Complaints

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

close

Find a Location

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

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

BBB accredited

Near

Country

USUnited States

Please enter a valid location.

Filter

• 

  WellCare Health Plans, Inc.

  PO Box 31370 Tampa, FL 33631-3370

• 

  WellCare Health Plans, Inc.

  PO Box 31372 Tampa, FL 33631-3372

• 

  WellCare Health Plans, Inc.

  PO Box 31368 Tampa, FL 33631-3368

• 

  WellCare Health Plans, Inc.

  PO Box 31367 Tampa, FL 33631-3367

• 

  WellCare Health Plans, Inc.

  PO Box 31384 Tampa, FL 33631-3384

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:12/17/2024

  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.

  For over a year I have been trying to set up an account on the ********************** site to manage my prescription charges. To this date there has been no resolution to this issue. Called many times since 1/3/2024 ... yes January 2024. Spoke to on the phone and did online chats with their ***resentatives but no one can fix the issue. I can log into the site but cannot get into the site but cannot view my plan or see charges. I keep getting "you may already be enrolled ..." which then drops me out. Their service/tech response is terrible. For me to get info regarding drugs, I am forced to call directly which means lengthy wait times. Then sometimes have to deal with **** who command of the English is not sharp. Last episode was speaking to what appears to be o *** in training who would frequently stop speaking to search for info. This is frustrating beyond belief.

  Business Response

  Date: 01/02/2025

  the web team contacted the member, and they advised they created a new email for access and was able to log in. 

• Initial Complaint

  Date:12/12/2024

  Type:Customer Service 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.

  Member ID: ******** For 2024 I have had WellCare Value Script and planned to maintain the same plan for 2025. I believe I chose that plan on ************. Not until today was I aware that I had been assigned the Classic Plan. I never would have chosen that plan as it is considerably more expensive. I contacted WellCare realizing it was post deadline and, after speaking with 3 people, was told nothing could be done to revert back to the Value Script. I would appreciate an exception as I am a current customer. Given that off insurance options exist that are less costly than the Classic Plan I would not be using the insurance for most drugs if forced to retain this plan. Thank you.

  Business Response

  Date: 12/17/2024

  Hello. We apologize for the dissatisfaction that you experienced. Escalation to our Enrollment team confirmed that the issues have been resolved. The member expressed satisfaction and had no other concerns. No further actions necessary. 

  Customer Answer

  Date: 12/18/2024

   
  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.
  
  Sincerely,
  
  **** ******

• Initial Complaint

  Date:12/12/2024

  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 am 74 years old and on Social Security, ******** and ******** QMB. I am in a wheelchair and have congestive heart failure. I am diabetic type 2 and have arthritis am overweight, and losing the weight. I was recently hospitalized for bladder infection and another external infection. I returned home from hospital and found that I had lost My ******** advantage plan because they enrolled me in a drug plan that canceled my ******** advantage plan without my knowledge and never informed me of the change. It has caused many problems with my health care.The only resolution I desire is that WellCare and Wellcare by allwell leave me alone and quit sending me material. They are not reliable and have caused nothing but problems. I have also filed complaint with CMS and Social Security. I recommend that you sign with anybody other than well care

  Business Response

  Date: 12/12/2024

  Dear **********,
  Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. During my investigate of your complaint it has been determined that you do not active or any future coverage with WellCare. It was also determined that your application with WellCare was assigned by ************, I do recommend that you contact CMS ******** and make sure that you are not set up on any auto enrollment status within their system. 
  If you have any further questions or concerns, please do not hesitate to contact us.
  Sincerely,
  **** D

• Initial Complaint

  Date:12/11/2024

  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 retired in 7/2022, at age 66. I went on ******** part B. For my supplemental plan, I chose Blue Shield. For my drug plan, I subscribed to Wellcare.I went back to work full time in 9/2023. I informed Blue Shield I returned to work full time and I did not need their plan anymore and requested to have it terminated. I also called Wellcare and told them I had full medical coverage from work and would like to terminate my plan. I paid through 12/2023. The person told me I needed to do it in writing. She gave me a fax number. She said just include name, account number and a note to request termination. I did that. I never heard from them again. I never paid them anythingin 2023.The other day I got a bill from ******** informing me that based on my 2023 income, I triggered IRMAA part D and that I will need to pay $79.00 a month starting in January, 2025 for drugs. I called ******** and told them I have not been on ******** since September, 2023 because I have insurance coverage from work - ****** Health Plus. The person told me their record shows I am still active with Wellcare. She told me I need to call Wellcare. So I called Wellcare. The person told me they have no record of me terminating my plan in 2023 and that my account is still active. I said I have not paid anything and if I had filed a claim or needed to use my drug plan to buy drugs, I am sure I would not have been able to. The person just said that's what their record shows.I am not using ********. I am not using any drugs. I don't think I should have to pay $79.00 a month for ******** *********** I am stuck because Wellcare would not give me proof that I terminated my account in September, 2023.

