Customer ReviewsforWellCare Health Plans, Inc.

The Prescription Drug Plan, WellCare Value Script, offered by WellCare Health Plans provides conflicting and misleading information on drug costs. Before enrolling in December, 2023, I used the plan's website to estimate what I could expect my Tier 3 prescription costs to be. Because the costs seemed reasonable, I proceeded to enroll. I did not need to refill my Tier 3 drug prescription until April 18. At that time, using the 'Estimate Drug Costs' tool for the Value Script plan, I found the cost had greatly exceeded the estimate I had gotten back in December: However, the cost at the pharmacy exceeded that. I logged in again after picking up the prescription, just 3 hours later, and found that the website now gave another, three-times higher, cost for the drug. I sought help in understanding this at their phone help line and was told that the discrepancy in drug cost issue would be referred to their website department. I have subsequently logged in again to see how the claim was reported and I find two different descriptions of the claim, depending on how I access 'claim history'. One way keeps me within the wellcare.com website and indicated the plan paid $146.21 toward the prescription. The other way takes me to the express-script.com website, which seems linked somehow to WellCare Value Scripts and it indicates the plan paid $128.83 toward the prescription. Neither value is close to the 75% of the total cost that WellCare advertises the plan will pay for this drug.I regard this Part D prescription drug plan as seriously misleading and will extricate myself from it as soon as possible.

Hello *******, I have reached out to you via e-mail to further discuss your issue, as I could not locate a phone number via your plan. Please respond as soon as possible.

Thank you.

I regret that I enrolled in the WellCare ******** Rx value plus plan. The associate that enrolled me lied that the medications I am currently taking would be less and the prices are more expensive than my past plans medications prices. As soon as open season gets her I will get out of this plan

Hello. We apologize for the dissatisfaction that you experienced.  The plan has made contact with the member/complainant regarding their concerns and we are currently working on getting this matter resolved. 

Hello. We apologize for the dissatisfaction that you experienced.  The plan has made contact with the member/complainant regarding their concerns and we are currently working on getting this matter resolved. 

Should be a zero star rating. Today, I tried to access the web portal - it is loading but never loads. After talking to *****, customer service person, she suggested that I use the web portal. ***** could not tell me if an urgent care provider was in the network from the businesses address and phone number I provided for her. There was no way she could possibly help me before or after placing me on a short - long hold. These calls to customer service are often extremely long, almost never helpful, filled with scripted apologies, and language barriers. In November 13, 2023, I had a root canal under WellCare's Envolve Dental. I then scheduled a dental appointment to get my crown within 30 days as recommened by most dentists. I knew this procedure would require pre-authorization, so I called Envolve Dental to set it up. Afterwards, I called my dental office and Envolve continually to check on the authorization status. My dental appointment had to be cancelled because no authorization was given. I last called Envolve Dental on 18 DEC 2023 and spoke with ******* at 1:18PM - there were no prior authorizations at this time. In JAN 2024 I call Envolve Dental, they are no longer with WellCare, now it is DentaQuest. My dentist is not even in this network anymore. Sidebar alert: I called WellCare during Open Enrollment 2023 to make sure all my health care providers would be in network for the new year. The customer service person absolutely could NOT help me with any solid information here. So, I call the DentaQuest number from my new 2024 WellCare card and they tell me there is NO record of my dental history (Root Canal or Authorization Request). There is no continuum of care from one provider to the next. I was discarded by WellCare and Envolve Dental. In JAN 2024, I selected a new dentist from the DentaQuest's network. The next available appointment is in April 2024. This doctor will have to start the process for me to get my crown. WellCare is void of well and care.

Hello, thank you for taking the time to speak with me yesterday. WHile you sought no resolution, please be  assured your complaint is documented and will be reviewed. If you ever have any questions please don't hesitate to contact us.

This is for the Prescription Plans Terrible website (frequently offline, web pages that don't work) - for example I just tried to go paperless in the communications preferences and the website just failed. I contacted one of their chat agents and the problem is on their end and they know about the problem. It's been like that for weeks!They recently changed mail-order fulfillment to ExpressScript. Instead of migrating my data, I had to reenter everything, Even had to have my physician reissue each RX.Very poor customer service. I don't need this. Will definitely change at the next open enrollment.

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,

*******

Horrible servicio dicen que cubren medicamento y no cubre piden que los Drs ****** pedir permiso a mi pap ya lo tenan listo para ciruga y luego a la final el da de la ciruga y dijeron que siempre no nos mandaron de el hospital porque wellcare no aprob la ciruga muchos problemas con wellcare

Hello, we have tried to establish contact with you via email, because we cannot locate your plan. Unfortunately we had no success. Please contact Wellcare so that we can find a satisfactory resolution for you.

I have been trying to access the web portal. All I get is loading. Contacted customer service. They said I would be contacted by web support in 10 days. Has been over a month and no contact.

Hello and Good Morning, Contact has been made with **************** and she is now able to successfully log into portal. Thank you!

Yes, this has finally been resolved. I believe the customer service agents need to be trained better as to why I had this particular problem so it can be resolved faster.

awful connections and non responsive to needs. do not use this for your medicare.

Dear *************************,
Thank you for bringing this matter to our attention. We are sorry for any inconvenience that you have experienced. We have made multiple outreach attemptas to you via phone and email and no response. 
If you have any further questions or concerns, please do not hesitate to contact us.
Sincerely,

My 86 year old father with dimentia was contacted by a WellCare rep and talked him into signing up for their health care insurance. He already had healthcare insurance and didnt need this. Well he was signed up and family was unaware until the hospital called to cancel an upcoming surgery because the hospital doesnt accept WellCare insurance. This has been a nightmare now trying to communicate with WellCare over this. Weve managed to cancel the WellCare but doesnt take effect until end of month. To make matters worse, someone from WellCare still continues to call my dad on a regular basis to sign him up for insurance. They need to stop targeting the elderly with their phone solicitation. Since we didnt know he had signed up for this hes going to have uncovered medical expenses in the thousands. We will be taking legal action.