WELLCARE MASTERY TEST EXAM QUESTIONS AND
ANSWERS (VERIFIED AND WELL DETAILED ANSWERS
GRADED A+) LATEST UPDATE 2025/2026
All three prescription drug plans (PDPs) will offer a five-tier formulary design -
(ANSWER)False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies - (ANSWER)True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains - (ANSWER)True
For 2025, Wellcare has 43 new plans going to market - (ANSWER)True
A low-Income Subsidy (LIS) member could be assigned one of __________copay
categories depending on the level of need. - (ANSWER)Four
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are
fully subsidized and receive the most assistance? - (ANSWER)Three
Effective 2025, key provisions of the Inflation Reduction Act include a newly
designed standard part D benefit consisting of three phases. Which phase in not
Included? - (ANSWER)Coverage Gap
Wellcare added which state to its footprint for 2025? - (ANSWER)Iowa
, Names and/or logos of provider co-branding partners can be displayed on
marketing materials, as long as the current and approved logos are used. -
(ANSWER)False
Members have several options to pay plan premiums. The best option to ensure
regular and timely payments are: - (ANSWER)ALL Of The Above
The best option to ensure regular and timely payments are: SSA/RRB premium
withhold, EFT, and AutoPay.
You can help prevent grievances by: (Select all that apply.) - (ANSWER)Select ALL
All of these are ways that you can help prevent grievances. You can 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 checking for understanding; and always confirming a
beneficiary's intent to enroll before accepting their enrollment application.
Wellcare Mutual of Omaha co-branded plans are offered in _____ states. -
(ANSWER)Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - (ANSWER)False
The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - (ANSWER)True
ANSWERS (VERIFIED AND WELL DETAILED ANSWERS
GRADED A+) LATEST UPDATE 2025/2026
All three prescription drug plans (PDPs) will offer a five-tier formulary design -
(ANSWER)False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies - (ANSWER)True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains - (ANSWER)True
For 2025, Wellcare has 43 new plans going to market - (ANSWER)True
A low-Income Subsidy (LIS) member could be assigned one of __________copay
categories depending on the level of need. - (ANSWER)Four
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are
fully subsidized and receive the most assistance? - (ANSWER)Three
Effective 2025, key provisions of the Inflation Reduction Act include a newly
designed standard part D benefit consisting of three phases. Which phase in not
Included? - (ANSWER)Coverage Gap
Wellcare added which state to its footprint for 2025? - (ANSWER)Iowa
, Names and/or logos of provider co-branding partners can be displayed on
marketing materials, as long as the current and approved logos are used. -
(ANSWER)False
Members have several options to pay plan premiums. The best option to ensure
regular and timely payments are: - (ANSWER)ALL Of The Above
The best option to ensure regular and timely payments are: SSA/RRB premium
withhold, EFT, and AutoPay.
You can help prevent grievances by: (Select all that apply.) - (ANSWER)Select ALL
All of these are ways that you can help prevent grievances. You can 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 checking for understanding; and always confirming a
beneficiary's intent to enroll before accepting their enrollment application.
Wellcare Mutual of Omaha co-branded plans are offered in _____ states. -
(ANSWER)Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - (ANSWER)False
The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - (ANSWER)True
