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Business Profile

HMOs

WellCare Health Plans, Inc.

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This business is NOT BBB Accredited.

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269 Customer Reviews

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  • Review from Christiane S

    1 star

    02/08/2025

    Reading the other complaints I find that they correlate with my experience. I represent my husband for RX plans. He switched to another plan and after that we got a letter stating we owed them $204.58. That has NEVER happened in all the years we've had RX plans. And they also tried to say that he is getting charged $4/mo for signing up late which is absolutely untrue. They sent me a coupon book so I thought it wasn't being taken out of SS (before I got the SS statement where I saw it was being deducted) called and asked them to refund the $52.80 since I was paying twice. So I called and as usual get pawned off to several agents wasting a LOT of time. I asked if they sent the refund check - one said yes, one wouldn't say except that we owed the $204 which I disputed in a letter to them stating that if they made a mistake it was on them, not us. You will get nothing but a runaround with this business so best to avoid them if possible. They should be kicked out of the RX insurance options. 
  • Review from Michael B

    1 star

    01/31/2025

    Well I think that this is the absolutely the worst ****************** And definitely should have all licenses revoked immediately to insure that they cannot Decive anyone else who falls into their line of nonsense. They do not honor any of the programs they endorse and the prices are astronomical by any standard just plain garbage ?? ??
  • Review from Scott W

    1 star

    01/16/2025

    When you call customer service your call goes to an offshore call center where nobody speaks cogent English. The phone representatives have such heavy accents you cannot understand them. The Donut Hole co-pays are such that I am going to have stop taking some of my life saving prescriptions.

    WellCare Health Plans, Inc. Response

    01/29/2025

    Hello.We apologize for the dissatisfaction that you experienced.  The plan has made contact with the member regarding their concerns and the issue has been resolved during our contact. No further actions necessary.  
  • Review from S. K.

    1 star

    01/15/2025

    This has to be the worst-run company ever and still be in business. I signed up for ** coverage on December 6 to start in January 2025. I received a letter stating that there would be a late enrollment penalty (expected) since I hadn't had coverage ********* but there was no amount quoted for the penalty. I called for the amount and they didn't know yet. That was in December 2024. Today I get a text giving me a link to pay the amount due for January. Are you kidding me? Who in their right minds would use a link to make a payment for anything, particularly from a text?! So I called the number the text came from, went round and round with someone who told me I owed $30+ as the penalty. I said I needed a statement; she said she would send me a coupon book. (Coupon book? I haven't seen coupon books for payments since the 70s.) When I tried to ask a question, she just kept repeating that I owed a penalty. I finally gave up and hung up. I looked up the phone number and found that it had been reported as a scam. So I looked up another phone number for Wellcare and went through the same discussion, over and over and over, about how I owed a penalty and now the amount due is $60+. So I asked why that amount, got the lecture again on late penalties and told that the charge started in December. When I said the plan didn't start until January, I got the same recitation about late penalties. By now, I could repeat it in my sleep. I said, again and again to both agents, that I had not received any communications about what I owed or when/how to pay it. And again I was told I would get a coupon book (!), I asked about cancelling the plan, was told I would have to pay the $60. That's when I said send me a bill and hung up. This company is totally messed up. Why on earth ******** is allowing this to continue is beyond me. At this point, I don't know if I have coverage--I guess I'll figure it out when I get a coupon book or the statement I requested.

    WellCare Health Plans, Inc. Response

    01/21/2025

    Good afternoon,

    After several unsuccessful attempts to contact the complainant via email, I am unable to assist the complainant in resolving her issue regarding her LEP (Late Enrollment Penalty). I have provided the complainant with our contact information, and we would be happy to resolve her complaint. Thank you for your time and attention.

    Customer Response

    01/22/2025

    Interesting that this company will lie so blatantly. I have had absolutely no contact or correspondence with this company. I still have not received any of the insurance information that they are supposedly billing me for--I say supposedly billing because I have yet to receive a bill.
  • Review from Victoria B.

    1 star

    01/14/2025

    I had applied for part D they have. I got a letter saying there was a problem with my application as far as the address went. I had put both physical and ** Box no. address'. I called the first time and thought it was corrected by taking off the ** Box no. well that didn't work so talked to them again. and got pushed off to several agents. they made a mistake at their end and sent to the wrong department this day I was on the phone 2 hours with them and they cut me off. I called again today , I got better timing and just transferred once. That person went through a bunch of questions and told I didn't qualify for a new meeting of some kind for me. I'm very upset because I believe they didn't do their job well. The first phone call should have corrected the address and everything would be fine and dandy. I think they were in commentate at their end. All this over one line in my address they did think needed to be there. In the mean time the sent me too correspondence to two different address and I got them both ??? I live in a small town and I get my mail at the ** box no. If it's not on there they send it back. They just wouldn't listen and reason.

    WellCare Health Plans, Inc. Response

    01/15/2025

    Hello ********, 

    My name is *******, we received your review regarding the health plan. To further research your case, we need more information. Please contact me at ************ and reference case number *********.

