WellCare

FOUR TIMES! The first time, I had to give all my WellCare info and why I was calling and was transferred to a second associate who asked me the same questions and transferred me to another department that told me they could not accept my call and then hung-up.

I did this twice more and asked the CS associate to stay on the line to assist and the same thing happened twice more. eventually a US based associate was able to get the job done. I am a former, retired Managed Healthcare Professional with many years experience dealing with health insurance companies, providers and pharmacy departments.

WellCare provides the absolute worst example of poor customer service. their Customer Service is probably as poor as could be provided. seriously, no kidding!

I have called and cancelled and I keep getting mail. Please delete my name. Thank you, Nancy Barker-, February 17, 2022

spent over 30 minutes in chat and still did not get the right information! what a waste of time. The live rep was not much helpful

I have wellcare for my part d drug coverage. I have repeatedly, november december, January and february called customer service requesting an itemized statement of my monthly premium payments I made from january 2021 to December 2021 for insurance purposes to be sent to my home address.

I have called 4 or 5 times and they just say they will request the statement and never send it. I need to have this statement as proof of insurance for part d medicare. I cannot understand them most of the time and then they keep connecting me to someone else and i never get an answer as to when did they send my statement out. i never received one.

I cannot understand the incompetence of this company and I don't know how to get my statement sent to my house.

I have 2 grievances that have not been settled in months of correspondence and hours of phone calls. Grievance A was the result of a booked routine screening colonoscopy in May of 2021. The procedure was changed to diagnostic because a polyp was removed during the routine screening.

I was charged $300 even though I called Wellcare before the procedure and was told there would be no charge. When I initially brought this to Wellcare's attention I was told I would be contacted by phone. I was never called.

In a "grievance resolution" letter, the phone number they called was not even close to my phone number and there was no resolution. Then they said it was a "copay". I provided the Medicare guidelines regarding changing screening colonoscopy procedures when polyps are found; that is no…

Regarding a PDP, member id 28271702. My mother Constance P Schmid passed 10/30/20. A refund check of a small amount, $31 is the source of much greater frustration that it is worth. The refund was issued in the name of her estate.

The check was not cashed prior to closing the estate. Our attempts to get the $31 re-issued in the name of her sons has been a lengthy and frustrating ordeal filled with inconsistencies and delays and communication difficulties with the phone support personnel of WellCare.

we were repeatedly told we must go to our courthouse to acquire an afadavit even though we have provided copies of my mothers will and death certificates of both my mother and father. The will clearly states my father would be executor if able and her three sons, all named in the will,…

If this co had a 0 rating that would be it. Try calling to see if you can get a customer service agent NOT in the Philippines! They may speak English but DO NOT understand it. TRANSFER, TRANSFER, and Transfer again.

I spent 45 min on a call only to ask about a payment. After 4 agents they couldn't find the info. Asked to be transferred to America and was told no one was available. Tried to logon to my portal to see if a payment was registered,and no info was accepted. Couldnt get into portal.

Became furious and found that Centene, located in St. Louis, was the owner and corporate hq of Wellcare. Called them and got a supervisor who stated help would call me in 24 hrs. They called back and left a 303 area code #.

I called back and got the Philippines. Another 3 transfers within the…

Very poor service. Given misinformation. Hold times excessive. Agent could not speak English well. Kept asking me to repeat myself over and over again. Then still didn't get it right. I wish I had done more research on this company.

I would have noticed their poor rating. I even referred my friends to them. This has been one of the biggest mistakes I have made in a very long time.

Well care is disorganized and unacceptable in providing information. Forced change of PCP. Sells participants names to other PCPs without notifying insured. Going back to my other insurance and advise all to do so before 3/31/2020. I don't know why they are allowed in Louisiana.

Was on hold 45 minutes, repressive finally came on the line. I asked my question she put me on hold. Was back in hold que for 1 hour 26 minutes.

Finally hung up with no answer to my one question. 100% HORRIBLE SERVICE.

When I called about a month ago to set automatic pay I was told by the customer support person that I had a large credit. (around $4000) on my account. I was put on hold multiple times so she could try and find out about this credit.

