Wellcare certification with correct answers 100% 2026
Wellcare certification with correct answers 100% 2026 Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) - Correct Answer Complaint Tracking Module (CTM) Grievance Secret Shop Finding Wellcare does not need to be informed of informal marketing/sales events at which plans or materials will be presented or distributed. - Correct Answer False Materials that include plan comparisons or cost sharing do not require Centers for Medicare & Medicaid Services (CMS) submission. - Correct Answer False 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. - Correct Answer False Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization (TPMO) for multiple Medicare Advantage (MA) organizations or plans can be reviewed by just one MA organization, submitted to the Centers for Medicare & Medicaid Services (CMS) in the Health Plan Management System (HPMS), and opted in by the health plan after distribution. - Correct Answer False The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client after enrollment to ensure the enrollee understands important plan benefits and rules. - Correct Answer False Once the enrollment is completed, you can save a copy of the application for your reference. - Correct Answer False Starting in 2025, a member may move through THREE benefit stages during the plan year. Which benefit stage will no longer exist? - Correct Answer Coverage Gap The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies. - Correct Answer 60K 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 Answer 2000 Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in 24 states. - Correct Answer True Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a premium regardless of LIS subsidy status. - Correct Answer True Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new certifications and recertifications take place. - Correct Answer 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. - Correct Answer True Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) - Correct Answer Arizona and Oregon All three Prescription Drug Plans (PDPs) will offer a five-tier formulary design. - Correct Answer true All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. - Correct Answer true Brokers MUST complete a Wellcare Contract Recertification case in Centene Workbench (CWB) every two years. - Correct Answer false Wellcare's Corporate Office support team can assist with which types of inquiries? - Correct Answer All of the Above Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - Correct Answer All of these As part of Centene's Ethics and Compliance program, Centene requires all contracted brokers/agents to review and agree to its Business Ethics and Code of Conduct Policy. - Correct Answer True Which of the following statements about CustomPoint® features is FALSE? - Correct Answer Access through W
Written for
- Institution
- WellCare 2026 Certification
- Course
- WellCare 2026 Certification
Document information
- Uploaded on
- March 29, 2026
- Number of pages
- 4
- Written in
- 2025/2026
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- Exam (elaborations)
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- Questions & answers
Subjects
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rokersagents may be investigated after being susp
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materials that include plan comparisons or cost sh
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medicare advantage ma organizations or plans can
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