WELLCARE OF TEXAS, INC. — health Insurance Complaints
Analysis of 193 health insurance complaints filed against WELLCARE OF TEXAS, INC., based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 193
- Total Complaints (All Types): 193
- health Share: 100.0%
- NAIC Complaint Ratio: 0
- AI Risk Score: 28/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Claim denial | 105 | 54.4% |
| Delayed payment | 48 | 24.9% |
| Not Within TDI Jurisdiction | No Jurisdiction | 6 | 3.1% |
| Premium or billing dispute | 5 | 2.6% |
| Unsatisfactory Settle/Offer | No Jurisdiction | 4 | 2.1% |
| Misrepresentation | No Jurisdiction | 3 | 1.6% |
| Misleading sales | 2 | 1.0% |
| Provider or network dispute | 2 | 1.0% |
| Other | Contract Language/Legal Issue | 2 | 1.0% |
| Recoupment Of Claims Payment | No Jurisdiction | 2 | 1.0% |
| Policy cancellation | 1 | 0.5% |
| Cust Service Claim Handling; Identification Card Issue | No Jurisdiction; Referred To | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Insufficient Information | 1 | 0.5% |
| Commissions | Contract Language/Legal Issue | 1 | 0.5% |
| Agent Handling; Misrepresentation | No Jurisdiction; Policy Not In Force; Corrective Action Taken | 1 | 0.5% |
| Access to Care | Information Furnished | 1 | 0.5% |
| SB418 Rule Violation; Unsatisfactory Settle/Offer | No Jurisdiction | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Additional Payment Expected; No Jurisdiction | 1 | 0.5% |
| Mdcare Pt D RX Drg "DNut Hole" | No Jurisdiction | 1 | 0.5% |
| Commissions; Misrepresentation; Unauthorized Acts | No Jurisdiction | 1 | 0.5% |
| Unsatisfactory Settle/Offer | Company Position Upheld; No Jurisdiction | 1 | 0.5% |
| Misrepresentation | Information Furnished; Company Position Upheld | 1 | 0.5% |
| Access to Care | Information Furnished; No Jurisdiction | 1 | 0.5% |
| Agent Handling; Lead Cards; Misrepresentation | Information Furnished | 1 | 0.5% |
health Complaints by State
| State | Complaints |
|---|---|
| Texas | 193 |
Recent health Complaints Against WELLCARE OF TEXAS, INC.
- health Complaint #TX-385449-c497ba98 — Texas (2024-02-15)
- health Complaint #TX-326310-98bbcb51 — Texas (2021-11-30)
- health Complaint #TX-319439-46821bbe — Texas (2021-08-17)
- health Complaint #TX-318878-1b4144a2 — Texas (2021-08-09)
- health Complaint #TX-308801-9750b622 — Texas (2021-03-15)
- health Complaint #TX-307177-46821bbe — Texas (2021-02-22)
- health Complaint #TX-301765-6fae45c0 — Texas (2020-11-09)
- health Complaint #TX-297852-298a3282 — Texas (2020-09-03)
- health Complaint #TX-297721-9971d4c7 — Texas (2020-08-27)
- health Complaint #TX-291862-39a53f9c — Texas (2020-05-26)
Frequently Asked Questions
How many health complaints does WELLCARE OF TEXAS, INC. have?
WELLCARE OF TEXAS, INC. has 193 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with WELLCARE OF TEXAS, INC.?
The most common health complaint issues for WELLCARE OF TEXAS, INC. are: Claim denial (105), Delayed payment (48), Not Within TDI Jurisdiction | No Jurisdiction (6), Premium or billing dispute (5), Unsatisfactory Settle/Offer | No Jurisdiction (4).
Which states have the most health complaints against WELLCARE OF TEXAS, INC.?
The states with the most health complaints against WELLCARE OF TEXAS, INC. are: Texas (193).
health Complaints by State
WELLCARE OF TEXAS, INC. Complaints by State
- WELLCARE OF TEXAS, INC. Complaints in California
- WELLCARE OF TEXAS, INC. Complaints in Texas
- WELLCARE OF TEXAS, INC. Complaints in New York
- WELLCARE OF TEXAS, INC. Complaints in Florida
- WELLCARE OF TEXAS, INC. Complaints in Illinois
- WELLCARE OF TEXAS, INC. Complaints in Pennsylvania
- WELLCARE OF TEXAS, INC. Complaints in Ohio
- WELLCARE OF TEXAS, INC. Complaints in Georgia
- WELLCARE OF TEXAS, INC. Complaints in North Carolina
- WELLCARE OF TEXAS, INC. Complaints in New Jersey