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Business Profile

HMOs

WellCare Health Plans, Inc.

This business is NOT BBB Accredited.

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Complaints

This profile includes complaints for WellCare Health Plans, Inc.'s headquarters and its corporate-owned locations. To view all corporate locations, see

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WellCare Health Plans, Inc. has 26 locations, listed below.

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    Customer Complaints Summary

    • 378 total complaints in the last 3 years.
    • 103 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:07/26/2024

      Type:Product Issues
      Status:
      UnresolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I called Wellcare on July ******* regarding the cost of a refilling a prescription. I talked with Kenyha who quoted me a 90 day refill would cost $208.77. I refilled my prescription only to find out my cost was $227.74 for a 30 day supply. I didn't notice the suppy amount until I got home. I called Wellcare back and pretty much said there was nothing they could do even though my recorded was documented with the quote. I"m looking for Wellcare to honor what their representive quoted.

      Business Response

      Date: 08/07/2024

      Good morning, please be advised that this issue is currently under review, thank you.  

       

      Customer Answer

      Date: 08/07/2024

       
      Complaint: 22049521

      I am rejecting this response because:

      Sincerely,

      ***** *****

      They called me on July 29, 2024 said they reviewing my complaint they said they would get back to me on Thursday August ******. Asof today August ****** I have yet to hear back

      *** *****

      Business Response

      Date: 09/04/2024

      We are currently reviewing, and have advised the member. ty 

      Business Response

      Date: 09/13/2024

      good morning, we have requested the receipts from the complainant to review. thank you 

      Customer Answer

      Date: 09/13/2024

       
      Complaint: 22049521

      I am rejecting this response because: all thought they have ask for my receipts which I sent this morning 9/12/2024 they still say they need to be reviewed. Not sure how long this is going to take

      Sincerely,

      ***** *****

      Business Response

      Date: 09/17/2024

      good morning, this case has been escalated for review after receiving receipts on 09/13/2024, for the rx purchased, please allow additional time. thank you 

      Customer Answer

      Date: 09/17/2024

       
      Complaint: 22049521

      I am rejecting this response because: no decision has been made they just continue to delay response 

      Sincerely,

      ***** *****
    • Initial Complaint

      Date:07/22/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      In November of 2023, I had discussions with WellCare about prescription drug coverage similar to my husband's WellCare coverage which was free to him. SEE ATTACHMENT #1. I told them that my husband's application had required an appeal which had removed all costs. SEE ATTACHMENT #1 At that time we had been married for 55 years with identical insurance and ******** coverage so my application should follow my husband's as to cost for premiums. The WellCare customer service person agreed. So I submitted the application.Some History - When my husband submitted his application it was rejected and they began to threaten late enrollment penalties. He called and was told to ignore such notices. SEE ATTACHMENT #2. This at least was true as proven by ATTACHMENT #1. As time passed we received letters that said my application was incomplete which began a back and forth as shown in SEE ATTACHMENT #3. The amount of money they now want as threatened in their letter SEE ATTACHMENT #4 (two pages) is $10,764.30. ($67.70 x Which is a lot of money for nothing.I now want to stop involvement with WellCare completely and ask your help in doing this. The implied threats from WellCare are exorbitant and have no basis.

      Business Response

      Date: 07/25/2024

      Good afternoon,  


      My name is *******, I am currently reviewing this issue and will supply and update once this review is complete. If you have any questions or concerns, please contact me at ************ to the Presidental Escalation Team. Please use PRC-***** as a reference number. 

       

      Thank you, 

      Customer Answer

      Date: 07/25/2024

       
      Complaint: 22022381

      I am rejecting this response because: there is no response yet.   They have merely said that they received the complaint and were reviewing it.  I await their next response.

      Sincerely,

      *******************************

      Business Response

      Date: 07/26/2024

      Good afternoon, ****************,  

      Per my review and research, the plan is confirming the update to shows 0 uncovered months and you do not have late penalty fees applied to your premiums. Your base premium amount is $ 0.00. Please feel free to contact me if you have any questions at ************ and please use PRC-***** as the reference number. 

      Thank you,  
      *******  
    • Initial Complaint

      Date:07/02/2024

      Type:Billing Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Through 2023, I was on Dual Liberty D-SNP. In November 2023, I received a letter stating there was a change in eligibility of my Medicare Saving Plan level and I no longer qualified, but would remain on the plan for six months awaiting recertifcation. That letter was mis-formatted and contained dates like 01-01-1900, so I wasn't even sure it was legitimate. I contacted my assigned representative, Nathan B********** and I sent him a notated copy of this letter via email highlighting the mis-formatted dates. He assured me it was just a formality and nothing would change. I never received any further information. Meanwhile, I continued to receive various notices of recommended testing and checkups, both by phone and mail, so it isn't like they were unable to contact me. I logged in to my account several times and never saw any notices or alerts there about any pending change in coverage, even as late as mid-May 2024.

