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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 |
From 2015-19, I easily obtained from three Part-D ins. cos. tier-1 exceptions for Mom's anti-dementia meds. Then came WellCare* (May be pronounced "********" in some cultures) In my opinion and experience, WellCare is a dysfunctional disaster. They are like the unfaithful lover spewing inconsistencies and bewildering excuses. It's a different story every time. In 2019, I learned Mom's Aetna plan was being transferred to WC. On Oct. 18 they told me the Aetna tier-1 exception for rivastigmine 9.5 mg / 24 hr transdermal patc... read more
Business response:
The plan made contact with the complainant to acknowledge the complaint and address concerns stated. At this time the plan is researching all issues and will remain in contact with the complainant until fully resolved.
I wrote a long review about this stupid company, but for some reason it's not here. I don't want to go into all the details again. Just suffice it to say that I warn people to never sign up with them, and if you are transferred over to them by another company (in my case Aetna), disenroll as soon as you can and find a better company. I had them for a year and a half, but all of a sudden they disenrolled me because they said I had signed up for a plan in the previous state I had lived in! Which is an outright lie, and of cour... read more
Business response:
Good afternoon , The plan has received your review and would like to assist you with any issues you've experienced with the plan. Please contact at the number provided via email reference case number PRC-7470. Thank you
By far, one of the worst Customer Service phone lines. Also, they do not cover a drug I have been taking for 3 years while working. Look for "reasons" not to cover a prescribed drug by my physician. Will definitely NOT contract with them for my Plan D this coming December.
Business response:
The plan would like to take the opportunity to further assist in your drug being covered. The ordering physician may also be able to submit a prior authorization to the plan so that the drug may be reviewed for coverage. Please feel free to outreach to the plan at 866-215-8736 and reference the case number PRC-7329 where we are more than willing to assist. Thank you,
They do not honor scripts that have already had a predetermination for off formulary drugs that I have been on since 2004. I had already dealt with the same issue at the beginning of the year got it resolved and I am dealing with it again. There should be no need to contact my Dr. when script was just renewed for the year. Option Drug suggested is NOT interchangeable, Breo is an bronchodilator which I am already on, Spiriva Respimat is a long acting Anti-Cholinergic, the 2 work together. They are not doctors and do not have ... read more
Well care denying me access to my Benefits They're not letting me get any of my prescription Social Security sent me a letter saying I have a zero dollar co-pay but they're refusing to honor my letter
Business response:
· Final Resolution: · LIS was updated 100% · After further research, the copayment the member is receiving for AZELASTINE HCL 137MCG SPRAY/PUMP is accurate. The member copay for generic medications during the deductible stage is $1.30. After the deductible is met the members copayment for this medication would still remain $1.30 since it is a tier 3. LIS does assist with the members deductible. If the member did not have LIS they would be responsible for paying the full $435 deductible up front for medications. Since the mem... read more
These people are so inefficient and internally screwed up that they simply stink - from customer service to handling grievances, to making promises they cannot keep (both in writing and via phone). I have waited over 4 months to receive a reimbursement of $43.04 (over charges on drugs) to be told in the end that I am not going to get it now. This after being promised in writing and via phone that it was in process and that I should get it. Then the reimbursement dept. mishandled it. Due to their very own internal inefficienc... read more
This is a response to Wellcare on my review posted 3/15/2020 and their response posted 3/25/2020. They failed to include that the company were supposed to mail out the information regarding my prescription and what needed to be done. I was told that the letters were never mailed out because they were never post marked. I just wanted to update their response and tell the complete truth. The person I spoke to did say that it was their fault.
Business response:
The plan confirms again this is plan error. The Annual Notice of Changes for 2020 has been sent and will take 14 business days. Please advise if additional assistance is needed.
My Dad passed away 3.5 hours into March 1, 2020. He was covered by hospice care for much of January and ALL of February, and for the first three hours of March. WellCare did not have to pay ANY of his bills while he was in home hospice care. However, when my elderly mother attempted to get a refund for the March drug plan that she had pre-payed in February, she was shunted to five different people before one whose English she struggled to understand told her that she could NOT be refunded the March payment, even though nothi... read more
Business response:
Good Morning, per WellCare's billing department review. A refund of $73.40 is not due as member was active in February. Plan is termed effective 03/31/2020 and shows member owes $73.40 for March premium. A request was then made to have member's disenrollment date backdated to 1/31/20. Unfortunately, the member's disenrollment date cannot be backdated. We have to term the member with the date that CMS instructed us to disenroll the member on due to the member's Date of Death.
I was with Aetna and Wellcare bought them out. I did receive a letter from Wellcare telling me that and I would continue to receive my medicine as I have been. I went to get my prescription the last of January and was told that it is not covered under this plan and the price was outrageous. I talked to A LOT of people which was useless. I filed 2 appeals and a grievance. Wellcare faxed some papers to my doctor for her to tell them why I need this medicine. Finally, the denial was overturned so I could continue with my medici... read more
Business response:
The member was contacted and advised the approval (overturned) Non-Formulary medication would not change the tier. The drug remains Non-Formulary. After the member meets the deductible - the copay will be 49% if the total drug cost when using a network pharmacy with standard cost sharing or 42% when using a network pharmacy with preferred cost sharing. Advised it would be cheaper if she gets the medication separate and not combined. Advised medications tiers are determined by the pharmacy and Therapeutics committee, and tier... read more
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 open now. It will close at 5:00 p.m.
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