Wellcare Mastery Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
All three prescription drug plans (PDPs) will offer a five-tier formulary design - CORRECT
ANSWER False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies - CORRECT ANSWER True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains -
CORRECT ANSWER True
For 2025, Wellcare has 43 new plans going to market - CORRECT ANSWER True
A low-Income Subsidy (LIS) member could be assigned one of __________copay categories
depending on the level of need. - CORRECT ANSWER Four
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully subsidized
and receive the most assistance? - CORRECT ANSWER Three
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed standard part
D benefit consisting of three phases. Which phase in not Included? - CORRECT ANSWER
Coverage Gap
Wellcare added which state to its footprint for 2025? - CORRECT ANSWER Iowa
Names and/or logos of provider co-branding partners can be displayed on marketing materials, as long
as the current and approved logos are used. - CORRECT ANSWER False
Members have several options to pay plan premiums. The best option to ensure regular and timely
payments are: - CORRECT ANSWER ALL Of The Above
, The best option to ensure regular and timely payments are: SSA/RRB premium withhold, EFT, and
AutoPay.
You can help prevent grievances by: (Select all that apply.) - CORRECT ANSWER Select ALL
All of these are ways that you can help prevent grievances. You can prevent grievances by always
confirming availability of the beneficiary's primary and specialist providers by using the provider
search tool available on the plan's website; always using plan materials to clearly explain plan benefits
and cost (including medications) and checking for understanding; and always confirming a
beneficiary's intent to enroll before accepting their enrollment application.
Wellcare Mutual of Omaha co-branded plans are offered in _____ states. - CORRECT ANSWER
Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or before September
30, 2024. - CORRECT ANSWER False
The Single Sign-On Portal provides access to multiple applications, including CustomPoint®. -
CORRECT ANSWER True
Brokers/Agents can access and download enrollment materials through CustomPoint® - CORRECT
ANSWER True
Brokers MUST complete a Wellcare Contract Recertification case in Centene Workbench (CWB)
every two years. - CORRECT ANSWER False
Brokers/Agents can access the following resources under the Shared Resources section in Centene
Workbench: - CORRECT ANSWER All of the above
Training Resources
Commission Resources
Marketing Resources
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: - CORRECT ANSWER All of the Above
The date of the incident.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
All three prescription drug plans (PDPs) will offer a five-tier formulary design - CORRECT
ANSWER False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies - CORRECT ANSWER True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains -
CORRECT ANSWER True
For 2025, Wellcare has 43 new plans going to market - CORRECT ANSWER True
A low-Income Subsidy (LIS) member could be assigned one of __________copay categories
depending on the level of need. - CORRECT ANSWER Four
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully subsidized
and receive the most assistance? - CORRECT ANSWER Three
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed standard part
D benefit consisting of three phases. Which phase in not Included? - CORRECT ANSWER
Coverage Gap
Wellcare added which state to its footprint for 2025? - CORRECT ANSWER Iowa
Names and/or logos of provider co-branding partners can be displayed on marketing materials, as long
as the current and approved logos are used. - CORRECT ANSWER False
Members have several options to pay plan premiums. The best option to ensure regular and timely
payments are: - CORRECT ANSWER ALL Of The Above
, The best option to ensure regular and timely payments are: SSA/RRB premium withhold, EFT, and
AutoPay.
You can help prevent grievances by: (Select all that apply.) - CORRECT ANSWER Select ALL
All of these are ways that you can help prevent grievances. You can prevent grievances by always
confirming availability of the beneficiary's primary and specialist providers by using the provider
search tool available on the plan's website; always using plan materials to clearly explain plan benefits
and cost (including medications) and checking for understanding; and always confirming a
beneficiary's intent to enroll before accepting their enrollment application.
Wellcare Mutual of Omaha co-branded plans are offered in _____ states. - CORRECT ANSWER
Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or before September
30, 2024. - CORRECT ANSWER False
The Single Sign-On Portal provides access to multiple applications, including CustomPoint®. -
CORRECT ANSWER True
Brokers/Agents can access and download enrollment materials through CustomPoint® - CORRECT
ANSWER True
Brokers MUST complete a Wellcare Contract Recertification case in Centene Workbench (CWB)
every two years. - CORRECT ANSWER False
Brokers/Agents can access the following resources under the Shared Resources section in Centene
Workbench: - CORRECT ANSWER All of the above
Training Resources
Commission Resources
Marketing Resources
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: - CORRECT ANSWER All of the Above
The date of the incident.
