took me 3 tries to get her to transfer me to a supervisor. Now, I have been on hold 10 minutes waiting for this supervisor. Wellcare/Aetna needs to clean up its act with respect to their customer facing personnel. If this keeps up, they will have to change their name again.

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    Reviewed Nov. 25, 2019

    This company is impossible to deal with, they can’t correct anything properly, and it’s mind blowing at what you have to do to disenroll. I’ve been trying for a couple years and it never get completed. Now I’m having to fax a letter with all my information to them. They’re suppose to send it to Medicare and then I get another letter from them to fill out and return by the end of the open enrollment period!!!! It sure wasn’t that hard to get mixed up with them!! Do your homework before you choose WellCare!

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    Reviewed Nov. 25, 2019

    As a psychologist in practice for over 30 years I have never had such problems getting paid from an insurance company. They deny claims for absurd reasons (ie patients zip code was off by one digit). It has been 5 months and they have not paid one penny. When you call about a denied claim they say they have no such claim on file. They ask for proof that bills were actually sent thereby necessitating my using certified mail. Yet even that does not help. This insurance company seems to not care about their customers well being.

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    Customer Service

    Reviewed Nov. 20, 2019

    I've had WellCare now for a while. Also recently found out I have lupus. Every medicine is turn down it's hard to find a provider close to you, for simple things like o/b. My husband had a heart attack recently and has been denied his medicines. Still have never received a card from them. But husband received a book of doctors and a letter saying they we're trying to get in touch with him to make sure of his health care needs. How about the card so he can go to the doctor and then go pick up a prescription. We have never received no such call. Not to mention all the facilities will tell you how awful this plan is. Must be reason offices don't want to use them. Pick different one for your family, you will be better off.

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    Customer ServiceStaff

    Reviewed Nov. 19, 2019

    I have had to call twice today WITH NO RESOLUTION so. I called twice today and suffered through the laboring process of getting the call connected. The first man I spoke to had very poor English skills and I could barely understand him. When he said he could not understand me, I hung up. I called again and spoke to a different rep. He was pleasant but would not take the payment information because my husband is not home. I told him that I don’t want information of any kind, I simply want to make a payment (like I did last month). He said I could not. I have no understanding why you won’t TAKE a payment without the member being present. No place else on earth would anybody refuse a payment. I am searching open enrollment for a different pharmaceutical company. WellCare is way too much hassle. Their automated system is frustrating and the reps are not helpful.

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    Customer ServicePrice

    Reviewed Nov. 15, 2019

    Wanted to change my Medicare Part D plan 2020. I had a plan with Aetna but apparently they sold the plan to WellCare. I called WellCare customer service to advise that I wanted to change to another plan within the WellCare offerings. I had to speak to 3 different individuals before I got one whose English I could understand. While the company lists Tampa FL as their corporate address, any toll free number you call goes to the Philippines. I had to keep explaining what I wanted, who I was and spell everything out, letter by letter. The low premium price does not outweigh the frustration I experienced. I'm just glad I'm not 85, hard of hearing and trying to do business with them. I'm going elsewhere.

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    Reviewed Nov. 15, 2019

    I have had tooth pain of #25 for over a year and have been treated with antibiotics several times and Advil. I have been denied a replacement tooth by WellCare. Will pay to remove. Not to replace it..

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    Customer Service

    Reviewed Nov. 8, 2019

    Although I have auto payment and receive text alerts from my KeyBank app... WellCare keeps insisting I havent paid my premium and when I said I have auto pay and I have proof, I was called a liar. I havent been able to get anyone on the phone for 2 days and have no blood pressure pills left... they don't care.

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    Customer ServiceStaff

    Reviewed Nov. 7, 2019

    I retired Aug 2019 and signed up on Wellcare for RX coverage. Thankfully I have not had to used them yet. They double charged me 1 month (I am signed up on auto draft) & I have not been reimbursed and no money has been credited to next month acct for next month premium. One person told me that they could not credit my account but he did not know how I would get reimbursed. Ok....hmmmm....

    When I checked my Wellcare account the following month, it showed that my account was going to draft twice again and when I called them, they told me that my account was actually showing that my overpayment was going to credit October premium...but then my account was drafted again in October! WHAT A NIGHTMARE!! Representatives have limited English skills. They tell you one thing but do something else.... Definitely switching to another company Jan 1st.

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    Customer ServiceStaff

    Reviewed Oct. 28, 2019

    Policy was cancelled for “non payment”! Spent over an hour in phone when I signed up answering many questions and listening to recorded disclaimers do premiums could be deducted from Social Security. It never was deducted and after four months it was cancelled. Made a total of five calls to their “customer support” line. The last two of which were with Supervisors Olevia and Ryan. Both had promised a call back. Still have not received a call back. All they seem to do is transfer you to someone else who promises to research your issue and call back: then forget you until you call them and start the whole process all over. Horrible. Please do yourselves a favor and never do business with these people!

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    CoveragePrice

    Reviewed Oct. 23, 2019

    Wellcare suddenly dropped my husband's drug coverage after he was diagnosed with Hepatitis C and prescribed **. He received 1 month's supply of **, which is very very expensive. Then they decided that he did not have drug coverage, but has been covering him since June 01! I'm filing a lawsuit against Wellcare.

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    CoverageStaff

    Reviewed Oct. 22, 2019

    It has become increasingly more difficult dealing with WellCare advantage as in my opinion everything is outsourced and controlled has been lost. Getting authorizations for procedures are now always denied and many facilities are dropping coverage by them. Also doctors are dropping them. Very concerned that it is not a good company to have my plan with.

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    Customer ServiceStaff

    Reviewed Oct. 17, 2019

    I called to enroll, spoke to an agent for close to 2 hours only to be given a appointment number to call back with for further information. Two weeks later called with more information only to be transferred twice. Apparently, they couldn't even find the original application, and after being put on hold 4 times wanted to transfer me to someone else. If I could I would give this company a minus 5 stars. It would be nice to talk to someone who actually knows what they are doing and not someone reading from a script.

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    Customer ServiceStaff

    Reviewed Oct. 16, 2019

    My husband and I recently retired and got Thrivent and WellCare. I like Thrivent but they don't have a drug plan. In September, my husband died of pancreatic cancer. 1st time to the pharmacist, they said they were waiting for a P.A. on a 25mg ** patch while my suffering husband waited in the car. I finally drove him home and came back. It happened again on the 2nd prescription. The third time, the doctor prescribed ** to increase Jeff's appetite. 1st if was approved and then it wasn't. When you call you get a foreigner who can't speak English and transfers you 3 times only to end up at their survey site! They still are billing me for my dead husband, even though I have provided documentation of his death... So incompetent, I don't even know where to begin. DO NOT SIGN UP WITH THEM. I have a appointment with a broker on Monday....

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    Sales & MarketingStaff

    Reviewed Oct. 9, 2019

    The agent was difficult to understand and took her 20 minutes to tell me what she wanted. I complained and asked for a supervisor who was worse than the agent. I believe they scammed me out of some money but they were difficult to understand and they could not understand me. I believe they were talking to me from a foreign country. I will be doing business with another company in 2020 for sure.

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    Customer ServiceStaff

    Reviewed Oct. 7, 2019

    The call center is outsourced overseas. They hardly speak English. With regard to in network provider lists, no one has accurate information, including so called supervisors. I called Wellcare 4 or 5 times in a single day with regard to a specific doctor being in network. The answers I received with this very question would differ from, yes, no, yes, no. One person only told me yes to my question because he wanted a positive review so he wouldn't get fired. The closest hospital is 30 miles away. I have concluded the only doctors that are in network are not only RUDE, UNPROFESSIONAL or misfits but I am forced to see PA's instead of the doctor. WELLCARE RATIONS HEALTHCARE, SO BEWARE! YOU'RE WASTING YOUR MONEY. Another thing, fewer and fewer doctors are even accepting this. To think that these kids want MEDICARE FOR ALL! LOL!

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    Customer ServiceCoverageStaff

    Reviewed Oct. 3, 2019

    I would not recommend Wellcare for patient's medication coverage. I work in Family Medicine and received a letter from WellCare stating a patient's medication was not covered. They did not provide formulary alternatives, so I had to look up online. I called the customer service number and wasted 30 minutes of a busy office day. I was transferred twice and each time told they could not look up the patient by name/DOB, even though that is the only identification they included on the medication letter.

    I pulled all the patient's insurance cards and gave the member numbers, but none were correct and they could not tell me what number they needed. I was put on hold while they contacted the pharmacy, who was able to provide the information. They then asked for patient's name and DOB even though I had given it moments before. I asked repeatedly to be transferred to the survey and to end the call, I was just put on hold. At the end of the call they just hung up so I could not complete the satisfaction survey.

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    Reviewed Oct. 2, 2019

    They followup after you enroll with sessions to ask questions about the plan coverage and voice any concerns with coverage or providers. They also have a customer service phone number to call anytime about dental, vision, OTC, or medical services.

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    Customer ServiceCoverage

    Reviewed Sept. 27, 2019

    Unable to understand those answering as English not verbalized plainly! Customer Service not in U.S.A! Very disappointing! ABSOLUTELY, Do not like my personal information to any country but U.S.A.! UNABLE TO FULLY UNDERSTAND COMMUNICATION WITH THOSE ANSWERING AS NEEDED. POOR VERBALIZATION IN ENGLISH! (No offense intended, by this comment!) Their pharmacy medication coverage so far, this year, Medicare Part D, with WELLCARE, excellent! However, WELLCARE phone ID, incoming calls today, phone ID, "Comprehensive Health"! Another reason TP feel insecure. Also, cut off finally! Never got answers asked for! Absolutely, poor Customer Service! Something is wrong here! Very wrong, surely!

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    Customer ServicePriceStaff

    Reviewed Sept. 26, 2019

    I am writing this review while on hold with customer service -- I've been on the phone for 37 minutes 23 seconds and counting. I've spoken to three people -- none of whom I could understand. They are the a call center in the Philippines and put "on hold." Each one them has asked for, and received, my ID number, name, address, DOB, and phone number. This is after I gave it all to their automated system. I understand it is not their fault, English is not their native language, but I need assistance!! This is atrocious cost cutting by WellCare and an altogether awful experience. I'm still on hold after 39 minutes and 47 seconds!!

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    Customer ServiceStaff

    Reviewed Sept. 18, 2019

    From day one they put down my primary doctor wrong. Next getting my prescriptions was a nightmare. They didnt pay claims and never returned calls as promised. Run. Don't walk from WellCare medicare. They still haven't paid a claim from Feb. 8th. I've made at least 10 calls about the situation.

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    Customer ServicePunctuality & Speed

    Reviewed Sept. 9, 2019

    I have been calling WellCare about an erroneous late enrollment penalty they added to my premium since November of 2018. This is now September of 2019. They sent me a letter in May of 2019 acknowledging that I do not owe this penalty and said I was due a refund. Social Security is still withholding too much from my check because WellCare has not yet notified them of the decrease in premiums. I have not seen a refund. I have spent countless hours on the phone with these folks. Many of those hours spent on hold. I have yet to speak with someone without waiting at least 1/2 hour. Last week the representative actually put me through to a manager. She said would handle my dispute. After waiting on hold almost 45 minutes the manager came on the phone, introduced herself as Donna and hung up on me. I waited for a call back as I had given my # to the rep in case I was disconnected. No such luck.

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    Customer ServiceOnline & AppStaff

    Reviewed Aug. 22, 2019

    We moved from FL to AR and I’ve been on the phone over an hour waiting for the plan change department. The first rep took 20 min. To change our address. The supervisor I asked to speak with was just as clueless. We finally hung up and tried again to get to the plan change department. Add 17 minutes to the previous 45. Just nauseous music. Not one time has this company been knowledgeable and efficient on the phone. The website is not iPad friendly either.

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    Customer Service

    Reviewed Aug. 21, 2019

    Where to begin. I was a Today's Options member. Then WellCare took over, and I was told that everything would be the same. I had a couple of questions concerning my policy. TWO hours on the phone. Numerous different departments. I couldn't understand what they were saying, and they didn't understand what I was trying to explain to them. Nothing was resolved. While waiting on hold, I happened to look at my card and noticed that I had been demoted from the Premier Plus Plan to a lesser plan! So, when I had a chance, I asked about this. I was told that the lower the number, the better plan!!! They were either uninformed, or just plain lying. I am shopping for a new company for this coming Fall enrollment. Speaking American English by customer service is a PRIORITY!

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    Customer ServiceStaff

    Reviewed Aug. 20, 2019

    It's absolutely maddening to try to resolve any issue on the phone. The representatives do not speak English. Finally, someone told me to ask for a "US Representative" as soon as they answered. THIS WORKS! I hope people will read this. It helps to be able to communicate with the rep. However, when they tell you they will "escalate" and call you back within 48 hours - NEVER. They will not call you back. I have a pending grievance so we'll see what happens. But remember: ASK FOR US REP.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Aug. 15, 2019

    I don't know how anyone can say this is the Best insurance. My child has CMS and their transportation services are horrible. I've been waiting to be picked up for more than 3 hours just to be driven 30 mins from here. Can you believe that?? These pal don't communicate properly, keep apologizing that pisses someone off more. It's inconvenient for everything. Even to find Drs. I'm in the state of Florida Poinciana area. Horrible everything! I'm sure they're not paying for 16 calls I had to make. My son is 12. No place to buy food. First my ride cancels then the insurance wants me to cancel when I say no. Because of you I cancelled my last appt, now I'm late and now this. It's ridiculous. Don't waste your time w/ them.

