WELLCARE ACT MASTERY EXAM -BROKER /EMPLOYEE
EXAM 2025 WITH WELL DETAILED AND VERIFIED ANSWERS
||AWARDED A+||
Which of the following statements about Scope of Appointment (SOA) is
FALSE? - ANSWER-An electronic SOA submitted in Ascend must be in a
Pending status prior to beginning the appointment.
Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are: - ANSWER-All of these
Beneficiary-facing marketing materials for multiple MA organizations or
plans must be submitted to the HPMS Marketing Module by the third-party
marketing organization (TPMO) no later than 30 days of use. - ANSWER-
False
When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year. - ANSWER-True
Providers may create co-branded marketing pieces using the Wellcare
name and logo, as long as they are using the current, approved logo. -
ANSWER-False
Although options for capturing and submitting SOAs vary by health plan,
Wellcare accepts SOAs in which of the following methods? - ANSWER-All
of these
,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. -
ANSWER-True
Which of the following is not considered a grievance? - ANSWER-A dispute
of the appeal of an organization determination, coverage determination, or
a Late Enrollment Penalty (LEP) determination.
Brokers/Agents can access and download enrollment materials through
CustomPoint. - ANSWER-True
______ 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. - ANSWER-
Educational
Materials that include plan comparisons or cost-sharing do not require CMS
submission. - ANSWER-False
Medicare Star Ratings and performance are at the forefront of Wellcare's
quality strategy. Wellcare's quality focus consists of six drivers. Which of
the following is not a Wellcare quality driver? - ANSWER-Member
Payments
The Pharmacy Benefit Manager (PBM) migration to Express Scripts
effective 1/1/2024 will impact which plan(s)? - ANSWER-Both PDP &
MAPD
, A Low-Income Subsidy (LIS) member will be assigned one of ____ copay
categories depending on the level of need. - ANSWER-Four
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced
insulin copays for all insulins and insulin-combination products that are on
the formulary, regardless of tier, and are included in the $35 cap for one
month's supply. - ANSWER-True
Wellcare's 2024 product expansion represents a __% increase from 2023. -
ANSWER-One
CVS Caremark Mail Order will be in-network for 2024. - ANSWER-False
Which Prescription Drug Plan (PDP) product has the richest formulary with
the most adherence generics on Tier 1? - ANSWER-Value Plus
Centene requires all contracted brokers/agents to read, understand, and
agree to Centene's Business Ethics and Code of Conduct Policy. -
ANSWER-True
Communication of PHI can be: - ANSWER-Written, Electronic, Verbal
From October 1 to October 14, certain activities are Non-Permissible
Activities. These include:
Assist with completing an application
Collect a completed application
EXAM 2025 WITH WELL DETAILED AND VERIFIED ANSWERS
||AWARDED A+||
Which of the following statements about Scope of Appointment (SOA) is
FALSE? - ANSWER-An electronic SOA submitted in Ascend must be in a
Pending status prior to beginning the appointment.
Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are: - ANSWER-All of these
Beneficiary-facing marketing materials for multiple MA organizations or
plans must be submitted to the HPMS Marketing Module by the third-party
marketing organization (TPMO) no later than 30 days of use. - ANSWER-
False
When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year. - ANSWER-True
Providers may create co-branded marketing pieces using the Wellcare
name and logo, as long as they are using the current, approved logo. -
ANSWER-False
Although options for capturing and submitting SOAs vary by health plan,
Wellcare accepts SOAs in which of the following methods? - ANSWER-All
of these
,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. -
ANSWER-True
Which of the following is not considered a grievance? - ANSWER-A dispute
of the appeal of an organization determination, coverage determination, or
a Late Enrollment Penalty (LEP) determination.
Brokers/Agents can access and download enrollment materials through
CustomPoint. - ANSWER-True
______ 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. - ANSWER-
Educational
Materials that include plan comparisons or cost-sharing do not require CMS
submission. - ANSWER-False
Medicare Star Ratings and performance are at the forefront of Wellcare's
quality strategy. Wellcare's quality focus consists of six drivers. Which of
the following is not a Wellcare quality driver? - ANSWER-Member
Payments
The Pharmacy Benefit Manager (PBM) migration to Express Scripts
effective 1/1/2024 will impact which plan(s)? - ANSWER-Both PDP &
MAPD
, A Low-Income Subsidy (LIS) member will be assigned one of ____ copay
categories depending on the level of need. - ANSWER-Four
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced
insulin copays for all insulins and insulin-combination products that are on
the formulary, regardless of tier, and are included in the $35 cap for one
month's supply. - ANSWER-True
Wellcare's 2024 product expansion represents a __% increase from 2023. -
ANSWER-One
CVS Caremark Mail Order will be in-network for 2024. - ANSWER-False
Which Prescription Drug Plan (PDP) product has the richest formulary with
the most adherence generics on Tier 1? - ANSWER-Value Plus
Centene requires all contracted brokers/agents to read, understand, and
agree to Centene's Business Ethics and Code of Conduct Policy. -
ANSWER-True
Communication of PHI can be: - ANSWER-Written, Electronic, Verbal
From October 1 to October 14, certain activities are Non-Permissible
Activities. These include:
Assist with completing an application
Collect a completed application
