Business Profile

HMOs

WellCare Health Plans, Inc.

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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

Customer Complaints Summary

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

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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.

Initial Complaint
Date:08/15/2022
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.
Consistently for the past 3 years, around the same time of the year( July or August) I am removed from my Wellcare Plan and switched over to Humana for one month, then returned back to a different Wellcare Plan that I originally enrolled in. This is all done without my authorization. Every year my daughter calls and complains about this obvious fraud. Every year we are promised that it will be investigated and we will receive a return call on the matter. This never happens. The issue here is that I am a 93 year old with a heart condition. I require meds to keep me alive. This frauds causes issues with my obtaining my medicine.

During this last fraud act, I had an appointment with my Cardiologist, which took several months to get. My appointment was canceled because they did not accept the Humana Plan I was fraudulently switched over to. I am handicap and barely able to walk without assistance. How could Wellcare allow this to happen? I am going to die over this act of fraud.
Each year Wellcare wants to pass the issue over to Humana. Humana tells my daughter it is a Wellcare issue. The person who commits this fraud makes the change only for 30 days. Wellcare is not able to trace it. I suspect and a Wellcare representative has confirmed that it is an unscrupulous salesperson who has my personal information along with other victims and commits this fraud in order to make commission.
Why cant WellCare trace this change? Why are they allowing this without my authority? Why cant I freeze my account so changes are not made without my written consent?
My daughter works very hard to choose the right insurance for me every year. This is unacceptable to remove me for 30 days and then bring me back under a different Wellcare plan altogether. I am under a fixed income. The current complaint number opened for this issue with Wellcare is **********.
Business Response
Date: 08/31/2022
Business Response /* (1000, 6, 2022/08/26) */
Hello and Good Afternoon, We sincerely apologize for the dissatisfaction you've experienced. Contact was made with Ms. ***** daughter on 8/23. We escalated this matter for Investigation by our CIU department, and the findings are as follows: The allegation that the beneficiary was recently enrolled without consent is unfounded. Multiple applications were found, however there is no evidence to support the fraudulent allegations. We understand a complaint has been filed with Medicare, and believe that may be the best course of action for another thorough investigation. Thank you.
Initial Complaint
Date:08/11/2022
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 have been on the phone with customer service for hours and hours, transferred back and forth countless times trying to get a minor issue resolved. I was informed that I would have a 50 dollar credit for utility assistance with my new insurance plan only to be told later that I had to qualify (which I do). I was told the information application would be sent to my provider ( which it hasnt) and after numerous attempts to talk to someone that can resend it , I get transferred to multiple departments that can't get anything done. Have gone as far as to speak with supervisors and filed 2 grievances with no hope in sight! Thank you for your time and have a great day.
Business Response
Date: 08/29/2022
Business Response /* (1000, 5, 2022/08/15) */
I have made attempts to reach you however, we have been unable to make contact, Please know, the grievance coordinator has completed the investigation of the concerns. The resolution details are as follows: we apologize that your call was transferred multiple times when you called our customer service line. please know that, although we strive to provide resolution to your call upon receipt, we may need to transfer you to another department whose representatives specialize in resolving issues such as pharmacy or billing-related calls. In addition we reached out to our vendor Wex Heaklth and we were informed they received your enrollmeent on July 28,2022 however,an error on their file caused it not to load on their system. The issue has now been corrected and you will receive your utility benefit tomorrow 8/16/2022 with the effective date of 7/1/2022. We apoligize for any inconvenience and we will make another attempt to reach you this evening.
Initial Complaint
Date:08/10/2022
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.
Wellcare ******** advantage plans are totally lacking in customer service - representatives , supervisors , + grievance administrators are most non professional , poorly trained + nonresponsive of any organization i have ever dealt with - they specialize in lies , broken promises , , + ignorance of their written policies - inconceivable to me that ******** + state insurance commissions allows them to operate - ongoing problems with numerous claim payments - unable to contact phone on hold for extended periods , emails not answered + grievances ignored or closed w/o any response or resolution -
Customer Answer
Date: 08/11/2022
message left on phone to call ************ asap called back + i left a message that has not yet been responded to in over 2 hours , which is standard operating procedure for Wellcare since last November -
Customer Answer
Date: 08/11/2022
received call back after 3pm from **** + she stated that see would research situations -
Business Response
Date: 08/17/2022
According to our conversation on 8/11/2022 you stated a previous agent responded to a prior complaint however, you did not wish to explain your concerns further. After further review it appears that your pervious grievances on file were completed and responded to. In order to investigate further we would need additional information to investigate. We attempted to reach you once again on 8/17/2022 via telephone at 1:06pm EST and we were unable to make contact. You may reach us at ************.
Customer Answer
Date: 08/18/2022
spoke to representative **** 3 hours after she sent message - + she stated she would research all problems going back to 11/2020 + check on multiple grievances that were closed as resolved with no resolution at all - previous agent Desire did absolutely nothing is being done by them to provide accurate + timely customer service at all - the late call back on 8/18 did nothing but provide more unfulfilled promises that has been ongoing standard operating procedure for Wellcare ! -
Customer Answer
Date: 08/19/2022
(The consumer indicated he/she DID NOT accept the response from the business.)
spoke to representative **** 3 hours after she sent message - + she stated she would research all problems going back to 11/2020 + check on multiple grievances that were closed as resolved with no resolution at all - previous agent Desire did absolutely nothing is being done by them to provide accurate + timely customer service at all - the late call back on 8/18 did nothing but provide more unfulfilled promises that has been ongoing standard operating procedure for Wellcare ! -

