Wellcare { Centene}
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024. -
TRUE
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing through Express
Scripts Pharmacy (Mail Order). - True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly
selected plan can cause a sales allegation. - True
For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will continue to offer a
discount (2.5 x 30-day preferred retail copay) for Tier 2, 3, and 6 prescriptions. - Value Plus
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the
remainder of the year once their total out of pocket costs reach $8,000. - ZERO
Lead-generating activities (either directly or indirectly) facilitated by a third-party marketing organization
(TPMO) need to include a notice to the beneficiary that their information may be shared with a licensed
agent for future contact. - True
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
False
(The LIS may not reduce Part D plan premiums. For example, on the Wellcare Value Script plans, the LIS
does not affect the member's premium obligation. In other cases, the LIS only partially reduces the
amount the member pays. We receive complaints where the assumption has been that any LIS
eliminates the plan premium.)
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024. -
TRUE
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing through Express
Scripts Pharmacy (Mail Order). - True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly
selected plan can cause a sales allegation. - True
For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will continue to offer a
discount (2.5 x 30-day preferred retail copay) for Tier 2, 3, and 6 prescriptions. - Value Plus
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the
remainder of the year once their total out of pocket costs reach $8,000. - ZERO
Lead-generating activities (either directly or indirectly) facilitated by a third-party marketing organization
(TPMO) need to include a notice to the beneficiary that their information may be shared with a licensed
agent for future contact. - True
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
False
(The LIS may not reduce Part D plan premiums. For example, on the Wellcare Value Script plans, the LIS
does not affect the member's premium obligation. In other cases, the LIS only partially reduces the
amount the member pays. We receive complaints where the assumption has been that any LIS
eliminates the plan premium.)