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    Customer ServiceStaff

    Reviewed Aug. 12, 2019

    While the services provided MAY be good, I am VERY upset with this choice of prescription plans BECAUSE I CANNOT UNDERSTAND THE REPRESENTATIVES OR THE SUPERVISORS! I wanted to get my prescription plan automatically deducted; they advised it took 90 days! I paid through my checking account through the first 90 days but they cannot confirm it will automatically deduct the first time and if I go into arrears I will lose my prescription plan! I was threatened! Even after a supervisor called me back (after I hung up) I am still no closer to knowing what will happen in 90 days! I have a prescription I need - I am probably not going to use the plan and get another one next year instead.

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    Customer Service

    Reviewed Aug. 9, 2019

    No matter when I call I get hold of someone I struggle to understand. I am constantly asking them to repeat things and when asking to be transferred, politely, to someone I might better understand...no change. I set up payments to be deducted through SS check during initial sign up and months later they acted like it's the first time they heard of it...even after previous call post sign up. I have asked them to quit mailing my details of subscriptions repeatedly and no change! This information is private and don't want it lying around the house or hanging out of my mailbox.

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    Coverage

    Reviewed Aug. 9, 2019

    Since January of 2019 I’ve learned that most local doctors, outpatient, and urgent cares don’t accept this insurance. Terrible!! I will be cancelling this year. Healthy Choice was amazing. WellCare doesn’t measure up.

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    Customer ServiceContract & Terms

    Reviewed Aug. 6, 2019

    Twice now, I received a random call from WellCare quality care insurance company department suggesting I needed a mammogram, since I haven't had one in some time. The caller stated my age and not having one it's in your best interests. I never signed an agreement to have WellCare call me with suggestions for my health, I am capable of knowing what I need and don't need and most certainly what's my best interests. I find it incorrect that they take the liberty of doing what they please without written consent. Review your policies Kenneth A. Burdick, CEO of WellCare and Centene CEO Michael Neidorff. Terrible company. Also, some of my providers left WellCare because WellCare doesn't pay them in timely matter, one of my providers over a year.

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    Staff

    Reviewed Aug. 3, 2019

    As I write this, I my RX has still not been approved by WellCare. My doctor faxed over the authorization and why I needed the 5mg of ** (prostate enlargement). This people at WellCare are the worst. I never get an American. I never get the issue resolved. I can not wait until October 15th open enrollment to switch my medicare part D to a different company.

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    Customer ServiceCoverageStaff

    Reviewed July 25, 2019

    No longer Medicare recipient (employer provides healthcare plans) my WellCare *should have* ended 12/31/2018. Medicare stopped paying premiums, AND I sent two letters - one had copies of my new GEHA coverage. Month 3, 4, 5, 6, still getting “you will be cancelled without payment of premium...” So I let calling & calling & calling. Started recording my calls - one lasted one hour seven minutes with four *different* operators - one sounded like the same man, so I doubt they really hand you off to someone else. I even started writing down names of operators, because some operators did sound familiar. “Oh ma’am, our accent makes us sound alike.” I disagreed because I have friends who are also Filipino so I have an ear for that particular accent. Anyhow, the call center isn’t helpful is what I’m getting at.

    Okay, so I’ve sent photocopies of my current plan multiple times, but keep getting “cancel without premium notices,” so I literally sent ACTUAL card & PROOF Medicare is NOT my coverage, so even if I wanted WellCare, I would have to pay a second coverage and applied on my own. If you can avoid WellCare - do so. I’m not sure, but WellCare seems to be more Medicare reaped coverage, so folks may not have a choice. I have always been polite to the call center, and keep wondering if the last letter WITH physical proof is the end of their “you’ll be cancelled if...” I’m keeping an eye out for their letters. Oh, and they had sent me a *reminder* of Open Enrollment Period!! I think that’s when I finally got angry and sent in bills & my GEHA Card. They are a mess to work with!! Oh, and at least two reviews on here (dated 2019) sound FAKE. Just read how they sound like they are scripted - no emotions like majority of reviews.

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    Customer ServiceCoveragePriceStaff

    Reviewed July 16, 2019

    WellCare took over Today's Options this year. If I had known how awful WellCare would be I would have found another provider. Three times at the beginning of 2019 doctors and pharmacists were told I was an "inactive" member. Each time when I called WellCare they somehow found me to be a paying member and had to contact my medical provider. Thank heavens I don't have my script coverage with them. Last year I had knee injections for which I had $25 co-pay and 20% off the medication charge. This year I had shoulder injections at the same facility, same room, same practitioner. Cost was $200 more for each injection which WellCare kept insisting was a surgical outpatient charge. No amount of arguing could convince them that this was a quick injection and did not involve any "surgery" or surgical facility. I have filed an appeal with them and complaints with Medicare. Stay away from this company.

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    Customer ServiceStaff

    Reviewed July 8, 2019

    I work in insurance and billing and have been dealing with WellCare for only a couple of weeks, but they are by and far one of the worst companies I've ever had the displeasure to have a relationship with. None of their representatives speak English natively, and when I try to press an issue to get claims paid, they just repeat the basic information back at me and tell me they'll "escalate" it and nothing ever happens. They seem to love denying prior authorization requests for inpatient hospitalizations because they don't want to fork over the money when someone is genuinely ill, and forget about a timely response.

    Some claims have been sitting for years and the only things they can say are, "It's still under review" or "I will escalate this to corporate." I can't tell if their reps just don't know what the heck they're doing or if the corporate office really doesn't care about its members, but it kills me to see people with their Medicare Advantage plan get billed thousands of dollars because they don't want to pay for a drug WellCare already authorized! From my personal experience, go with Humana or United. Good, American call centers that actually process their claims in a timely fashion!

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    Customer ServiceCoveragePrice

    Reviewed June 26, 2019

    DO NOT USE THIS COMPANY. The customer service is not in the US. They charge more in premium than they pay in claims. They said one of my drugs cost $452 for a 90 day supply when I can buy it online for $28 without insurance. The cost they quote for drugs is outrageous. They won't let you cancel coverage if you are dissatisfied. DO NOT USE.

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    Coverage

    Reviewed June 19, 2019

    Fought to get a prescription that is on their formulary and the bottom line is that I was told it was a mistake. The first of the five people I spoke with over a week told me that just because something is on the formulary doesn't mean it is covered!! Nuts! Supervisor after supervisor kept telling me that the medication was not on the formulary even though I was looking at it right on the formulary. Horrible!!!

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    Customer ServiceContract & TermsPricePunctuality & SpeedStaff

    Reviewed June 17, 2019

    I called today to inquire why my medication has risen in price in the middle of contract. The first CR (customer representative) said a whole lot of gibberish and I finally asked if he speaks English, he answered ‘a little’!! Soo asked to speak to someone who speak English. The second CR spoke with heavy accent that I couldn’t understand. Finally she spoke very slow and said I was in the wrong Dept. Got transferred. The 3rd CR was another person whose English was not understandable. Put me on wait for about 15 mins (btw, each transfer lapsed around 15 -20 mins). At last I got transferred to the pharmacy and I barely understand his English and again I was put on hold when he does the investigation. 20 mins has lapsed and I finally gave up and hung up. What a waste of my time!!!! Why can’t company in America hires employees who can speak understandable English????

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    Customer ServiceCoverageStaff

    Reviewed May 22, 2019

    I attempted to enroll for WellCare Drug insurance as supplemental to Medicare in January 2019. I enrolled after I realized that the drug plan I had selected did not cover either of the two products I was using. I was told that I could enroll in WellCare as I was leaving my provider. WellCare's enrollment agent enrolled me but then I discovered 6 weeks later via snail mail they had terminated me as their agent had transcribed my birth date incorrectly.

    When I called in March 2019 after receiving the mail notice, their front line agent said "sorry, nothing we can do" and after I insisted on speaking to a supervisor, she indicated essentially, "oops, our mistake" and informed me that I now was enrolled. I indicated that I was concerned about termination for non-payment so I gave them a credit card that they processed and processed again for a recurring charge.

    I still never received an insurance card so I called again today, May 22 and was told that the call in March was out of the renewal window so I was not actually enrolled despite them charging my account every month. Now it's May and I was told during a call today that they cannot enrollment me as I am not eligible to enroll during this time of year. They are the worst! I will go the rest of the year without drug insurance due to these incompetent fools. Meanwhile, their CEO has a compensation package of over $12,000,000. Despicable. Company: WellCare Health Plans. Name And Title Kenneth A. Burdick Chief, Executive Officer. Total Cash Total Cash $4,154,615. Equity Equity $8,499,889. Other Other $20,868. Total Compensation Total Compensation $12,675,372.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 20, 2019

    So they (WellCare TexanPlus) gave me the name of a specialist. A month later, still no approval. Dozens of phone calls to Wellcare and it took talking to eight people before I got an answer. They refuse to give me approval for the doctor they referred me to. Can't even speak to anyone in the U.S. People I spoke to were from India, Philippines, etc. Will not answer ONE question. Where is my referral for the doctor YOU referred me to??? When TexanPlus joined with Wellcare, it all went to hell. Getting new insurance company.

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    Customer ServicePrice

    Reviewed May 16, 2019

    Stay away from this company!! They are the absolute worse, no one knows anything. They are trying to charge me for a month before I even belonged. My effective date was 2/1/2019. They said they fixed in back in March, now they are threatening to drop my RX plan if it's not paid... and then they are charging me for a rate in a state that I have never lived in, they are incredibly incompetent. No one at the customer service can fix it, and they cannot explain the error either. Run the other way if Wellcare Prescription Drug Plan is ever offered to to you!! They are a nightmare to deal with on any level.

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    Customer ServiceCoverage

    Reviewed May 16, 2019

    DO NOT USE this company! Customer service is absolutely horrible! No one knew anything about information that needed to be provided for coverage of members/patients. Coming from a dental office that tries to confirm coverage for patients. Highly advise against.

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    Customer ServiceCoverage

    Reviewed May 14, 2019

    They cancelled my coverage for non-payment. I called them 30 days after applying and they said they would send out my bill and card soon. Never got it. They cancelled my coverage and I still have yet to hear from them. I will call them tomorrow and hopefully get this worked out because now I have no coverage.

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    Customer Service

    Reviewed May 7, 2019

    Have been trying for over a week about a prior authorization issue. Passed along to 10 reps so far, 7 days of my time, several hours on phone, with 10 reps so far and issue still not resolved. Cannot wait to change companies. ZERO STARS!

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    Customer ServiceCoverage

    Reviewed May 4, 2019

    We have been trying to get our coverage card for over 5 months. Have called several times... On hold and calls for over 5 hours being bounced around. Filed complaint with Medicare and then WellCare sent sent us a letter stating our coverage effective date. Finally tried to fill a prescription to find out they cannot even find us in the system. Called again tonight. One hour on the phone and no satisfaction. This is a terrible experience!!!! Waiting for another call tomorrow. Cannot wait to get out of this company. But we need drug coverage. Hours on the phone... Horrible. Do not use WellCare!!!!

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    Customer ServicePunctuality & SpeedStaff

    Reviewed May 2, 2019

    THE WORST! Totally useless in getting information. When you call you are sent to the Philippines. These people cannot fix, change, or answer any questions. Went up three levels and the information was no better. An example: I sent in a computer form requesting my start date as April 1st. Get my acceptance letter and start date is March 1st. Told me my information was wrong. I am looking at a copy of my form and clearly states April 1st. Then I am told I am late for my March payment?? Never received the requested coupon book. Anyone in Management that would do a call in and would be proud to run this Organization is just collecting a check.

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    Customer ServiceContract & TermsCoverageStaff

    Reviewed April 30, 2019

    WellCare is the best health insurance company which I have intensely reviewed over the last fifteen years. While retaining a Florida 2-15 Insurance License from 2005 to approximately 2012, I sold life insurance, however, I had several colleagues who enjoyed working with WellCare. Two of my friends have been working there for over ten years which is atypical in this industry. Furthermore, these two WellCare Employees have two children each and are satisfied exclusively offering WellCare Health Products. When my health went from good to poor, I had other health carriers which performed fair with regards to my health.

    Of course, one might say that I am being too generous. In actuality, healthcare insurance is difficult for most people to quickly understand which is unlike most products in which people have a consistent need. Why is this the case? There are hundreds of choices of plans, and within each plan, there are many other choices. In addition, the plans are constantly changing due to many factors such as laws, demographic age changes, demographic health changes, and many other variables. In short, the reason I like WellCare is that they are extremely responsive to letters which are sent to them. Their WellCare Healthcare Telephone Representatives repeat what they have told their clients through the telephone because they are well aware that most people say they understand a specific policy issue when, in fact, most people do not understand, at least, some provisions in their policy.

    In general, most conversations through the telephone which deals with businesses take, at least, two if not three telephone calls by the customer until the customers and customer service representatives are completely satisfied that a full understanding of the topics has been executed. With health insurance, this scenario could be fifteen or more calls. With WellCare, I do not need to continuously call for three weeks or more, in order, to come to a satisfactory discernment of the specific subject matter.

    Moreover, WellCare is the first healthcare company which sent me a check for hundreds of dollars for a specialist physician's visit of which they had absolutely no contract obligations whatsoever to perform. This action by WellCare is not a phenomenon. This is not an accident. This is beautiful, and this is virtually unheard of in the industry. In closing, when receiving your group, individual, supplement, Part D (PRESCRIPTIONS, and/or any other health insurance product), I suggest that one take a week or more to carefully read and understand how health insurance works in regards to all the terminology.

