WELLCARE MASTERY COMPREHENSIVE EXAM
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔When explaining the provider network for D-SNPs and C-SNPs: - ✔✔Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk
members. If a member is not connected to a primary care provider (PCP), we should
always encourage and assist with connecting them with an in-network doctor.
✔✔An LEP is assessed by CMS when a member goes ______ days or longer without
creditable prescription drug coverage after they become Medicare-eligible. - ✔✔63 days
✔✔Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act. - ✔✔True
✔✔Which standalone Prescription Drug Plan (PDP) is best for a dual-eligible chooser? -
✔✔Classic
✔✔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. - ✔✔True
✔✔Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC,
NM, OH, OK, TX, and WI. - ✔✔True
✔✔The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024. - ✔✔True
✔✔The _________ plan is expected to have one of the lowest premiums in the country!
- ✔✔Value Script
✔✔Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1? - ✔✔Value Plus
✔✔Wellcare's 2024 product expansion represents a __% increase from 2023. - ✔✔One
✔✔Wellcare added which state to its footprint for 2024? - ✔✔Delaware
✔✔The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies. - ✔✔Sixty Thousand
✔✔CVS Caremark Mail Order will be in-network for 2024. - ✔✔False
2026/2027 QUESTIONS AND SOLUTIONS RATED A+
✔✔When explaining the provider network for D-SNPs and C-SNPs: - ✔✔Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk
members. If a member is not connected to a primary care provider (PCP), we should
always encourage and assist with connecting them with an in-network doctor.
✔✔An LEP is assessed by CMS when a member goes ______ days or longer without
creditable prescription drug coverage after they become Medicare-eligible. - ✔✔63 days
✔✔Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act. - ✔✔True
✔✔Which standalone Prescription Drug Plan (PDP) is best for a dual-eligible chooser? -
✔✔Classic
✔✔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. - ✔✔True
✔✔Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC,
NM, OH, OK, TX, and WI. - ✔✔True
✔✔The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024. - ✔✔True
✔✔The _________ plan is expected to have one of the lowest premiums in the country!
- ✔✔Value Script
✔✔Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1? - ✔✔Value Plus
✔✔Wellcare's 2024 product expansion represents a __% increase from 2023. - ✔✔One
✔✔Wellcare added which state to its footprint for 2024? - ✔✔Delaware
✔✔The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies. - ✔✔Sixty Thousand
✔✔CVS Caremark Mail Order will be in-network for 2024. - ✔✔False
