2024 Wellcare Act Mastery Exam
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C. - questions and answers-3
A grievance request, or any evidence concerning a grievance, must be filed orally or in writing
no later than _____ calendar days from the date of the event or the date the member is made
aware of the issue. - questions and answers-60
Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.) - questions and answers-a. Complaint Tracking Module (CTM)
c. Grievance
d. Secret Shop Finding
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - questions and answers-0
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
questions and answers-F
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course. - questions and answers-T
CVS Caremark Mail Order will be in-network for 2024. - questions and answers-F
Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP once per
each of the ______ calendar quarters only.
(Select all that apply.) - questions and answers-a.First
b.Second
c.Third
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. - questions and answers-T
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 - questions and
answers-0
Key areas you as an agent have control over and impact upon regarding Star Ratings for quality
are: - questions and answers-All of these
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C. - questions and answers-3
A grievance request, or any evidence concerning a grievance, must be filed orally or in writing
no later than _____ calendar days from the date of the event or the date the member is made
aware of the issue. - questions and answers-60
Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.) - questions and answers-a. Complaint Tracking Module (CTM)
c. Grievance
d. Secret Shop Finding
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - questions and answers-0
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
questions and answers-F
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course. - questions and answers-T
CVS Caremark Mail Order will be in-network for 2024. - questions and answers-F
Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP once per
each of the ______ calendar quarters only.
(Select all that apply.) - questions and answers-a.First
b.Second
c.Third
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. - questions and answers-T
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 - questions and
answers-0
Key areas you as an agent have control over and impact upon regarding Star Ratings for quality
are: - questions and answers-All of these
