WellCare

These folks simply don't pay for anything. I have received $7 from these guys so far while paying out nearly $200.00. Not to worry though...if I go over $,7,000+ in a year they will move me to a new payment column. So...I have a neato insurance card for non-insurance insurance.

On 5.20.22, I spent over 35 minutes trying to update my banking info. I had received an email saying my premium had been denied due to expired information. The rep sounded like she may have been from India and was really hard to understand. The logic for needing to put updated info in the system for the 3rd time made no sense other than maybe to the voices in her head. The Centene parent company that acquired Wellcare, needs to seriously evaluate their customer service. As it stands as of right now, it sucks. I will be looking for alternatives immediately. I. Am. Done.

I'm guessing claims representative calls are not recorded. Every time I have unfortunately been transferred to a rep named John, he is extremely rude and not helpful at all. He rushes to get off the phone, and will make snark comments. Upper management really needs to pull his call logs if they are recorded and listen to what kind of employee they have working for them. I can't believe he gets away with his behavior. Extremely unprofessional. There aren't enough words to say to describe how rude he is. Only gave one star because it wouldn't let me give zero.

I had WellCare in 2021 and it seemed okay for my needs. Then they transferred the policy to WellCare Value Script, with preferred Rx CVS (who is always more expensive). Got a new Rx in January - not on WellCare formulary--paid about $37, then got billed again 3 mos later for additional $44! Filed a grievance. They called me asking the name of the drug--which was clearly stated in the first sentence of the grievance letter (plus had been in THEIR communication to me). I asked several times, "did you actually read the grievance?" Several hours on the phone, have to repeat personal information and purpose to everyone -- who repeats it back to me. All individuals who are English as a second language. They have a script to follow and will not deviate from it. Could not talk directly with the grievance office -- they all work "offline." The letter saying my grievance had been resolved, was double-speak and did not actually say that. Another phone call, and was told, while I could choose not to pay, it would not be put on my credit. She said they could not actually tell me I didn't owe. The purpose of the grievance was that a patient cannot in good faith pay what the pharmacy asked for, then 3 months later ask for more money! I will be switching insurance as soon as possible.

Check the stocks and stock prices in this company. It should be telling. Contact the Governor of Florida regarding this group, then the insurance commissioner of your state. Cant choose zero stars. I would choose negative ten stars.

IN MAY OF WELLCARE TOOK OVER FOR ALL WINDSOR HEALTH PLANS IN THE STATE OF ARKANSAS AS A SMALL CRITICAL ACCESS HOSPITAL, THE EXPERIENCE HAS BEEN HORRIBLE ALL CALLS REGARDING CLAIMS PROCESSING ARE HANDLED BY EMPLOYEES IN A FORIEGN COUNTRY IN ADDITION TO THE LANGUAGE BARRIER, THEY REFUSE TO LET YOU SPEAK WITH A CLAIMS REP OR A SUPERVISOR I RECENTLY HELD FOR OVER HOURS AND FINALLY HAD TO HANG UP THE PHONE I CANNOT GET MY PATIENT INVOLVED TO HELP WITH CLAIMS PROCESSING BECAUSE SHE IS IN A NURSING HOME AND HAS NO IMMEDIATE FAMILY BOTTOM LINE IS THEY WILL CONTINUE DENYING THIS $16,INPATIENT CLAIM UNTIL THE TIMELY FILING LIMIT OF DAYS(WHICH IS MONTHS SHORTER THAN TRADITIONAL MEDICARE INFORMATION ABOUT THEIR PRACTICES ARE NOT PRESENTED HONESTLY TO THE PATIENT WHEN THEY ARE DECIDING UPON TRADITIONAL MEDICARE OR A MEDICARE ADVANTAGE PLAN PLAIN AND SIMPLE OUR ELDERLY POPULATION ARE BEING TAKEN ADVANTAGE OF AND THE PROVIDERS ARE SUFFERING

