WellCare ACT Mastery Exam - Broker, 2025 ACTUAL EXAM Questions and Answers Updated (2025/2026) (Verified Answers)

WELLCARE 1 WellCare ACT Mastery Exam - Broker, 2025 ACTUAL EXAM Questions and Answers Updated (2025/2026) (Verified Answers) Which of the following is not an example of Protected Health Information (PHI)? a. Medical records b. Payment history c. Library card - CORRECT ANS c. Library card Which option is the preferred method to submit enrolment? a. Centene Workbench Upload b. Ascend Web/Mobile Application c. Fax/Paper - CORRECT ANS b. Ascend Web/Mobile Application With which types of inquiries can WellCare’s Corporate Sales Support team assist? a. Application and Enrolment b. Onboarding and Certifications c. Commissions d. All of these - CORRECT ANS d. All of these A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: a. Appeal b. Grievance - CORRECT ANS a. Appeal WELLCARE ACT WELLCARE 2 The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies. a. Sixty Thousand b. Thirty Thousand c. Twenty Thousand - CORRECT ANS a. Sixty Thousand 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. True False - CORRECT ANS False ____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington, D.C. a. Two b. Three c. Four d. Five - CORRECT ANS d. Five Wellcare added which state to its footprint for 2024? a. Alabama b. Arkansas c. Delaware d. Oklahoma - CORRECT ANS c. Delaware *Wellcare's 2024 product expansion represents a __% increase from 2023. a. One b. Two c. Three d. Five - CORRECT ANS c. Three WELLCARE ACT WELLCARE 3 * NOT c. Three The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024. True False - CORRECT ANS True *Wellcare continues to expand its reach by offering more products in a wider geography. ____ new Wellcare plans are going to market. a. Twenty-three b. Twenty-seven c. Thirty-five - CORRECT ANS b. Twenty-seven *NOT c. Thirty-five *Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence generics on Tier 1? Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence generics on Tier 1? a. Classic b. Value Script c. Value Plus - CORRECT ANS a. Classic *NOT b. Value Script All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. True False - CORRECT ANS True WELLCARE ACT WELLCARE 4 All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless of which network pharmacy is used by members. a. Zero b. Five c. Ten d. Fifteen - CORRECT ANS a. Zero Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS the member is granted. True False - CORRECT ANS True *Wellcare's _____ plan is designed for Low-Income Subsidy members. a. Classic b. Value Plus c. Value Script - CORRECT ANS a. Classic *NOT c. Value Script Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. True False - CORRECT ANS False Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following receipt from the beneficiary. a. 1 b. 3 WELLCARE ACT WELLCARE 5 c. 5 d. 7 - CORRECT ANS a. 1 If a requested effective date is available for the special election period being selected, ensure you are requesting a date within the correct timeframe for the member based on their eligibility date or change date needed. True False - CORRECT ANS True Once the enrollment is completed, you can save a copy of the application for your reference. True False - CORRECT ANS False Members who fail to pay the required premiums before the end of the grace period (Wellcare has a three-month grace period) will be terminated. True False - CORRECT ANS True When completing an enrollment, be sure to use the correct enrollment application for the desired plan year. True False - CORRECT ANS The Mastery Exam will lock for a period of 48 hours after each failed attempt. True False - CORRECT ANS False