After 1 1/2 hours she finally told me that my account was being expedited to an audit team and that I should receive receive a certified letter. I have not yet received the letter. Today I called again to see if the automatic payment was set up and was told it wasn't (which is strange as an automatic payment was withheld from my bank on Dec 10).

I asked if we could go ahead and set it up today and was told that system was down and I would need to call back in 72 hours. This has all become very very frustrating and inconvenient. Your customer support needs…

Wellcare was my wife's Medicare-D insurer; she passed away in October. Her premiums were prepaid through the end of 2021. I paid them out of my account. Wellcare issued me a check for $28.

However, they made it out to her estate, so I cannot cash it. They have refused to reissue it in my name. Instead, they want me to prove I am the executor. They want me to mail documentation via snail mail.

They will not give me a number that I can send the documentation via email to or reissue the check in my name.

I had been on the phone for the last 5 hours talking with doctors offices, my sons current Medicaid plan, and then I was referred to WellCare because we found out that the DOS I needed verified, he still had coverage under WellCare. So then I’m transferred to WellCare.

Didn’t even pick an option or saying anything, it actually cut the speaker off in the middle of stating the options and information. Somehow this lady from the enrollment dept comes out of nowhere and says she will transfer me to the claims department.

Well after waiting and waiting on hold , I finally get someone. Her English was really bad and I had to explain that I needed to verify some of my sons past claims atleast 12 times. She gets an attitude with me I guess because she is STILL not understanding.

I don’t know…

My complaint is how to you cancel a presription drug plan without being told you will be penalized. I have called 4 times, wrote a letter to cancel, and phoned again. Told it takes 2 weeks to get a letter.

Do you have a form to fill out to cancel? And should it take a month for your staff to understand what I want done. Done talking and done trying to be told not what to do. Thank you.

I've called numerous times, about my prescription insurance and I keep getting the runaround. I feel every time I call in I'm starting over, I've never complained before but this is very frustrating, somewhere there's a disconnect it's upsetting.

My Medicare part B was cancelled due to non payment. I was waiting for a corrected bill which I never received. The premium s have been paid my part B is current. I followed all the instructions that I was given by Medicare and social security.

I have called Wellcare ever day since Nov 1. I have spent at least 6 hours on the phone with Wellcare I was told on Nov 11 they had verified my Medicare part B was active that I should receive a call the Following day that Wellcare coverage was active I explained that I had no insulin and

had been out for a couple days. Called over the weekend they could not help. Called 11/15 system was down finally got thru I was told again I would receive a call 11/16 receive d no call again. Called 11/16 still coverage is not active you should receive call…

Their Customer Service SUCKS! I’ve been disconnected and transferred more than 5 times in an attempt to get a simple question answered! It is difficult to understand them and their ‘contact us’ field on their website doesn’t work.

They didn't clear a prescription that I have been receiving for years. Now, four days later I still cannot get it even after I spoke with Donna and she said she would expedite that within 24 hours and still nothing.

No callbacks like promised and Everytime I call I am put on hold for more than 30 minutes only to hear another recording as to how the computers are being serviced so call back in one hour. That one hour has been over two days!!!

i cannot get through to a civil rights coordinator the cust serv does not seem to know who this is please have them call me 850-501-9699

Call center is located in the Philippines. Numerous calls dropped. Extremely poor English Language Skills and absolute falsehoods told by those answering the phones.

We have never been treated so badly. We moved to Ft Meyers almost two years ago. My husband went to this one doctor once and then been going to our doctor Dr Nye for two years now. Company never changed over the first doctor to our doctor.

We have told WellCare many times we moved to Ft Meyers . I spent two ours last week and this week on the phone.

First of all a lot of your people don’t speak very good English couldn’t understand them. Then told my husband would have to enroll in new plan which means he would get less money to pay for part B. This has been the biggest nightmare you can’t imagine.

I was so upset with all this that am thinking about going to the hospital. I have heart issues and so does my husband Charlie.

Zero responses and the ones I do get say no longer accepting messages. Zero tickets have been acknowledged. IT issue on my broker portal is going to lose me thousands this AEP and issues with my upline.

customer service has no idea of what they are dong and can not answer a simple question the most most difficult people i have ever had to deal with.........