      On June 8, 2024, I received a letter in the mail stating coverage had terminated on May 31, 2024. There had been no previous indication of this date. At that point I had been without coverage at all for over a week without any prior indication. I couldn't even get my prescription refilled. I contacted my assigned representative again, who said he was going out of town and would check on it when he got back. On a follow up call, I asked that he have a Senior Manager call me. I have not heard back in any way.

      While covered, I was getting allotments of $175.00 per month for Wellcare Spendables. As of late May, the remaining balance there was $269.91 after recent bill payments. I looked at that account on June 1, 2024 and noticed that the monthly allotment showed, bringing the current balance to $444.91, but with nothing currently due, I did not attempt to make any payments. It wasn't until after receiving the letter on June 8th that I found the account was locked.

      See attached .PDF file for remaining information this form would not accept.

      Business Response

      Date: 07/16/2024

      Hello and Good Afternoon, We sincerely apologize for the inconvenience caused to you. Unfortunately, we are unable to restore $269.91 into your Spendables account as requested. Review of the Loss of SNP notice issued 11/2023 confirms there was a system error which caused the document to be mis formatted, which has since been corrected. Member eligibility changed and he no longer qualifies for plan previously on, therefore we cannot retro members enrollment and honor allotments of $175.00 per month to his Wellcare Spendables card. Thank you.
    • Initial Complaint

      Date:07/01/2024

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Im trying to disenroll from WellCare so I can get ******** plan and I cant if Im enrolled in WellCare. I have called them and they have refused to disenroll me over the phone. I have no printer so I cant print the form to disenroll. They are preventing me from getting insured.

      Business Response

      Date: 07/08/2024

      good morning, we were unable to reach the complainant by telephone, email sent as well, our enrollment department advised: MEMBER ACCOUNT ACTIVE FROM EFF DATE 03/01/2024. AS PER TICKET MEMBER REQUESTED STATUS OF DISENROLLMENT. AS PER REVIEW THERE IS NO WRITTEN DISENROLLMENT LETTER RECEIVED IN OMNI. REQUEST RECEIVED AFTER EFF DATE AND OBV DATE. FOR THIS MEMBER NEED TO SUBMIT WRITTEN DISENROLLMENT LETTER WITH VALID ELECTION PERIOD IN ORDER TO DISENROLL FROM WELLCARE. DISENROLLMENT FORM SENT... thank you 
    • Initial Complaint

      Date:06/28/2024

      Type:Order Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I am a Senior on ********* I am filing a claim because I feel WELLCARE HEALTH INS. *** IS OVERCHARGING ME FOR MY PART D PRESCRIPTION MEDICATION, AMPHETAMINE-DEXTROAMPHETAMINE; a medication I have been taking for many years for the condition of Narcolepsy. As is typical, at the end of the year, I go onto and search the ******************* Marketplace to choose the most cost-effective **** ******* in my area. My choice is based on the price estimates each company posts on the Govt. website. In 2023, I chose CIGNA, as it listed the best prices for the 2 drugs I take regularly. I had no problems with CIGNA and paid a total of $41.27 for the entire year for my amphetamine-dextroamphetamine prescriptions. Now for 2024, upon going onto the Govt. Marketplace website, I see that WELLCARE is the company offering the best drug prices. Thus, I switch to WELLCARE. At first things go well; from January through April, I only paid a total of $3.10. Then suddenly in May the price ballooned to $14.57. On top of this, WELLCARE just sent me a letter clawing back another $35.94, saying they made a "claim adjustment." So now I suddenly am paying out $53.61 in a 6 month period (THIS MEANS I AM PAYING MORE THAN DOUBLE WHAT I WAS CHARGED BY CIGNA LAST YEAR) I appealed to WELLCARE several times, feeling that it was unfair for them to advertise one price on the Govt. Marketplace and then actually charge me so much more (they are engaging in FALSE ADVERTISING). I NEVER would have enrolled with WELLCARE had I known what I would actually be paying! So far, WELLCARE has denied my appeals, and is being very deceptive. Docs I am including: 1) receipts for this drug so far in 2024, 2) the letter clawing back $35.94, 3) my drug costs in 2023 with CIGNA and 4) a screenshot from the Govt. Website showing a cost of $9.67 after the deductible. (Instead of $9.67, I am actually paying $17.87 per prescription - this is totally unfair. ) Also, included are denials letters from ***********

      Business Response

      Date: 07/12/2024

      We have made contact and are continuing to work with the member to find a satisfactory resolution. Recently I have confirmed contact with the doctor who prescribed the medication and provided information to the member regarding programs built to assist with **** instances. We will continue until resolution is met.

