winter Date Rated: 1/9/2014 11:28:00 AM
I retired at the end of the year (2013). Prior to that I had continuous medical insurance with prescription coverage for over 40 years from several employers. No breaks in coverage, ever. After submitting application for Wellcare Part D plan, I received a Declaration of Prior Prescription coverage and letter stating that it appeared that I had a break in coverage for 63 days or more. This break in coverage would result in late enrollment penalty, increasing my Medicare Part D cost monthly, forever. I immediately completed and submitted the form explaining that I had never had a break in coverage.
Shortly thereafter I received another notice, this one stating: "Final Notice", once again claiming I had break in coverage that would increase my monthly cost. I made numerous calls to WellCare, each time being on hold for long periods of time and always reaching someone who had some difficulty with English language. I even spoke with a supervisor. They claimed that they did not receive the form I submitted, and could not tell me why it appeared to them there was a break in coverage. I even provided them with the insurance and prescription id #s from the plan that had covered me under my employer up to Dec 31.
Someone completed the form with me over the phone, since they never located form I had submitted several weeks prior to that.
Still waiting to hear back from them. Very frustrating that they can inform you that it "appears" you have had a break in coverage, but are apparently under no obligation to tell you what evidence they have for that. It is difficult to dispute when you have no idea why they believe, wrongly, that you've had a break in coverage. Next step is to go through formal appeals process if it is not resolved. Terrible customer service, will definitely change providers next open enrollment period.