    Thank you,

  • Review from Russell C

    1 star

    01/10/2025

    My wife has a part D drug plan . We pay monthly on a credit card when the card was renewed she called to update with the new expiration date. Hard to get hold of a representative they spoke broken English hard to understand. This should have been really simple but after about a half hour later she said it was taken care of. We got a notice that our account was past due and they would be canceling the plan. She called again same issue they said they will fix it. She then got a letter saying we have auto pay, good. Weeks later same issue letter saying overdue. She just called again they said it will be fixed ok we will see.

    WellCare Health Plans, Inc. Response

    01/22/2025

    Hello.We apologize for the dissatisfaction that you experienced.  We are currently working on getting this matter resolved.

    WellCare Health Plans, Inc. Response

    01/29/2025

    Hello. We apologize for the dissatisfaction that you experienced. Escalation to our Billing department confirmed that complainants issues have been resolved.
  • Review from D. Hennessee

    1 star

    01/09/2025

    I signed up for WellCare at the advice of the representative during open enrollment under the ** system my husband retired from.. We went through all the meds I urgently need and double checked that all were covered. Now when I attempt to fill two of my prescriptions I find they are not covered at all!!! I am absolutely disgusted and will not be signing up with them again, but now it appears I am stuck! I cannot afford the full cost of these medications so now my health will suffer thanks to the lie we were told. Do NOT trust this company, Do NOT sign up with this company unless you dont need meds.

    WellCare Health Plans, Inc. Response

    01/17/2025

    Dear ****** *********,
    Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. Based on the medications that you advised me during our conversations , both medications are covered for 2025. One of your medication is a tier 4 medication and the other medication has a quanity limit restriction. 
    If you have any further questions or concerns, please do not hesitate to contact us.
    Sincerely,

    **** *

    Customer Response

    01/17/2025

    I appreciate all the time you have taken to assist me with my medications. After a lot of frustrations in trying to reach someone you were a breath of fresh air. While these meds are still on the expensive side because they are not in the top tier I will have to live with this for the year . I thank you for stepping up and working with me on this.
  • Review from Charles B

    1 star

    12/23/2024

    Dec 2024, I enrolled in a part d program for my wife and myself during the open enrollment period. Our coverage was to become effective on Jan 1, 2025. Today we get letters from WellCare saying that ******** has told them that we have part d coverage from another company (not true) so they are canceling us effective Jan. 1. ***. Been on the phone over 1 1/2 hrs being shuffled from one supervisor to another (and most of them speak poor English) and still havent gotten it resolved. They promised to call me back within 24 hrs with a solution.. fat chance of that happening! Six supervisors and not one can fix this situation. I guess the only option is to enroll with another company and pay the late penalty .

    WellCare Health Plans, Inc. Response

    12/26/2024

    Dear Mr. B,
    Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. Thank you for the conversation earlier and we will work with you and CMS Medicare to get the issue corrected.If you have any further questions or concerns, please do not hesitate to contact us.

    Sincerely,
    Myra

  • Review from C. H.

    1 star

    12/23/2024

    These people are evil. I had requested them to STOP mailing me envelopes and letters for a year. My last requests was in Nov. 2024 and Dec. 2024 and they MAIL me something 3-4 times every week. I called customer service multiple times on the phone for hours. I ASKED THEM to CANCEL my membership and they refuse. They keep transfering and disconnecting me. They REFUSED TO TELL ME HOW TO CANCEL. I spoke to a CS rep on the phone who tried to cancel but she said she could not. She said I needed "a signature" but she REFUSED to tell me what I need a signature for or what I had to send. THEY WILL NOT CANCEL MEMBERSHIP on the phone even though I asked multiple times. Instead, they will put me on hold for over 1 hour and transfer and then disconnect me if I asked to cancel my membership. I asked them on the phone on Dec. 23, 2024 and the rep put me on hold for an hour and then it got disconnnected. Then, I called back again and spoke to Stephanie the supervisor who is forced to asked me questions in order to tell me information on how to cancel my membership. This took an additional 51 minutes for her to tell me what to write to put in a request to cancel. She was forced to ask me questions. The amount of PAPER they waste is infuriating! They send me mail weekly 3-4 times a week in my mailbox. I requested them to STOP mailing me and they send me MORE mail. I have to put in a request to cancel my membership and sign it, but it took them more than one hour to tell me that information. This company wastes peoples' time and is extremely inefficient, gives people the runaround and is probably a big scam.


    WellCare Health Plans, Inc. Response

    12/30/2024

    Hello. We apologize for the dissatisfaction that you experienced. The member has been disenrolled and the issue has been resolved during our contact.  The member expressed satisfaction. No further actions necessary. 
  • Review from Tom R

    1 star

    12/13/2024

    Stay away from wellcare!!! They have declined every pain medication my Dr prescribed...


    WellCare Health Plans, Inc. Response

    12/23/2024

    Dear Mr. R

    Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. During our investigation it was determined that the medication your Doctor presccribed required a prior authorization that was not obtained. Please be advised that we are governed by CMS Medicare and there are certain pain medications that require prior approval based on CMS Medicare guidelines.  If you have any further questions or concerns, please do not hesitate to contact us.
    Sincerely,
    Your business name
    Myra

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