Wellcare vs. Humana

In this article...
  • Wellcare and Humana both offer Medicare health plans called Medicare Advantage plans. In this review, we compare Wellcare vs. Humana to help you make the best decision for your Medicare coverage based on plan availability, Medicare quality ratings and more.

No two health insurance companies are created equally, and that’s why comparing carriers is such an important part of the experience when you shop for a Medicare plan.

In this review, we explore Wellcare vs. Humana. Both insurance companies offer Medicare Advantage (Medicare Part C) plans in various parts of the country. We try to identify some of the key differences between these companies – such as plan availability, benefits and costs ­– to help in your search for the best coverage for your needs.

Humana is one of the most popular insurance companies in the country. Nearly 1 out of every 5 Medicare Advantage (Medicare Part C) plan beneficiaries is enrolled in a Humana Medicare Advantage plan.

Wellcare has over 12,00 employees, $20 billion in revenue and 5.5 million customers served. Wellcare also ranks 155th on the Fortune 500 list.

Wellcare vs. Humana
  Pros Cons
Wellcare

Provides a small company feel and targeted insurance products

Company profile has improved following a recent merger with health care company Centene

 

Medicare plan quality ratings are close to the average 

Humana

Wide variety of Medicare plans available in many areas of the U.S.

Large networks of participating health care providers, doctors, hospitals and other facilities

High overall Medicare plan quality ratings

$0 premium Medicare Advantage plans are only available in select locations

Wellcare vs. Humana: Types of Insurance Plans Offered

Wellcare offers Medicare Part D prescription drug plans and Medicare Advantage plans in certain parts of the country.

Humana, on the other hand, sells Part D plans, Medicare Advantage plans and Medicare Supplement Insurance (Medigap) plans. The company is also one of the nation's largest providers of group insurance plans, standalone dental insurance plans, vision plans and more.

Areas Served

Wellcare Medicare Part D plans are offered in parts of all 50 states, while Wellcare Medicare Advantage plans are sold in 28 states.

Humana Medicare plans are available in parts of all 50 states and the District of Columbia, and Humana Medicare Advantage plans are sold in 90% of U.S. counties.

Provider Access

As one of the nation’s largest health insurance carriers, you’ll typically have little trouble finding a health care provider who accepts Humana. Doctor.com reports more than 638,000 providers accept Humana insurance.

Doctor.com reports that nearly 18,000 doctors accept Wellcare insurance plans. This includes emergency room doctors, surgeons, family doctors, psychiatrists, OBGYNs and more. You should always ask your doctor or provider if they accept a Wellcare Medicare plan before you enroll in the plan.

Financial Ratings

Humana maintains steady financial ratings from the leading credit agencies including Standard & Poor’s (BBB+), Moody’s (Baa3), Fitch Ratings (BBB) and A.M. Best (bbb-). The company also holds an “A+” rating from the Better Business Bureau.

In addition to an “A+” rating with the Better Business Bureau, Wellcare also boasts strong financial ratings, including a “BBB-” from Fitch Ratings and a “BB” from Standard and Poor’s.

Medicare Star Ratings

Every year, Medicare evaluates plans based on a 5-star rating system. Stars are used by the Centers for Medicare & Medicaid Services (CMS) to indicate various measures of plan quality, with five stars being the highest score.

In 2021, 92% of Humana Medicare Advantage plan members are enrolled in a plan rated four stars or higher.1

In 2021, Wellcare received an overall rating of 3.4 stars out of 5. Wellcare Medicare Advantage plans earned a 3.2-star rating, and Wellcare Medicare Part D plans earned a 3.7-star rating.

Customer Experience

Wellcare allows plan members to locate doctors and other providers online and can log into an online account to perform additional tasks related to their benefits. Phone and email support is available (but not live chat) and two mobile apps are available.

Humana also provides accessibility to provider lookups and other benefit management online and through a member portal along with the company’s MyHumana mobile app. Customer support includes dedicated phone lines for each type of plan and live help on Twitter. 

Humana vs. Wellcare: The Verdict

Wellcare and Humana both have a lot to offer; they just do it in different ways. Whether you prefer a large corporation with more options or that small company feel with a more targeted audience, you’re likely to find what you need with either one of these options.

Speaking with a licensed insurance agent can help you explore more differences between Wellcare and Humana and bolster your chances of enrolling in the best Medicare insurance plan for your needs.

  1. https://press.humana.com/news/news-details/2020/Humanas-Medicare-Advantage-Members-are-in-4-Star-and-Above-Contracts-for-2021-Reflecting-Ongoing-Commitment-to-Quality-Care-and-Improved-Health-Outcomes/default.aspx#gsc.tab=0.

Read More
Smiling doctor reviews medical information with happy patient
Most Humana Medicare Advantage plans cover vision benefits that Original Medicare (Parts A and B) ...
Dentist examines patient in dentist chair
Millions of Americans get their Medicare coverage from a Humana Medicare Advantage (Part C) plan, ...
A woman lifts light dumbells while working out on her living room floor at home
Many Humana Medicare plans come with a free membership to SilverSneakers. Learn more about this popular ...