    In turn, you will be able to understand your policy and know pretty much all the questions to ask the representatives. This is the truth and the facts, and, in fact, long term studies show this improves your health. In other words, there is a strong connection between one's understanding of health care insurance and their own health. I do not in any way have a connection or interests with WellCare. I am just trying to express what WellCare has done for me, and what WellCare will do for you if one takes the time to gain an understanding of healthcare. I know that if a small education is gained you will not spend countless hours on the telephone, and, more significantly, you will be a lot more successful in maintaining your health. Now, I just have to figure out how I am going to lose all my weight.

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    Customer ServiceStaff

    Reviewed April 27, 2019

    I went to a presentation of a new Senior Care Center I wanted to begin to go there. This pushy, don't take no for an answer insurance agent (salesman) signed
    me up for Wellcare. I told him I was happy and satisfied with my current plan. He opened his computer to "see" if he could save me money on prescriptions. He

    claimed that he could. Before I knew it he signed me up. I informed him that I was previously dropped by Wellcare. That didn't faze him. He made some vague reason why they might have cancelled my policy.

    I attempted to contact Wellcare. I asked them to please un-enroll me ASAP. I talked to 7 different departments. I was made to give my personal information all 7 times. Nobody knew anything. I called Medicare and Social Security as well as the Florida Insurance Commission. It seems that I am stuck with the terrible company until the next open enrollment. This is ruining my life. I am leaving the state and moving up north to live with my son. I am chronically ill and do not need this aggravation. Terrible!!!

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    Customer ServiceCoverage

    Reviewed April 26, 2019

    In 2018 during health coverage enrollment period, I am a disabled government employee, with available self paid coverage through GEHA - Government Employee Health Association. In dropping my Medicare Coverage to join GEHA, everything other than my drug plan WellCare knew they were canceled, due to CHANGE IN COVERAGE. I still received a request for payment - because Medicare STOPPED PAYING, I no longer receive Medicare. Sent in the form that I’m not covered by WellCare - I am not covered by Medicare - I’m covered by GEHA.

    Month after month I keep getting letters “we will cancel you for non payment...” NOW, “we’ve enrolled you into a different plan that Medicare doesn’t pay...” All without my agreeing that they are still my insurance. Double talk over the phone that doesn’t say if I will owe or I will owe nothing; that they want me to send in a letter, oh and “may have to pay a fine for disenrolling outside enrollment period.” “Escalations” that go nowhere; only calling my one phone number after I specifically requested they call my secondary number - I cannot answer primary number during the day. Finally today they called my backup number.

    I have to drag it out of “Ryan” and “Stacy” of the “Escalation Department” That by sending in a cancellation - they won’t accept it as of Jan 1, 2019 - when my new/current coverage came into effect. I’ve also pointed out that the last three letters on two different dates all contradict themselves. The dollar figures are ALL DIFFERENT. One letter says disenrolled for non payment, being enrolled into another plan because incorrectly disenrolled. It’s amazing that depending on the letter/day of the week, I may or may not be covered by WellCare - WHEN I AM NOT SUPPOSED TO BE COVERED BY THEM AT ALL.

    I asked, “Has Medicare paid you at all this year?” Answer was “No.” Medicare CANCELLED because I had shown I now have adequate coverage I am paying fully - I pay no Medicare premium, so WellCare is no longer involved since I am not on Medicare. WellCare - I dare you to escalate this beyond your “Escalation Department Supervisor” “Ryan” “DXSILVA2” — ask for Enrollment Services 888-550-5252 8am EST to 8pm EST.

    Hopefully this information will help YOU with your enrollment disenrollment issues. I’ll add in comments other possible departments to contact. When Medicare says to cancel D Drug Plan - they aren’t paying anymore - it’s on WellCare to do their own client rolls. You cannot enroll someone into a plan that THEY DID NOT AGREE TO. That was letter two of the latest three for month of April 2019.

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    Customer ServiceCoveragePriceStaff

    Reviewed April 26, 2019

    I worked in HR for about 30 years. WellCare's program and Customer Service team are the worst I have ever dealt with. I have spent numerous hours on the phone with them, even enlisting the help of our Agent during the calls, trying to correct a problem on WellCare's end. The calls are unbelievable. They repeat themselves and what they think I said over and over. They don't seem to understand what I am trying to tell them. I had to correct them repeatedly. And, unfortunately, they are very difficult to understand. I had to ask them to repeat what they said throughout the calls. They pass you from one Rep to another. Each time, you have to repeat your name, address, phone number, zipcode, ID number and the reason for the call.

    Each Rep places you on hold for extended periods, researching your account and issue. Each hour more call ends with hope they are forwarding the claim to a department to resolve the issue, then nothing. I have been working with them since February, spending approximately 12+ hours on the phone, going in circles, driving myself crazy trying to communicate with this company and its team of so-called Customer Service Representatives.

    I finally gave up and filed a complaint with Medicare. We are now in financial limbo. My husband hasn't had coverage since January 31, 2019. We are forced to pay for his expensive prescriptions out of pocket, which is a hardship. And, we can't enroll in any other plan until open enrollment for 2020. This has been unreal. The reason for their actions are patently bogus. They thought my husband had other coverage. He did not. I called to inform them that was not true. The WellCare Rep confirmed his coverage and sent ID cards and plan information out after my call. They proceeded to term is coverage January 31, stating we did not respond in a timely manner. I believe an error was made on their end and they won't acknowledge it, even with confirmation to them from our Agent. If it isn't just a simple error, then what is it? My husband does take several prescriptions, some of which are very expensive. Could that be it?

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed April 22, 2019

    For those prescriptions that I do have, they have covered them very well. But is it worth putting up with very poor customer service. The one that gets me the most is that on December 3 I requested that they take premiums out of my social security. It is April 22 nearly five months later and they still are not doing that. Despite many followup requests.

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    Customer ServiceStaff

    Reviewed April 19, 2019

    This is by far the worst insurance company to sign with. I had them for 4 months and they didn't wanna pay for any script that was given to me. Keep in mind I'm a diabetic. I had to get prior auth. for every script. The customer service forget about it. They will hang up on you bc they don't have a clue. What the heck they are doing! Run run far from this company. They are no good and they are a bunch of liars and are incompetent to do their job!

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    Customer Service

    Reviewed April 17, 2019

    They are receptive to adding new providers for specialized services. They provide local customer service follow up sessions after enrollment so you can maximize the insurance benefits. The list of toll free telephone numbers for each department is also helpful.

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    PricePunctuality & Speed

    Reviewed April 12, 2019

    I expect to be able to view my monthly prescription drug summary (standard Medicare form) online in a timely way as well as reports of recent transactions between statements. This has been true for years with other PDP providers I have used. Printed reports by postal mail are slow, inefficient, costly, and wasteful. It is mid-April and I just received my statement for February transactions. There is not a single thing on the WellCare "member portal" that is of any use to me whatsoever. I chose WellCare because of their low premium and copays for my drug list. I am satisfied with the value provided there, but the total lack of any useful online resources will drive me to another plan at the next open enrollment period. Zero chance I will renew.

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    Reviewed April 12, 2019

    Once you navigate the system, it runs very smoothly. I pay no premium and my prescriptions are zero. They offer a 20.00 over the counter choice per month. They do have a 192.00 deductible, however if you are healthy you don't use it. They allow for chiropractic and Acupuncture Which I was interested in. I have been with them since 2012.

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    Customer ServiceStaff

    Reviewed April 10, 2019

    Signed up for WellCare Medicare Part D and regret the decision. I spent an entire day trying to contact the company to receive a membership card and information on how to obtain mail order prescriptions. Long hold periods followed by a disconnect, left my phone number for a callback and after the phone call was returned I was answered by a recording and a disconnect. Several phone calls later I was connected to a representative that I struggled to understand and who could not understand me. I asked for an English speaking representative and was transferred, after fifteen minutes, to another person I could not understand. When I again requested an English speaking representative I was told that there weren't any.

    I filed a complaint with Medicare and received a phone call from a representative that apologized and gave me a phone number for customer service in the U.S. but informed me that the hold times would be longer. I will not renew with this company and discourage anyone contemplating doing so to pay a bit more and receive competent service. I also encourage Medicare to remove it from the recommended Part D list on their website.

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    Reviewed April 7, 2019

    Plan started April 1....first prescription I had to pay 300% more than Blue Cross...from $70 to $210 for a 90 day script. Please do your homework as WellCare's plan, for me, is not one those of us on fixed income should be signing up for.

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    Customer ServiceCoverage

    Reviewed April 4, 2019

    I just realized on April 3rd that my primary insurance was cancelled as of December 31, 2018. There was a confusion during enrollment. The supplement denied me so I was told I would keep my current insurance at that time. So I thought nothing changed and no one said anything differently. So April 3rd I went to the doctor to get prescriptions renewed. I went to pharmacy and they informed me my insurance was denied. So after making calls I found out my insurance went back to the Medicare and WellCare. I did receive a bill from WellCare but I thought I still had my other insurance so I didn't need WellCare part D.

    Now my bill on this was due March 31, 2019 and this was just 3 days later April 3, 2019. They would not accept any payment, told me I had to wait till next enrollment. So I asked her, because of meds I take, which are for high blood pressure and a daily inhaler, it is alright that I could possibly have a heart attack or end up not being able to breathe. Basically could die without these meds, her answer to me was nothing she could do!!! Now the language barrier was also a problem. Could barely understand her.

    How sad that that WellCare plays a part on if you live or not. Again, this was only 3 days after my due date, not a month. I would not recommend WellCare for your insurance needs. Being 3 days later, I should of been able to pay the premiums and also pay next premium to catch up, then all would have been fine. Being told you have to wait till next enrollment is unacceptable and totally ridiculous. NEVER USE WELLCARE. They play with your life, can barely understand the representative and there is no extension for payment. This was a horrible experience to know you need meds and can't get them.

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    Customer ServiceStaff

    Reviewed April 2, 2019

    Received a letter of acceptance yesterday with no prescription card. Called to inquire about the status of the card. After giving my info I was put on hold for 10 minutes. The customer service person came back and said my application had not been completely filled out, and he was transferring me. After another 5 minutes I was speaking to someone in the application department, who wanted me to fill out a new application. What?!! I had completed the application, had a letter that I was accepted, what?!! I was told no, my application had been denied. What?!! I have a letter of acceptance.

    Asked to speak to a supervisor. He confirmed my application had been denied, and needed to re-apply. The start date on my application was incorrect. I had the application right in front of me, and the date WAS correct?!!! After 25 minutes of talking to four people and going nowhere, I have to resubmit my application, again. Not one person took the time to give me any intelligent explanation, and it was frustrating beyond! The only hope I have is once I am in the system, I have NO reason to call this company. It is pathetic!!

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    Customer ServiceStaff

    Reviewed April 1, 2019

    In November 2018 I wrote two Medicare policies for WellCare. I am yet to be paid in full. I have been caught the office since January 2019 for my commission. In March 2019 they sent a renewal check in the amount of $20.08. I called in March to ask about the status of my commission for the new application. I was told that the check was in the mail. Each and every staff have lied about when I will receive my commission. Today April 1, 2019 I called and the representative didn't see a check nor info concerning my check. This is a very deceptive and unethical company. I am proof.

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    Customer ServiceStaff

    Reviewed March 29, 2019

    This review is based on the multiple occassions that I have had dealings with WellCare during which I have had their insurance. During phone conversations with Customer Service Agents, the Agents often appear to struggle to access information and answer questions appropriately. This results in long hold times. Most recently, information impacting my healthcare was undisclosed to me by Agents, despite the information availability. Generally speaking, training, consistency, and quality are my recommended focal points for improvement to Customer Service and Support.

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    Customer ServiceStaff

    Reviewed March 27, 2019

    Do not waste your efforts calling the phone number on the back of your WellCare card and only get marble-mouthed conversations out of it. End nowhere! Go directly to WellCare, located in Florida, escalations department! Phone #866-587-1384. If an associated plan of Medicare, call Medicare first and put a complaint against WellCare -first- and then tell the Escalations agent you had done that before calling. WellCare has to resolve any Medicare complaint it gets but never will or try not to with oddball - half witted excuses.

    WellCare advertises unreal great benefits but try to get them! Never will because of all sorts of excuses they will give you not to allow them. Keep calling Medicare on not allowing you your full benefits and eventually it will be passed to the (ARC) Medicare Advanced Resolution Center. WellCare will be forced to follow Medicare guidelines. When ARC is given your case with WellCare problems, the ARC agent can make 3 way calls with you, them and WellCare. If a WellCare escalations agent hangs up on you and the ARC agent, just have the ARC agent hit redial on them. WellCare is the best cat and mouse insurance company you will ever find!

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    Customer Service

    Reviewed March 22, 2019

    I am so sorry I didn't read all the reviews before purchasing a policy with WellCare! They are the worst to deal with. They can't get anything correct and I can't wait for the year end to drop them! Aside from the language issues they put you on hold to then transfer you to another person that can't help either. How on earth do they stay in business??? The first time I went to get a prescription filled for cough syrup the pharmacy said I was cancelled. I called them and they said they didn't have complete information after billing me for 2 months premiums and sending 2 mail order scripts to me already. Really? Just horrible customer service!

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    Customer ServiceCoverageStaff

    Reviewed March 22, 2019

    This has to be the worst insurance anywhere it should not be permitted to have a license. Every other week there is another problem with WellCare. Not even the Government is as messed up as this. The customer service disgraceful. No one there knows what's going on. Keep getting transferred from one incompetent person to another. What a nightmare this is.

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    Customer ServiceCoverageStaff

    Reviewed March 21, 2019

    This company is the WORST! My Husband was assigned this company as his Part D Medication Service through Medicare in January, 2019. THANK GOD they put me with Cigna instead. We have paid more for his meds than we could have paid with NO coverage. But now we are stuck till October open enrollment. They are rude, DO NOT SPEAK proper English, and treat you like garbage. Do yourself a favor and DON’T sign up with them.

