WELLCARE ACT MASTERY Exam
Questions and Correct Answers Latest
Update and Recommended Version
2025
Which is an example of a top beneficiary complaint that affects Star Ratings?
a. The beneficiary was enrolled in the correct plan.
b. The provider was in-network and contracted with the selected plan.
c. The beneficiary did not understand that enrolling in a Wellcare plan would change their
current Medicare Advantage plan.
d. The beneficiary enrolled by the enrollment deadline.
✓ c. The beneficiary did not understand that enrolling in a Wellcare plan would change their
current Medicare Advantage plan.
events are designed to inform the people who attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a particular
carrier.
a. Informal Sales
b. Formal Sales
c. Educational
✓ c. Educational
Marketing benefits in a service area where those benefits are not available is prohibited and
considered misleading unless that is unavoidable because of local/regional or media use.
True
,False
✓ True
, Materials that include plan comparisons or cost-sharing do not require CMS submission.
True
False
✓ False
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.
a. Classic
b. Value Plus
c. Value Script
✓ b. Value Plus
CVS Caremark Mail Order will be in-network for 2024.
True
False
✓ False
A Low-Income Subsidy (LIS) member will be assigned one of copay categories
depending on the level of need.
a. Two
b. Three
c. Four
Questions and Correct Answers Latest
Update and Recommended Version
2025
Which is an example of a top beneficiary complaint that affects Star Ratings?
a. The beneficiary was enrolled in the correct plan.
b. The provider was in-network and contracted with the selected plan.
c. The beneficiary did not understand that enrolling in a Wellcare plan would change their
current Medicare Advantage plan.
d. The beneficiary enrolled by the enrollment deadline.
✓ c. The beneficiary did not understand that enrolling in a Wellcare plan would change their
current Medicare Advantage plan.
events are designed to inform the people who attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a particular
carrier.
a. Informal Sales
b. Formal Sales
c. Educational
✓ c. Educational
Marketing benefits in a service area where those benefits are not available is prohibited and
considered misleading unless that is unavoidable because of local/regional or media use.
True
,False
✓ True
, Materials that include plan comparisons or cost-sharing do not require CMS submission.
True
False
✓ False
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.
a. Classic
b. Value Plus
c. Value Script
✓ b. Value Plus
CVS Caremark Mail Order will be in-network for 2024.
True
False
✓ False
A Low-Income Subsidy (LIS) member will be assigned one of copay categories
depending on the level of need.
a. Two
b. Three
c. Four
