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Business Profile

HMOs

WellCare Health Plans, Inc.

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Reviews

This profile includes reviews 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 Review Ratings

    1.1/5 stars

    Average of 246 Customer Reviews

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    Review Details

    • Review fromWalter B

      Date: 08/24/2022

      1 star

      Walter B

      Date: 08/24/2022

      Worst excuse for an an insurance company in my lifetime. My Mom went to her primary care physician, who is an authorized provider and was seen by the nurse practitioner. They claimed they wouldn't cover it because she went to an unapproved care provider, which isn't the case. I have NEVER dealt with this much incompetence in my life.

      WellCare Health Plans, Inc.

      Date: 08/25/2022

      We have e-mailed you requesting additional information needed for research, you may reach us at XXX-XXX-XXXX ***-XXXXX.
    • Review fromAnn C

      Date: 08/12/2022

      1 star

      Ann C

      Date: 08/12/2022

      Worst customer service! I had been receiving 90 day prescription since I started with Wellcare. All of a sudden They only approved 30 day renewal. I take this med 2x/day, so 30 day supply is only good for 2 weeks. When I questioned pharmacy I was told call well are. I called 888 # on back of card. This dept is based in the Philippines. When the rep gives their name it's always an American name, but heavy accents I could hardly understand. I suspect this is deliberate to give the caller the impression that theyre dealing with an American company. Yesterday, I started with "John". I explained I needed a 90 prescription approved. He told me it was too soon. Previous 90 day prescription rec'd 5/9/2022. It was not too soon. He needed to put me on hold, said he'd be back in 3-5 min. He never came back. 20 min later my call was routed to a dept that had nothing to do with problem. I explained my problem again. Same routine, on hold for 20 min only to be transferred again. I answered verification questions 5 times. Spoke with 4 people total. I finally reached a supervisor, who called the pharmacy. Whole call took 1 hour 20 min. When I went to pharmacy to pick up my meds, pharmacist told me person who called from Wellcare didn't have a clue about what she was talking about. I will definitely investigate a new Plan D when sign ups open. I have no patience for companies who give American jobs to overseas people who haven't got a clue about how their incompetence screws up someone's health care. Thank you.

      WellCare Health Plans, Inc.

      Date: 08/22/2022

      Good Day,
      Resolution Summary- Unable To Contact email sent to member after 3 unsuccessful attempts to reach by telephone. Member email responded on August 18, 2022 "Ms. Starling, I have nothing else to say. After a phone call that could have been resolved in 10 min, I wasted over an hour. I did get my 90-day prescription thanks to my pharmacy. I have no further concerns. *** *******"
      • CVS Claim Detaill shows medication METFORMIN 90 days paid 8/11/22
      • Customer Service dissatisfaction has been routed to Customer Service Management for confidential handling. Per Plan's Quality Assurance Program.
      We apologize for any inconvenience you experienced with our Customer Service associates and appreciate your feedback.
    • Review fromGeorge W

      Date: 07/22/2022

      1 star
      I signed up with Wellcare just for this benefit but I have not received it all year, although it should have began January, 2022. I have had the same experience with Wellcare as others here. Whenever I have tried to call Wellcare about my 'giveback' benefit I am put on hold several times during the call, for long periods of time, only to be told they will 'look into it' and call me back. I have filed a grievance with Wellcare and Medicare has also filed a grievance on my behalf. I just want the Part B giveback which was promised to me when I signed up with Wellcare.
    • Review fromChristina H

      Date: 07/22/2022

      1 star

      Christina H

      Date: 07/22/2022

      WellCare does not resolve any issues, they say they will work on finding a resolution and never do - total bureaucracy - quickly jumps to saying they have never received any of the forms sent by s or the physician and deny claims - conflicting information when you call them, every day is a different story - very frustrated, cannot wait until Ocotber 15th gets here to shop for a better plan.

      WellCare Health Plans, Inc.

      Date: 07/28/2022

      Contact was made with Mr. ****** and he confirmed all issues have since been addressed. We sincerely apologize for the inconvenience and dissatisfaction experienced.

      Christina H

      Date: 07/29/2022

      Unfortunately after we thought the issue was resolved, WellCare went back and denied coverage, we do not agree with their determination
    • Review fromJune B

      Date: 07/19/2022

      1 star

      June B

      Date: 07/19/2022

      I wanted to change my address and find a new physician the man put me on hold twice for over an HR stating I'm looking for you a physician and making you an appointment but having trouble I statated I was a nurse over 20 years I'm capable of making my own appointment then ge told me there was not service in this area and I proceeded to rip into him about putting me on hold for over an HR trying to make me an appointment then I asked where are u located he stated the Philippines what a mess fraudulent lying sack of ****

      WellCare Health Plans, Inc.

      Date: 07/21/2022

      Hello ***** I have made attempts to reach you via e-mail, and telephone number on file however, we have been unable to make contact. Please contact us at XXX-XXX-XXXX, reference your case # when calling ***-XXXXX. We will need additional information from you in order to investigate your concerns. Thank you.

      June B

      Date: 07/21/2022

      I don't have anything else to say I'm a customer needing a physician this is not like I'm ordering pizza this is health care your rude you put me on hold for over an hour then stated you didn't have service in this area I'm done I will not be treated like this by you or any other company do I make myself clear this is uncalled for it's non sense
    • Review fromCarlotta B

      Date: 07/18/2022

      1 star

      Carlotta B

      Date: 07/18/2022

      Switched to WellCare by AllWell after a move. DO NOT get this health care, they are absoulty the WORST. You spend hours trying to get someone that can help with their errors, and still no help. Been without my medication for 15 days, even though the doctor has filled out all forms. They have billed me for procedures that I haven't had, their Flex card would not work, so I paid for may exam and it took 3 months a lot of back and forth for them to pay me back my deductable. They offer over the counter, but it takes 18 days for it to be delivered. This insurance company should not be servicing seniors, as they keep you on hold for hours. They need to investigated for fraud.

      WellCare Health Plans, Inc.

      Date: 08/16/2022

      Good day,
      Each of your concerns have been investigated and responded to on August 15, 2022, via telephone. It was confirmed that the bill you received from Lubbock Heart Hospital which is the billing entity for Texas Physicians Group was billed to you correctly according to your plan benefits. You were advised, if you do not agree with the billing, you may submit an appeal. Numerous calls were made to you as requested; however, we were unable to make contact as your line continued to ring busy. You Over the Counter (OTC) concerns were addressed and we were advised, shipping times for OTC orders take 24-48 hours to process and may allow 14 days thereafter for delivery. According to our records your order arrived timely. In addition, you were provided with appeal rights for the denial of SSBCI benefits as you confirmed you have received. You have confirmed in receiving $35 vision exam reimbursement, being able to now use your flex card benefits, and stated you were current with your prescriptions. We are committed to service excellence and, therefore, your feedback has been shared directly with WellCare's Director of Customer Service for confidential handling. Please also be assured that this matter will be tracked as part of our Quality Assurance Program. We apologize for any inconvenience you may have experienced.

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