      Customer Answer

      Date: 07/16/2024

       
      Complaint: 21913096

      I am rejecting this response because: while I have been talking to ******* at executive escalation ****** no resolution has yet been reached.  His one suggestion to  investigate P.A.P. pricing turned out to be even more expensive.  Also, the company's initial response above stated they had spoken to my doctor, but ******* says he has still not been able to reach her.  I am reaching out to her today to try to connect them.

      Sincerely,

      *************************

      Business Response

      Date: 07/19/2024

      We are actively working and collaborating with the provider and C2C to have the appeal expedited as quickly as possible. Member aware of this information. Thank you.

      Customer Answer

      Date: 07/28/2024

       
      Complaint: 21913096

      I am rejecting this response because:   I continue to be in touch with Will S at Wellcare's Executive **************** and he continues conferring with others and with my doctor. ******** far a resolution has not yet been reached.  Also, **** was out of the office this past week.   I hope by Monday we will be able to speak and move this forward to a conclusion.

      Sincerely,

      *************************

      Business Response

      Date: 08/01/2024

      Currently as it stands all appeals have been denied due to the medication not having any alternative. I've spoken with the doctor who has exhausted all options with the appeals. She stated she will discuss this with the member and then discuss possible further solutions. I will also be contacting the member about this via phone.

      Customer Answer

      Date: 08/07/2024

       
      Complaint: 21913096

      I am rejecting this response because: My doctor and I have filled numerous appeal and tier exception requests and applications....each time I am denied for the exact same reason: that there is no other lower price substitute for the medication I am taking.  Yet, this argument totally skirts the original issue and repeating it over and over to us does not make it somehow more acceptable.  

      When I was onto the ******** marketplace at the end of 2023, Wellcare ADVERTISED my co-pay for amphetamine salts as being a certain price - ($9.67) - Yet, the last time I went to renew my prescription, I was charged $18.92.  If I had known the actual price would have been so high, I would have just stayed with CIGNA INSURANCE which always charged less than $7.  So, no matter what argument Wellcare is now giving, they still lured me into a 1 year commitment using FALSE ADVERTISING.

      Furthermore, I just found out yesterday that the regular price for amphetamine salts for an uninsured person is $38, which means Wellcare is charging me 50% of the actual price. in their 2024 Welcome Kit, Wellcare lists  Tier 3 drugs at 25%, which is again in alignment with the $9.67 price that the Company lists on the ******** Marketplace.  

      In conclusion, I feel Wellcare is being dishonest and not charging me a fair price.

      I have included 2 docs:  1) the pricing page off Wellcare's ******** Marketplace promotion and 2) Tier pricing breakdown from the Wellcare Welcome Kit Booklet

      Sincerely,

      *************************

    • Initial Complaint

      Date:06/19/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I went to my doctor on 6-14-2024 to have two prescriptions filled. My doctor called in both prescriptions to Express Scripts which is WellCare's mail in pharmacy. One for Baclofen RX1315537 and one for Sumatriptan RX2416651099717. When I went to fill the Baclofen, it was $394.42. I knew it shouldn't be more than $20. I cancelled that immediately and went to ********* to get it filled. It was $16.61. I've tried to fill the Sumatriptan. As of this time, they have put a hold on it and are refusing to fill it for unknow reasons. It's migraine medicine. I talked to a person at WellCare at 645pm on 6/18. He was pretty hateful. He said he wasn't going to do anything to help me with my problem. That was shocking. I asked him the second time if he was refusing to help me. Again, he replied that's right. I've called Express Scripts twice and have gotten basically the same thing, no help. It would be nice if companies dealing in American medications would have people who are their representatives have a working knowledge of the English language. If they don't release my prescription for Sumatriptan by the end of the week, I'm going to have to go to my doctor and get another prescription written for ********** In a nutshell I have two problems. One, Express Scripts refusing to fill my migraine medicine for no reason. Two, Express Scripts trying to charge over $400 for a $16 prescription. I would think that's against the law. Whoever I talked to at WellCare should be fired, period. My member ID # for ********************** is ******** and Plan # is S4802-086. I've had WellCare and Express Scripts before and never had any problems. My healthcare options come due for changes at the end of the year. I'm getting rid of both of these places. I'll use ********* until I can make those changes.