8/19/22 received message to call **** at ************
in reference to case # prc10948 - called at 1 pm after time phone was answered by ****** who asked me to hold for a moment while she would see if **** was available - on hold for at least 5 minutes = then ****** stated that **** was not available - i formally requested that **** respond to me via email - typical WellCare customer service, put person on hold + hope that they get frustrated + give up -
Customer Answer
Date: 08/26/2022
***Document Attached***
see attached - numerous phone attempts with either no answer or put on hold for extended period when it was answered once -
See Attachment/File: wellcare.jpg
Customer Answer
Date: 08/30/2022
have over 30 records of phone calls complete w/dates , contact person ,times , reference numbers ,+etc. which i told **** i would forward to her if given an email addresses - frustrated with WellCare - my reason for email documentation is because they can not be trusted to give any accurate ,truthfull , responses + information verbally -
Business Response
Date: 08/30/2022
OB call was made to the member 80/30/2022 @ 1:50pm we advised member once again that Several grievances were filed and phone calls made however member is not willing to provide additional information via telephone of what is specifically needed by the plan or any additional concerns for research. We can not proceeds without additional details.
Customer Answer
Date: 08/30/2022
8/30/22 **** phone call from **** ************ she stated that she had no idea what my concerns were - this after discussing them + at least 4 grievances filed since Nov. 2021 on 8/11/09 with promise of her research will get back to me - she had no knowledge of me attempting to call her on 8/19/22 + being put on hold by ****** for extended period + was told **** was not available - i asked ****** to have **** perform all further contacts via email + she stated she would inform **** - total lack of customer service , lies , + unfullfilled promises -
Customer Answer
Date: 11/03/2022

Complaint: 17895961
I am rejecting this response because:
early July checked Wellcare web site + verified that Visionworks was a in network participant - went to Visionworks in ****** + they called Wellcare as was told that prescription would be filled with out of pocket expenses of $150.00 which i paid by check - 11/2 received bill in mail that patient [ myself ] could not be identified - spent 1 hour + on phone w/2 different Wellcare *********** + ****** ] ****** called ************** which is now handling vision claims + was told that Visionworks was not in the Envolve network - all plan documents + member card state to send claims to Wellcare *********************** - having same numerous problems with their dental coverage going back to March being handled by another party - ongoing problems with their customer service , not answering phone , put on hold for extended periods + then hung up on , getting 3 different answers from 3 different reps on the same question , been lied to , promised call backs which never happen , over 4 grievances filed by me + my wife [ also a policy holder ] that were closed as being handled that were NEVER acted upon - their upper management also lies to the BBB to close cases - last BBB case was closed by them stating that i would not supply any documentation , which in actuality i offered on 33 occasions to emeil them numerous pages of documentation to prove my veracity in numerous multiple interactions with them + they blatantly ignored my requests completely - i know that this will get no truthdull response from them , but consumers should be made aware of their total unprofessional incompetence -

Sincerely,

*********************************
Business Response
Date: 11/11/2022
Member expressed dissatisfaction with overall plan experience and stated that he will no longer be enrolled with Wellcare. We apologized for any inconvenience he may have experienced. .
Customer Answer
Date: 11/11/2022

Complaint: 17895961

I am rejecting this response because:absolutely was attempted or performed by anyone at Wellcare to alleviate the horrendous performance of any of their actions since i enrolled in Nov. 2021 - all their responses to BBB + other consumer agencies were total + complete lies - also i did not at anytime voluntarily disenroll in wellcare at any time - they disenrolled me - see letter i received from them on 10/6/22 - they are definitely not an honorable enterprise + the numerous complaints filed with BBB ***** + other state + federal consumer agencies fully attest to this fact -
Sincerely,

