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WellCare Health Plans, Inc.

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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

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WeekdayScheduleStatus
Mon9:00 a.m. to 5:00 p.m.
Tue9:00 a.m. to 5:00 p.m.
Wed9:00 a.m. to 5:00 p.m.
Thu9:00 a.m. to 5:00 p.m.
Fri9:00 a.m. to 5:00 p.m.
SatClosed
SunClosed
1.1384 reviews
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Debra M's profile image
Debra M 
5 years ago

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, 

MICHAEL H's profile image
MICHAEL H 
5 years ago

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!!! 

Wayne F's profile image
Wayne F 
5 years ago

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! 

J J L's profile image
J J L 
5 years ago

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 

Dan B's profile image
Dan B 
5 years ago

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! 

Nancy M's profile image
Nancy M 
5 years ago

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..... 

Timothy W's profile image
Timothy W 
5 years ago

This is about WellCare prescription plan. Every drug they have denied needed authorization. The Dr filled out the form and still were denied. One drug is to keep me alive during dialysis treatment. In my opinion check out other prescription plans as it is my experience no drug is ever given an override. Again this is my opinion. 

Business response:

Good Afternoon, The plan has spoken to the complainant on behalf of his medications being covered under the plan. After review, the medications are covered under his plan as well as he has been advised of the applicable copays. 

Danielle's profile image
Danielle 
5 years ago

Worst company ever. I have never been treated so poorly. I would cut off my own arm to be able to get out of another year with them. Beware. I was left in tears with no answers and the woman helping me was laughing and making awful remarks to my concerns. I needed to get a refill early first time ever, birth control. She said that I should call 911 and started laughing. 

Marlene's profile image
Marlene 
5 years ago

I have been trying to enroll in the auto mail program for over a week. Each time I'm put on hold for over 30 minutes. Yesterday I decided to wait it out and was on hold for 30 minutes only to find out I had to be transferred to the CVS department. Another 30 minute wait but at least it was not an offshore voice that helped me. I was told to contact my GP and for them to send the scrips I needed to WellCare. Of course I had to wait for a call back from my GP's office and was told by them that for security reasons they do not ... read more

Business response:

Hello The plan verified the issue, Members provider submitted a prescription to Mail order department received on 01/14/20. Member order was mailed out same day and delivered on 01/16/20, member has received. The plan spoke to member on 01/17/20 to apologize and address her concern. We did advised the plan can not process a prescription with out provider submitting the script. I advised our team was able to get with her provider and get the medication processed. Member understood and satisfied 

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 tomorrow at 9:00 a.m. 

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