Wellcare Mastery Test with Questions and
Correct Answers\ Verified Solutions
When verifying a Dual Eligible Special Needs Plan (D-SNP) beneficiary's Medicaid
eligibility through the Ascend Medicaid search tool, you should: - Answer Both
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? - Answer Confirmation number
Grievance procedures are separate and distinct from initial determination and appeal
procedures. - 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. - Answer 60
The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client
after enrollment to ensure the enrollee understands important plan benefits and rules. -
Answer False
When an enrollment application is completed in Ascend, brokers/agents can complete a
Health Risk Assessment (HRA) directly in Ascend after the enrollment application,
through the Value-Based Enrollment (VBE) portal. - Answer True
What are some examples of steps that can be taken when safeguarding and securing
PHI and PII? (Select all that apply.) - Answer All
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - Answer False
, The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) - Answer All
An Election Period Request for Information (RFI) must be resolved within 7 calendar
days, or the application will be denied. - Answer True
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier
1 preferred generic medications through Express Scripts Pharmacy home delivery. -
Answer True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - Answer True
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual
threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. -
Answer 2,000
Which will be Wellcare's Preferred Mail Order pharmacy? - Answer express scripts
Wellcare does not need to be informed of informal marketing/sales events at which
plans or materials will be presented or distributed. - Answer False
When a paper Scope of Appointment (SOA) form is used, it must be completed
__________ hosting the sales presentation. - Answer 48 hours prior to
When completing an enrollment, be sure to use the correct enrollment application for
the desired plan year. - Answer True
Correct Answers\ Verified Solutions
When verifying a Dual Eligible Special Needs Plan (D-SNP) beneficiary's Medicaid
eligibility through the Ascend Medicaid search tool, you should: - Answer Both
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? - Answer Confirmation number
Grievance procedures are separate and distinct from initial determination and appeal
procedures. - 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. - Answer 60
The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client
after enrollment to ensure the enrollee understands important plan benefits and rules. -
Answer False
When an enrollment application is completed in Ascend, brokers/agents can complete a
Health Risk Assessment (HRA) directly in Ascend after the enrollment application,
through the Value-Based Enrollment (VBE) portal. - Answer True
What are some examples of steps that can be taken when safeguarding and securing
PHI and PII? (Select all that apply.) - Answer All
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - Answer False
, The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) - Answer All
An Election Period Request for Information (RFI) must be resolved within 7 calendar
days, or the application will be denied. - Answer True
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier
1 preferred generic medications through Express Scripts Pharmacy home delivery. -
Answer True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - Answer True
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual
threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. -
Answer 2,000
Which will be Wellcare's Preferred Mail Order pharmacy? - Answer express scripts
Wellcare does not need to be informed of informal marketing/sales events at which
plans or materials will be presented or distributed. - Answer False
When a paper Scope of Appointment (SOA) form is used, it must be completed
__________ hosting the sales presentation. - Answer 48 hours prior to
When completing an enrollment, be sure to use the correct enrollment application for
the desired plan year. - Answer True