Customer Service is nothing but incompetent that can't do their job. I've sat on the for 2-3 hours with idiots, transferred dozens of times, gets nowhere. I am sick of this. I am calling medicare about Wellcare and their inability to take care of their members for medicare.

I am a member of Wellcare and I am very unhappy.

First I was on the phone yesterday trying to get some answers. Not happening until I spoke to a supervisor. Then I get a call today from Caremark stating that my RX couldnt be filled. Surprise I received it in the mail yesterday!!!.

I dont know why Caremark is in the picture when I am a Wellcare member. I need my persctiptions and its not happening. DISGUSTED.

Level 1 Appeals: Medicare Advantage (Part C) COMPLAINT AGAINST WELLCARE PHONE : 888-888-9355 ( FAX : 866-388-1769 )

FROM : SANDRA WOOD DOB : 12/16/1948 MEMBER ID : 139-03441 352-816-3888

ORIGINAL APPEAL SENT TO WELLCARE MARCH 17, 2021. NO CORESPONDANCE FROM WELLCARE AS OF MAY 25. 2021. ( Wellcare Exceeded The 60 Day Time Limit To My Handle Appeal ) MAY 25 , 2021, I SPOKE TO A WELLCARE SUPERVISOR. NOW WELLCARE IS PUSHING THE TIME LIMIT TO : JUNE 19, 2021. THAT WOULD BE ANOTHER MONTH.

CONFIRMATION NUMBER FOR : MAY 25, 2021 CALL : 503-561-730.

I AM ASKING WELLCARE TO PAY THE $134.24 FOR MY MAMOGRAM. IT WAS DENIED !!! I AM BEING HARRASSED BY THE BILLING DEPT, OF ADVANCED IMAGING.

Sandra Wood

I have talk to rep,sup,manage I need to talk to the CEO of will care I live in my ny number is 315-245-0383 I have spend 2 to 3 hours a day for I problem

My name is Gail M. Campbell, Subscriber ID: 27894653. I have a very big problem with your Company. I started 1/1/2020 and I have a very big problem. I work in billing in a Doctors office for 28 years and never came across a company like this.

I was told that I have a travel reimbursement with my Wellcare Insurance. I called on 1/8/2020 I was put on hold almost all afternoon and never did I get anything accomplished. So, I tried again today and was on hold with very short conversations, for over 2 hours.

I didn't get anything accomplished today either. The only thing I was told was that it was a long-distance travel and that I need to get a special authorization to be approved I was told that they would transfer me to that department.

Never did I reach where I was supposed to get the…

your telephone service stinks!! Your online service is just as bad, no simple answers, just a lot of paper shit.

SOMEONE WILL BE WITH YOU SHORTLEY" I just had a person from Peoples Health Care answer your line that I was on send me an email address that I may email a picture of the phone number and length of time that your company wasted of mine

00 payment in February. 00 for the balance of the year. 00 out of my SS monthly payment. They started this in May. I called Well Care and they said they would straighten it out . 00 was again taken out of my SS check. 00. 00.

which does not cover the over charge. Today I received a letter saying that I had requested SS take the monthly charge out of my SS beginning August 1. I never made any such request. 00 from my SS check..

I am paid up for the entire year of 2019. Up to this point, I am not satisfied with the people you have monitoring the telephone system because the problem is certainly not being resolved.. That is why I have decided to put it in writing.

If you can not communicate to SS not to take out of my SS check. 00 and let SS take it out of my check as it seems like no one…

Our facilities 195019 and 191837 are having a problem with getting our claims processed timely. when you request medical records either from Wellcare or Optum it should not take 3 mouths to receive my payments after the decision has ben made to pay the claim.

when we call the provider line if it's something they do not want to answer they start transferring you to different people. are they will put us on hold an hope we hang up when asking for a supervisor. something has to be done..

These are reference # from phone calls made on this claim claim# 901884463 06/25/19 ref# 168243676 excalation # 169312852 06/03/19 ref#167298105 07/17/19 ref#180406573 allow another 20 days

This afternoon, I waste 20 very valuable minutes of time and effort with 2 different representatives from your company. I typically schedule all appointments for my husband who recently completed radiation therapy. We are needing a followup with a Urologist in our area. I found that none of the doctors accept Wellcare. It was suggested that I try calling your company for a list of providers in our area.

