WellCare Health PlansReviews of wellcare.com

Horriffic ripoff company. Have wellcare Rx plan. Doc prescribed pitavastatin. Wellcare wants a copay of $282 for 1 month supply. I can buy this cash without insurance using Goodrx for $48. Spent hours in admin with these yokels ( and their philippine call center reps who literally dont understand english) in order to get the Rx approved. They wasted my doctors time asking for justifications, they happily tell me its in formulary so im in luck, then ask for a $282 copay. Interesting that they are actually making a ton of money upcharging on the med. i thought insurers were supposed to simply pay a part of the actual drug cost charged by the pharma companies, not act as a second retailer to jack the price up further. Want to know why people hate these insurers? There it is. And they pitch themselves as do gooders. Avoid this horrific dishonest company and spread the word.

I hadn’t had my teeth cleaned in 12 years because I couldn’t afford coverage. I have had 3 deep cleanings done on 3 quadrants of my mouth because my X-rays showed buildup and bone loss. WellCare has denied all 3 and seems to be looking for any excuse not to cover it. At first, they said there was no buildup or bone loss. Right, that’s why I’ve lost two teeth and have several loose ones… Now, they say that my dentist is not in their network. (I found my dentist through WC’s provider search.) AND… they say I’ve already had this procedure done in the last 24 months. I have not been to a dentist until the past few months. As I said, I haven’t had any cleanings done since 2012. I’ve lost so much sleep over this. I’ll call my dentist’s insurance person on Monday and start there. Then, I’ll call WellCare and start fighting…

Iv called numerous times,iv ask to speak to a English speaking agent,they put me on hold 20 minutes, then disconnect me

Offshore customer service is difficult to work with and obtain answers to coverage questions and billing. Be prepared to spend one to three hours on the phone and accomplish nothing. Inconsistant drug cost coverages. Have had multiple similar Wellcare customer service experiences.

In general, the coverage is ok. It is what it is. This low rating is for their call center customer service. The only time I call is towards the end of the year to ask their help to explain the changes in the plans. 99% of the time I get an agent who sounds like they speak English but actually has a difficult time conveying the information because their grasp of the English language is horrible. Most of these call centers are in the Philippines. Wellcare really needs to train their agents properly so they can communicate properly.

My insurance was hacked. AARP sent notice with 2 yrs identity theft monitoring. In March my prescriptions were hacked. Now? WellCare doctors have refused to pay for my prescription prescribed by my primary. Told me today he hadn’t met criteria to prove I need it! When did insurance companies get the right to prescribe? My primary is who I trust. I am grateful they have covered my ablations and tests. Allergy Meds aren’t that expensive. WellCare isn’t even accepted by many physicians. It’s been difficult since records hacked for ransom I refused to pay now that insurance companies have the right to decide who lives or dies!

I have been using Symbicort inhaler for years - asthma & allergy congestion. Suddenly, Wellcare refused to refill! My doctor submitted the information for my need but they still refused! Because I need it I asked how much for me to purchase it - something like $500 !! (Give or take). There are alternatives but they are not as effective and their cost for me would be $60 - $100. The manufacturer and/or others appear to be charging an unfair amount. I'm still seeking a solution.

DO NOT buy from this company!!! Effective 1/1/25 they are cancelling contracts with all their hard working agents and not paying commissions on existing and new business. Outright THIEVES! Stay away from these people.