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WellCare Health Plans, Inc.

1.1

About this business

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
1.1387 reviews
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Denise L's profile image
Denise L 
a year ago

WellCare sent us a bill for $2766.93 for a mistake they made. They said "although you paid the right amount based on the way the claim was originally processed , we have discovered that the actual amount owned is greater that the amount you paid . We apologize for any inconvenience." The amount was suppose to be free. I have wasted hours on the phone trying to get this resolved. Today when I said if you can't help me send me to someone that can they hung up on me. First two calls were in the Philippines. I asked for a manger... read more

Business response:

I place a successful call to to member on 10.24.2024 and spoke with the complainant's wife. I was able to resolve all the complainant's issues in regards to the bill received. The complainant understood and was satisfied with the outcome. 

Dianne E.'s profile image
Dianne E. 
a year ago

***** this company for ******** drug prescription program. As I only havee one routine prescription for prescriptions, insurance agent recommended as it was least exxpensive program. Believe me when I say I would rather pay more for an efficient company, ************ has unconsicationably poor customer service. My experience has been less than satisfactory: (1) unable to update ACH payment method on website; extremely inefficient staff - called to update payment method due to an identity theft issue in mid-September has yet ... read more

Business response:

Good afternoon,I have made an unsuccessful outreach to the complainant. If the complainant would like further assistance, she was provide my information via email. The complainant does not want to verify HIPAA, therefore we do not have sufficient information to address all her concerns.Thank you! 

Phyllis D's profile image
Phyllis D 
a year ago

Terrible customer service. The representatives dont even know the medications or coverages and keep you on hold for a long long time. I hate having to call them. 

Business response:

Hello and Good Afternoon,We sincerely apologize for the dissatisfaction you have experienced. We will be reviewing all customer service interactions in efforts of making improvements.Thank you 

Debra F's profile image
Debra F 
a year ago

I transitioned to Medicare on 9/1 after retiring. I did a lot of research beforehand and selected WellCare PDP for Part D. On 9/27 I attempted to refill 2 scripts - Simvastatin & Carvedilol. The pharmacist told me he was getting an error that he had never seen before and advised me to call WellCare. I called WellCare on 10/1, they told me coverage for the scripts was denied because the MD who ordered them did not participate w/ Medicare/WellCare. I asked why this was a problem since I was not asking for any of the MDs servic... read more

Business response:

Hello and Good Morning, We have made outreach to Ms. ******** in efforts of resolving this matter and are working with Pharmacy to reach resolution. She has been provided with our department number for call back and ongoing communication. Thank you. 

Deb F's profile image
Deb F 
a year ago

The worst insurance company. Do not choose these people. A simple phone call sends you into an endless wait time. They refused to pay an office call. A procedure Medicare always covers. It has now been 2 months of ridiculous excuses in submitting the same information over and over again. They are not worth even 1 star. 

Business response:

Good morning, we have not been able to reach the member , we do not have a telephone contact, we have emailed the complainant 3 times with no reply, we would need the member ID to assist, thank you 

Thomas P's profile image
Thomas P 
a year ago

While the Medicare bureaucrats make everybody involved in this process suffer, Wellcare makes it even worse. Poor comms, awful website, poory trained customer service reps, and they send docs to their customers that require a bored lawyer to interpret. There must be better! 

Business response:

Hello, On 10/1/2024 at 3:09 PM, we contacted the member via phone to discuss his concerns. While the member declined to verify HIPAA information, he confirmed that he had written the review and explained that his main issue was difficulty accessing his formulary list. However, he has since been shown how to access it through the member portal and no longer has concerns in this area. The member also mentioned that the documents he receives are generic in nature and not personalized, though he had no specific letters in mind a... read more

Victoria L's profile image
Victoria L 
a year ago

WellCare promises you everything and gives you nothing.I have had nothing but problems with anything I have tried to do through WellCare.The people *** work there send you to non providers and their lists have doctors on them *** have never worked with WellCare! DR. *** says I have congestive heart failure but I don't? They refuse a crown even though they promised 5000 in dental, They won't correct the cataracts because they are mild, no cardiologist appt., ************ is a joke!!! STOP offering WELLCARE, they are useless!! 

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, ******* 

Christopher W's profile image
Christopher W 
a year ago

For years I have been using ********* - suddenly they refused refill !!! My doctor submitted the paperwork for reconsideration but they still refused! 

Laura B's profile image
Laura B 
a year ago

worst healthcare insurance company ever, Doesnt want to pay for a brace for my right knee, which is due to arthritis 

Business response:

Hello.The plan has made several attempts to contact the member/complainant regarding their concerns and have been unsuccessful in speaking with the complainant. 

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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