WellCare Mastery Test 2024
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. - questions and answers-60
Agents may be investigated after being suspected of noncompliant activity reported through a: -
questions and answers-Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - questions and answers-Zero
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
questions and answers-False
An LEP is assessed by CMS when a member goes ______ days or longer without creditable
prescription drug coverage after they become Medicare-eligible. - questions and answers-63
days
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. - questions and answers-True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course. - questions and answers-True
CVS Caremark Mail Order will be in-network for 2024. - questions and answers-False
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the
newly selected plan can cause a sales allegation. - questions and answers-True
For Prescription Drug Plan (PDP) Medication Home Delivery, the __ Plan will continue to offer a
discount (2.5 x 30-day preferred retail copay) for Tier 2,3, and 6 prescriptions. - questions and
answers-Value Plus
Key areas you as an agent have control over and impact upon regarding Star Ratings for quality
are: - questions and answers-All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums. - questions and answers-False
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. - questions and answers-60
Agents may be investigated after being suspected of noncompliant activity reported through a: -
questions and answers-Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - questions and answers-Zero
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
questions and answers-False
An LEP is assessed by CMS when a member goes ______ days or longer without creditable
prescription drug coverage after they become Medicare-eligible. - questions and answers-63
days
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. - questions and answers-True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course. - questions and answers-True
CVS Caremark Mail Order will be in-network for 2024. - questions and answers-False
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the
newly selected plan can cause a sales allegation. - questions and answers-True
For Prescription Drug Plan (PDP) Medication Home Delivery, the __ Plan will continue to offer a
discount (2.5 x 30-day preferred retail copay) for Tier 2,3, and 6 prescriptions. - questions and
answers-Value Plus
Key areas you as an agent have control over and impact upon regarding Star Ratings for quality
are: - questions and answers-All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums. - questions and answers-False