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    Reviewed March 15, 2019

    Florida's Gov DeSantis put me on Staywell Medicaid in January 2019. I tried using Staywell all over Panama City and Bay County but all the doctors and pharmacies haven't accepted Staywell for years. I lost my free clinic because of Mr. DeSantis' generosity and now I need blood thinners for my mitral valve. I went to Gulf Coast hospital's er today and got blood thinner refill while I wait for right/wing Florida to switch me over to Lighthouse HMO on April 1. Florida just sucks as a state in everything.

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    Customer Service

    Reviewed March 13, 2019

    I enrolled with WellCare as my first attempt to entered the Medicare world. What a disaster it has been. First enrolled for a specific date and that was changed upon attempting to communicate with the Philippines agents. Was told they had fixed change. Now three weeks later and having received at least 15 letters for WellCare this evening attempted to (again) try to have "Reich" Supervisor at WellCare stop the madness. Was not satisfied with her response and attempted to speak with Manager "Norman". After holding for 10 minutes was told Norman was on another call however he had time to tell her that they would handle it. If I had to do this over I would not go with WellCare due to their poor customer service and inability to handle concerns and issues. Please if looking at this company do your homework better than I did.

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    Customer ServiceCoverageStaff

    Reviewed March 12, 2019

    After signing up for their drug coverage, receiving a prescription card, paying premiums, and even getting a prescription filled, when we went back for the refill we were informed the policy had been canceled. Like other reviews state, these folks do not speak English as their primary language and do not understand what you are trying to tell them. I was transferred 3 times and each person was just as ignorant as the first. When we signed up for coverage we were not taking medications, now that we are the policy gets canceled. This is my first posting and tomorrow the letter writing and phone calls will begin. My first call will be to my agent, then Medicare, and then insurance fraud.

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    Reviewed March 11, 2019

    WellCare prescription drug plan for Medicare should change its name to Death care. They will deny medications prescribed by your doctor, they will waste time always asking for prior authorizations from your healthcare provider. My mother was prescribed a medication by her Dr to prevent pneumonia and choking, and they denied her this medication. Their help desk is located in the Philippines, and is totally useless. I strongly advise anyone thinking of using this prescription plan to not do it.

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    Customer ServicePunctuality & Speed

    Reviewed March 11, 2019

    I am a long time member who is current in the middle of a health crisis. My plan has failed me because it requires too many people to sign off and get specific benefits approved, it takes too long to get a specific issue moved from one desk to another, it takes too long to get to customer service on the phone, it takes too long to find someone who understands the issues, benefits and what needs to be done. Meanwhile, if you are sick or experiencing some health issue, you just keep getting sicker because your health plan with this company is aggravating and frustrating you along with the fact that you are not getting the specific benefit you have been expecting and waiting for. Even when you final a grievance, that, too, takes too long to move through the complicated and very, very slow process to get to a resolution. I never can talk to anyone who understands or reports any of the problems I report to them about my frustrations with their operation.

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    Customer ServiceInstallation & SetupPunctuality & SpeedStaff

    Reviewed March 8, 2019

    Spoke with local doctors in Rochester NY to find that none of them will accept WellCare. Most will not even grant an appointment if you have them. Providers say WellCare doesn’t pay well and difficult to even reach customer service. I had to change to get providers that would see me.

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    Customer Service

    Reviewed March 6, 2019

    You spend hours on the phone trying to get your problem solved and you are just transferred from one person to another with hold lasting 15 to 20 minutes to 30 minutes and never get to anyone who can provide an answer or even understands what you are asking. I will be looking for alternatives to WellCare AdvantageCare next year. I was with Texan Plus and had no problems but this co. bought them out and I have issued complaints with no solutions.

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    Customer ServiceStaff

    Reviewed March 6, 2019

    Everyone who has Wellcare needs to leave now while there is time. This is the penultimate WORST CS I have experienced in my life-as a customer and as a Nurse Practitioner. The reps cannot speak OR understand English; they are clueless, inept, incompetent and dumb as rocks. They are unable to answer even simple questions so they just hang up--this has happened to me repeatedly. I cannot express how disgusted I am. I'm leaving this company. I called Medicare and filed a complaint and the rep said she has heard several complaints about this "company".

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    Customer ServiceStaff

    Reviewed March 4, 2019

    Called 5 times and spent over two hours on phone. And one of those call was from my doctor's office. They change their story each time I called. No dosage, two scripts, ran out of refills. This was the worst company I have ever dealt with in my whole life. Each person I talked with did not know what to do. I will run out of medicine tomorrow. After over a month I have no results. Good luck if you have to deal with this company.

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    Customer ServicePriceOnline & AppStaff

    Reviewed Feb. 26, 2019

    The out-of-pocket cost for any script (brand or generic) is well above other carrier providers. Premium amounts are also well above average. Customer service over-the-phone is a nightmare. Reps are poorly trained for phone calls, have no knowledge of their own company services or insurance regulations in general. Misinformation is a constant problem when calling in. The members' website is as basic as it gets. No online support is available for account self-service so contacting CSRs by phone is the only way to get problems or updates resolved. My advice to anyone seeking PDP coverage: Do not use this provider.

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    Customer ServiceOnline & App

    Reviewed Feb. 22, 2019

    I find it hard to believe that this company is actually certified by Medicare to offer Part D. It has to have the worst customer service EVER. I signed up for WellCare after three years with a different company because that company's premiums became too high. I take no medications whatsoever but know that I need to have some sort of coverage because I will pay a penalty if I ever do need Part D and don't have coverage. It took me more than a month to pay these people. I didn't even get an email stating how to set up an online account. I got a response to an email more than a month after sending it. Figuring out how to weed through their website is difficult. I cannot imagine a company that does less to get business. I would hate to have to deal with them if I ever actually needed any sort of medication and had a problem getting it.

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    Reviewed Feb. 21, 2019

    I see many complaints. My wife is on TexanPlus and needs a hysterectomy to stop her bleeding. She has been in out of network emergency room three times for this condition and the bills are piling up. Every doctor she is referred to by the plan refuses to accept her membership. We want to file class action litigation.

    Who is with us. Contact me at ** and let's find an attorney that will put a stop to this fraudulent malpractice and neglect of senior citizens.

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    Customer ServiceCoverage

    Reviewed Feb. 19, 2019

    Started with the Elite Medicare Advantage Plan on January 1, 2019. The plan's formulary is not as mainstream as most other plans. They would not cover my wife's diabetic drugs with the prescription the primary care had written. My dermatologist wrote a prescription for a cream for me to use and it was not covered but for 30 days and I had to pay over $58.00 to have it filled. My Gastroenterologist ordered an MRI which they denied. The customer service is the pits. I never got answer why, just that they did not have the request. I still have not received a written explanation as to why. Just today my GI ordered another procedure which they also denied because I had decided to return to Optimum Medicare Advantage plan before it was too late.

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    Customer ServicePriceStaff

    Reviewed Feb. 19, 2019

    I agree with everyone who has said that the customer service is very poor. The representatives are very hard to understand and they have a problem understanding you. I was transferred three times and still did not have a resolution. So far my husband and I have received our medications. I hope we have no major issues before the next Open Enrollment. Inexpensive premiums are not always worth it.

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    Staff

    Reviewed Feb. 18, 2019

    Two months ago, after completing the arduous task of enrolling my mom in Medicare, I was asked to sign her up with one of five supplemental carriers. I chose the one her doctor accepted. I called and mailed in the application on her behalf. United Health Care... Because her doctor accepts them and they are darned good at what they say they do. Today Laguisha ** from Wellcare sashays into my mom's room at the nursing home and starts interviewing her and then asks her to sign up. These folks try the end-around with the poor souls in nursing homes who do not have an advocate. Their service is abysmal and their practices are predatory.

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    CoverageStaff

    Reviewed Feb. 18, 2019

    Do not sign up for this company. Their agents lie about the benefits this company provides. My mother had Medicare for more than 5 years. In December, we made the horrible decision to switch to WellCare. People, PLEASE DO NOT SIGN UP WITH THIS COMPANY. We have invested more than 50 hours, no exaggeration, with various people that work for this company and with prescription companies, as this company says that my mom is not eligible for a prescription that she has been taking for 4 months before we switched.

    Also, we have tried to cancel in January and still are unable to get back into Medicare as of Feb 18, 2019. They told us "you can cancel anytime and at the end of the month, your insurance switch back to Medicare", we are well past the end of the month - still haven't switched. This cheating company is only after making money off of the State of Texas without providing any service. STAY AWAY FROM THIS COMPANY.

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    Customer ServicePunctuality & Speed

    Reviewed Feb. 15, 2019

    I've had the same frustrations with Wellcare Customer Service, and I just started on January 1. Instead of complaining here, I did some research on the Medicare site: **. There, I found the contact info for the Senior Director of WellCare Customer Service, Jason Bollent, for my state (Maine) and found his name associated with other states as well. I sent him an email outlining my CS issues, and he did respond promptly. Time will tell if this is an effective method of complaint, but it looks promising. If he hears enough of the horror stories outlined here, maybe they will take some action and make some changes. His contact info: **, or something similar to that. Good luck.

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    Customer ServiceCoverageStaff

    Reviewed Feb. 11, 2019

    We have over 4 hours invested and they still can’t get it right! The plan came back with the wrong effective date. We have called in 4 times - each one at least an hour. These people are incompetent! I don’t think we will ever get to the point of using the coverage. If they can’t even issue a policy correctly how in the world will they be able to make insurance payments. I wish 0 stars was an option.

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    Customer ServiceStaff

    Reviewed Feb. 8, 2019

    Contacted Wellcare to find out pricing on my drug plan. Was on the phone for over an hour to get pricing on five meds I take and still didn't get the information I needed. I ask where the lady from the call center was located as she could not speak good English and could not understand English. I had to repeat and spell every drug at least 4 or 5 times. She was from the Philippines. I was promised a call back from her supervisor but have yet to get one two days later. Found out today from our local CVS some of the information she gave me was not correct. Worst customer service I have ever experienced. This is frightening as they are dealing with people's lives. Horrible.

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    Customer Service

    Reviewed Feb. 7, 2019

    Terrible. No one signed up for this but somehow my 95 year old mother is enrolled. I told them she does not need or want this and yet they sent a payment book. Told them it's not getting paid. Simple. Told them to call me when they figure out what they are doing. I told them she is on Medicaid long term care and she does not need it. And again they speak in broken English. Hard to understand? Stay away. They will drive you crazy.

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    PriceStaff

    Reviewed Feb. 6, 2019

    As many other reviewers have stated, there is no way to communicate with these people! I have tried for weeks to register online, but the registration page will not take my information. I tried calling, but as others have said, I reached someone who barely spoke English and was no help at all. I am having to MAIL my monthly premium in. There is no way to pay online. Totally unacceptable!!! Like many others, I switched to WellCare this year for the cost savings, but this is the worst service I have ever experienced.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 31, 2019

    If you want answers to any questions, call the person who sold you the policy. I tried to get some information on a policy to make my first payment since I didn't receive my policy or member number. The first person, who barely spoke English, told me she can't help without my member number and put me on hold. I finally hung up after 11 minutes. The second girl was even worse, she spoke some ** language and was pretty nasty, she also put me on terminal hold after asking for my SS#. I only held for 9:45 minutes this time. The third time was exactly like the other two.

    When attempting to sign up online you have to have your account number so that wasn't much help. I will wait until I get a notice of cancellation, if I get one, and try to sign in online. The customer service is the absolute worst I have ever seen, that includes from the old days of offshore Microsoft help. I would rather pay for the prescriptions without a plan than to endure the WellCare people.

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    Customer Service

    Reviewed Jan. 31, 2019

    Worst customer service I EVER experienced in 50 years of business. Customer service passes you from one dept. to another & clearly have not been trained. Service is an off-shore & comments delivered in terrible English in phone lines that remind me of the 1980s when it rained. Wish I could give less than 1 star. Took me 4 hours over a 2 day period & still lacking info I need.

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    Customer ServiceStaff

    Reviewed Jan. 29, 2019

    My husband NEVER signed up for this plan, yet they have sent him a bill monthly for the past 3 years. He has tried repeatedly for the past 3 years to get this cancelled. After finally being able to get a customer service rep on the phone last night, we spent an hour trying to get this cancelled, and still NOTHING! They said he has to put cancellation request in writing. What happened to the other 36 that he has mailed in?

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    Customer ServiceStaff

    Reviewed Jan. 29, 2019

    Don’t try to call them. I have talked to three people and not one of them was trained properly. My question was simple. I just needed to know what my co pay would be on a medication. This doesn’t seem to be too much to ask. They simply couldn’t give me an answer that was understandable.

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    Customer ServicePriceStaff

    Reviewed Jan. 25, 2019

    I was recommended to get WellCare by my Medicare Insurance Advisor because of the cost savings for me. I tried to register online and at the end of the registration confirmation it states "Your temporary password will be e-mailed to ** within 24 hours." It has been 36 hours and still no password. I emailed them 3 times asking where is my temporary password. No response. I phoned them. I was put on hold for an hour after which I simply hung up. I have a life to lead and can't be running around with this phone playing horrendous music while I WAIT ON HOLD. I hung up and called back and the operator seemed to feel that 1 hour was NOT excessive hold time and now that I called back, I would be placed at the end of the line again. After another hour on hold, I just hung up and have given up.

    I also feel I made the mistake of signing up for mail delivery of my maintenance drugs. Honestly, if I had not phoned them, I would have hung up because the call was like a SPAM phone call! The girl who was taking my information could not be heard due to a HORRENDOUS phone connection. She didn't know what to do to get me signed up for mail delivery. Her name was Debby **, by the way. So if you ever get her, hang up and call back and pray you get someone else!!! She didn't know if she should take my credit card number to charge for mailed drugs until I suggested she do that! Every time I gave the number, she got it wrong.

