WELLCARE ACT MASTERY EXAM 2025 QUESTIONS WITH
SOLUTIONS GUARANTEE A+
✔✔You can help 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 check for understanding.
Always confirming a beneficiary's intent to enroll before accepting their enrollment
application.
✔✔A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information. - ✔✔True
✔✔Wellcare expanded our county footprint in _____ states for 2024. - ✔✔Five
✔✔All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-
sharing through Express Scripts Pharmacy (Mail Order). - ✔✔True
✔✔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. - ✔✔False
✔✔For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will
continue to off er a discount (2.5 x 30-day preferred retail copay) for Tier 2, 3, and 6
prescriptions. - ✔✔Value Plus
✔✔Which is the Prescription Drug Plan (PDP) Preferred Mail Order network for 2024? -
✔✔Express Scripts Pharmacy
✔✔The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA). - ✔✔True
✔✔Prior to the beginning of the enrollment process, a broker/agent is required to cover
certain beneficiary specific information, including but not limited to: - ✔✔All of these
✔✔The Single Sign-On Portal provides access to several applications, including
CustomPoint - ✔✔True
, ✔✔An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can
enroll based solely on life events that qualify for an SEP period. - ✔✔True
✔✔The Mastery Exam will lock for a period of 48 hours after each failed attempt. -
✔✔False
✔✔When an enrollment application is completed in Ascend, brokers/agents can
complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment
application, through the Value-Based Enrollment (VBE) portal. - ✔✔True
✔✔Brokers/Agents MUST complete a Wellcare Contract Recertifi cation case in
Centene Workbench (CWB) every two years. - ✔✔False
✔✔Brokers/Agents can submit a support ticket online through their Centene Workbench
portal. - ✔✔True
✔✔Wellcare added which state to its footprint for 2024? - ✔✔Delaware
✔✔What are some examples of steps that can be taken when safeguarding and
securing PHI and PII?
(Select all that apply.) - ✔✔Shred documents that contain PHI or PII using appropriate
means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
✔✔Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task - ✔✔True
✔✔Marketing materials that have been developed by a third-party marketing
organization (TPMO) for multiple MA organizations or plansmust be pre-reviewed by
each MA organization, submitted to CMS in the Health Plan Management System
(HPMS), and opted-in by thePlan prior to distribution. - ✔✔True
✔✔The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies. - ✔✔Sixty Thousand
✔✔With which types of inquiries can Wellcare's Corporate Sales Support team assist? -
✔✔All of these
SOLUTIONS GUARANTEE A+
✔✔You can help 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 check for understanding.
Always confirming a beneficiary's intent to enroll before accepting their enrollment
application.
✔✔A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information. - ✔✔True
✔✔Wellcare expanded our county footprint in _____ states for 2024. - ✔✔Five
✔✔All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-
sharing through Express Scripts Pharmacy (Mail Order). - ✔✔True
✔✔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. - ✔✔False
✔✔For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will
continue to off er a discount (2.5 x 30-day preferred retail copay) for Tier 2, 3, and 6
prescriptions. - ✔✔Value Plus
✔✔Which is the Prescription Drug Plan (PDP) Preferred Mail Order network for 2024? -
✔✔Express Scripts Pharmacy
✔✔The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA). - ✔✔True
✔✔Prior to the beginning of the enrollment process, a broker/agent is required to cover
certain beneficiary specific information, including but not limited to: - ✔✔All of these
✔✔The Single Sign-On Portal provides access to several applications, including
CustomPoint - ✔✔True
, ✔✔An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can
enroll based solely on life events that qualify for an SEP period. - ✔✔True
✔✔The Mastery Exam will lock for a period of 48 hours after each failed attempt. -
✔✔False
✔✔When an enrollment application is completed in Ascend, brokers/agents can
complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment
application, through the Value-Based Enrollment (VBE) portal. - ✔✔True
✔✔Brokers/Agents MUST complete a Wellcare Contract Recertifi cation case in
Centene Workbench (CWB) every two years. - ✔✔False
✔✔Brokers/Agents can submit a support ticket online through their Centene Workbench
portal. - ✔✔True
✔✔Wellcare added which state to its footprint for 2024? - ✔✔Delaware
✔✔What are some examples of steps that can be taken when safeguarding and
securing PHI and PII?
(Select all that apply.) - ✔✔Shred documents that contain PHI or PII using appropriate
means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
✔✔Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task - ✔✔True
✔✔Marketing materials that have been developed by a third-party marketing
organization (TPMO) for multiple MA organizations or plansmust be pre-reviewed by
each MA organization, submitted to CMS in the Health Plan Management System
(HPMS), and opted-in by thePlan prior to distribution. - ✔✔True
✔✔The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies. - ✔✔Sixty Thousand
✔✔With which types of inquiries can Wellcare's Corporate Sales Support team assist? -
✔✔All of these
