Wellcare 2024
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: - questions and answers-Appeal
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-$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. - questions and answers-True
CVS Caremark Mail Order will be in-network for 2024 - questions and answers-False
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums - questions and answers-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? - questions and answers-NOT - Serving Government Customers
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act -
questions and answers-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 - questions and answers-False
Once the enrollment is completed, you can save a copy of the application for your reference. -
questions and answers-False
Prior to the beginning of the enrollment process, a broker/agent is required to cover certain
beneficiary specific information, including but not limited to: - questions and answers-All
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 - questions and answers-True
The Mastery Exam will lock for a period of 48 hours after each failed attempt. - questions and
answers-False
The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will
impact which plan(s)? - questions and answers-Both
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: - questions and answers-Appeal
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-$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. - questions and answers-True
CVS Caremark Mail Order will be in-network for 2024 - questions and answers-False
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums - questions and answers-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? - questions and answers-NOT - Serving Government Customers
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act -
questions and answers-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 - questions and answers-False
Once the enrollment is completed, you can save a copy of the application for your reference. -
questions and answers-False
Prior to the beginning of the enrollment process, a broker/agent is required to cover certain
beneficiary specific information, including but not limited to: - questions and answers-All
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 - questions and answers-True
The Mastery Exam will lock for a period of 48 hours after each failed attempt. - questions and
answers-False
The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will
impact which plan(s)? - questions and answers-Both
