WELLCARE ACT MASTERY EXAM QUESTIONS AND
CORRECT ANSWERS VERIFIED BY EXPERTS|ACCURATE
ACTUAL EXAM WITH FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE| GUARANTEED PASS|ALREADY
GRADED A+|LATEST UPDATE 2024/2025
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - CORRECT ANSWER b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - CORRECT ANSWER d. All of these
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:
a. Appeal
b. Grievance - CORRECT ANSWER a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - CORRECT ANSWER a. Sixty Thousand
With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024,
existing members can continue to use their current ID card 1/1/2024 and beyond.
True
False - CORRECT ANSWER False
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C.
a. Two
b. Three
c. Four
d. Five - CORRECT ANSWER d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
,d. Oklahoma - CORRECT ANSWER c. Delaware
*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - CORRECT ANSWER c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains
in 2024.
True
False - CORRECT ANSWER True
*Wellcare continues to expand its reach by offering more products in a wider geography. ____
new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five - CORRECT ANSWER b. Twenty-seven
*NOT c. Thirty-five
*Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence
generics on Tier 1?
Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence
generics on Tier 1?
a. Classic
b. Value Script
c. Value Plus - CORRECT ANSWER a. Classic
*NOT b. Value Script
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies.
True
False - CORRECT ANSWER True
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen - CORRECT ANSWER a. Zero
,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.
True
False - CORRECT ANSWER True
*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script - CORRECT ANSWER a. Classic
*NOT c. Value Script
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums.
True
False - CORRECT ANSWER False
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
a. 1
b. 3
c. 5
d. 7 - CORRECT ANSWER a. 1
If a requested effective date is available for the special election period being selected, ensure you
are requesting a date within the correct timeframe for the member based on their eligibility date
or change date needed.
True
False - CORRECT ANSWER True
Once the enrollment is completed, you can save a copy of the application for your reference.
True
False - CORRECT ANSWER False
Members who fail to pay the required premiums before the end of the grace period (Wellcare has
a three-month grace period) will be terminated.
True
False - CORRECT ANSWER True
The Mastery Exam will lock for a period of 48 hours after each failed attempt.
True
False - CORRECT ANSWER False
CustomPoint sales material order dates will be posted on Wellcare.com.
True
, False - CORRECT ANSWER False
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a:
(Select all that apply.)
a. Complaint Tracking Module (CTM)
b. Yelp Review
c. Grievance
d. Secret Shop Finding - CORRECT ANSWER a. Complaint Tracking Module (CTM)
c. Grievance
d. Secret Shop Finding
When explaining the provider network for D-SNPs and C-SNPs:
(Select all that apply.)
a. Avoid submitting applications with no primary care provider (PCP) to assist these higher-risk
members.
b. 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.
c. Not explaining the provider network is a fundamental task during the enrollment process.
d. None of these - CORRECT ANSWER a. Avoid submitting applications with no primary care
provider (PCP) to assist these higher-risk members.
b. 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.
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing.
True
False - CORRECT ANSWER True
A grievance request, or any evidence concerning a grievance, must be filed orally or in writing
no later than _____ calendar days from the date of the event or the date the member is made
aware of the issue.
a. 30
b. 45
c. 60
d. 90 - CORRECT ANSWER c. 60
When discussing prescription drug coverage, you should:
(Select all that apply.)
a. Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy,
quantity limits).
b. Confirm coverage of the beneficiary's current and/or anticipated prescriptions.
c. Explain formulary tiers as well as drug copayment amounts.
d. For drugs that are not covered by the new plan, explain the Transition Fill program and how to
request a coverage exception. - CORRECT ANSWER a. Explain how to use the formulary to
look up limitations and exclusions (e.g., step therapy, quantity limits).
CORRECT ANSWERS VERIFIED BY EXPERTS|ACCURATE
ACTUAL EXAM WITH FREQUENTLY TESTED QUESTIONS
AND STUDY GUIDE| GUARANTEED PASS|ALREADY
GRADED A+|LATEST UPDATE 2024/2025
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - CORRECT ANSWER b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - CORRECT ANSWER d. All of these
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:
a. Appeal
b. Grievance - CORRECT ANSWER a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - CORRECT ANSWER a. Sixty Thousand
With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024,
existing members can continue to use their current ID card 1/1/2024 and beyond.
True
False - CORRECT ANSWER False
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C.
a. Two
b. Three
c. Four
d. Five - CORRECT ANSWER d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
,d. Oklahoma - CORRECT ANSWER c. Delaware
*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - CORRECT ANSWER c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains
in 2024.
True
False - CORRECT ANSWER True
*Wellcare continues to expand its reach by offering more products in a wider geography. ____
new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five - CORRECT ANSWER b. Twenty-seven
*NOT c. Thirty-five
*Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence
generics on Tier 1?
Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence
generics on Tier 1?
a. Classic
b. Value Script
c. Value Plus - CORRECT ANSWER a. Classic
*NOT b. Value Script
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies.
True
False - CORRECT ANSWER True
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen - CORRECT ANSWER a. Zero
,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.
True
False - CORRECT ANSWER True
*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script - CORRECT ANSWER a. Classic
*NOT c. Value Script
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums.
True
False - CORRECT ANSWER False
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
a. 1
b. 3
c. 5
d. 7 - CORRECT ANSWER a. 1
If a requested effective date is available for the special election period being selected, ensure you
are requesting a date within the correct timeframe for the member based on their eligibility date
or change date needed.
True
False - CORRECT ANSWER True
Once the enrollment is completed, you can save a copy of the application for your reference.
True
False - CORRECT ANSWER False
Members who fail to pay the required premiums before the end of the grace period (Wellcare has
a three-month grace period) will be terminated.
True
False - CORRECT ANSWER True
The Mastery Exam will lock for a period of 48 hours after each failed attempt.
True
False - CORRECT ANSWER False
CustomPoint sales material order dates will be posted on Wellcare.com.
True
, False - CORRECT ANSWER False
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a:
(Select all that apply.)
a. Complaint Tracking Module (CTM)
b. Yelp Review
c. Grievance
d. Secret Shop Finding - CORRECT ANSWER a. Complaint Tracking Module (CTM)
c. Grievance
d. Secret Shop Finding
When explaining the provider network for D-SNPs and C-SNPs:
(Select all that apply.)
a. Avoid submitting applications with no primary care provider (PCP) to assist these higher-risk
members.
b. 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.
c. Not explaining the provider network is a fundamental task during the enrollment process.
d. None of these - CORRECT ANSWER a. Avoid submitting applications with no primary care
provider (PCP) to assist these higher-risk members.
b. 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.
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing.
True
False - CORRECT ANSWER True
A grievance request, or any evidence concerning a grievance, must be filed orally or in writing
no later than _____ calendar days from the date of the event or the date the member is made
aware of the issue.
a. 30
b. 45
c. 60
d. 90 - CORRECT ANSWER c. 60
When discussing prescription drug coverage, you should:
(Select all that apply.)
a. Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy,
quantity limits).
b. Confirm coverage of the beneficiary's current and/or anticipated prescriptions.
c. Explain formulary tiers as well as drug copayment amounts.
d. For drugs that are not covered by the new plan, explain the Transition Fill program and how to
request a coverage exception. - CORRECT ANSWER a. Explain how to use the formulary to
look up limitations and exclusions (e.g., step therapy, quantity limits).