*********************************
Initial Complaint
Date:08/05/2022
Type:Sales and Advertising 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 CALLED IN A PAYMENT TO WELLCARE ON JULY 14,2022 AND RECEIVED A CONFIRMATION FROM THEM #********** FOR THE AMOUNT OF $116.10
THEY THEN SENT ME A LETTER DATED 8/01/2022 INFORMING ME DUE TO NON PAYMENT THEY TERMINATED MY PLAN AND ALSO INFORMED MEDICARE OF DISENROLLMENT.
THEY ARE AN EXTREMELY INCOMPETENT GROUP AND THE ACH WAS NNOT COMPLETED DUE TO A PROBLEM AT WELLCARE .
THEY HAVE MY PHONE,EMAIL AND COULD HAVE ADVISED ME OF SOME ISSUE ,BUT THAT DIDN'T HAPPEN .
NOW IN ORDER TO COLLECT MORE MONEY THEY WANT ME TO SUBSCRIBE AGAIN .
I'M REQUESTING BBB TO HELP WITH THIS SITUATION CAUSED BY THEM.
Business Response
Date: 08/30/2022
Business Response /* (1000, 5, 2022/08/11) */
good morning, after review, enrollment advised Member term FPAY 07/31/2022. Payment of $116.10 was made on 07/18/2022 ACH # ****, was returned R03 No Account, Unable to Locate Account ACH Automation. Member has a past due balance on account of $51.60 for premiums of April, May, June and July of $12.90 each. Member was included in Eliza/results FTP outbound calls on 05/12/2022 and 07/15/2022, to phone number XXX-XXX-XXXX FTP notices were sent to member on 06/03/2022 and 07/14/2022 to address ******************************** member needed to pay $25.80 by 07/31/2022 to avoid termination. Member was notified timely and through multiple means to inform payment was still needed. No payment received by the due date indicated on the FTP. There is no plan error to be found. Member was termed for FTP correctly and is not eligible for reinstatement. Member can contact pre-enrollment ************, to see if they qualify for an SEP to be re-enrolled in plan.

Consumer Response /* (3000, 7, 2022/08/11) */
(The consumer indicated he/she DID NOT accept the response from the business.)
WHEN I CALLED IN PAYMENT I STAYED ON THE LINE TO RECEIVE CONFIRMATION OF PAYMENT RECEIVED ACH .
THEY CLAIM THEY COULDN'T GET THE ACH THROUGH FROM THE SAME ACCOUNT WE HAVE USED IN THE PAST AND NEVER NOTIFIED ME THERE WAS A PROBLEM ON THEIR SIDE.
WHEN SOMEONE RECEIVES A CONFIRMATION NUMBER BY THE COMPANY IT IS MY PRESUMPTION THAT PAYMENT IS DONE AND NO NEED TO CHECK BACK.
THIS WHOLE PROPBLEM WAS CAUSED BY INCOMPENTENT PEOPLE AT WELLCARE.
Initial Complaint
Date:08/04/2022
Type:Sales and Advertising 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.
That on July 22, 2022 I received a bill from Advent health Hospital in the amount of $108.44 dollars for a procedure done at their Hospital that being Abdominal Aortic Aneurysm Screening for which they billed Wellcare health $1,254.00 dollars. Wellcare paid Advent Health $1,145 dollars, however, there is no copay or coinsurance for the Screening procedure done on September 22, 2021. However, as i spoke to several people at Wellcare Customer Service Department and Wellcare Escalating Department I've got the runaround from Amanda, Von, Alex,Lucrecia, I placed a complaint with Medicare. Received a phone call from Latrella, Wellcare scalating department, on Saturday July 23, 2022 at 11:45 AM who advised me that she was handling my complaint with medicare and provided a case number and to call her the following week on Thursday August 4, 2022 for results. Spoke to Monica, Mysha, Lucrecia and again was informed that Latrella will not be in till next week and to call Tuesday. I asked Lucrecia that I would like to talk to a Supervisor, Lucrecia advised me that there was no Supervisor at the Escalating Department and that she was the highest level I can rich. We spoke for a while about the issues as to why Wellcare didn't pay and she came up with a bunch of reasons like they have to investigate the time, code provided by my PCP, error in billing by Advent Health and on and on but no answer or results whatsoever. When the Supervisor answered the phone they give me tha old standard: can you hear me, ere you there and they hanged up.Called Lucrecia again, big waste of time. For the record: Wellcare was fined $80 million dollars to the Esate of Florida for fraud to Medicare and Medicaid. Also, another case: Wellacare, Defendant shall satisfy these obligations by paying $10,000,001 pursuant to.....Also, and the federal government also joined the total $137.5 million settlement. This settlement is in addition to an $80 million deferred prosecution agreement.
Business Response
Date: 08/22/2022
Business Response /* (1000, 6, 2022/08/11) */
Contact with member on 8/09/22 member issues has been sent to the plans claims team for review and research. Once review and research is complete the plan will provide an update.

