WellCare under investigated for fraud?   Wow Grandpa! Look at the differences in these costs for your medication!
Walgreens is way too expensive!
  Look Honey! Walgreens charged 400% more for my medication than Costco!  

Too bad for Mr. Robinson, he's not going to get his heart medication this time...

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WellCare fraud investigation
February, 2008 More...
WellCare denied claims for member who were covered.
Sound familiar? Walgreens denied my prescriptions that
were to be paid by my Part D providerWellCare.

Medicare Complaints
WellCare BAD news
Wellcare Fraud news
CEO made $5,000,000.00!
Is your Medicare Part D Prescription drug plan with WellCare Health Plans? Do you use the Walgreens Mail Service pharmacy to obtain your maintenance medications?

Then you should read the information on this website. WellCare is under investigation for fraud and in February, 2008 is rumored to be for sale. The same month WellCare's headquarters was raided by the FBI my pharmacy—Walgreens Mail Service—began invoicing me for the retail cost of my medications as if I was no longer covered by Medicare! Latter Walgreens charged $296 on my credit card without my knowledge. I have no idea how they obtained the credit card but know that I never authorized them to use it.

Then Walgreens went too far. They refused to fill my prescription for the heart medication Benicar unless I paid full $200 retail for it. These strange events revealed that WellCare was in serious legal trouble. I sent USPS Certified Mail (see receipt) to WellCare CEO Todd Farha. He never replied. Walgreens has also ignored letters including ones sent USPS Certified Mail. Then I learned WellCare fired the CEO (the euphemism is "resigned") from his $5,000,000 position. The Senior Vice President and Chief Financial Officer (CFO) Paul L. Behrens was also fired.
Actual photo of FBI at WellCare Health Plans
during the raid.
(Documents seized in the FBI raid) Included many with suggestive names -

- The chief financial officer's "2007 Stairway to Heaven" plan as
   well as a document entitled "Analysis of shorting stock."

- A copy of a check for a "Puerto Rico Saint festival."

- Handwritten notes about "shell companies."

- A memo called "cracking the WellCare DaVinci Code with Payment 
schedule."

- A document called "Jo-Jo phantom accounts analysis - Florida
miscoding."

- And a letter to "get around Medicaid requirements" as well as one
called "docs re: possible kickback."
  Source: The search warrant was for evidence of overpayment / By KRIS HUNDLEY / November 20, 2007
Insiders Todd Farha CEO (photo at right),  CFO Paul Behrens and General Counsel Thaddeus Bereday sold shares of stock for millions just weeks before the government raids on WellCare. All 3 men have since been fired (the official euphemism is "resigned").
WellCare's CFO Behrens made a whooping $984,000 plus $300,000 in stock options for 2006. WellCare also fired their General Counsel (euphemism for lawyer) Thaddeus Bereday. He earned $596,000. This is nearly $7,000,000 a year for 3 employees. No wonder Medicare is going broke.

The FBI raid, the Government's fraud investigation, the firing of the CEO, CFO and General Counsel has caused the downgrading of the debt rating for WellCare as reported by Moody's. But this is all minor compared to the possible devastating effects on WellCare members who depend upon their Part D prescription drug plans. For me it has already meant hundreds of dollars in invoices from Wallgreens, $296 stolen from my credit card by Walgreens and then the refusal to provide my $200 heart medication. What will it mean to you?

Walgreens has stopped providing medication even though I am enrolled in a WellCare Part D prescription drug plan for 2008.  Whatever problems WellCare and Walgreens have, one thing is undeniable; Walgreens is contractually obligated to provide medications as detailed on the medicare.gov website. WellCare has used the medicare.gov site to enroll members based on estimated annual medication costs and amounts to be paid by the subscriber. When the specified pharmacy—Walgreens Mail Service—refuses to provide medicines there may be no other option but to file a class action lawsuit. I am currently investigating this option.  Have you also been denied your medication? Has Walgreens invoiced you for medications that are supposed to be covered by your Medicare plan?  You may send letters & substantiating documents to the fax line: 209 838 6132
Was the CEO tipped off about the coming FBI raid?
(above) Todd S. Farha, ex-CEO of the disreputable WellCare Health Plans. Date of photo unknown. Is he smiling about the $5,000,000.00 WellCare paid him in 2006 or the $3.6 million in stock he liquidated in 2007 just weeks before the FBI raid caused the share price to plummet 84%?
Quotes about WellCare Health Plans from the
Wall Street Journal
"...some 200 state and federal agents raided (WellCare's) headquarters...WellCare CEO Resigns, Paul Behrens, CFO, and Thaddeus Bereday, General Counsel, have also resigned..." "...(WellCare) is being investigated...for allegations it inflated the amount it spent...to keep money it should have refunded to Florida’s Medicaid program... reinsurance arrangements with a Cayman Islands subsidiary allowed the company to misrepresent outlays for care..."
Medicare Complaints
WellCare BAD news
Wellcare Fraud news
CEO made $5,000,000.00!


Today is: 01/30/2010
2-19-08: Website opened, first set of pages published; WellCare fraud investigations from the news, Medicare fraud hotline numbers.
Who is a Medicare moron?
Medicaremoron.com is an educational resource for Medicare Part D recipients. If you are having problems with Medicare Part D prescription drug plans this site may help you.

Since Part D is so new it is unclear how problems are reported, to whom and what action is taken. You are welcome to follow the letters that I send to Walgreens, WellCare Health Plans, and to Medicare.

Maybe you will be inspired by my example to write letters that document what you believe to be violations of the plan your provider is supposed to follow.
Fraud Investigation at WellCare Health Plans
(right) Todd S. Farha
CEO/President/Director/Chairman of the Board at Wellcare Health Plans, Inc., Tampa, Florida.

After the FBI raid, Government fraud investigation Todd got the boot! (euphemism is he "resigned") Read this from The Wall Street Journal...
When Walgreens began invoicing me for medications that were supposed to be covered by my plan I wondered what was going on. An Internet search found these articles concerning fraud investigations.
List of WellCare bad news stories
WellCare qui tam lawsuit filed
FBI raid on WellCare headquarters
Litigation piles up on WellCare

I sent a letter via Certified Mail to Todd S. Farha, CEO of WellCare Health Plans in Tampa, FLorida. Todd S. Farha never replied. Then I read in the News that WellCare fired Todd S. Farha and put in a new CEO! Bye, bye Todd! Bye bye!

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