WellCare Health PlansReviews of wellcare.com

Customer service is the worst I have ever dealt with, the member do not even speak English. Very frustrating

I would not give one star but the few CS reps have been helpful. I've been tring for 2 months to get a steroid injection in my back. I've gotten nothing but red tape, denial letters. Evelyn, who ever you are, you need fired!! I pay my premiums, went to the pain mgmt in my plan. I would not reccomend this plan to anyone. Save your money and shop around. Wellcare are in it for the money. Very Greedy!!!!!

By far the worse customer service I have ever encountered. I simply wanted to change from correspondence being sent to the portal to correspondence being mailed to my house. After 10 minutes of verification, I stated to Customer Service Rep Edward, just that. "Ok, can you hold for a minute?", "Yes", I responded. 3 minutes later he returns to the line and started talking about the medications. I gave him a summary of what we just discussed. He wants to put me on hold again. I know he is jerking me around because he can't possibly be this ignorant. He offered to transfer me to an english speaking person. I responded to him to transfer me but then he continued reviewing everything by what I called for. He kept telling me he's sorry, he's sorry he's sorry. I told him to stop talking and transfer. He hung up.

TERRIBLE ! DONT WASTTE YOUR MONEY THEY P[AY FOR NOTHING , CAN'T WAIT TO DUMP THEM.

WellCare should be sued for false advertising in its name! They seem to do little to help people become 'well,' but rather contribute to patients experiencing challenges to health created by the company's delay and denial tactics. As seems to be the experience of so many other WellCare subscribers, a recently prescribed drug was denied coverage. After spending nearly an hour on the phone with a rather inept agent to try to find out why the drug was denied, it looked like the reason was only the cost and that it is not normally included in the formulary. Earlier I had been able to successfully get an "exception" for an expensive topical preparation with my physician's help. I didn't expect it to be easy this time around, but thought that it would be worth the try to get the exception. I was told by the agent that the medication was a 'tier-three' and the request for the drug would be 'expedited.' It was odd that later in the day I received a call back from the agent saying that the drug was not a "tier-three" but "rather a tier-four" drug. I thought that was a little strange to get a call back just to correct what was said about the tier group for the drug; oddly the cost of the drug was not mentioned at that time. Given the difficulty in dealing with WellCare, my physician's office was busily trying to remedy things from their end to find a way to get me a comparable medication quickly and my physician even offered to do a "peer to peer" consultation with WellCare to convince them to approve the drug. The next call back I received from WellCare was to share the news that the drug had been approved for coverage. Sounds good, right? WRONG. They 'approved' the drug but said that it would cost over $400! I went into a tirade and badgered the agent to tell me just how much money WellCare would be contributing to the cost of that drug... it's only about $7! That's right. They would only be chipping in about seven dollars and change (under $8)! Almost 2 days and who knows just how much aggravation just for a pittance from them! The co-pay for an E.R. visit would be cheaper than the cost of that respiratory medicine! I explained to the agent that they could have saved lots of time and aggravation if they could have first indicated how expensive the drug would be, so that another option could have been initiated. The agent said she would be escalating the matter to a customer service manager of some kind. However, she came back on the line several times to say that they were busy, one transfer to a supervisor got disconnected and then that she had successfully connected the call to someone else, and while wickedly laughing, supposedly 'connected' the call, but there was nothing or nobody there! Bear in mind, I didn't demand to speak with a supervisor! The agent offered that 'service.' They behave like charlatans. For those of you who also have WellCare, do file complaints directly with Medicare. WellCare's inept and potentially unethical behavior needs to be reported and followed up on by CMS. American Senior citizens deserve better.

Wellcare by Health Net has been a very difficult Insurance Company to work with. The communication and clarity from the help line has been difficult, plus their understanding of the DentaQuest coverages are less than sufficient. The policy I selected covered 1500.00 (Dental). Prior any treatment, I'd reach out to Wellcare and DentaQuest (multiple times) and told "the dental insurance policy covers 1500.00". However, this coverage is limited, subpar and selective to what they will truly cover. For example, an emergency dental treatment was necessary which their contracted company (DentaQuest), denied to pay. Wellcare couldn't comprehensively explain the denial. I was bounced around to several different representatives without any resolution to the claim denial. My final contact at Wellcare suggested an Appeal be filed. To date, case is still outstanding. The coverages of this policy have been misleading. If you need dental coverage, beware, this policy isn't what it seems!

Denying medications is how Michael Carson 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!

Seniors beware! My first year on Wellcare Part D my deductible was $200 and then I paid a very small amount for my meds the rest of the year. I didn't take many drugs and it wasn't until November that I met my deductible. After my first full year, my deductible went to $600 and now I pay 25% of all drugs and one of my prescriptions is expensive. This company reels you in and then screws you. i would never recommend to anyone that they use Wellcare! I will be finding someone else for sure.