WELLCARE MASTERY 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔ All three prescription drug plans (PDPs) will offer a five-tier formulary design -
✔✔False
✔✔All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies - ✔✔True
✔✔For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains - ✔✔True
✔✔For 2025, Wellcare has 43 new plans going to market - ✔✔True
✔✔A low-Income Subsidy (LIS) member could be assigned one of __________copay
categories depending on the level of need. - ✔✔Four
✔✔Which Low-Income Subsidy (LIS) category is assigned to members whose costs are
fully subsidized and receive the most assistance? - ✔✔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? - ✔✔Coverage Gap
✔✔Wellcare added which state to its footprint for 2025? - ✔✔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. - ✔✔False
✔✔Members have several options to pay plan premiums. The best option to ensure
regular and timely payments are: - ✔✔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.) - ✔✔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. - ✔✔Five
, ✔✔Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - ✔✔False
✔✔The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - ✔✔True
✔✔Brokers/Agents can access and download enrollment materials through
CustomPoint® - ✔✔True
✔✔Brokers MUST complete a Wellcare Contract Recertification case in Centene
Workbench (CWB) every two years. - ✔✔False
✔✔Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench: - ✔✔All of the above
Training Resources
Commission Resources
Marketing Resources
✔✔Self-reporting of a compliance issue must be made to Corporate Compliance or to a
Health Plan Sales Leader and must indicate: - ✔✔All of the Above
The date of the incident.
The date of the report.
That it is being self-reported
✔✔Materials that include plan comparisons or cost sharing do not require Centers for
Medicare & Medicaid Services (CMS) submission - ✔✔False
✔✔______ 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. - ✔✔Educational
✔✔Which of the following statements about CustomPoint® features is FALSE? -
✔✔Access through Wellcare.com
✔✔Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading unless that is unavoidable because of
local/regional or media use. - ✔✔True
✔✔Which of the following statements about the Scope of Appointment (SOA) is
FALSE? - ✔✔An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant
SOLUTIONS RATED A+
✔✔ All three prescription drug plans (PDPs) will offer a five-tier formulary design -
✔✔False
✔✔All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies - ✔✔True
✔✔For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains - ✔✔True
✔✔For 2025, Wellcare has 43 new plans going to market - ✔✔True
✔✔A low-Income Subsidy (LIS) member could be assigned one of __________copay
categories depending on the level of need. - ✔✔Four
✔✔Which Low-Income Subsidy (LIS) category is assigned to members whose costs are
fully subsidized and receive the most assistance? - ✔✔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? - ✔✔Coverage Gap
✔✔Wellcare added which state to its footprint for 2025? - ✔✔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. - ✔✔False
✔✔Members have several options to pay plan premiums. The best option to ensure
regular and timely payments are: - ✔✔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.) - ✔✔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. - ✔✔Five
, ✔✔Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - ✔✔False
✔✔The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - ✔✔True
✔✔Brokers/Agents can access and download enrollment materials through
CustomPoint® - ✔✔True
✔✔Brokers MUST complete a Wellcare Contract Recertification case in Centene
Workbench (CWB) every two years. - ✔✔False
✔✔Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench: - ✔✔All of the above
Training Resources
Commission Resources
Marketing Resources
✔✔Self-reporting of a compliance issue must be made to Corporate Compliance or to a
Health Plan Sales Leader and must indicate: - ✔✔All of the Above
The date of the incident.
The date of the report.
That it is being self-reported
✔✔Materials that include plan comparisons or cost sharing do not require Centers for
Medicare & Medicaid Services (CMS) submission - ✔✔False
✔✔______ 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. - ✔✔Educational
✔✔Which of the following statements about CustomPoint® features is FALSE? -
✔✔Access through Wellcare.com
✔✔Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading unless that is unavoidable because of
local/regional or media use. - ✔✔True
✔✔Which of the following statements about the Scope of Appointment (SOA) is
FALSE? - ✔✔An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant
