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
Customer Complaints Summary
- 378 total complaints in the last 3 years.
- 104 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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:10/21/2024
Type:Customer Service IssuesStatus: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 do not have nor do I want wellcare, and I have disenrolled twice, but they won't leave me alone. They are constantly sending me mail and saying that I'm still a member.Business Response
Date: 10/23/2024
Dear CHERYL ****
Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. We investigated your account and determined that the application was created directly from the *** website. We sent out the disenrollment form via mail and email for to complete and return.
If you have any further questions or concerns, please do not hesitate to contact us.
Sincerely,**** D
Initial Complaint
Date:10/17/2024
Type:Customer Service IssuesStatus: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 paid my Wellcare monthly premium with a check as their website is problematic. My bank shows that they cashed the check, yet the are saying they are dropping me for non payment of premiums. I called and they clearly do not know what they are doing. They were unable to check it. Now I am trying to pay this months premium online and it says that I have not had Wellcare for 2 years. That is entirely untrue. I have had Wellcare for 3 years & still have it. I am not able to pay my bills online and they lose the check and do not post them. I need this resolved: 1. They need to search for my September 15th , 2024 dated check which cleared with them on September 23rd, 2024. 2. They need to fix the website so that I can pay the monthly premium online. 3. They need to get rid of the message that says I have not belonged as a member for 2 years. I need this resolved as I need my RX coverage and this will hold it up. I have been paying premiums consistenlty for 3 years with no misses. They do not care and do not address issues timely. I can see the reason this company has earned a D- rating. Please assist in getting this resolved so that I may get my medications,Business Response
Date: 10/25/2024
Dear ***** ********-*******,
Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. Your complaint in reference to your payment was resolved and resolution was explained to you. We are now investigating your member portal access issues, 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: 10/25/2024
Complaint: 22433223
I am rejecting this response because:Part one of payment posting is resolved. Part 2 portal access is not resolved and I am not able to pay my premium online. I am still receiving the message that I have not been insured since two years ago. That is not true as I have consistently been using and paying for the benefits for three years. I need this resolved ASAP please.
Sincerely,
***** ******** LunburgBusiness Response
Date: 10/25/2024
Hello,
Please review the response that was sent.
Dear ***** ********-*******, thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. Your complaint in reference to your payment was resolved and resolution was explained to you. We are now investigating your member portal access issues, 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: 10/28/2024
Complaint: 22433223
I am rejecting this response because: the portal access issue is not resolved yet.
Sincerely,
***** ******** LunburgBusiness Response
Date: 10/31/2024
Dear DeAlessi *******, *****,
Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. Please be advised in our initial response we did state "Your complaint in reference to your payment was resolved and resolution was explained to you. We are now investigating your member portal access issues, will do everything we can to resolve the issue as quickly as possible." So, at that time, we sent back our initial response we made you aware we were still investigating your portal concerns. After our IT Department review your access and you also confirmed that the third-party vendor with your email has blacklisted "entry ID" messages. I emailed you on 10/30/24 informing you that you will need to contact the third-party vendor in reference to that blacklist. Password change emails do come from EntryKeyID, and if you are unable to receive the email due to your third-party vendor blacklisting the email you can try and create a new email address, in which you did state in your email that you could do. WellCare has no control over your third-party vendor blacklisting emails.
If you have any further questions or concerns, please do not hesitate to contact us.
Sincerely,
**** DCustomer Answer
Date: 11/01/2024
Complaint: 22433223
I am rejecting this response because: Wellcare has no IT direct contact. This could be resolved with an IT call and an update of my password. I have already gotten the third party to whitelist Wellcare but I still cannot get into their system. It still tells me my membership is no longer active. Wellcare is a problem and cannot administer their plans. They are trying to put a generic bandaid on the issue. I am just trying to pay my monthly bill. They are behind the times and their is no access to speak to anyone in IT to help resolve the issue. In order to resolve this, my husband and I will drop their insurance when renewal time comes as they are too difficult to deal with and not interested in their customers to have one IT call made to resolve the access issue. At this point, it is not worth the effort. We will continue to pursue this issue with other government agencies. Thank you BBB for all your assistance. Wellcare, we are grossly disappointed in you and your lack of communication and unavailability of an IT desk support person to call and speak with us to resolve the access issue.
Sincerely,
***** ******** *******Initial Complaint
Date:10/16/2024
Type:Billing IssuesStatus: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 been trying to cancel this Wellcare RX plan. I did not sign up for this. This is fraud. I can not get an American on the phone. I called and spoke to **** on Oct. 15, 2024 at 3:22pm cst. He said I would get an email with a cancellation confirmation. I have not. He said it would be the same day. Not only is it not the same day, I have not received any cancellation confirmation. Cancel it NOW.Business Response
Date: 10/18/2024
I communicated with Mr. Dale Pitts via email on 10.18.2024 at 10:11am Est. In regard to the complaint, where the member states "I have been trying to cancel this WellCare RX plan. I did not sign up for this". I did notify the complainant a letter confirming his disenrollment was sent out on 10.17.2024 via mail.Customer Answer
Date: 10/18/2024
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID 22429082, and find that this resolution is satisfactory to me.
Sincerely,
Dale PittsInitial Complaint
Date:10/14/2024
Type:Customer Service IssuesStatus: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'm not of ******** age but some how my information was retrieved illegally by this company. Remove my address from your system. It has gotten out of hand now. Your agent is ****** ****** ************ ************************************************************** stop illegally contacting me.Business Response
Date: 10/14/2024
Hello and Good Afternoon,
I wanted to apologize for your dissatisfaction experienced receiving
unwanted solicitations.
With the information provided, I will be adding you to our
Suppression list which will cease further marketing attempts.Thank you.
Customer Answer
Date: 10/15/2024
Initial Complaint
Date:10/14/2024
Type:Service or Repair IssuesStatus: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.
For approximately 6 months I have filed complaints with Wellcare that they are improperly blocking my access to my account on-line. Despite my numerous complaints, Wellcare has done nothing to resolve this problem. Absolutely nothing. Accordingly, I want my money back for failure to provide services or I want Wellcare to fix the problem IT -- AND IT ALONE -- has created.Business Response
Date: 10/17/2024
Hello,
Thank you for bringing this matter to our attention. We have reviewed the member's complaint regarding difficulties accessing their online account. Over the past several days, our team has made multiple attempts to contact the member via phone to discuss and resolve the issue. Unfortunately, we have been unable to reach them, and we require further information to fully investigate and address the problem. We are eager to assist and would appreciate it if the member could return our call at the phone number we provided in the voicemail. Their ticket number was also shared for reference. Alternatively, if they prefer another method of communication, we are happy to accommodate that to ensure we can troubleshoot the issue and work toward a resolution. At this time, we have been unable to replicate the access issue on our end, but we remain committed to resolving this matter as soon as we are able to connect with the member.
Thank you for your attention to this matter.
Customer Answer
Date: 10/20/2024
Complaint: 22390995
I am rejecting this response because: WellCare is not telling the truth. Contrary to its false statement, no one from Wellcare has attempted to contact me, who did not reach me. I have been complaining to WellCare about this problem for 6 months and thus ave had numerous contacts with WellCare about this over the past six months. -- all of whom failed and refused to fix the problem. The last phone contact I had with Wellcare was on Monday, October 14, 2024. At that time, ******** from the "escalation department" called me at 12:25 PM. As with all prior WellCare customer service ****** ****** told me the problem needed to be resolved by Tech Support, but that WellCare did not permit her to connect me directly with Tech Support. Instead, just like the six months of Cust. Service **** before her, she had to send a request to Tech Support. What happens then? NOTHING! No one at WellCare Tech Support does anything. In fact, the one and only time I received a call back from Tech Support, the Tech ******************* failed and refused to do anything at all. She would not even discuss the problem. Instead, **** said the problem was being caused by customer service and **** then dumbed the call. The last Case No. I received from ******** was Case No. 2942566221.On Friday, October 18, 2024, I received an email from Mr. ****** at WellCare. He falsely claimed WellCare had been attempting to contact me without success. This is not true. Instead, as I advised Mr. ****** by return email, the truth is that I have responded to every contact from WellCare -- just as I responded to his email -- which is the first time I had received anything from him. I have also emailed Mr. ****** the information above as well as the last case no. assigned by "Lauren."
Tellingly, since ******** promises that she will get back to me with a resolution of a problem WellCare has left unattended for six months, I have received no follow-up from either ****** or WellCare's Tech Support. thus, the problem remains unremedied.
.
Sincerely,
**** ******Business Response
Date: 10/22/2024
Hello,
On October 22, 2024, we contacted Ms. ****** at her preferred phone number as the one given originally was a work phone number and she confirmed that this is the best number to reach her. During the call, Ms. ****** described the issue she has been facing when attempting to log into her account. Specifically, after entering her email and password, she receives a verification code. However, when she enters the code and submits the required information, including her member ID, the system informs her that this information is already in use, preventing her from successfully logging in. Ms. ****** indicated that this problem has persisted since May 2024, and despite reaching out to **************** for assistance, the issue remains unresolved. We have reassured Ms. ****** that we will prioritize her case, and I have committed to following up with her no later than Friday, October 25, 2024, as we continue to work towards a resolution.
Our IT team is actively investigating the cause of the problem, and we are committed to ensuring Ms. ******** issue is fully addressed.
We appreciate your attention to this matter, and we will provide further updates as soon as they are available.
Customer Answer
Date: 10/28/2024
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:10/02/2024
Type:Customer Service IssuesStatus: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.
On 9/24/24 I called wellcare about something and I ended up finding out about this RX discount card called Buzz Rx, I was suppose to have and I told them I dont have the card, I was told it was for DISCOUNTS on *** Medications. The *** i spoke with gave me all the information that i needed in order to get the discounts, On 9/25/24 I went to ********* to pick up my regular meds and a bottle of ***** ******* **************************************************** the Buzz RX didnt discount it but he was nice enough to give me the price he quoted me when I asked for the ***** 120 count, I had to get the 300 count bottle instead, on 9/26/24 I called WELLCARE back and asked them why they have a discount card to help with *** Meds and then not give a discount for them, I was told that the ***** ******* wasnt part of the program, BUZZ RX is not a program, Its for over the counter medications, So why would it not be discounted.. anything i get over the counter should be dsicounted no matter what it is thats the purpose of having it, Doesnt make sense how a bottle of ******* is not part of it? Its a over the counter medication. Doesnt make any sense to me.. Why do they have a Discount Card for over the counter meds if they are not get discounted? they might as well get rid of the BUZZ RX if its not going to give discounts on over the counter meds like a simple bottle of ***** *******. If the Pharmacist wasnt nice enough and give me the discount I would be asking for reimbursement of what i spent on the ***** *******.Either let this discount card actually give discounts on over the counter meds or get rid of the buzz rx and if you did that, thats when you would be getting a bunch of complaints and I would be one of the First ones to complain for getting rid of buzz rx.. and if i have to buy anymore and it does not get discounted I will get the reimbursement for the cost that i had to spend on the *** MED that I needed because it wasnt discounted like it should have been!!!!Business Response
Date: 10/03/2024
I responded to the complainant Mr. ******** ****** today 10.03.2024 at 2:42pm Est. I acknowledged the complainant's complaint and offered the ******************************* website to the complainant. Mr. ****** was offered the website to review a list of approved medications letters A-Z that are non-formulary/OTC and can be discounted. The complainant did not approve of my answer and disconnected the call.Initial Complaint
Date:09/30/2024
Type:Customer Service IssuesStatus: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 a WellCare Part D plan. Last year WellCare changed their Portal login. Since that change I have not been able to log into my account. I have called multiple times, to have customer service tell me they have to send to their IT department and someone will get back with me. To date I have not gotten a call or email saying my account can be accessed.Business Response
Date: 10/08/2024
Good afternoon, the members account has been updated. FYI: Possibly out of office the next few days due to Hurricane ******, thank you.Initial Complaint
Date:09/20/2024
Type:Customer Service IssuesStatus: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.
They call every day! I have repeatedly ask them to stop. I have blocked their number about 20 times but they use new numbers to get around the blocks. I have told them if they have information about me to send it thru the mail service, to no use!Business Response
Date: 09/23/2024
Dear CONNIE KELLEBREW,
Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. I made outreach to you twice by phone and left messages and I also made outreach to the email address provided. I have added your contact phone number to our "do not call" list. Please allow for 24-48 hours for that to take place and if you have any further questions or concerns, please do not hesitate to contact us.
Sincerely,
Myra D.Initial Complaint
Date:09/20/2024
Type:Billing IssuesStatus: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.
This Problem occurred around 7.24.2024 via text from ** stating urgent request. Was advised my coverage will expire 9.30.24 if payment was NOT recvd. Payment was made to ** on 7.17.24 around 5:53 pm via their website. According to my banking institution payment was taken from my acct *******. I have a copy the ** generated receipt of payment . In the meantime, I receive calls as well as written docs stating still non-payment. On Aug 6/7, I spoke with two Acct Supervisors (**** and ********). I keep explaining the issue -- missing moneys and again no remedy for locating my missing funds. It was at this time, I was advised to send an email to ************ (via ********************************** showing my receipts, confirmation of transaction, banking statement showing indicated transaction. I did complete this request addnl info ; however, still no credit to my outstanding account. I want to deal with the individuals who makes decisions--not enforce. This is a very stressful situation as I am on a fixed income. Why am I looking for my payment when the **** should be on **? I have always prided myself on being current with medical coverage. Thank youBusiness Response
Date: 09/30/2024
Good afternoon,
We have reviewed your complaint and wanted to provide you with an update. We have attempted to reach you by phone on four occasions but have been unsuccessful.
Upon investigating, we located your previous billing issue on file. The billing team confirmed that a payment was made through the InfoPortal on 7/17/2024, using an incorrect member ID. This payment has since been refunded to your account, and you were notified of this. As of now, your account is up to date, and there is no risk of termination.Please let us know if you have any further questions or need additional assistance.
Initial Complaint
Date:09/17/2024
Type:Product IssuesStatus: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 passed away 12/31/2022 and I have been fighting with wellcare ever since. i received a bill for ***** from the ********************* for morphine and other drugs while mom laid there for 3 days before passing. My insurance agent told me I had to pay it so I did. Big mistake. It all should have been covered by Wellcare, but they are horrible. I have called 18 times and sent 4 certified letters with things such as affidavits and POA and death certificate and hospital bills and Wellcare forms. Even though I have the proof that they received these papers they claim they don't have them. I sent to address on the form( PO ************************) that they sent me. My lawyer told me I should never have paid it. Ughhhh I listened to my insurance man. Each time I call its over an hour long and I don't get any place. I'm at a loss as what to do but would like to get my fathers money back. My mother is ******** ********* Wellcare ID # ******** This has been a huge pain for almost two years. Please HELP Thank you Margarets daughter **** *****Business Response
Date: 09/20/2024
Hello.The plan has made several attempts to contact the member/complainant regarding their concerns and have been unsuccessful in speaking with the complainant.
WellCare Health Plans, Inc. is NOT a BBB Accredited Business.
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