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WellCare Health Plans, Inc.
- Insurance
- Town 'n' Country, FL
About this business
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 |
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
Terrible company. I had Aetna and they were wonderful. Wellcare bought Aetna, and stupidly I stayed with them. I asked Aetna to lower the tier of Linzess, no problem. I asked WellCare and they have disconnected me about 7 times. Then they said I needed something form my physician and they still denied. The medicine is for constipation. Wellcare said I needed to try 2 diarrhea medicines and an ulcer medicine first. What? They raised my premiums and I have to pay more for my medications. I will definitely change when the enrol... read more
Business response:
Good Afternoon, The plan has spoken to the complainant Debra Miller and advised that the medication Linzess has been approved for coverage. She further explained that she would like for the plan to cover the medication at a lesser copay. The plan has obtained an appeal from the physician on 3/23/2020 where it is under review. Thank you,
I HAVE HAD WELLCARE FOR SEVERAL YEARS AND EVERY YEAR THEY OVERCHARGE ME. ACCORDING TO THEM I HAVE NOT MADE A PAYMENT THIS YEAR. ACCORDING TO MY BANK - YES I HAVE AND WELLCARE ADMITTED IT!!! BUT NOW, ALL OF A SUDDEN THE MONEY WAS NOT RECEIVED! DO NOT WASTE YOUR MONEY ON THIS COMPANY. NOW I HAVE TO GO TO COURT BUT I HAVE THE PROOF AND THEY DON'T!!!
I've had nothing but the usual run around and BS the from this worthless outfit. Call and all I can talk to is people overseas. I was told 3 different stories about this junk medicare plan of theirs. I finally told them I want to cancel I will got with a legit company now knowing this this a scam in my eyes. They tried to BSc me into keeling it but I declined. Then they say it could take up to 90 days to cancel. Fine cancel this **** coverage you gave me.
Business response:
Good afternoon, We will be more than happy to address your concerns, however, we need to contact you concerning your complaint. Can you please provide a phone number for us to make contact in order to assist and resolve your issue. Thank you!
The worst company Please heed this warning RUN do not walk away from using insurance with Wellcare Their employees are clueless and most of the customer representatives can barely speak English or understand English 4 months later and having my doctor's office fill out the wrong forms 3 times for tier changes on medications they still sent the wrong forms again and nothing has been resolved. This smells of fraud not incompetence as if people dealing with the public about mediations are this stupid it is frightening This is a... read more
Business response:
The plan would like to further assist on behalf of your medication denials and apologize for the incorrect form being sent repeatedly to your physician. You may contact the plan and reference ******** where we are more than willing to review the information internally
Do not use Wellcare Insurance, they are taking advantage of their members., I moved from Aetna to Wellcare and was told the cost and coverage would be the same, I also called Wellcare and was told the Medication was all Tier 1-2 and the cost for the coverage would come out of my Social Security each month. When I went to get my medication I found they had moved 2 of the drugs to Tier 3 and the cost was over $200 more then the past year. Also, my account was Past Due as they take 3 months to set-up the account with Social Sec... read more
Business response:
Good afternoon, the plan is unable to assist without obtaining further information. Please contact WellCare's Service Escalation Unit at 866-215-8736 for assistance with this matter. Case # is PRC- **** and Escalation Coordinator that can assist with your case is Luis. Thank you!
Signed up for part D with Wellcare first time this year and have payments deducted from my SSA deposit. It worked OK for January, however they change me to direct pay. I called two times to put back on SSA deduction. Now I have to direct pay until they resubmit to SSA. They say it was an computer system error... This is a bad start.....
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 387 reviews.
When is WellCare Health Plans, Inc. open?
WellCare Health Plans, Inc. is closed now. It will open tomorrow at 9:00 a.m.
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