    Immediately after hanging up from that call, I regretted trying to do mail pharmacy. So I called my local CVS pharmacy and made sure I could still get prescriptions through them and just walk in there to pick them up. Of course, when they checked, WellCare had NOT tried to refill any of my scripts. I honestly believe it would take WellCare at least 6 months to figure out how to do that if ever.

    WellCare, in my opinion, if the most inept company I have dealt with. Sometimes when people get the least expensive drug program, they get what they pay for. Now I am STUCK with this horrible company for the next year. I will NOT renew with them. If anyone knows how I can change plans, please let me know! After reading all of the other reviews here, I see that I'm not alone!

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    Customer ServiceContract & TermsStaff

    Reviewed Jan. 19, 2019

    I understand that companies use cost savings tactics in order to boost profits but please don't in the expense of the consumer. It is quite clear that Well Care outsourced their customer service to The Philippines, fine and dandy, but at least contract with a company that has employees with an excellent command of the English language. November 16, 2018 at 23:19:52, I called Medicare and enrolled in the Well Care Value Script (PDP). Since I had not received my ID cards from Well Care, I called Well Care 888-550-5252. I was advised that my application was declined because had not provided proof that I have Medicare Part A and Part B.

    Since I had enrolled thru Medicare, I thought that would have that information, then I discovered that my surname was just the letter "C", not even the beginning of my surname. After three weeks of dealing with ignorant, not knowing anything, individuals in "Customer Service", I asked to speak with a supervisors and was transferred to a representative in the good old USA, had an excellent command of the English language however I was advised that I would have to speak to the enrollment department which was in The Philippines.

    I went along the charade and was transferred to Natalie who assured me that my account would be activated by noon today. She gave me confirmation number. I called today, Saturday, afternoon and was told that I was told that I would have to wait until Monday because the escalation department was closed on the weekend. I stayed on the line after the call to participate in the survey which at the end of the survey I was asked if I would recommend Well Care and I replied, "NEVER!!!"

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    Customer ServiceStaff

    Reviewed Jan. 15, 2019

    A medicare representative recommended WellCare to my mother as the plan that would best suit her, and enrolled her. We thought all was well until we received a letter from WellCare telling us that she was cancelled. I have spent in excess of 5 hours on the phone with them, only to be put on hold, disconnected, or being transferred. I don't know why they are called "customer service" because they do absolutely nothing but transfer the call to another foreigner who also does absolutely nothing. They are dealing with senior citizens' health and well being and obviously don't care who they hurt. 0 stars is my review.

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    Customer ServiceSales & MarketingPriceOnline & App

    Reviewed Jan. 14, 2019

    This company uses bait & switch through the Medicare.gov site for open enrollment. Their website is impossible to navigate and their telephone "Customer service" is horrible (located in Manila, Philippines with huge language problem). Keep transferring with long waits and no results or answers. I have 1 script for a common drug that Humana filled with no problems for 2 years. They refuse to give a way for my doc to submit prescription. Now I'm stuck with WC with no benefits and automatic deductions from Social Security that I can't cancel. Will have to pay full price for my med. over the counter for a full year! I really regret switching! Will definitely drop this useless WellCare band of thieves next open enrollment period!

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    Customer ServiceStaff

    Reviewed Jan. 10, 2019

    I had a bad experience with WellCare and would not recommend them. I will start Medicare next month. I went through a well known Medicare assistance company and based on my situation they recommended WellCare. I was signed up Receive notice I was accepted and also received my Pharmacy card from them with member numbers. I called last night to enquire about billing and was told my application was cancelled. I asked why and was put on hold for over 20 minutes and I hung up. I called immediately back and got a different service representative. Was told again my application had been cancelled with no explanation. I asked to speak to a supervisor and they could not produce one. I will add at this time it seemed like the call center was outsourced overseas as it was difficult to communicate with the service representatives.

    I asked to have a Supervisor call me back. They said they would arrange it. After hanging up I immediately called the Medicare assistance company I used before and explained my problem. I told them to find a different company that I would never do business with WellCare regardless if it cost more with someone else. So I ask everyone to consider what might be the most important part of your insurance function and that is to be able to communicate with them when you have a problem or concern or medical need. I have now gone with Aetna for couple dollars more a month but invaluable peace of mind. I was very concerned that I was three weeks out from starting Medicare and my application was cancelled and no (ZERO) communication. Can't say if this is normal or abnormal customer service for them but I will not take a chance with them.

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    Customer ServiceStaff

    Reviewed Jan. 9, 2019

    I called 3 times and each time I was put on hold for 20 minutes without speaking to a physical representative. What is going on with this company? I’m also seeing others with a problem similar to mine or worse. How are we to get information or answers to our situations? At first they sent my card with a PCP name on it I have never heard of. Thank God it was before the beginning of 2019. They did send one with the correct name on it. Now, my dad just received his card on the 4th, which is already 2019, with the wrong PCP on it. And I need to contact them for a change so he can continue to see his dr. My dad is 93 years old. So, with all these complaints, how do we report this? This is totally ridiculous! This is crazy!

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    Profile pic of the author.

    Reviewed Jan. 8, 2019

    January 1, started WellCare as my Part D Medicare drug plan. I called WellCare to go over procedures. I waited 30 minutes and a person in the Philippines. They knew nothing of medications or exceptions.

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    Customer ServicePrice

    Reviewed Jan. 8, 2019

    Have just become a new member and trying to get our drug plan set up. Great deal of difficulty getting someone on the phone and when someone does answer they are difficult to understand. I know companies do outsource but for medical plans think there should not be a language barrier. When I have been connected, have been on hold for over an hour waiting for support. I believe I understand now why the plan is so inexpensive.

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    Customer Service

    Reviewed Jan. 8, 2019

    I just joined WellCare and this will be my first monthly payment. I have called 3 numbers and I finally reached the right number, but I was transferred 3 times to people who were suppose to take my payment. After 30 minutes of hold time I just hung up. I have to pay 10 cents a minute for my phone and I wasted $3.00 being placed on hold. I have never heard of a company this large who doesn't seem to care about getting paid or who makes it almost impossible. Can anyone please tell me of a easier way to pay my monthly bill? I refuse to let them take it out of my checks automatically as I have read horror stories online about using that option.

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    Customer ServiceCoverageStaffReliability

    Reviewed Jan. 7, 2019

    I signed up for Medicare prescription coverage because WellCare covered all of my medications and their online pharmacy is CVS Caremark. I did not receive anything but a bill, no card or description of what the plan covered. Customer service took 59 minutes to respond and I was unable to understand the representative. I managed to translate enough of what he was saying to be able to request an identification card to use at a pharmacy. Card ordered Dec. 26. Arrived Jan. 7, I attempted to sign up for an online account. All went well until I tried to sign in back in: account information incorrect, temporary password (issue by company after answering all security questions) did not work, new temporary password could it be issued because all information was invalid, new registration could not be done because I was, "already registered".

    Called customer service and was put on hold for 27 min 29 sec, transferred after struggling to make the representative understand my problem and put on hold for 31 min and 25 sec. Hung up and tried calling back and after 53 min and 26 sec gave up! Will change companies next year even if I have to pay more. The representative speak very broken English and seem to have as much trouble understand me as I have understanding them.

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    Customer ServiceStaff

    Reviewed Jan. 7, 2019

    I've tried about a dozen times to connect to a service representative to change my PCP to no avail. Just keeps playing some crappy muzak. Waited up to 30 minutes then I hung up. Nobody ever came online. Also WellCare automatically gave me a PCP that have never been to and I can't seem to be able to change it to my doctor which is on the list of participating doctors. Now it's too late to change to another Advantage plan. Bad mistake signing up for WellCare. Will never use WellCare again. Not a good choice of signing up for WellCare.

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    Customer ServiceStaff

    Reviewed Jan. 6, 2019

    I have been TexanPlus for two years, they are now WellCare/TexanPlus, I have been trying for four days to get customer service. A robot man or woman answers, ask you a question for you ID, well I give my ID number, that's not good enough, then they ask for Medicare ID, well I won't give that info out. So they ran over the menu options, ok I pick one, then put on hold. Never Never Never does anyone pick up. So I waste my phone mins on hold. Get tired of holding and I hang up. Never do I get a Human Being. I even tried calling on Saturday, today several times - it's the same as before. I am worried since WellCare took over TexanPlus. I never had any trouble with them. They cannot have that heavy of a call load that no one can answer. I only hope I didn't make a mistake by selecting them.

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    Customer Service

    Reviewed Jan. 4, 2019

    I am only 3 days into this new insurance and I am so sorry. I had to prove that I had continuous coverage since I turned 65. I did that - by mail, over the phone, and by fax to no avail. When I said that I should not have to pay the penalty for noncoverage, WellCare told me that Medicare will bill me. But the bogus letters come from WC. Today I needed to get a script filled. WC gave me a bogus fax no for them, put my doctor's office on hold for forty minutes before she hung up. I tried thru the customer line and hung up after thirty minutes. I have 4 doctors who will have to deal with this. Embarrassing and time wasting. I still can't get my Meds. Does anyone know how I can get out of this?

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    Customer ServiceContract & TermsCoverageStaff

    Reviewed Jan. 3, 2019

    I have been trying to get this company to pay for blood work that Quest Diagnostics is billing me for on an October 2017 office visit for an annual physical and PSA exam which is suppose to be free under the Evidence of coverage terms in 2017 and after filling two grievances in the past 15 months where they denied my claim, they are now making it almost impossible for me to file an outside 3rd. party appeal. I've spent over four hours on the phone today with their customer service department and spoke to three different people who all either disconnected me or twice transferred me to a survey pickup destination instead of to a supervisor who I requested to handle my complaint.

    Out of the four plus hours, only 10 minutes total was spent speaking to the three customer service reps, all the rest of the time I had to listen to crackling, static sounding music that would drive a person insane. The lab that did the blood work is ready to put the amount in denial up for collections and my excellent 830 credit score is now on the line due to their incompetence. No one should have to wait more than 5 minutes getting through to a customer service rep. Most of the time you get someone who cannot speak English too well and this adds to the frustration immensely.

    I went on the web today to research doing an appeal on my WellCare grievance under the terms of the agreement with them as a last option and the information that they had there just takes you to a dysfunctional not even active site. How does a company like this get to operate in New York State let alone become certified to be a program associated with Medicare? Save your time, money and sanity and don't even think about doing business with this company.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Jan. 3, 2019

    First of all, if it were possible, I would give WellCare a 0 rating. Customer service is a misnomer for the department that is supposed to help its customers. My doctor’s office FAXed a renewal to WellCare. I waited a few days, heard nothing, then called the office again. I was assured that the prescription had been sent, but it had been returned for missing information. The receptionist said she had double-checked the info before sending it and had indeed provided all that was needed, but she FAXed it again. I waited a few more days and called WellCare. I was told that the FAX had been received, but the rep did not know why it had not been filled. He put me on hold while he “researched” the problem. A half hour later, the line went dead.

    I called again and was now told that the FAX had not been received at which point I asked to talk with a supervisor. I have verification from three people that it was received, but, apparently, it has been lost, which means that I now have to pay the deductible and the co-pay (over $500 rather than the $80 I should have paid) because it is past January 1. If WellCare had done its job properly, this would not have happened. The supervisor with whom I spoke verified that the doctor’s office had used the correct FAX number, so she had no idea why WellCare did not have the renewal.

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    CoverageStaff

    Reviewed Jan. 3, 2019

    I have tried to cancel my insurance three times and each time I was told they hadn’t approved the cancellation yet and twice they proceeded to tell me how to sign up for insurance!! I even wrote a cancellation letter. Their representatives are heavily accented and don’t seem to understand what I’m talking about. The connections are awful and the hold times are long. Don’t deal with them.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Dec. 28, 2018

    WellCare is the most incompetent company I have ever seen. I do not have their insurance and will never want it. For almost a year they have been calling my phone number looking for Debra **. I have REPEATEDLY told them they are calling the WRONG NUMBER. I have saved numerous voicemails and instant messages from this company as proof. No matter who I speak to, it is a total waste of time. No one there does a thing to correct the problem. If they can’t manage to remove my phone number and update their records, I would hate to think of what else they are incapable of doing for their customers.

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    Customer ServiceStaff

    Reviewed Dec. 27, 2018

    9 calls. Been on hold for 8 hours. My insurance agent warned me about them. I did not listen. I have talked to 5 individuals today after being on hold for minimum of 30 minutes each time just to be put on hold again. The people who answer the phone are unable to help. They have to forward you on to another department that never answers.

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    Customer ServiceStaff

    Reviewed Dec. 22, 2018

    We have been under this plan for two years, only recently found out that after paying our monthly premiums they have NOT BEEN PAYING A PENNY ON MY MONTHLY DRUGS. Called them three times, spent 45 mins to an hour with no results. Their representatives were not able to speak proper English. I finally asked to speak to a person who could speak better English. After being on hold, I was connected to an English speaking person who said that that they could do nothing. My plan has over a $450.00 that I have to pay before they pay a small amount on my monthly drug bill. I tried to cancel knowing full well that I would be penalized but would well be worth the penalty to get rid of them. They are worthless as a drug company. They take your monthly money and won’t pay a cent on your drug. This is a terrible company. How in the world do they get by with this???