Business Response /* (1000, 9, 2022/08/16) */
8/16/25 @12:26 pm Outreach to The member complaint has been resolved please see the below root cause analysis and mitigation. Root Cause Analysis: The total allowance of claim applied towards the member outpatient hospital copayment because diagnosis code was not billed as the primary diagnosis code, therefore, the system logic did not map to the benefit screening to waive the copay. Mitigation: The claim has been adjusted to pay 100% with no member responsibility to preserve member and provider satisfaction. The provider and the member will receive a new remittance showing that the service has been paid in full. Payment will go out upon completion of the next check cycle.

Consumer Response /* (2000, 11, 2022/08/19) */
(The consumer indicated he/she ACCEPTED the response from the business.)
Initial Complaint
Date:07/27/2022
Type:Sales and Advertising 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've been having issues with my dental coverage. I have to do a dental implants, which are a medical necessity. I was told that they are not covered, but under the plan they should be as they are medically necessary. I kindly ask for a reconsideration to my dental treatment request that my dentist sent to your plan, or please work with me to find a reasonable solution as I should have dental coverage of up to $5,000 which I am unable to use due to your plan's lack of care to my medical needs. The dentist location is *********, Inc. at *************** Suite 6 Hialeah, FL XXXXX and their phone is XXX-XXX-XXXX.

Thank you,

******* *********
Member ID: ********

******* *********
Business Response
Date: 08/22/2022
Business Response /* (1000, 5, 2022/08/03) */
We have forwarded your concerns to our dental vendor Envolve Dental to address your concerns. The vendor has 10 business days to respond to us. You have advised us that the codes submitted by your dental provider were denied however, we are asking Envolve if there's anything that could be done to have the two (2) implants approved. We will update you asap with their response.
Initial Complaint
Date:07/25/2022
Type:Sales and Advertising 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.
During the Medicare Open Enrollment period of 2021, I spoke with Therian S., who was an agent of Well Care. In the process of discussing health plans, Mr. S. said since my dentist was "out of network", my services would be covered at 50%.. In January of 2022, I had partial dentures made. On 5/25/22 my dentist office called and said the insurance company did not pay and that I had a balance of $2058.82. On 5/25/22 I talked to Well Care at length, told them my dentist did not get paid. They told me that dentures are not covered under my plan. I explained to them that I was missed-imformed because I was told by one of their representatives that my dentures would be covered at 50% since my dentist was out of network. All they could tell me was that partials are not covered under my plan. On 5/26/22 I filed a Grievance (#**********) against Well Care and asked that they pay the balance of $2058.82. because I was missed informed by ONE OF THEIR REPRESENTATIVES. On 6/16/22 Angel from Well Care called and wanted to confirmed where I got the missed information from. Said she will talked to her Manager and will file a complaint against the agent who gave me the incorrect information. On 6/23/22 i got a letter from Well Care saying "Unfortunately, Dentures are not a covered benefit on my plan". On 7/4/22 I wrote a letter to the CEO of Well Care asking for payment of the bill balance, and that I was not given a definitive answer as to whether Well Care would pay. As of this day (7/24/22) I have not heard back from the CEO. I would like for Well Care to reimburse me for the $2058.82 I had to take out a loan and pay so this will not go against my credit. I explained to the CEO that I am on a fixed income with disabilities. So please I am asking so I can pay this loan back. I look forward to hearing from you soon.
Business Response
Date: 08/31/2022
Business Response /* (1000, 7, 2022/08/12) */
Hello and Good Afternoon. We made contact with Ms. ******** on 07/27 to acknowledge complaint details. We are currently reviewing the allegations of Misrepresentation and **** continue to work with Ms. ******** until we reach resolution.

Consumer Response /* (3000, 9, 2022/08/13) */
(The consumer indicated he/she DID NOT accept the response from the business.)
I would like frequent updates on the progress of the investigation. I won't be satisfied until I feel the investigation has been handled throughly and correctly.

Business Response /* (4000, 11, 2022/08/18) */
Hello,

At this time we are pending proof of payment so we may escalate for review with our reimbursement department. Thank you

Consumer Response /* (4200, 13, 2022/08/22) */
(The consumer indicated he/she DID NOT accept the response from the business.)
Spoke with Ms. R. on 8/19/22. She requested proof of payment for dentures/partials. Proof of payment and itemized bill description was sent to Ms. R. on Monday, 8/22/22. I would still like updates until a resoultion is reached to my satisfaction.