      Business Response

      Date: 07/02/2024

      Hello, 

      We have educated the member regarding the two transactions in question and advised that WellCare is unable to assist in transferring the prescription from one pharmacy to another. The member needs to contact the desired pharmacy to arrange the transfer or inquire about obtaining a new prescription from their provider. The member understood and confirmed that all issues have been addressed.

      Thank you

      Customer Answer

      Date: 07/02/2024

       
      Complaint: 21869479

      I am rejecting this response because: 

      I talked to WellCare. They said they were going to do anything about my complaint. They said to get another Rx from my doctor and go to ********** In a nutshell, I talked to six people on the phone and wasted about three hours of my time for nothing. Most of them couldn't half speak English or understand it. I'll be getting another RX insurance at the end of the year. Thank you so much for your time. You have helped me countless times through the years. I'm one of your biggest fans. Please warn people of this ghetto insurance.

      Thanks again
      *************************
    • Initial Complaint

      Date:06/14/2024

      Type:Service or Repair Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I keep getting notices that I may have moved, and every time, I return the address information AND call you. It has happened again. This time I learn it's due to the mailing address on Social Security. Note that my account info with ********************** is correct, in that my permanent address is in ******* (a nursing home without mail access) AND all my Rx's are being filled by one pharmacy in ***** and shipped to me in *****. You can see it online with the claims.As I am in a nursing home, my mail all goes to my daughter in *******, and this is where my social sec. end of year statement is sent. Social security does not allow two addresses on accounts (I called to verify), but I have a screenshot of my SS account showing my mailing address and the section underneath saying this is not my permanent residence. Thank you for confirming. By the way, I finally got through to someone today, was on hold half an hour, person tried to help but then forwarded me to a supervisor who then also put me on hold to "investigate" for another half hour. One hour total without resolution, as I've had this call with you every 6 months or so and nothing changes. As I write this, I have been on hold with a so-called supervisor (who sounded like I woke her up from sleep), said she will research this, and ONE HOUR later I am still on hold, without anyone checking back on me. They are a bunch of lazy people who say they'll correct something, then don't. And their online contact us form doesn't work, I have screenshots of the page saying "not able to submit form". It's a sham. And no email communication allowed to them. All very inefficient.

      Business Response

      Date: 06/17/2024

      Dear ******************************* ,
      Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. We will do everything we can to resolve the issue as quickly as possible.
      If you have any further questions or concerns, please do not hesitate to contact us.

       


      Sincerely,

      **** D

      Customer Answer

      Date: 06/19/2024

       
      Complaint: 21851983

      The company escalation department did reach out to speak with me yesterday but I told the agent I was unable to chat then and can we speak next day (today, June 19). Imagine my surprise when I called the number given to me, I got an automated message saying they are closed for the Federal holiday. The agent could've told me that yesterday. In addition, the automated message had me click a button to leave a message for a callback in 24 hours, next open day. And, that number went dead, saying it's not a valid number. This is just one of several examples of trying to communicate with this company. I don't have the time to keep calling a toll free number and being routed to different departments that don't work or cannot get through to a live person. Why not simply offer email communications.......

      Sincerely,

      *******************************

      Business Response

      Date: 06/21/2024

      Dear ******************,
      Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. We have been in contact via email and your issues have been addressed and resolved.
      Sincerely, 

      **** D

      Customer Answer

      Date: 06/21/2024

       
      Better Business Bureau:

      I have reviewed the response made by the business in reference to complaint ID ********, and find that this resolution is satisfactory to me. However, what appears online is not updated as of June 21. WellCare emailed me on June 20 and I think we have resolved the issue, but it may happen again. I am replying resolved now to close the case, but again, your BBB site is not showing the latest communication from the provider to me. All I see is the original generic apology of a week ago.

      Sincerely,

      *******************************
    • Initial Complaint

      Date:06/14/2024

      Type:Service or Repair Issues
      Status:
      ResolvedMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I am attaching 3 PDF documents about a claim for 6.55 that Wellcare simply ignores. I have emailed corporate officers of parent company Centene 2 times (*********************** and *******************) and 1 time to Wellcare CEO (***************************) without a response

      Business Response

      Date: 06/28/2024

      Hello,

      This case is still under review. We have contacted the member and received the necessary documents for the *** review. The *** is currently being processed, and once we receive the final determination, we will promptly share it with you.

