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Examen

Wellcare Act Mastery Exam - Broker, Questions And Answers Updated (2026/2027) (Verified Answers)

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Prepare for the Wellcare ACT Mastery Exam with updated broker/agent questions. Covers PDP plans (Classic, Value Plus, Value Script), LIS, D-SNPs, SOA, compliance, PHI, and CMS marketing rules. wellcare act mastery exam, medicare broker exam, pdp plans, d-snp, low income subsidy, scope of appointment, medicare compliance, pharmacy benefit manager, express scripts, ascendenrollment

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1




WELLCARE ACT MASTERY EXAM -
BROKER, QUESTIONS AND ANSWERS
UPDATED (2026/2027) (VERIFIED
ANSWERS)

Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card correct answer c. Library card


Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper correct answer b. Ascend Web/Mobile Application


With which types of inquiries can Wellcare's Corporate Sales Support team
assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these correct answer d. All of these


A request to the plan from a member or provider for a formal review of an Action
(Denial) or Adverse Plan Determination (Medicare) is a/an:

, 2

a. Appeal
b. Grievance correct answer a. Appeal


The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand correct answer a. Sixty Thousand


With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective
1/1/2024, existing members can continue to use their current ID card 1/1/2024
and beyond.
True
False correct answer False


____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C.
a. Two
b. Three
c. Four
d. Five correct answer d. Five


Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma correct answer c. Delaware

, 3



*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five correct answer c. Three


* NOT c. Three


The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024.
True
False correct answer True


*Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five correct answer b. Twenty-seven


*NOT c. Thirty-five


*Which Prescription Drug Plan (PDP) product has the richest formulary with the
most adherence generics on Tier 1?
Which Prescription Drug Plan (PDP) product has the richest formulary with the
most adherence generics on Tier 1?
a. Classic

, 4

b. Value Script
c. Value Plus correct answer a. Classic


*NOT b. Value Script


All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
True
False correct answer True


All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen correct answer a. Zero


Members who have LIS and enroll in other plans will have a premium to pay
regardless of the level of LIS the member is granted.
True
False correct answer True


*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script correct answer a. Classic

Información del documento

Subido en
5 de febrero de 2026
Número de páginas
41
Escrito en
2025/2026
Tipo
Examen
Contiene
Preguntas y respuestas
$14.99

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