Business Response /* (4000, 15, 2022/08/26) */
Hello and Good Afternoon, The documentation submitted by Ms. ******** has been received and escalated for review. We appreciate your patience as we continue to work on this diligently. Thank you.
Initial Complaint
Date:07/25/2022
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.
Wellcare Value Script, Operated by Wellcare Healthcare plans (XXX-XXX-XXXX) has been the provider of my mother's prescription insurance. Her last known prescription fill was April 5th, 2022 and on April 29th, 2022 I was advised that she did not have coverage. This was done without cause and without notification. I have been dealing with this company from April 29th, 2022 until July 21st, 2022 with numerous phone calls and numerous hours spent on hold. They tell me that my mother has not had coverage with them since November of 2019, yet they have provided her with prescription coverage and monthly Explanation of Benefits documentation. I have talked to first-line employees and I have talked to supervisors and I talked to people in their Escalation Department. As of July 21st, I was advised by an employee in their Escalation Department that there was no record of me ever calling Wellcare. I had dates and names of the people that I have called and spoken with but I was advised by that employee that there is no record of a case.
Business Response
Date: 08/18/2022
Business Response /* (1000, 5, 2022/07/26) */
It was a pleasure speaking with you today. As per our conversation today we confirmed that there is an open CTM case that is currently being worked. Estimated resolution date noted is 7/26/2022. We will monitor to ensure that your concerns are resolved to your satisfaction.

Business Response /* (4000, 7, 2022/08/02) */
Good morning, we were able to make contact with ****** *. resolution was provided, she confirmed that issues were resolved to her satisfaction and she did not have further concerns at this time.
Initial Complaint
Date:07/19/2022
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 have the prescription program and I was not made aware of the different programs that would allow me to choose the right coverage. I am currently not able to afford my medication and due to the high deductible, I can not afford to pay that and get my medications. I spoke to Well care several times and I received a letter saying that my dispute has been forwarded to the plan change department and I need to contact customer service to assist me with this form. I have called and I spoke to someone in the Philippines and when I ask to be transferred to the United States rep. I was placed on a long hold and then the call was disconnected. I need to get my medications and would like to change my plan to a plan that does not require me to pay a deductible. I understand it is a higher cost for the plan and that is perfectly fine for me. I don't understand the rep from the Philippines I try to get a resolution and the answers seem to be scripted answers. Please assist me with this important matter to get the plan I need and can afford my medications. Thank you in advance for all your assistance with this concern.
Business Response
Date: 08/09/2022
Business Response /* (1000, 6, 2022/07/26) */
after review, our Enrollment Department advised Working on PEGA MET ticket # ********. As per review your plan had been Rollover in XXXXX-XXX for 2022 year. Now member account found active with plan ********* eff 01/01/2022 with no end date. According to our records, an Annual Notice of Change (ANOC) was mailed on September 1, 2021, explaining any changes to your benefits and cost for the plan year 2022. An ANOC is mailed prior to the start of the centres for Medicare and Medicaid Services (CMS) Annual Election Period so that you can make any necessary plan changes. If member wants to change the plan than need to ****** written plan change request with valid details.
Initial Complaint
Date:07/19/2022
Type:Sales and Advertising 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.
01 26 2022 A wellcare person came to my home and said he had a better dental plan I told him them I already have a Good plan and also told him who was going to do the services he said that his company has better coverage and that that person who was going to do the service was in his Network so I said okay come find out that service was not in his Network and I haven't been billed for it I have wrote the company and told him what was going on I even sent them a statement of Bill they have not right back they have not called and I think that I should not have to pay this bill which is $4,535 and I would like you to try and help me after I found out what happened I went back to my old Insurance Company the service that I had done wish I had all my teeth pulled on 02 07 2022
Business Response
Date: 08/23/2022
Business Response /* (1000, 6, 2022/07/28) */
good morning, we have not been able to obtain an member ID from the complainant. we are unable to review this complaint, thank you

Consumer Response /* (3000, 8, 2022/07/29) */
(The consumer indicated he/she DID NOT accept the response from the business.)
The case number is **************the agent was Noel A. cell ************* or customer service ************

Business Response /* (4000, 11, 2022/08/02) */
good morning, the complainant did not and could not provide his ID, please provide the correct Member ID and we can hopefully assist. ty

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WellCare Health Plans, Inc. is NOT a BBB Accredited Business.