WELLCARE OF TEXAS, INC. — health Complaints in Texas

Detailed analysis of 193 health insurance complaints filed against WELLCARE OF TEXAS, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 193
Total health Complaints (All States): 193
Texas Share: 100.0%
NAIC Complaint Ratio: 0
AI Risk Score: 28/100

Analysis: WELLCARE OF TEXAS, INC. health in Texas

WELLCARE OF TEXAS, INC. has accumulated 193 health insurance complaints from consumers in Texas. Across all states, WELLCARE OF TEXAS, INC. has 193 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 105 complaints. Other common issues include Delayed payment (48), Not Within TDI Jurisdiction | No Jurisdiction (6), Premium or billing dispute (5).

The most active year was 2024 with 1 complaint filed.

Consumers in Texas who have health disputes with WELLCARE OF TEXAS, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
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%

Complaints by Year

2024: 1 complaints
2021: 5 complaints
2020: 6 complaints
2019: 15 complaints
2018: 13 complaints
2017: 8 complaints
2016: 37 complaints
2015: 44 complaints
2014: 40 complaints
2013: 16 complaints
2012: 8 complaints

Recent health Complaints Against WELLCARE OF TEXAS, INC. in Texas

health Complaint #TX-385449-c497ba98 (2024-02-15) — Delayed payment
health Complaint #TX-326310-98bbcb51 (2021-11-30) — Claim denial
health Complaint #TX-319439-46821bbe (2021-08-17) — Claim denial
health Complaint #TX-318878-1b4144a2 (2021-08-09) — Misleading sales
health Complaint #TX-308801-9750b622 (2021-03-15) — Policy cancellation
health Complaint #TX-307177-46821bbe (2021-02-22) — Claim denial
health Complaint #TX-301765-6fae45c0 (2020-11-09) — Cust Service Claim Handling; Identification Card Issue | No Jurisdiction; Referred To
health Complaint #TX-297852-298a3282 (2020-09-03) — Claim denial
health Complaint #TX-297721-9971d4c7 (2020-08-27) — Claim denial
health Complaint #TX-291862-39a53f9c (2020-05-26) — Provider or network dispute

Frequently Asked Questions

How many health complaints does WELLCARE OF TEXAS, INC. have in Texas?

WELLCARE OF TEXAS, INC. has 193 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with WELLCARE OF TEXAS, INC. in Texas?

The most common issues 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).

How does WELLCARE OF TEXAS, INC.'s health record in Texas compare to other states?

WELLCARE OF TEXAS, INC. has 193 health complaints in Texas out of 193 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against WELLCARE OF TEXAS, INC. in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.