WELLCARE ACT MASTERY EXAM
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: Which Prescription Drug Plan (PDP) product features
no deductible on any tier?
a. Classic
b. Value Script
c. Value Plus
Answer:
c. Value Plus
Question 2: Which is the Prescription Drug Plan (PDP) Preferred
Mail Order network for 2024?
a. Express Scripts Pharmacy
b. CVS Caremark
c. Both A and B
Answer:
a. Express Scripts Pharmacy
Question 3: The Pharmacy Benefit Manager (PBM) migration to
Express Scripts effective 1/1/2024 will impact which plan(s)?
a. PDP Only
b. MAPD Only
c. Both PDP & MAPD
Answer:
c. Both PDP & MAPD
,Question 4: In the Catastrophic Coverage stage, the member will
pay $___ for brand and generic drugs for the remainder of the year
once their total out of pocket costs reach $8,000.
a. Three
b. Five
c. Ten
d. Zero
Answer:
d. Zero
Question 5: Which of the Prescription Drug Plan (PDP) products is
new to the 6-tier formulary structure for 2024?
a. Classic
b. Value Script
c. Value Plus
Answer:
a. Classic
Question 6: 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
False
Answer:
True
Question 7: Which standalone Prescription Drug Plan (PDP) is best
for a dual-eligible chooser?
a. Value Script
, b. Value Plus
c. Classic
Answer:
c. Classic
Question 8: The _________ plan is expected to have one of the
lowest premiums in the country!
a. Classic
b. Value Plus
c. Value Script
Answer:
c. Value Script
Question 9: Which of the following is not an example of Protected
Health Information
Answer:
Library Card
Question 10: When verify a D-SNP beneficiary's Medicaid eligibility
through the Ascend Medicaid search tool, you should confirm their
current Medicaid status qualifies for the selected D-SNP being
enrolled in and explain that changes in Medicaid eligibility may
affect enrollment and/or sharing.
Answer:
True
Question 11: Wellcare does not need to be informed of all
marketing/sales events at which plans or materials will be
, presented or distributed (formal and informal).
Answer:
False
Question 12: Which option is the preferred method to submit
enrollment?
Answer:
Ascend Web/Mobile Applicaiton
Question 13: From October 1 to October 14, certain activities are
Non-Permissible Activities. These include:
Answer:
All of these
Question 14: A broker/agent who has never had any verbal
warnings cannot be issued a Corrective Action Plan.
Answer:
False
Question 15: A request to the plan from a member or provider for a
formal review of an Action (Denial) or Adverse n Determination
(Medicare) is a/an:
Answer:
Appeal
Question 16: An SEP is a period outside of the ICEP, ARP, or MA
OEP when beneficiaries can enroll based solely on life events that
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR JUST RELEASED
Question 1: Which Prescription Drug Plan (PDP) product features
no deductible on any tier?
a. Classic
b. Value Script
c. Value Plus
Answer:
c. Value Plus
Question 2: Which is the Prescription Drug Plan (PDP) Preferred
Mail Order network for 2024?
a. Express Scripts Pharmacy
b. CVS Caremark
c. Both A and B
Answer:
a. Express Scripts Pharmacy
Question 3: The Pharmacy Benefit Manager (PBM) migration to
Express Scripts effective 1/1/2024 will impact which plan(s)?
a. PDP Only
b. MAPD Only
c. Both PDP & MAPD
Answer:
c. Both PDP & MAPD
,Question 4: In the Catastrophic Coverage stage, the member will
pay $___ for brand and generic drugs for the remainder of the year
once their total out of pocket costs reach $8,000.
a. Three
b. Five
c. Ten
d. Zero
Answer:
d. Zero
Question 5: Which of the Prescription Drug Plan (PDP) products is
new to the 6-tier formulary structure for 2024?
a. Classic
b. Value Script
c. Value Plus
Answer:
a. Classic
Question 6: 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
False
Answer:
True
Question 7: Which standalone Prescription Drug Plan (PDP) is best
for a dual-eligible chooser?
a. Value Script
, b. Value Plus
c. Classic
Answer:
c. Classic
Question 8: The _________ plan is expected to have one of the
lowest premiums in the country!
a. Classic
b. Value Plus
c. Value Script
Answer:
c. Value Script
Question 9: Which of the following is not an example of Protected
Health Information
Answer:
Library Card
Question 10: When verify a D-SNP beneficiary's Medicaid eligibility
through the Ascend Medicaid search tool, you should confirm their
current Medicaid status qualifies for the selected D-SNP being
enrolled in and explain that changes in Medicaid eligibility may
affect enrollment and/or sharing.
Answer:
True
Question 11: Wellcare does not need to be informed of all
marketing/sales events at which plans or materials will be
, presented or distributed (formal and informal).
Answer:
False
Question 12: Which option is the preferred method to submit
enrollment?
Answer:
Ascend Web/Mobile Applicaiton
Question 13: From October 1 to October 14, certain activities are
Non-Permissible Activities. These include:
Answer:
All of these
Question 14: A broker/agent who has never had any verbal
warnings cannot be issued a Corrective Action Plan.
Answer:
False
Question 15: A request to the plan from a member or provider for a
formal review of an Action (Denial) or Adverse n Determination
(Medicare) is a/an:
Answer:
Appeal
Question 16: An SEP is a period outside of the ICEP, ARP, or MA
OEP when beneficiaries can enroll based solely on life events that