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    Customer ServiceCoverage

    Reviewed Dec. 17, 2018

    We have tried to cancel this insurance three times and to no avail. We signed up for it after being told that it would save us a bit and immediately got suspicious and told them we were not interested. We have had to call back three times, wait on hold for a long time and told each time they would call us back to disenroll us. Of course we never got a call back. Today our packet came from them along with a letter stating that the premium would be taken out of our SS check. We had never given them permission to do this.

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    Customer ServiceStaff

    Reviewed Dec. 17, 2018

    If you are thinking of signing up for WellCare Part D... stop and run away FAST!! Their customer service is the WORST I have ever experienced with any organization. The owners of the company should be totally ashamed of their outsourcing their most important customer service call center to the far east. You simply cannot understand anyone you talk to and I had a problem with double paying my premium with social security deduction and separate payments to WellCare since they told me it could take months for the premium to come out of my check. I did not realize it was already coming out of check and was still paying them.

    After hours and hours of talking with these people overseas and being lied to over and over, they told me they could not process any refund and it was up to me to deal with social security. If you want your blood pressure to go thru the roof and be totally and completely frustrated go and sign up. I CANNOT wait until open enrollment in October next year to get the hell out of this excuse of a company!!!

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    Verified purchase
    Customer ServiceStaff

    Reviewed Dec. 5, 2018

    I've loved my WellCare Medicare Advantage program...until I had to start dealing with customer service. Today only, I've had 4 representatives try to send me to billing, only to send me to customer service again. I finally got through to billing and started to explain my problem only to discover they were gone at the end of my explanation. This is only a fraction of the problems I've had with them and I'm too frustrated to go through all of it again. I WARN YOU: do not do business with this hot mess of a company.

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    Customer ServiceStaff

    Reviewed Nov. 29, 2018

    I was transferred 6 times in one night. I was on hold almost 2 hours. They would not help me, and I had scratched my eye, and needed an ophthalmologist. My eye is killing me, and I could not get anyone to help me find a dr.. The reps were very rude, and did not listen at all. This is the worst service I have ever had.

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    Customer ServiceStaff

    Reviewed Nov. 21, 2018

    Medicare PDP signup - I have spent at least 2 hours trying to sign up. First tried online, it wouldn’t let me submit the completed form so I decided to call to see if they could explain. Instead of offering an explanation they offered to help complete the form and submit it. I agreed. They asked me all of the same questions I had answered in the online form. They then transferred to another department to complete the process and asked the same questions. They said they would have to call me back with the confirmation. I explained I do not answer calls from unknown callers (too many SPAM calls). They explained after 3rd callback they would leave a message. They left message saying they would callback “yesterday”. I called back using the number on caller ID 3 times and each time the call dropped. I then called the main number. When I got through I explained my situation. The person I was talking with said they needed to verify my identity, I agreed.

    They then proceeded to ask all of the same questions on the original call. At this point I asked to speak to a manager. I explained I wanted to withdraw my application. They promised to callback within 1 hour. I am waiting. Notes: Comments from the people I talked with both days said there was a computer problem. How can they service current customers when it takes several days to resolve a computer problem? It was extremely difficult to understand several of the people I was talking with. I do not recommend doing business with this company. I would NOT recommend doing business with this company.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Nov. 17, 2018

    Impossible customer service. I called to enroll. They transferred me 4 times. Each person asked for the same info. After 90 minutes I asked for an agent to come to my house. They gave me an appointment, I spoke with the agent Carlos, he never showed up and did not respond to calls or texts. They waste your time and appear to not want to enroll anyone.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Nov. 6, 2018

    Been trying to get some needed parts for a wheelchair and bed as well as some help but you don't get nothing but a hard time from the ** and now my supplies are getting later and later each month due to them holding old information and phone numbers that I haven't had for years with addresses I never lived at and they have been corrected so many times it's pathetic and this will be a run on sentence since they are run ons about coverage and forget OTA cause they say they never even got the order when you have the confirmation number and hang up on you or get a person who say ** if they had a mouth full from overseas or some illegal immigrant that needs to ent back where they belong with an anchor around their neck so they don't swim back again and Don't Care needs to be shut down or else people get together and sue their underwear off them so they can feel the pain of what it's like to be without!

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    CoverageStaff

    Reviewed Nov. 3, 2018

    My husband and I have been on WellCare for about 5 years now. We are coming to learn that everyone seems to be getting rid of WellCare or no one takes them. We had to leave our primary doctor for whom we had been with for over 7 years, and we were very comfortable with them. But all of a sudden we get a letter saying they no longer take Wellcare. We finally find a family doctor, we are so uncomfortable with. We never got bills at our old doctors office, but now every time we turn around WellCare has denied paying something I'm sure was covered. We get entirely too much mail from them every day. There is something in the mail from them about something. Why can't they put it all together and send one monthly letter. I have a strong feeling that they will be either shutting down all together or merging with another company real soon because hardly anyone accepts their insurance.

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    Customer ServiceStaff

    Reviewed Nov. 2, 2018

    The WellCare rep comes to my home tells me I can get this get that. She even found me Dr. Put the App. On my Phone all kinds of fast talk. I call to make the Appt. They say, "We are not accepting any new patients," and I say, "Well the lady signed me up. Told me you were." WellCare sent me my card with the Dr. name as my primary physician. I went to that Dr. At which time she told me she was not taking anyone with Medicare or WellCare. Now this Dr. was In their provider book. I have their provider book. Either they quit taking the WellCare or no Medicare pts. Liars. l called Medicare to complain. They did not care and just simply said I can cancel for you. No other options. I want this company to stop ripping off Medicare.

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    Customer ServiceInstallation & SetupStaffProcess

    Reviewed Oct. 18, 2018

    I flossed out a filling that became extremely painful. I first tried the VA emergency room. They wanted $325.00 up front just to put me in a chair. I am a veteran but could not afford their services. I called around locally at several private dental offices but could not get an emergency appointment. Then I remembered my WellCare coverage. I called my assigned PCP under their plan and got an appointment for 6:30 that evening. The DDS prescribed a round of antibiotics and put in a temp filling and prescribed meds that eased the pain. A week later she pulled the tooth. The entire process was friendly and easy and the dentist was the best. Great experience, certainly the best dental appointment I can recall.

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    Customer ServiceStaff

    Reviewed Sept. 13, 2018

    I went to Buckner vision to take my RX for my glasses, the personnel was very rude and unprofessional. I called your office to complain and Georgia, Angel, Alecia, all hung up and though they had my number no called me back, I spoke to Bria she was very knowledgeable and said she would call the office and let them know I would be returning the glasses cause when I got the RX was off and they needed to fix it. I called 9/10/18 to check on my glasses and the person was so rude said they were not ready and hung up.

    I HAD TO GO TODAY AND PAY OUT OF POCKET $168.95, Because my insurance people are too rude to take care of me. I told Aisa that I would not go back for those glasses because they give me a lot of grief. I filed a grievance and will be getting my $29.00 and you WellCare will get your insurance money back. It is not fair to me or anyone in position to have to through this when we are paying our premium. I can not afford that amount but I can not afford to be without glasses. This is an injustice. I hope to hear from you. Thank you.

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    Customer ServiceInstallation & SetupPunctuality & Speed

    Reviewed Aug. 30, 2018

    My 2 year old had a trip scheduled a week in advance and only 3 days in advance are required. Her appointment was an hour away. I begin to follow up on this trip Monday, Wednesday and Thursday morning because no one had been assigned to the trip. Thursday was the day of her appointment at 11 am and after calling in twice that morning around 8 am. Transportation calls at 10:00 am to say is it too late for me to go to a 11 am appointment. I missed the appointment. No one tried to help me on Monday or Wednesday and definitely not Thursday. They had 7 days to find a ride but intentionally waited to a hour to my appointment knowing the appointment was a hour away.

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    Reviewed Aug. 12, 2018

    Yes WellCare has a healthy reward program and you get reward for taking care of your health. And I had did all and I have got no reward for my blood pressure and weight loss not being on drugs a lot should have got about a 120 for the year and then the extra help is none really. I need help to get to my doctor appointment and paying my copay so it is a waste of time.

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    Customer ServiceStaff

    Reviewed Aug. 10, 2018

    I have been a WellCare subscriber since 2011. They were good at the onset. Since 2015 they have outsource their call center to the Philippines and their workforce they are very rude, disrespectful and unknowledgeable of the Medicare laws. I am truly disgusted with WellCare. I now just write letters when I receive an EOB or bill from a provider of service.

    They have sunk so low as to not, I mean not pay my primary care provider without explanation. I believe they are stealing the funds from all of our accounts and pocketing the money. I of course cannot prove it. However, I believe that Medicare should audit this Medicare managed company immediately if not yesterday. They are not a good company and should not be in business helping Seniors or the disabled handle their insurance needs any longer. Every day I wait for the mail to tell me I owe more money to another provider for service or I am going to collections for something my medicare managed provider should have paid for.

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    Coverage

    Reviewed July 25, 2018

    I went to see a specialist and the company paid only what Medicare would've paid if I had no supplemental insurance at all. Very shabby coverage. I'll be checking into other options. I'm low income and the government pays my fees for their lack of insurance. I received about $1000.00 in my part to pay. If I'm low income, where will I come up with this money? I'm going to notify the government agency about this company also. They are ripping the government and the Medicare recipients off. So sad.

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    Customer ServiceStaff

    Reviewed July 24, 2018

    The worst. If you phone customer service they shunt you all over the globe. On one call I was put through to the Philippines, requested a representative in the United States, and they put me through to India. When you do get a US representative they are usually not native English speakers and usually have a difficult time understanding your questions. The so called supervisors or managers (if you manage to get one) are equally ignorant and unhelpful. When I moved it took several calls to get my address changed and when I called to change my provider to my new location I was placed on eternal hold. I finally gave up. Thankfully I'm healthy.

    When I selected a new provider on the website it was changed by someone to a different provider at my old location. No one, including a supposed supervisor, could tell me who made the change or why It was made. This is the worst run company I have ever seen, and I have seen plenty. Stay away from this company, especially if you really need medical care.

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    Staff

    Reviewed July 14, 2018

    WellCare has drivers that can take you to and from your appointments. That is fine unless they are required to go beyond the expected mile approved radius. My son has 2 appointments in July of 2018. They assured me it was taken care of. Transferred me to approximately 10 different CSRs when questioned further about the transportation because at that point they had no clue he was scheduled. Then refused to let me speak with a manager, had me in tears and were screaming at me. My son has a head injury. They will tell you what you want to hear because they do not train their CSRs well at all. They have also given me numbers for in network doctors that are no longer in existence. Will be searching for another insurance company when open enrollment is available.

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    Customer ServiceOnline & App

    Reviewed June 30, 2018

    This company's website is impossible to navigate. It's very sloppy. There is no email for customer service, although the website claims they have one. Leaving two contact phone numbers on their web form is frustrating. One of two won't accept it. They don't follow through on their incentives. I've met several and was told they were in route which was untrue. I will be going back to my FORMER provider during open enrollment this fall.

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    Staff

    Reviewed June 29, 2018

    I called WellCare to get a psychiatrist within their network, they gave me numbers that were no longer good. They then tried to send me to Jencare who stated that I needed to take a class before I could be assigned to a Doctor. Every Doctor they gave me were Interns. I stated to them the severity of my problem, but to no avail, these people are not trying to help the sick. It's been two weeks and I'm still trying to get a Doctor who will take their insurance, they use neighborhood health clinics, and Interns. What a waste of money they should be put out of business.

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    Customer Service

    Reviewed June 11, 2018

    While I type this I'm on my third request to extend my prescriptions while I'm traveling. Their automatic voice system does not recognize dates or numbers. Their personnel doesn't have a clue what you want and transfer you constantly, placing you on hold for excess of 10 min. Next year when my renewal is up, I will be looking for another provider.

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    CoverageStaff

    Reviewed May 24, 2018

    This is very long but worth reading. FIVE months of issues with them. Starting in January 2018. I received a letter saying I was insured. Clearly in black and white. I went to the designated pharmacy and was told I did not have coverage. The pharmacy gave me a print out of WellCare's denial. I spent well over an hour on the phone with their call center. The person I spoke to made no sense & kept raising his voice as if I were deaf.

    I spoke to him again when I got home. He said in spite of what the letter said, I was not covered. I spent another hour + the next day with two other reps at their company. No one was able to help me figure out what was going on and how it could be remedied. Next day I spoke to Medicare & was told everything looked good on their end and that they would be filing a case with WellCare's escalation Dept.

    Once I had this information, I spoke to a woman in that Dept & she assured me everything would be taken care of by her. Next, I get a bill saying I'm behind in January's payment. I called her again & suggested she do whatever was necessary to actually correct this. She said she would but obviously did not. A few days ago I received a letter from WellCare telling me that they are missing a payment from me for April 28th.

    I signed into my online banking and every payment I made for February, March and April had cleared. I know this is actually happening because they did not get a payment from me in January. Because I WAS NOT COVERED that month and no one ever fixed the issue. This is a dreadful way to be treated by any company. They are clueless from the top down. They do not merit even 1 star.

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    CoverageSales & MarketingStaff

    Reviewed May 18, 2018

    Do not & I repeat do not sign up for WellCare Texas. They have all kinds of tricky schemes such as, “You did not obtain pre authorization” in order to get out of paying for the services you think you are entitled to. I have been trying to book a mammogram. 1st I was told, no facility in you are by the Philippines agent. I asked for a US agent, who said I could use Solis Mammogram. I asked if 3D mammogram was covered, the agent said no but gave me all the info to book at Solis Mammogram.

    I booked & got my PCP to send a referral. Upon arriving at Solis Mammogram I advised that WellCare does not pay for a 3D mammogram. They said, “We only do 3D mammograms.” So the circus with WellCare starts again & I either have to request that my PCP submit a pre authorization approval for a 3D mammogram (of course WellCare will deny it) or I have to try & locate a Mammogram location that will do the regular (not 3D) Mammogram. All this after 2 months of trying to have a mammogram. I am way overdue & am very concerned as last year I had to have 2 biopsies done.