Simple or so I thought. Your first representative could not pull up his account using his social security number, so information was forthcoming. I thanked her and hung up. Since, I am an employee at a healthcare facility, I proceeded to do what your representative could not. I was able to go to a website and access his account using his name and social security number.

I called back and…

Betty I Grimm, ID#22365968 On 03/22/2019, I went online to place my first Over-the-Counter order and I found it to be very frustrating. I had written down the item ID# and Name planning for this to be an easy process. I went online, and NO ID#s are listed, and the item Names are random; not even in alphabetical order. It was not easy to find the items and place the order. I would recommend either use the ID# or place the Names in alphabetical order. Please make it easier for us Senior Citizens.

Calling in my order was much easier, but time consuming.

Only 3 months into the new mail order program and we are beyond frustrated with the customer service and the repetitive failure to process refills. We will be returning to Walgreens!!!

i placed a phone call to check on status of a claim and got transferred 10 times i got transferred once to member services and not only that but when i asked for a supervisor i got member services supervisor who didn't even let me speak just transferred me to the same claims dept that i was already in that could not help me with a wellcare mcaid claims after all the dumb transfers i finally get to the correct dept and

the person can not answer my question and when i ask for a supervisor jurkavis the rep fights with me stating that the supervisor will give me the same answer waste your 1 dispute on requesting why you took the money back he then puts me on hold for 45 minutes but tranferred me to a supervisor mellissa who actually listened to me a tried to help me thanks to melissa

I called customer service to discuss the below addressed issue and was on the phone from 12:50 EST until 2:52 EST and still have no resolution to my issue after 4 phone calls. The 4th lasting in excess of 1 hour with it taking 40+ minutes to get to a supervisor AFTER having requested one at the beginning of the call. It was extremely difficult to understand the agents, it appeared they had little command of the English language or your company policy and procedure. To not be able to speak with a billing representative is also reprehensible and not acceptable. The below is the complaint I have yet to have resolved.

Janet A. Lyons 60 Sparrow Ridge Road Carmel, New York 10512 March 5, 2019 Re: Payments

Wellcare PO Box 75510 Chicago, Illinois 60675-5510

Dear Sirs:

I am writing to you as…

went I called for a new provider for my care, I was sent to my last primary doctor. Wish to get a new primary doctor that follows my health problems. Not one that gives medicine without a blood test. Wish to have a primary doctor named, Dr.

Zanira Fazal, she works at 701 So. Zaramora Diabetes Hospital in San Antonio, Tx. 78207 Please don't send me to Dr. David Ramos my ID # IS 16039406. MY ADDRESS IS 2914 ROOSEVELT APT. 707 SAN ANTONIO, TX. 78214

trying to change address - from Chicago to Florida. Took 2 1/2 hours and still unresolved as they put me on hold and back and forth to different people and hold every time. Second time, same thing, on hold for 2 1/2 hours then my phone quit. it is strill unresolved.

All I wanted to do was change address, so they said had to get different plan, same numbers, I had paid for the rest of the year and wanted the funds put on my new plan in Florida, and the fee is less, so I am due a 47.00 refund to be sent to me at the fla. address.

Please resolve this, I can not call back as phone is out now and can't be on hold for 2 l/2 more hours. This is very poor service. I am a senior and this is very poor service.

Sharon Kuta

708 496 8617

I have requested two timely filing decision letters 6 TIMES for 2 different patients since November and still not receiving these documents. I need these documents for our records at New Jersey Healthcare Specialists. Each time I request these decision letters to be faxed, I'm informed it may take 20 business days.

15, 2018, I was informed to allow 24 to 48 hours, and still have not received these documents. When I called this morning, I was informed the date of service on one of the patient's was incorrect and then put on hold for 15 minutes.

When the customer service representative came back on the phone, I was informed there were system issues. When I request to speak with a supervisor, I have to request more than once and have to wait for more than 10 minutes for the supervisor to…

I called customer service to get my login and password reset. The first agent said he would transfer me to web services and after half hour of music I gave up and called again. This process continued with 3 more agents and 2 HOURS of music.