  Business Response

  Date: 12/17/2024

  Hello. We apologize for the dissatisfaction that you experienced.  The plan has made contact with the member/complainant regarding their concern and has been disenrolled from the plan. The member has also been emailed proof of termination. No further action necessary.

• Initial Complaint

  Date:12/10/2024

  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 have/had United Healthcare Part D drug plan. In November, 2024, I called Wellcare and asked for a price quote on Wellcare's drug plans. I told the ***resentative that I was only seeking a price quote on their Part D drug plan. The ***resentative told me that I would have to provide all of my information in order to receive a price quote on Wellcare's Part D plan. I reiterated that I only needed a price on Wellcare's plan(s). The ***resentative insisted that I must provide all of my information in order to receive a price quote. I then answered her questions & told her again that I did not want Wellcare's plan. I then received an email from Wellcare informing me that I had been enrolled in Wellcare's Value Script (PDP) beginning January 1, 2025. From research on drug plans, I remembered that if a person signed up for another drug plan other than the one currently enrolled in, that the prior plan would be cancelled. I originally did not think much about the email from Wellcare stating that I had enrolled in Part D with Wellcare because I knew I did not enroll with them. Just the opposite. I had told the *** that I didn't want their plan, that I had only called for a price quote. However, I decided that I should check on my Part D plan with UHC. I called UHC to verify that my Part D plan was still in place with UHC since I received the email from Wellcare stating that I was enrolled with Wellcare, knowing that a person can have only one plan. Upon calling United Healthcare, I was informed that my Part D plan with United Healthcare would terminate as of December 31, 2024 because I had been enrolled in another plan. I called Wellcare and was told that I was in fact enrolled with Wellcare. I told the *** that at no time did I agree to sign with Wellcare, I had only wanted a price quote. I told her to CANCEL whatever they had enrolled me in. She said she didn't know if she could cancel me. So now I have no Part D plan. Wellcare is a fraudulent business. .

  Business Response

  Date: 12/13/2024

  the complainant was contacted and advised her enrollment has been cancelled, thank you 

  Customer Answer

  Date: 12/16/2024

   
  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.
  
  Sincerely,
  
  ****** *******

• Initial Complaint

  Date:12/06/2024

  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 have called this company about a half dozen times and dealt with their very incompetent overseas call center to try to get my policy canceled. I have not paid a premium for at least 3 to 4 months, and have called multiple times saying I don't wanna be a customer anymore. Every time, I am told that I need to fill out a form without my signature and send it via postal mail. I have never received such a form. The customer service is so horrible and I cannot seem to get any results whatsoever. At least three times a month this company calls me with a very obnoxious robo call and I have tried to get them to stop calling me to no avail. I no longer want to do business with this company, but they haunt me incessantly. I have done everything I can in good faith to try to terminate my policy with this company, but they are managed by very unprofessional overseas call centers.

  Business Response

  Date: 12/11/2024

  Good afternoon, Mr. ***************************  
  
  Per our conversation on 12/09/24 you have withdrawn the disenrollment request and enrolled into a WellCare Plan for the year 2025 via the ******** website and could not remember the plan's name. I confirmed with our business partners you will be enrolled into the Wellcare Classic Prescription Drug plan and supplied you with final details of your enrollment 12/10/24.

  Thank you for allowing me to assist you with your concerns. No further action is needed. 

  Desiree 

• Initial Complaint

  Date:12/05/2024

  Type:Product 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 tried 3 times to get an overpayment back from Wellcare. I've tried twice today (12/4/2024) to get resolution and am yet unsuccessful. I made a payment to Wellcare on 10/15/2024 using my credit card for the amount of ****** for the months of October and November. 2-3 days later I received a letter from the ****************************** (SSA) informing me that beginning in November the Wellcare prescription drug plan charges of *****/month would be taken from my Disability check automatically in November as I had requested when signing up for the drug plan. I called Wellcare back 2-3 days later asking to be reimbursed for the month of November, which was taken from my Social Security check in November. I was passed along to several employees until I was told that they could see the mistake and I would receive a check for the *****. That was in late October or early November. I followed up with them today (12/4/2024) and was told that SSA would have to reimburse the money because the premiums were already being taken from my Social Security check and that I'd have to collect the ***** from SSA. I called SSA and had them on the phone with me to get the matter resolved and was told they'd have to investigate and I'd get a call back in 5-days. I continue to get the run around from Wellcare and they act like they don't want to refund the overpayment. Whenever I call Wellcare they act like they don't see it or can't find it but SSA saw the extra November payment immediately. I want the extra ***** November payment back because the November premium was paid from my November Disability check.