    The way that WellCare get out of paying your bill is they say, “You or your Dr. Failed to get preauthorization”. My PCP says he does not get pre authorizations so then it becomes impossible for you to get your normal yearly exams & have WellCare pay. Even though they get their monthly premium from me automatically deducted. I am warning you, do not & I repeat do not sign up for WellCare. You will regret it. I have more situation like I was told that there is no Urgent Care in my zip code that they could recommend. I think WellCare is a scam to get your money & then deny your medical services. That way everyone pays but them. WellCare are scammers & look for ways how to collect your marriage new & not allow you to get services.

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    PricePunctuality & Speed

    Reviewed May 18, 2018

    I was told I had two free dental visits per year, with no copay. I made an apt, to be denied the first time because I was late. The second time, I was billed 31.00 which I paid, (should have protested) then later they billed me another 217.00. Insurance said they denied the claim due to the dentist not being in the plan till March, I went in Jan. I filed an appeal, after calling several times. I had trouble getting the nurse practitioner ok'd, with writing scripts. Went to the foot dr, they cancelled the second apt, due to trouble getting their money out of the insurance co. I have a procedure that I have to have done every 3 mos, it did cost me 500.00 with my precious co, this company billed me 6,000.00 +. HUGE DIFFERENCE, I am now going to a chiropractor, which is supposed to cost 20,00. I fully expect to have trouble out of this too, given my past experiences.

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    Customer ServiceSales & Marketing

    Reviewed May 7, 2018

    WellCare uses bait and switch! Once you join they know you can't leave for a year till next open enrollment! You never know from month to month what your co payments will be, except they will be higher! Rarely will approve treatments by specialist! No one is in customer service speaks fluent English! They are a sorry company!!!

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    Customer Service

    Reviewed April 5, 2018

    I was forced to become a member by Social Security Disability. I have had nothing but problems with this company. I have been a member for approx. 1 1/2 years. I called to change my bank card information, and they told me I was terminated for non-payment in January, February, and March. We had a three way call between a supervisor there, my bank, and myself. The bank told them they never sent in a request for automatic Withdrawal. We then hung up with the bank. Now even though the bank confirmed that it was WellCare's screw up, I was told I would have to file a grievance and I would receive a response in 30 days. When I asked why I have to file a grievance when the bank confirmed it was their screw up the supervisor told me they did not screw up. This is the worst company in the world. STAY AWAY NO MATTER WHAT.

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    Coverage

    Reviewed April 3, 2018

    Suddenly dropped from their plan without any information beforehand. Having their coverage for two years without any problems, then suddenly told I am behind on payment (never got a bill), and customers must renew every year. Also now told I am ineligible to re-enroll although nothing has changed. Now unable to get needed medications that keep me safe, and alive. Oh well because of this company I could drop dead as I write this. Do they care? No.

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    Customer ServiceCoverageStaff

    Reviewed March 3, 2018

    My wife went in to have a cardiac stress test and we were billed 196 dollars because they said we had a 290 dollar copay as outpatients. I complained but went through their book and actually found where they said we were only liable for a 50 dollar copay. I have talked to them at least 6 times, filed a complaint which they said we lost because everything was good. I am waiting on an escalated complaint where I keep mentioning the 2018 evidence of coverage actually lists a cardiac stress test and says it is only a 50 dollar copay. They job out their customer service and I am not sure that the people who answer are being taught to say anything but no to customers. Poor service, and they will not live up to what they say they will pay. My advice is to find another advantage program. I know I will.

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    Customer ServicePunctuality & SpeedStaff

    Reviewed Feb. 7, 2018

    Both my wife and I are members of Wellcare. After the first of this year we noticed our automatic checking deduction did not happen for my wife for the new higher amount in Jan 2018 and we got a late notice stating we were on direct billing, not auto deducting. Since my wife was working and I normally handle bills, I called. First off it was terrible trying to get through to a live operator and when I did he had such a strong accent I had a hard time understanding him. I tried to explain the problem and although I could make the payment to him on the phone (daaa), he told me depending on how we set up auto payment, whether on the phone or by mail, it needed to be done again??? My account was fine, but apparently we may have done hers otherwise. You would think this should be seamless either way year to year for efficiency.

    He kept telling me that he would need to speak to my wife even though I told him once she was at work. Even being a member myself and living with her? Really! Having a hard time with the accent was frustrating enough, after all I did press one for English. So now she will need call herself and probably go through the same conversation and I'm guessing have to submit a hard copy form to make the change permanent. We will revisit our prescription options when renewal occurs for sure. Wake up Wellcare, put options on website.

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    Customer ServicePrice

    Reviewed Jan. 26, 2018

    The worst. The absolute worst. It takes an hour on the phone talking to computers to pay a bill. Then you get someone from India (named "Jack" of course) who tells you you can't pay your husband's bill. Then when I used my husband's name and said I was Walt. He took all the credit card info but not the name or account number of my husband whose premium I was paying. He said he "didn't need it". Didn't even know what an account number was! When I said I would stay on for the survey he hung up on me. Next time I will gladly pay more for a different plan. Never get this plan! It doesn't even pay for much. Definitely not worth it.

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    Coverage

    Reviewed Jan. 8, 2018

    I started with this company when it was Windsor in 2014. Then WellCare bought it out. I recently found out I have no coverage because they said my Medicaid was dropped. So I call Medicaid and found out that in fact it was WellCare that was the problem. So I call WellCare and they confirmed that I still had Medicaid. WellCare said they got notice on Dec. 1st... they didn't send a letter me until 12/27/17 to notify me of the problem. I got it on 1/6/18 11 days after it was supposedly mailed. In the past 2 years no problems. Now this. Reading the reviews I can see why they have a low rating. No one likes to be scammed.

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    CoveragePrice

    Reviewed Jan. 3, 2018

    WellCare Medicare Part D - Poor coverage; for example, cough syrup was excluded. WellCare claimed Medicare didn’t cover cough syrup. Premium was low but prescription prices were high. Although insurance rolled over from year to year without my reapplying, last year, after several years on the plan, WellCare continued my coverage but didn’t continue the auto deduct payments from an account I don’t use for day to day business. I was surprised when I realized they canceled my insurance for non-payment. They would not work with me at all; it was like talking to a stone wall.

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    Sales & Marketing

    Reviewed Dec. 14, 2017

    They simply will not let you cancel your membership…all kinds of run around. Letter to them must be exact or they will continue to bill you. The information that they require is hard to find. When I asked for my Wellcare number after giving them my ss, dob, address they transferred me to a supervisor that of course does not pick up. I was in luck and found my card…pasted a copy in a fax…to cancel. A real scam. So glad I cancelled. Would never get tangled up with them again. They have a real problem with English.

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    Customer ServiceCoverageStaff

    Reviewed Dec. 13, 2017

    I was put in this stupid WellCare plan by accident. Do not choose this plan. They tell you they sent bus passes then you never receive it in the mail, they say they aren't responsible for missing or lost bus passes. It shouldn't take 5 days to receive a pass to go to your Dr. Appointment, yet you're telling people it come up that they have to ride the bus. We are missing important appointments because you're too cheap to pay for a cab. Not to mention they don't cover most of your medications. I wouldn't advise anyone to choose this plan. I can't wait til my plan end. Back to Sunshine Health I go. I didn't ask to be on this stupid plan anyway. The employees on the team are so rude for the Transportation dept. You trying to talk and they try to talk over you. So unprofessional and rude.

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    Customer ServicePriceStaff

    Reviewed Nov. 28, 2017

    I received a letter saying I had enrolled in WellCare. I didn't. I am on PACE and my meds cost nothing. It said to call Social Security. I did. They said they don't handle this, call Medicare. No answer. Went on the internet to get WellCare's number. Got it Oscar... Right. That's his name LOL. Said he would transfer me to customer service. I got a young lady, Samantha another name right??? LOL I couldn't understand her so I ask to be transferred to someone who spoke better English. Waited 5 minutes. Samantha came back on and said she could find anyone. So Samantha I told her I didn't enroll in this and not to deducted any premium from my Social Security check. She didn't know what to do.

    I just received a membership card in the mail. Duh? They have no email address and no office. Just a PO box. I sent a certified letter today to cancel this unwanted membership. Any suggestions? I only get $500.00 a month and want to take $37.90 from me. I asked for a copy of the person who signed me up. She said it was a relative. I don't have any relatives left. I am the only one in the house. She didn't know what to say. I insisted on a copy of the request. She said she could find that. Yeah right. Government should be notified. I would not give my SS number or my Medicare number. They had this ** on the letter.

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    Sales & Marketing

    Reviewed Nov. 9, 2017

    My 80-year-old mother went to a meeting at her apartment because they sent a flyer offering "free glasses and dentures". They passed around bags of over-the-counter medication and postcards to the room full of seniors. Unfortunately, all the seniors who signed had their health care changed to WellCare Value HMO. Nobody asked about her current health care plan or even if her doctor was in the HMO. She had to pay 2.5X her normal costs for drugs due to this WellCare scam. I got her switched back but WellCare denies any fault in this scam on the most vulnerable in our community. What a shameful way to con folks into signing up for your health care. I would strongly recommend you stay far away from WellCare.

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    Staff

    Reviewed Oct. 17, 2017

    My husband has been ill for 6 years. He is now on his 30th day stay in the hospital and will return with hospice. WellCare started by denying certain medications that worked for him. Even when the Dr. sent a paper stating that this type of medication worked best for his condition they still denied. It has been a battle with them on tests, on medication for treatment. He has been in and out of the hospital every 2 months for 2 years. He is an amputee and can no longer walk. They denied payment for the ambulance service the last two times. Even though the one time we were on the interstate and the state police called them for him. He was in AFIB. This time he was on a ventilator, the 5 Dr’s and 3 social workers worked on having him sent to a nursing home to get strong enough to come home. They did approve.

    The nursing home didn't have his medication for three days and had no idea what was going on with him so he fell trying to help himself and was sent back to hospital. Now, he has ischemic heart disease and is in final stages of emphysema. He is only 58. The man cannot even move without his heart racing up to around 200. I came home from the hospital yesterday to find another charming letter from WellCare denying payment to the nursing home and that is when I decided to get a lawyer. The Dr’s have told him that he does not have much time left and are trying to get him into this other hospital for a 30-day stay and home with hospice but again we are fighting the almighty WellCare. The hospital said they were one of the worst insurance companies they had dealt with. Home health care said the same about them.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 21, 2017

    My mother just passed away. Called first. I get someone can't speak English, transfers me to rude girl, hangs up on me when I was asking questions. Worst customer service I have ever had. Would not WellCare to insurance my pet if I had one. Tried to call agent in Memphis, TN. Left voicemail, no one returned my call.

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    Verified purchase
    Customer ServiceStaff

    Reviewed Sept. 15, 2017

    Yesterday I got a call from CVS, actually would not have picked up because I do not get my meds from CVS. I get them at Publix and I have no intention of changing pharmacies. I have been with Publix since 2011. I know all of them and they know me and they are very kind. CVS is just about useless. Not only was the call totally out of bounds I am over the top mad. I have talked to WellCare many times about the CVS situation and that I prefer Publix and they tell me no problem Publix is on their list. So why did CVS call me in the early morning to see why I have not filled my prescription for **. Just where did they get my phone number and a view of my prescriptions that did or did not need filling. My ** was not filled because I have enough to last another week. No problem because my ** and other drugs are free at Publix. It is simply a matter of no time and having enough.

    The recording from CVS chastised me for not taking my Diabetic prescriptions. So let me say this to CVS right now. Who the hell do you think you are calling me when I do not use you. Why should you have private information about the drugs I have along with my phone number, address, age, birthdate, etc. To say I am livid is an understatement. Trust me I have not confronted WellCare with this yet but there are many problems that have me furious. I will also be CVS directly to talk to them about a legal action because they have accessed my personal information without my permission. At this point, I may companies. I forgot to say that when I signed into the WellCare site today a CVS logo came up telling me to order my **. I have this to say to CVS, it will be a cold day in hell before I even go into one of their stores again for anything. I hope to watch their descent into nonexistence.

    The Customer service sucks. I called today and got a male I could barely understand to ask about my OTC medicines which were ordered on the 1st. They generally arrive here on between the 8th to the 10th so I waited until the 14th to call to ask. These medicines say in the WellCare system that they were shipped on the day I ordered the meds. So not here by the 14th gives me reason to question. He kept yelling Hurricane at me and I kept saying there was no hurricane there until the 9th and that is 8 days after, according to your system was shipped on the first of September.

    So hurricane does not wash. If they had shipped when they said they would be here end of subject. So I will be working on this a bit more after I scream bloody murder at WellCare for rude employee and lousy service. All of this is totally unacceptable. I am sure I will soon change my Medicare to someone who treats medical patients as they should be treated.

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    Customer ServiceCoverage

    Reviewed Aug. 9, 2017

    As long as I have had insurance with this company. I have always had to pay out of pocket for prescriptions. They should be free. For 2 years they have been saying I have private insurance(that I don't have) so they don't have to pay for the prescriptions. The pharmacy customer service is horrible. They are rude and can't tell you anything about what's going on and I could die without this medication. It's so sad how companies do when you have Medicaid. They need to do away with this company.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 7, 2017

    If I could give no stars, I would. It is true that it is really difficult to get anyone at WellCare that speaks fluent English. I always ask for an English speaking person, then stay on hold until they find one, if they find one. I have been trying to get them to explain why a claim from 2/1/17 has not been paid. I only know they denied the claim because the company that provided the service keeps sending me the unpaid bill on a monthly basis. They state that WellCare denied service because the service was performed prior to my coverage. I've been covered since 2011, the service, an MRI, was in 2017. WellCare has never send me a denial letter, when I call regarding this issue they have told me, at least twice, that it was sent to their appeals department.