I tried calling you corporate line and got the same results, MUSIC. No one accepts responsibility to satisfy a caller’s problem. Of the 4 agents the third was in Mexico and I requested a US agent. He connected me to an agent in the Philippines.

Another agent said he would connect me to the corporate line and promptly dropped my call. The US agent said she would transfer me but agreed to get back on line after 5 minutes, which she did. But she could not get me to web services and wanted to put me back on hold, more music.

I then asked for a supervisor…

Hi My name is Annette emin I been with we'll care for almost 3 years for my medication specialist I use Enbrel injection

This year 2019 l move to Dayton Nevada For cheaper rent l am total disable I got a letter from wal care stating they are disanroll me

I call medical office l am cover 100 percent also my secondary insurance is United health care

I try to call we'll care since 1 2 2019 today is 1 3 2019 All day l am waiting

Is we'll care still working Can some one please help me to re anroll 4 hrs no one picks up the phone

I have not even started my new plan with this company yet which starts in 2019 and I know just by the past few days that I will not want to recommend this company to anyone. I asked for a Doctor replacement on my card because they sent me a card with a Doctor who I never heard of and did not ask for when I signed up.

After finally getting in touch with a rep they affirmed that my family Doctor would be put on a new card and that I should expect to receive that within 5 business days. That was 4 weeks ago, I called yesterday and told the rep I was running low on phone minutes and she said I would only be on hold for 2 minutes.

After 20 minutes my phone died and I'm pretty sure she did that on purpose. Plus I don't even know who or how I am suppose to pay for my first months premium? Is…

I gave it a 1 star but really negative 10 , The Reps here are the most RIDICULOUS . THEY KNOW NOTHING AND ARE IMPOSSIBLE

I signed up online for next year and when I picked my family doctor he was in the network and so were my other Drs. Now that I just received my new card for 2019 it shows a Dr. Samar Hijazi who I never heard of. My Doctor is Dr.

The only reason I chose WellCare was for that reason and now I do not know what to do. I tried calling customer service but was on hold for almost 40 minutes and had to hang up as I pay for my phone minutes and ran out.

I just wonder what other surprises are in store for me in the future?

Dr. Maria Patino a very uncaring doctor.

I left the last doctor because I have an internal bleeding problem and have been hospitalized twice. The last doctor didn't pay attention and Dr. Patino, refused to give me a blood test to check on my anima with was very low or recommend something. I needed know if I am still bleeding internally or y diet is the problem.

I have had pain in my upper back/shoulder area and again she would not give me a referral. Her assistant said to put rice in a sock and heat it for a few minutes and then apply it to my neck. I did and it made everything worse, I have a neck that is arthritic and the hardness of the rice hurt it terribly and my shoulder and upper back is not worse. Dr. Patino would not give me a recommendation to the doctor that fixed it after my…

I filed a grievance back in October 2017 about a doctor at an immediate care facility. I then was receiving letters with completely inaccurate details of the grievance itself. I would write back with the correct info and would enclose what was sent to me.

It appeared they were not read and a new grievance would be open for what reason I don't know. Yet each time there were still various details so inaccurate. I started getting calls from a Sue Purmi. P. She would call as seen on my id 5 or more times a day.

At times leaving messages that it was urgent I call her. One time she called my home at 6am. She left a message this time also. I left a message for her saying that I am not able to call during the day and she left a message saying for me to call her during my lunch hour at work.

I…

"Ricky" account service rep "manager" very rude, ignorant, asked "would you like fries with that"- clearly an indication of his work history- and probably where he should have stayed working.

I went for a flu shot yesterday and the pharmacist said I had the wrong birthday. Not true. I contacted the Social Security Office and everything with my card was accurate. I also called Wellcare and they said I had everything accurate. Also in the past pharmacy could not use my credit card. I had to pay cash and loose my rewards. I tried again and the same thing happened. My card was listed as not authorized. I had the pin number changed and it still doesn't work with Walgreen's.

I have purchased airplane tickets and hotel reservations and it works. It also works with CVS. I moved everything over to Walgreen's and had nothing but trouble. Either your workers are incompetent or your machines aren't working. Today Wellcare contacted Walgreen's and your people said they have the correct…