WellCare Mastery Test 2024-2025
questions with correct answers
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
VERIFIED ANSWER✔✔-False
Which is an example of a top beneficiary complaint that affects Star Ratings? - VERIFIED ANSWER✔✔-
The beneficiary did not understand that enrolling in a Wellcare plan would change their current
Medicare Advantage plan.
Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they
are using the current, approved logo. - VERIFIED ANSWER✔✔-False
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - VERIFIED
ANSWER✔✔-False
Once the enrollment is completed, you can save a copy of the application for your reference. -
VERIFIED ANSWER✔✔-False
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing. - VERIFIED ANSWER✔✔-True
When completing an application, you should ensure that you enter the provider ID of a specialist and
not a primary care provider (PCP). - VERIFIED ANSWER✔✔-False
Agents may be investigated after being suspected of noncompliant activity reported through a: -
VERIFIED ANSWER✔✔-Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding
Which of the following statements about completing telephonic enrollments is FALSE? - VERIFIED
ANSWER✔✔-Must include most of the required elements necessary to complete the enrollment.
WellCare Mastery Test 2024-2025 questions with correct answers
, 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. - VERIFIED ANSWER✔✔-True
When completing an enrollment, be sure to use the correct enrollment application for the desired
plan year. - VERIFIED ANSWER✔✔-True
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. - VERIFIED ANSWER✔✔-True
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. - VERIFIED 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. - VERIFIED ANSWER✔✔-60
What are some examples of steps that can be taken when safeguarding and securing PHI and PII? -
VERIFIED ANSWER✔✔-Shred documents that contain PHI or PII using appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
When explaining the provider network for D-SNPs and C-SNPs: - VERIFIED ANSWER✔✔-Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk members. 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.
An LEP is assessed by CMS when a member goes ______ days or longer without creditable
prescription drug coverage after they become Medicare-eligible. - VERIFIED ANSWER✔✔-63 days
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
VERIFIED ANSWER✔✔-True
WellCare Mastery Test 2024-2025 questions with correct answers
questions with correct answers
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
VERIFIED ANSWER✔✔-False
Which is an example of a top beneficiary complaint that affects Star Ratings? - VERIFIED ANSWER✔✔-
The beneficiary did not understand that enrolling in a Wellcare plan would change their current
Medicare Advantage plan.
Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they
are using the current, approved logo. - VERIFIED ANSWER✔✔-False
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - VERIFIED
ANSWER✔✔-False
Once the enrollment is completed, you can save a copy of the application for your reference. -
VERIFIED ANSWER✔✔-False
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing. - VERIFIED ANSWER✔✔-True
When completing an application, you should ensure that you enter the provider ID of a specialist and
not a primary care provider (PCP). - VERIFIED ANSWER✔✔-False
Agents may be investigated after being suspected of noncompliant activity reported through a: -
VERIFIED ANSWER✔✔-Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding
Which of the following statements about completing telephonic enrollments is FALSE? - VERIFIED
ANSWER✔✔-Must include most of the required elements necessary to complete the enrollment.
WellCare Mastery Test 2024-2025 questions with correct answers
, 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. - VERIFIED ANSWER✔✔-True
When completing an enrollment, be sure to use the correct enrollment application for the desired
plan year. - VERIFIED ANSWER✔✔-True
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. - VERIFIED ANSWER✔✔-True
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. - VERIFIED 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. - VERIFIED ANSWER✔✔-60
What are some examples of steps that can be taken when safeguarding and securing PHI and PII? -
VERIFIED ANSWER✔✔-Shred documents that contain PHI or PII using appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
When explaining the provider network for D-SNPs and C-SNPs: - VERIFIED ANSWER✔✔-Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk members. 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.
An LEP is assessed by CMS when a member goes ______ days or longer without creditable
prescription drug coverage after they become Medicare-eligible. - VERIFIED ANSWER✔✔-63 days
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
VERIFIED ANSWER✔✔-True
WellCare Mastery Test 2024-2025 questions with correct answers
