Wellcare certification Mastery Exam 2025 Questions With
Complete Solutions
______ events are designed to inform the people who attend
about Medicare Advantage, Prescription Drug, or other
Medicare programs without going into the specifics of a
particular carrier. Correct Answers Educational
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. Correct Answers 60
All Prescription Drug Plans (PDPs) offer preferred cost-sharing
including $0 copay on Tier 1 preferred generic medications
through Express Scripts Pharmacy home delivery. Correct
Answers True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1
benefit when filled at preferred pharmacies. Correct Answers
True
All Traditional Medicare Advantage Prescription Drug (MAPD)
plans will offer $0 copay for most Part D preventive vaccines
regardless of network pharmacy used by members. Correct
Answers True
An Election Period Request for Information (RFI) must be
resolved within 7 calendar days, or the application will be
denied. Correct Answers True
, Brokers/Agents can access and download enrollment materials
through CustomPoint®. Correct Answers True
CustomPoint® sales material order dates will be posted on
Wellcare.com Correct Answers False
Disciplinary actions stemming from the result of a compliance
allegation are always progressive. Correct Answers False
Effective 2025, key provisions of the Inflation Reduction Act
include a lower annual threshold of $_____ for out-of-pocket
(OOP) prescription drug costs in Medicare. Correct Answers
2,000
Enrollments through Ascend offer the following unique benefits:
(Select all that apply.) Correct Answers All
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. Correct Answers True
For 2025, Wellcare will be offering plans to more than 51
million beneficiaries, which accounts for 77% of all eligible
Medicare beneficiaries in our ___ states Correct Answers 32
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. Correct Answers True
Complete Solutions
______ events are designed to inform the people who attend
about Medicare Advantage, Prescription Drug, or other
Medicare programs without going into the specifics of a
particular carrier. Correct Answers Educational
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. Correct Answers 60
All Prescription Drug Plans (PDPs) offer preferred cost-sharing
including $0 copay on Tier 1 preferred generic medications
through Express Scripts Pharmacy home delivery. Correct
Answers True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1
benefit when filled at preferred pharmacies. Correct Answers
True
All Traditional Medicare Advantage Prescription Drug (MAPD)
plans will offer $0 copay for most Part D preventive vaccines
regardless of network pharmacy used by members. Correct
Answers True
An Election Period Request for Information (RFI) must be
resolved within 7 calendar days, or the application will be
denied. Correct Answers True
, Brokers/Agents can access and download enrollment materials
through CustomPoint®. Correct Answers True
CustomPoint® sales material order dates will be posted on
Wellcare.com Correct Answers False
Disciplinary actions stemming from the result of a compliance
allegation are always progressive. Correct Answers False
Effective 2025, key provisions of the Inflation Reduction Act
include a lower annual threshold of $_____ for out-of-pocket
(OOP) prescription drug costs in Medicare. Correct Answers
2,000
Enrollments through Ascend offer the following unique benefits:
(Select all that apply.) Correct Answers All
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. Correct Answers True
For 2025, Wellcare will be offering plans to more than 51
million beneficiaries, which accounts for 77% of all eligible
Medicare beneficiaries in our ___ states Correct Answers 32
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. Correct Answers True