  Business Response

  Date: 12/12/2024

  Good afternoon, Mr. ************************** my research, Member was enrolled for 11/01/24 and 12/01/2024. Two Payments were received, one on 10/15/2024 for $157.80 and on 11/30/2024 for $78.90 Member was refunded $78.90 on 12/05/24, **** ending *0591, Please advise member to allow 5-10 business days to receive. No additional refund is owed. When speaking with you today, 12/12/24, you confirmed that the refund of $78.90 has been successfully applied back to your account. 

• Initial Complaint

  Date:11/25/2024

  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 am ******** recepient with Wellcare Value Script as my prescription provider. I contacted the company for a vacation override because I was leaving the country for 2 weeks. I spent 3 hours on the phone and the communication was very frustrating and slow. The representatives indicated that they had resolved the issue for me, and that the coverage was approved. My pharmacy did not show approval. So my helpful pharmacist contacted Wellcare in my presence and was told this plan does not ever allow a vacation override for any reason at any time. Someone is not telling the truth at this company. I tried in three different phone calls to understand the representatives. I was told that this was approved at the end of each phone call. I feel there is no one to talk to and no way to resolve this. I was able to obtain my drug by paying it out of pocket. It cost $700. If covered it would have been $167. I have no way of knowing whether there is coverage for an early approval of a prescription or not, since the company said two different things and I found that the representatives could not respond to my inquiries.

  Business Response

  Date: 12/04/2024

  Hello.We apologize for the dissatisfaction that you experienced.  The plan has made contact with the member/complainant regarding their concerns, and we are currently working on getting this matter resolved.

• Initial Complaint

  Date:11/25/2024

  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.

  My mother advised that I had received mail regarding plan information from Wellcare at an address we no longer live at. I have not enrolled in this company. It seems to be fraudulent and I want to confirm that they do not show me enrolled. I do not have a member number because I know nothing of this. They sent mail to ************************************************.

  Business Response

  Date: 11/27/2024

  Good afternoon, we have not been able to reach the complainant by telephone and have received no response via emails sent. thank you .

  Customer Answer

  Date: 12/02/2024

   
  Complaint: 22599325
  
  I am rejecting this response because:
  
  Sincerely,
  
  ****** *****

• Initial Complaint

  Date:11/25/2024

  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 HAD INROLLED IN WELLCARE DRUG PLAND 11-12-2024 I HAVE CALLED SINCE TO CANCEL MY ENROLLMENT I HAVE SPENT MANY HOURS ON THE PHONE WITH THEM SINCE 11-12-24 I AM TOLD ITS CANCELD EVERYTIME THEY WILL NOT CANCEL IT I TALKED TO ******** THEY SAID THEY HAVE NOT DISENROLLED ME AS OF TODAY 11-21-24 I HAVE SPENT 6 HOURS CALLING WELLCARE TOLD SAME THING ASK FOR SUPERVISOR TOLD SAME THING EVERY PHONE NUMBER I TRY GOES SAME PLACE I DO NOT WANT TO BE ENROLLED WITH WELLCARE I WANT TO STAY WITH MY CURRENT PLAN WITH SILVER SCRIPT BUT THEY CAN NOT CHANGE ANYTHING UNTIL IM DISENROLLED WITH WELLCARE ******** ALSO SAYS I MUST BE UNENROLLED FROM WELLCARE. WELLCARE WILL NOT CANCEL MY ENROLLMENT I CANT AFFORD TO NOT HAVE A PRESCRIPTION DRUG PLAN AS I HAVE MEDICATIONS THAT I NEED TO TAKE. I DO NOT HAVE ANY MATERIALS OR ID CARD FROM ********************** ONLY ******** ID, *************

  Business Response

  Date: 11/26/2024

  Hello and Good Afternoon,

   

  We sincerely apologize for any inconvenience caused to you. Our records indicate this plan has been cancelled and a letter confirming has been issued.

   

  Thank you!

  Customer Answer

  Date: 11/26/2024

   
  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.
  
  Sincerely,
  
  **** *****