    They have never sent me any notices of any appeals findings. On 7/20/17 I sent an email demanding that they send me a denial letter, explaining the reasons for the denial of the claim, and written notices of both of the appeals department findings, by today 8/7/17, or I would file an official complaint against them. They ignored my email. They just don't care. This is the worst company I have ever done business with. In addition, there doesn't seem to be any information online as to how to file an official complaint against a Medicare insurance provider. I keep looking for someone in the government that will accept a complaint against WellCare but there just doesn't seem to be any help for me. WellCare deserves zero stars.

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    Customer Service

    Reviewed July 25, 2017

    I've tried on numerous occasions and can't seem to get anyone that I can understand? Are they outsourcing their company customer service??? This is nuts. I'm going to switch my Medicare RX asap. Absolutely TERRIBLE!

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    Customer ServiceStaff

    Reviewed July 24, 2017

    WellCare Medicare Customer Service IS NOT customer service but the worst attempt at outsourcing services I have EVER seen! This company does not deserve one star. I wish you had a half star for this company's customer service. When you call them take a pillow to the phone with you so that you can prop your arm and head up. (average wait on line is 1 to 1 and 1/2 hours per question.) Also prepare for the following:

    1. 98% of the time the person who answers will not speak English or be in United States. 2. If you ask for another phone number to call, 95% of the time they will route you around to other people who do not speak English either! 3. If you then ask for their name and to speak to a supervisor, they will make you wait an additional 30minutes. 4. The echo sounds like they are being held captive in a basement with only a pencil and one sheet of paper to use per call. 5. 2017 Healthcare is scary enough for all of us out there who have worked ALL OUR LIVES and are now retired and at the mercy of government and the money hungry healthcare providers who do "creative billing" at every turn. 6. A person on welfare who never worked a day in their life or paid "anything" into social security has

    more and better benefits than I do. They can even go to the dentist. I hate WellCare Medicare (NON) Customer (NON) Service!!!

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    Staff

    Reviewed July 21, 2017

    This has been the insurance company that I have had for a few years. They have been horrible. I am in the final stages of emphysema. I am an amputee and diabetic on top of all. I am in the hospital about every two months for around 9 days. I know am in the hosp., and am supposed to go to a nursing home for the short term. The hosp., the nursing home, and two doctors have been trying to get WellCare to approve my short term stay at the nursing home. SO far they have not answered anyone. They have denied me throughout the years the very medication that works. It has to be bad when the nursing staff, Doctors and administrators talk WellCare down. OH, along with in home health care. This company needs investigating.

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    Coverage

    Reviewed June 3, 2017

    The service is bloody horrible. A formulary drug coverage book was never sent at the beginning of the year as they claimed. I requested to send another one but never received it. Three different medications I have been taking for 12 years were suddenly denied requiring prior authorization. Within a month and a half my doctors sent three prior authorizations and appeals and all were denied. Fed up with the service I had Medicate switch me to Humana Prescription Drug. Two days after enrollment I was able to order all three medications without prior authorization. Humana, unlike WellCare, has the humanity to spare its customers from suffering by providing them needed medications.

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    Customer ServiceStaff

    Reviewed May 24, 2017

    If I could give a half star I would. What you have listed in the catalog aren't the same items in your distribution center. My son OTC order for April had to be replaced three times and each time it was incorrect. I ordered the premium size 16-28lbs diapers (MEDIUM) that's listed in the catalog but I have received twice 12-20lbs stage 3 diapers. A total of four packs wrong size and when I opened his box today there was only one pack of diapers, one pack of wipes and one lip balm. So I called and spoke with Benny (confirmation# **) and ask, "Was this his order for May or the replacement for April". He told me that the diapers are for April which was only one pack. It should have been two packs and the lip balm and wipes are for this month. Why in the hell are they mixing my orders up?

    Every time I call and ask for the warehouse number or the number for the catalog no one knows it, how is that possible. When the warehouse is out of something or if there is a backorder on a product or a discontinue on an item how do y'all communicate. These are all the confirmation numbers just for one order **. I don't have the person name for this confirmation number ** which was the first time I called in and complained about the order being wrong. WellCare owes my son three pack of diapers. Hope you guys do the right thing and replace them. As I stated each time I have called if you send me a box with paid postage I will send those four pack of diapers back to you guys. In the picture are the four packs of wrong diapers and my order for May & April mix together. Send my son his three pack of diapers.

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    CoverageProcess

    Reviewed March 27, 2017

    My husband enrolled in Medicare in November 2016, and went through the enrollment process for WellCare at the same time, through a broker. He was told he had coverage. Then in December, he received a letter stating that there was a lapse in prescription drug coverage, and he would have to pay a fine. We submitted proof that the lapse had been less than 30 days, and we were told all was well. Then, in December, we received a letter stating that his coverage was denied, but he could re-enroll: ??? Though frustrated with the process, he indeed did re-enroll, received his card, and heard nothing more. Again, we thought all was well.

    Last week--now March! He received a letter (first correspondence received since December) that WellCare couldn't accept his application because they hadn't received all the information they requested?.. but we could re-enroll. Except he couldn't because the application period was now closed. This is unfair, unkind, poor business, and elderly abuse.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 22, 2016

    This is possibly the best brand ever and I recommend it highly, my family and friends all use it. The customer service is outstanding. The people are great to talk to. I have got a couple that are **. But for the most part it's alright. I never once have came up on to a problem with my coverage or them not covering my ass when I need it. Get most for your money with these folks. Knowing my luck they prolly don't even cover the people in Arkansas.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 19, 2016

    The claim process takes a little bit time but the waiting period is acceptable. Generally speaking, you don't have to wait very long for your claim to be processed. The customer service is very good. They are very helpful and knowledgeable about the different products so that they can guide you in buying the right plan for you and your family. The coverage is very good. You get a few options that you are able to choose from. Essentially, you are able to buy the right coverage that suits you and your family. The value is acceptable. You get what you paid for. Therefore, the coverage is what determines your value and what you pay in terms of premium.

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    CoveragePricePunctuality & SpeedOnline & AppStaff

    Reviewed Sept. 17, 2016

    I filled out my claims app online and within the hour they were calling me back to process my claim... I'm very happy to be a part of their clientele list. They were fast, accurate, caring and understanding. I felt like the customer care rep cared about me and my family. Best insurance I've ever had. I honestly tried Obama Care first...they just were not a right fit. With this company I got full coverage at a premium price. I'm glad I found them online. I am disabled with two children on a budget. Premiums just right. Copay barely nothing. It's brought tremendous value and peace of mind to my life. Now I know I won't end up leaving my loved ones in a lurch. With my plan and coverage my kids will be set...THIS COMPANY MAKES ME FEEL LESS LIKE A BURDEN MORE OF A PERSON.

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    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 16, 2016

    It was usually painless but sometimes clunky even though it worked out in the end and I got what I asked for, so no real complaints really. They were always helpful and quick to answer my questions to resolve my issues in a timely manner so I would definitely recommend them. They covered everything I expected them to and fully reimbursed me for my losses and offered additional help without me requesting it so that was nice. The value is good for me and my wife because we were granted our benefits as stated without much hassle so I think the value is pretty good.

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    Customer ServiceCoveragePunctuality & Speed

    Reviewed Sept. 14, 2016

    I had no problems and had a friend that works at the hospital help. I'm not to good with claims but it went simple, fast and easy and was pleased with my experience. The customer service went really good! My friend had to call two times for me and had no problems at all. Went really good and am pleased. The coverage was really good. Pleased and was worth it. I would definitely recommend to any family and or friends. Happy with my experience.

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    Customer ServiceCoveragePunctuality & SpeedStaff

    Reviewed Sept. 13, 2016

    The claims processing was easy and they made it very easy on me and helped me with everything that I needed help with or any questions I may have had at the time they answered. It was fast and I got something back within days. The customer service was great and I would recommend them to anyone because they were very helpful friendly and caring to all my needs and questions. I was very satisfied with the coverage that I got using this and I was very happy. It's so easy to sign up and get started and I continue to use them to this day. The value that you get for this product's great and you definitely get your money's worth. The customer service is great and you can choose the coverage that you want and overall it is just fantastic.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 12, 2016

    Paid claims in timely manner... No problems in claims processing. No unnecessary denials. Pretty straightforward Claims processing procedure. I had no problem with the customer service that I received from Wellcare. The call in wait times were a little long, but the customer service representative who assisted me was knowledgeable and friendly and helpful. Wellcare has fairly good collection of in-network physicians. Decent coverage. I felt the value of WellCare was good and satisfactory. The premium was acceptable for the coverage received. Insurance is necessary and I was glad to be covered without exorbitant price.

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    PriceStaff

    Reviewed Sept. 11, 2016

    Usually was a quick process but on some occasions it would take forever. The people were really helpful and knowledgeable and knew what they were doing. Most of the people I would talk to were very respectful and understanding and knew exactly what to do to help me out. Sometimes I would get someone who seemed like they were new and that they knew nothing. Most of the places I have tried to use accepted it with no problem but there has been a couple of place that I really wanted to use that did not accept it. It's a decent service for what you pay for. It could be better but you can't really complain because of the price. It gets the job done when you need it.

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    Customer ServiceCoveragePriceStaff

    Reviewed Sept. 10, 2016

    The process that you have to go through just to file a claim was extremely stressful. The customer service representatives that I spoke with was quite rude. They treated me as if I was being a burden on them. On top of the rudeness, it took forever to complete. It also took them a long time to do anything. Needless to say, I will not be getting this insurance again. The coverage to price of coverage ratio was horrible. I had the minimum coverage plan and I was paying the price of a full coverage plan from a top ranked insurance company. The value of the coverage is horrible for the little amount of coverage you get. I had to pay (I think) way too much for the coverage plan I had. I think they should lower the price a little bit if they plan on competing with bigger companies.

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    Customer ServiceCoveragePriceStaffProcess

    Reviewed Sept. 7, 2016

    It was easy but the process could be made simple. I had to go through a long wait time while paperwork was processed and I think that could be sped up. They had very good customer service support but the process could have been faster and more comprehensive and the people could have been more knowledgeable. I thought that the coverage was very good and that it was what I was looking for in my coverage. I think that there could be a little bit more comprehensive coverage. I think that it is a good deal but that they could offer a little bit more service for what they charge. But other than that I think it is a good deal.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 6, 2016

    I have had no problems at all getting my claims paid in a timely manner. I have also had great customer service the few times I have called. The customer service has always been great. They have always answered all of my questions in a polite and informative manner. I have never had to wait on hold while calling them. This insurance has always covered all of my charges. The copays are reasonable. I have never had any problems at all with my coverage with the exception on of 1 prescription not being covered. This insurance has helped to keep me healthy. I am able to choose whichever doctors that I want to choose and the charges are covered with reasonable copays.

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    Customer ServiceCoverageStaff

    Reviewed Sept. 5, 2016

    Bro like the claims processing was ridiculous. First you had to call and then explain that your claim only for them to say that they did nothing wrong when they very clearly did. It's ridiculous. They are some of the rudest people to ever have lived on this planet. I mean come on, you don't just flat out raise your voice to tell me I'm wrong. I can't say that the coverage was that horrible but it didn't have a lot of benefits which was a definite subtraction. Also I have to keep mentioning the horrible customer service like wtf dude. I also have to admit on this one that the value wasn't that bad either but the coverage was just a **. I was not really impressed at all with this which is frankly disappointing because it could have worked out.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Sept. 4, 2016

    Very friendly staff. When I had a problem was taken care of quickly, never had to wait long, and always got a callback. Just a great all around company. They care about their people. Amazing customer service. Highly recommend this company to anyone. Very helpful staff, never rude always happy. Has one of the excellent service representatives I have ever dealt with. Excellent coverage. Covers all my family's needs at low and affordable cost. I will stick with this company forever. Always good quality service. The overall value of the company is phenomenal. I would definitely highly recommend it to my close family and friends. Never had any problems with this company.

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    Customer ServiceCoveragePricePunctuality & SpeedStaff

    Reviewed Sept. 2, 2016

    I had no problems when I signed up for this insurance, Very fast processing, friendly customer service, step by step instructions. I recommend it to anyone and everyone. Customer service is very friendly to me. They enjoy what they do. Every time I would call I would always get a "Hi how are you today?" And they would always make sure they answered all your questions. All in all very nice people. If you're looking for a good coverage plan this is where you want to be. It's affordable. And some people like me rates never go up. Always stay the same. I have recommended this to my family and friends. This has brought peace of mind to me and my family I have enjoyed their service and their coverage and I've had no issues. Customer service is great. Coverage is great. Everything about them is great.

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    Customer ServiceCoverageStaff

    Reviewed Aug. 31, 2016

    They were very good me. They took care of any concerns that I had. I was very surprised because the ones I had had before were very rude and these people had very good customer service. They were super friendly. They knew exactly what they were doing. And they treated me with respect and did not treat me like I was below average. I would very much so recommend them to everyone. The coverage was very good. I will definitely tell others to go to them. I got my medicine and my care and they took care of everything. I really appreciate everything and will definitely tell everyone how great they are. The value of this is just wonderful. It has brought so much peace and clarity to my life. They truly take care of everything so I can live my life and not worry about whether or not I'm taken care of.

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    Wellcare Company Information

    Company Name:
    Wellcare
    Website:
    www.wellcare.com