      Thank you 

      Customer Answer

      Date: 06/28/2024

       
      Complaint: 21849774

      I am rejecting this response because:I have yet to receive the final determination alluded to in their message - when that is received I will be in a better position to properly address that

      Sincerely,

      *****************************

      Customer Answer

      Date: 07/02/2024

       
      Better Business Bureau:

      We'll have a check soon!

      Thanks! 

      Sincerely,

      *****************************
    • Initial Complaint

      Date:06/04/2024

      Type:Customer Service Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I am a member of Wellcares ******** D ************ drug plan. I am having issues of not being allowed to speak with someone in the ************* to help with me getting access to my online account with Wellcare.In addition I am trying to get a resolution to being denied twice by Wellcare a basic tier medication that my Cardiologist wants me to take.I am also being called / spammed multiple times per month by people claiming to represent Wellcare, (possibly a 3rd party contractor) who has all of my personal information, and is wanting to come to my home and review medication. I have asked multiple times to be taken off this call list but still get calls.

      Business Response

      Date: 06/17/2024

      Hello,I have contacted the member and assisted him with his issues. There was an issue with his prescriptions which currently is being fixed as we speak. An alternative has been found. The web support team assisted in getting him online, and he has been placed on a suppression list for marketing.

       

      Thank you.

      Customer Answer

      Date: 06/20/2024

       
      Complaint: 21799154

      I am rejecting this response because:

      I received an automated message that I answered on 06/19 from wellcare stating I needed to give them a call back. I called the Escalations team 4 times this morning 06/20 and could not reach anyone, the line went to a unknown voicemail twice and was hung up on by the automated system twice.

      I checked my online portal and it stated that the medication was denied and I checked with my pharmacy and they are still unable to fill the medication.

      Please have someone contact me as this is not resolved. 

      Sincerely,

      ***********************

      Business Response

      Date: 06/20/2024

      I attempted to reach out, I'm not sure what was wrong with our lines earlier. I spoke with the provider's ******, who confirmed the Prior Authorization was denied however an appeal was put in and it was approved from 6/19/2024 until further notice. Provider's ****** stated they were in the process of contacting you with this information.
    • Initial Complaint

      Date:06/03/2024

      Type:Service or Repair Issues
      Status:
      AnsweredMore info

      Complaint statuses

      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I'm a member of Wellcare No Premium Open PPP (Member #********)I received an explanation of benefits from Wellcare on 2/10/2024 & there were 4 FRAUDULENT CHARGES from FAST LAB TECHNOLOGIES LLC FOR COVID TESTS TOTALING $1300.00.DATES OF SERVICE 12/26/2023, 12/27/2023, 1/9/2024 & 1/11/2024.I received an explanation of benefits from Wellcare on 5/9/2024 & I THERE WERE (7) FRAUDULENT from ("PANAM HOLDING ***** for Orthotics totaling $7700.00 FOR DATE OF SERVICE 3/18/204.1) I called Welllcare back in February to advise them of the fraudulent charges from FAST LAB TECHNOLOGIES, ******* was transferred to several people & spent over 2 hours on the ************ were supposed to report it to their FRAUD ****************** WAS SUPPOSED TO GET BACK TO ****** NEVER RECEIVED A CALL BACK. 2) Today, 6/3/2024, I called Wellcare again to report the fraudulent charges from PANAM HOLDING **** Once again I was transferred to at least 5 different people who did not have a clue as to what needed to been done. Once again I was on the phone for at least 2 hours. **** gave me a ticket #********** & her Id #******* .**** then transferred me to a 3rd party claim ********** spoke with ************ supposedly was going to file a claim with Wellcare, which made absolutely no sense since I was on the phone with Wellcare for 2 hours. She gave me a case #************.I am totally appalled at the way Wellcare is handling this FRAUDULENT situation. There isn't a person there who knows what to do & they just keep passing the buck!!!! There are not protecting their members. Obviously, someone as my Health Insurance Information & perhaps someone on the inside of Wellcare is responsible. I don't know what to think at this point. All I know is that FRAUDULENT claims are being submitted under my name. I want these FRAUDULENT CLAIMS ADDRESSED & HANDLED ACCORDINGLY.Thank you for your ************************************************

      Business Response

      Date: 06/05/2024

      Dear *************************** ,
      Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. We will do everything we can to resolve the issue as quickly as possible.
      If you have any further questions or concerns, please do not hesitate to contact us.
      Sincerely,

      ************

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