1. All three prescription drug plans (PDPs) will offer a False
five-tier formulary design
2. All Prescription Drug Plans (PDPs) will feature a $0 True
Tier 1 benefit when filled at preferred pharmacies
3. For 2025, Wellcare preferred networks include Wal- True
greens, CVS, and some grocery chains
4. For 2025, Wellcare has 43 new plans going to market True
5. A low-Income Subsidy (LIS) member could be as- Four
signed one of copay categories depend-
ing on the level of need.
6. Which Low-Income Subsidy (LIS) category is as- Three
signed to members whose costs are fully subsidized
and receive the most assistance?
7. Effective 2025, key provisions of the Inflation Reduc- Coverage Gap
tion Act include a newly designed standard part D
benefit consisting of three phases. Which phase in not
Included?
8. Wellcare added which state to its footprint for 2025? Iowa
9. Names and/or logos of provider co-branding partners False
can be displayed on marketing materials, as long as
the current and approved logos are used.
10. Members have several options to pay plan premiums. ALL Of The Above
The best option to ensure regular and timely pay- The best option
ments are: to ensure reg-
ular and time-
ly payments are:
SSA/RRB premi-
um withhold, EFT,
and AutoPay.
11.
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, WELLCARE MASTERY EXAM WITH VERIFIED ANSWERS
You can help prevent grievances by: (Select all that Select ALL
apply.) All of these are
ways that you
can help pre-
vent grievances.
You can prevent
grievances by al-
ways confirming
availability of the
beneficiary's pri-
mary and special-
ist providers by us-
ing the provider
search tool avail-
able on the plan's
website; always
using plan ma-
terials to clear-
ly explain plan
benefits and cost
(including medica-
tions) and check-
ing for understand-
ing; and always
confirming a ben-
eficiary's intent to
enroll before ac-
cepting their en-
rollment applica-
tion.
12. Wellcare Mutual of Omaha co-branded plans are of- Five
fered in states.
13. Final 2025 plan and benefit information may be dis- False
cussed with beneficiaries on or before September 30,
2024.
14. True
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