I am a new customer (as of 11-2016) and have experienced the worst customer service ever from these people Trying to resolve an issue with them is like talking to a pillow - only the pillow does not respond with robot-like platitudes covering their incompetenceCustomers are isolated from the corporate people who need to learn of the extensive "boobery" that their customers are subjected to by domestic and overseas "agents"I truly regret leaving my former PDP to go to WellCare - I do not feel well cared forNext year, I'll seriously consider not rejoining WellCare unless there is a substantial improvement in their operations

I have tried for the past or years to get this company to disenroll me I have made numerous calls, written several letters and all I get is the runaroundI have never used their plan and have no desire to use it Today, I got a bill That was the last strawI called customer service once again and again got the runaroundI always get someone who speaks broken English and that makes for a very long, irritating conversationI couldn't understand half of what she said and constantly had to have her repeat herselfBut the main irritation was after minutes on the phone, I still got the run aroundShe put me on hold for a lengthy time, came back and asked the very same questions This happened at least or times How many times can I tell you my name and what I want? And then they lie to you about why you can't disenrol Really? I'm a Vet and last time I checked, this is a free country and I can disenroll with anyone! My opinion, stay far away from WellcareThey are a poor excuse for a businessThere are much better choices out there

Very Poor Customer Service.

WellCare has the worst customer service of any healthcare agency I deal with on a daily basis. I am responsible for working the HMO denials for my clinic and getting anyone on the phone who can actually understand you and not just repeat the denial reason back to you over and over is impossible. Claims are denied for obscure reasons (such as submit bill on UB04 when it is physician charges, which file on a CMS1500). Or, my favorite is...denying the outpatient observation discharge stating the related or qualifying service has not been received identified, when they have already paid the initial observation charge. I call and, even though I give them the claim number of initial observation charge that paid, they claim I must still file an appeal, which they will then uphold the denial. Getting an actual claim paid correctly with Wellcare is next to impossible. I would never, ever, recommend this company to any of the elderly that I know.

IN MAY OF 2014 WELLCARE TOOK OVER FOR ALL WINDSOR HEALTH PLANS IN THE STATE OF ARKANSAS. AS A SMALL CRITICAL ACCESS HOSPITAL, THE EXPERIENCE HAS BEEN HORRIBLE. ALL CALLS REGARDING CLAIMS PROCESSING ARE HANDLED BY EMPLOYEES IN A FORIEGN COUNTRY. IN ADDITION TO THE LANGUAGE BARRIER, THEY REFUSE TO LET YOU SPEAK WITH A CLAIMS REP OR A SUPERVISOR. I RECENTLY HELD FOR OVER 2 HOURS AND
FINALLY HAD TO HANG UP THE PHONE. I CANNOT GET MY PATIENT INVOLVED TO HELP WITH CLAIMS PROCESSING BECAUSE SHE IS IN A NURSING HOME AND HAS NO IMMEDIATE FAMILY. BOTTOM LINE IS THEY WILL CONTINUE DENYING THIS $16,000 INPATIENT CLAIM UNTIL THE TIMELY FILING LIMIT OF 180 DAYS. (WHICH IS 6 MONTHS SHORTER THAN TRADITIONAL MEDICARE. INFORMATION ABOUT THEIR PRACTICES ARE NOT PRESENTED HONESTLY TO THE PATIENT WHEN THEY ARE DECIDING UPON TRADITIONAL MEDICARE OR A MEDICARE ADVANTAGE PLAN. PLAIN AND SIMPLE OUR ELDERLY POPULATION ARE BEING TAKEN ADVANTAGE OF AND THE PROVIDERS ARE SUFFERING.

I am a new customer (as of 11-2016) and have experienced the worst customer service ever from these people. Trying to resolve an issue with them is like talking to a pillow - only the pillow does not respond with robot-like platitudes covering their incompetence. Customers are isolated from the corporate people who need to learn of the extensive "boobery" that their customers are subjected to by domestic and overseas "agents". I truly regret leaving my former PDP to go to WellCare - I do not feel well cared for. Next year, I'll seriously consider not rejoining WellCare unless there is a substantial improvement in their operations.