Wellmark Medicare Insurance Review & Complaints: Health Insurance (2024)

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A Blue Cross Blue Shield licensee, Wellmark is a mutual health insurance company serving Iowa and South Dakota. They offer individual and group health insurance plans as well as supplemental Medicare insurance coverage.

This Wellmark Medicare review will cover which plans are available as well as company ratings. We’ll look at some Wellmark Medicare quotes and help you to decide if the company is right for you.

But before you decide whether or not to buy Wellmark Medicare insurance, compare your options. Enter your ZIP code for free Medicare quotes now.

About Wellmark

Wellmark was formed with the merging of two companies that both date back to 1939. Hospital Services Incorporated out of Des Moines, Iowa, and Associated Hospital Services in Sioux City, South Dakota operated separately until 1989. Both had already taken on Blue Cross Blue Shield licensing individually before their merger.

Originally operating as IASD Health Services Corporation, the change to a mutual company was made in 1991. In 1997, the name was changed to Wellmark.

Wellmark continues to operate in portions of both Iowa and South Dakota, with offices in Sioux City, Des Moines, and Cedar Rapids.

The company offers individual and group major medical health insurance plans. Currently, they write only Medicare Supplement and Part D plans and do not write any Medicare Advantage plans.

Wellmark Medicare Plans

Plan availability varies based on location, but Wellmark has both supplement and Part D plans in both states. There are no Wellmark Medicare Advantage plans available.

Wellmark Medicare Supplement

Wellmark writes six of the 11 available standard Medicare Supplement plans. Available are Plan A, D, F, high deductible F, G, and N.

Plan A is offered by all Medicare Supplement insurers, and it is the basic plan that pays for Part B coinsurance as well as covering the first three pints of blood each year. From there, each plan adds on additional coverage for deductibles and other out of pocket expenses.

Plan F is the most comprehensive of the plans, which also makes it generally the most expensive. The high deductible version of this plan makes it more affordable on a monthly basis in return for having to pay a deductible before the coverage kicks in.

Plan N differs from the other plans in that it has copays for office visits and ER, which usually makes the plan more affordable than some of the other options.

Wellmark Medicare supplement Plan G is the best replacement for Plan F if you are not eligible for that plan. As of January 1, 2020, those that are newly eligible for Medicare can’t buy Plan F.

Wellmark Medicare Part D

Wellmark Medicare drug plans are sold through a separate website and is not Wellmark branded. The plans are sold under the MedicareBlue Rx name, still Blue Cross Blue Shield, and there are two options.

The Standard plan is more affordable but has a $405 deductible that applies to Tiers 3 and up. Copays on this plan start at $1 for Tier 1 drugs from a preferred pharmacy. Tier 2 starts at a $5 copay, and the remaining tiers have coinsurance percentages. Tier 3 is at 17%, Tier 4 is at 30%, and Tier 5 has a coinsurance of 25%.

The Premier plan has a higher monthly cost but has no deductible and $0 copays for both Tier 1 and 2. Tier 3 is the same at 17%, but Tier 4 is higher at 45%, as is tier 5 with a 33% coinsurance.

Wellmark Medicare Rates

We ran a Medicare Supplement quote for a 65-year-old female in Iowa and looked at the 2021 rates. Plan A came back at $212.20. The least expensive plan is the high deductible Plan G, at a rate of $51.80. Most of the rates show increases from 2020, but they are generally small. Te remaining rates range from $98.90 to $143.20.

Rates for Part D plans are readily available. Rates start at $26.90 a month.

Wellmark Medicare Insurance Claims Process

Ease of Filing a Claim (Online, Over the Phone, Mobile Apps)

When it comes to filing a claim with Wellmark Medicare Insurance, policyholders have multiple options at their disposal. They can choose to file a claim online, over the phone, or through mobile apps. This flexibility ensures that customers can conveniently report their claims using the method that suits them best.

Average Claim Processing Time

The speed at which insurance claims are processed can significantly impact the overall customer experience. While specific data on Wellmark Medicare’s claim processing times may vary, the company typically strives to handle claims efficiently.

Policyholders can expect their claims to be processed in a reasonable timeframe, ensuring that they receive the financial support they need promptly.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback is a valuable indicator of an insurance company’s performance in handling claims. While there is no specific feedback provided in this article, it is essential to consider real customer experiences when evaluating an insurance provider.

Feedback on claim resolutions and payouts can provide insights into how Wellmark Medicare Insurance addresses its customers’ needs during critical moments.

Explore Wellmark Medicare Insurance’s Digital and Technological Features

Mobile App Features and Functionality

In today’s digital age, many insurance companies offer mobile apps to enhance the customer experience. Wellmark Medicare Insurance is no exception. The company provides a mobile app that offers various features and functionality designed to make managing insurance policies easier for policyholders.

These features may include the ability to view policy details, access digital insurance cards, and even file claims directly through the app.

Online Account Management Capabilities

Online account management is a convenience that modern insurance customers often expect. Wellmark Medicare Insurance understands this need and offers robust online account management capabilities. Policyholders can access their accounts via the company’s website, where they can review policy information, update personal details, and even make payments securely.

Digital Tools and Resources

To empower policyholders with the information they need to make informed decisions, Wellmark Medicare Insurance provides digital tools and resources. These tools may include online calculators, educational resources, and access to relevant documents such as policy guides and benefit summaries.

Such digital resources can assist customers in understanding their coverage and making the most of their insurance plans.

Wellmark Medicare Supplement Reviews and Ratings

Wellmark has an A+ rating with the Better Business Bureau (BBB) based on their Iowa location, and there are 16 complaints on file in the past three years. They have been accredited since 1974.

The company has a one-star rating on Yelp that is based on three negative reviews. None of the reviews relates to Medicare plans, but rather to individual health insurance plans.

We were unable to find much else in terms of reviews of Wellmark, and nothing that referred to Medicare plans specifically. As a general rule, a lack of reviews for an insurance company is a good thing, since people are more inclined to write reviews when they are unhappy than when things are going well.

Wellmark Medicare Insurance: The Bottom Line

Wellmark has a decent selection of plans and a good reputation. We cannot compare their rates to other states, but in our experience their Plan A premium is on the high side, while the other plans have fairly reasonable rates. Wellmark appears to be a good choice for Medicare Supplement insurance if you are in their coverage area.

Even if you have found an affordable Wellmark Medicare plan, it’s always good to compare. Enter your ZIP code for free quotes from top companies.