WELLCARE 2025 Final
For 2025, Wellcare will offer a Value-Based Insurance Design (VBID) model on select Dual Eligible Special
Needs Plans (D-SNPs) that include $0 deductible and $0 copays for covered prescriptions.
True
Members that opt in to the Medicare Prescription Payment Plan program will receive a bill each month
from the plan instead of paying for Part D covered drugs at the pharmacy.
True
For 2025, Wellcare has 43 new plans going to market.
True
Final 2025 plan and benefit information may be discussed with beneficiaries on or before September 30,
2024.
False
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and Safety Items on
select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan).
True
, All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1 preferred
generic medications through Express Scripts Pharmacy home delivery.
True
Only members with a standalone Prescription Drug Plan (PDP) are eligible to use the Medicare
Prescription Payment Plan option.
False
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members.
Classic
Which will be Wellcare's Preferred Mail Order pharmacy?
Express Scripts Pharmacy
The Medicare Prescription Payment Plan allows prescription costs to be spread across _____ payments
billed directly to the member.
Monthly
Agents must meet all required contracting, training, and certification requirements annually to be
eligible to sell Wellcare's Medicare products.
True
For 2025, Wellcare will offer a Value-Based Insurance Design (VBID) model on select Dual Eligible Special
Needs Plans (D-SNPs) that include $0 deductible and $0 copays for covered prescriptions.
True
Members that opt in to the Medicare Prescription Payment Plan program will receive a bill each month
from the plan instead of paying for Part D covered drugs at the pharmacy.
True
For 2025, Wellcare has 43 new plans going to market.
True
Final 2025 plan and benefit information may be discussed with beneficiaries on or before September 30,
2024.
False
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and Safety Items on
select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan).
True
, All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1 preferred
generic medications through Express Scripts Pharmacy home delivery.
True
Only members with a standalone Prescription Drug Plan (PDP) are eligible to use the Medicare
Prescription Payment Plan option.
False
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members.
Classic
Which will be Wellcare's Preferred Mail Order pharmacy?
Express Scripts Pharmacy
The Medicare Prescription Payment Plan allows prescription costs to be spread across _____ payments
billed directly to the member.
Monthly
Agents must meet all required contracting, training, and certification requirements annually to be
eligible to sell Wellcare's Medicare products.
True
