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WellCare Health Plans, Inc.
- Insurance
- Town 'n' Country, FL
About this business
WellCare is one of the leading providers to government-sponsored health plans that include Medicare, Medicaid and State Children s Health Insurance programs. Established in 1985, the company s team of nearly 2,000 associates and more than 20,000 physician partners serve nearly three quarters of a million members throughout nearly 10 states that include Connecticut, Georgia, Illinois, Indiana, Florida, Louisiana and New York. WellCare s group of companies operates plans under the WellCare, Staywell, HealthEase, Harmony and Pr... read more
Location details
8735 Henderson Rd, Town 'n' Country, FL, 33634, United States
Get directions| Weekday | Schedule | Status |
|---|---|---|
| Mon | 9:00 a.m. to 5:00 p.m. | |
| Tue | 9:00 a.m. to 5:00 p.m. | |
| Wed | 9:00 a.m. to 5:00 p.m. | |
| Thu | 9:00 a.m. to 5:00 p.m. | |
| Fri | 9:00 a.m. to 5:00 p.m. | |
| Sat | Closed | |
| Sun | Closed |
Here is our experience with the Wellcare drug plan. My wife has been a Wellcare customer for 5 years. She has been a type II diabetic for 6 years. She requested a refill of her insulin on Monday, May 19. She received a call from the pharmacy that the drug was no longer covered by Wellcare. Her doctor called in a different insulin that was listed in the drug booklet as being covered. We received another call from the pharmacy that the manufacture had not released the drug to the public. Her doctor ordered another insulin that... read more
Denying medications is how ******* ******is able to make over $20 Million a year! I switched to Wellcare during the last open enrollment period. I have had nothing but trouble and have had to file 2 complaints with Medicare! They DENY the medications, even though they are listed on the enrollment application! These medications are what I need to LIVE! They believe they know more than my Cardiologist and Electrophysiologist!
i have a court judgement of $ 3,144.56 against wellcare ohana and they refuse to pay said court order. [ in the district court of the third circuit kona division state of hawaii. civil no. ************ ***
My Wellcare membership stated that I get unlimited physical therapy visits, yet after my knee ***lacement, they are now denying claims for the physical therapy I truly need. My doctor and physical therapist have requested it, but Wellcare won't listen. The other day, I was on the phone for two hours with their awful customer service team, filing an appeal. But the next day, a *** told me they have no record of the appeal. This caused another few hours on the phone, with no positive results. The customer service is absolutely... read more
Business response:
Good afternoon, the authorization was denied due tonot meeting the medical criteria. The member was advised via denial letter as well as as the provider on 03/12/2025. thank you.
Keep getting calls about using a one-time temporary address while traveling. Seems they were trying to get out of covering routine prescription refills for the temporary address through ExpressScripts Home Delivery. What a time waster talking to overseas **** that have no clue how the system works. If there was any other provider, even a bit more expensive, I'd change when I can. WellCare ******** Part D coverage is the worst I have ever experienced!
Business response:
Dear Mr. *************** you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. On 3/17/25 we discussed your complaint and came to a resolution and verified your temp and permanent address is correct in our system. If you have any further questions or concerns, please do not hesitate to contact us. Sincerely, Myra
The customer service is AWFUL! The people are nice, polite, and clearly want to be helpful. That's not the problem. The problem is that they are answering in call centers located outside of the US. So they have thick accents that are very difficult to understand over the phone. But that isn't the main problem. They do not know what they are talking about. They are obviously reading scripts of a list of questions with prepared responses. They cannot summarize or explain or skip ahead depending on what you need. It is very lit... read more
Business response:
Hello *******, My name is *******, we received your review regarding the health plan. To further research your case, we need more information. Please contact me at ************and reference case number *********. Thank you,
Reading the other complaints I find that they correlate with my experience. I represent my husband for RX plans. He switched to another plan and after that we got a letter stating we owed them $204.58. That has NEVER happened in all the years we've had RX plans. And they also tried to say that he is getting charged $4/mo for signing up late which is absolutely untrue. They sent me a coupon book so I thought it wasn't being taken out of SS (before I got the SS statement where I saw it was being deducted) called and asked them... read more
Well I think that this is the absolutely the worst ****************** And definitely should have all licenses revoked immediately to insure that they cannot Decive anyone else who falls into their line of nonsense. They do not honor any of the programs they endorse and the prices are astronomical by any standard just plain garbage ?? ??
When you call customer service your call goes to an offshore call center where nobody speaks cogent English. The phone representatives have such heavy accents you cannot understand them. The Donut Hole co-pays are such that I am going to have stop taking some of my life saving prescriptions.
Business response:
Hello.We apologize for the dissatisfaction that you experienced. The plan has made contact with the member regarding their concerns and the issue has been resolved during our contact.No further actions necessary.
Frequently asked questions about WellCare Health Plans, Inc.
How is WellCare Health Plans, Inc. rated?
WellCare Health Plans, Inc. has a 1.1 star rating with 384 reviews.
When is WellCare Health Plans, Inc. open?
WellCare Health Plans, Inc. is closed now. It will open at 9:00 a.m.
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