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Exam (elaborations)

Wellcare Exam Updated 2024/2025 Actual Questions and answers with complete solutions

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Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary specific information, including but not limited to: - All All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless of which network pharmacy is used by members - $0 An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life events that qualify for an SEP period. - True CVS Caremark Mail Order will be in-network for 2024 - False Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - False Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? - NOT - Serving Government Customers Members are no longer required to pay a partial deductible due to the Inflation Reduction Act - False Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS the member is granted - False Once the enrollment is completed, you can save a copy of the application for your reference. - FalseWhich of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for 2024? - NOT - Value Script 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 The Mastery Exam will lock for a period of 48 hours after each failed attempt. - False A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse Plan Determination (Medicare) is a/an: - Appeal

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Uploaded on
August 2, 2024
Number of pages
3
Written in
2024/2025
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Wellcare Exam
Prior to the beginning of the enrollment process, a broker/agent is required to cover certain beneficiary
specific information, including but not limited to: - All



All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless
of which network pharmacy is used by members - $0



An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life
events that qualify for an SEP period. - True



CVS Caremark Mail Order will be in-network for 2024 - False



Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums -
False



Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's
quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? - NOT -
Serving Government Customers



Members are no longer required to pay a partial deductible due to the Inflation Reduction Act -
False



Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS
the member is granted - False



Once the enrollment is completed, you can save a copy of the application for your reference. -
False

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