WELLCARE ACT MASTERY EXAMINATION 2025 QUESTIONS
WITH SOLUTIONS GUARANTEE A+
✔✔The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA).
True
False - ✔✔True
✔✔Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - ✔✔d. All of these
✔✔Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these - ✔✔d. All of these
✔✔Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card - ✔✔c. Library card
✔✔Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - ✔✔b. Ascend Web/Mobile Application
✔✔With which types of inquiries can Wellcare's Corporate Sales Support team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - ✔✔d. All of these
✔✔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:
a. Appeal
b. Grievance - ✔✔a. Appeal
✔✔The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies.
,a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - ✔✔a. Sixty Thousand
✔✔With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective
1/1/2024, existing members can continue to use their current ID card 1/1/2024 and
beyond.
True
False - ✔✔False
✔✔____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C.
a. Two
b. Three
c. Four
d. Five - ✔✔d. Five
✔✔Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - ✔✔c. Delaware
✔✔*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - ✔✔c. Three
* NOT c. Three
✔✔The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024.
True
False - ✔✔True
✔✔*Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five - ✔✔b. Twenty-seven
*NOT c. Thirty-five
, ✔✔*Which Prescription Drug Plan (PDP) product has the richest formulary with the
most adherence generics on Tier 1?
Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
a. Classic
b. Value Script
c. Value Plus - ✔✔a. Classic
*NOT b. Value Script
✔✔All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
True
False - ✔✔True
✔✔All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen - ✔✔a. Zero
✔✔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.
True
False - ✔✔True
✔✔*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script - ✔✔a. Classic
*NOT c. Value Script
✔✔Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part
D plan premiums.
True
False - ✔✔False
✔✔Enrollment applications must be received by Wellcare no later than ___ calendar
day(s) following receipt from the beneficiary.
a. 1
b. 3
c. 5
WITH SOLUTIONS GUARANTEE A+
✔✔The beneficiary (or their authorized representative) must indicate the product types
to be discussed during the appointment on the Scope of Appointment (SOA).
True
False - ✔✔True
✔✔Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - ✔✔d. All of these
✔✔Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these - ✔✔d. All of these
✔✔Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card - ✔✔c. Library card
✔✔Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - ✔✔b. Ascend Web/Mobile Application
✔✔With which types of inquiries can Wellcare's Corporate Sales Support team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - ✔✔d. All of these
✔✔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:
a. Appeal
b. Grievance - ✔✔a. Appeal
✔✔The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies.
,a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - ✔✔a. Sixty Thousand
✔✔With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective
1/1/2024, existing members can continue to use their current ID card 1/1/2024 and
beyond.
True
False - ✔✔False
✔✔____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C.
a. Two
b. Three
c. Four
d. Five - ✔✔d. Five
✔✔Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - ✔✔c. Delaware
✔✔*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - ✔✔c. Three
* NOT c. Three
✔✔The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024.
True
False - ✔✔True
✔✔*Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five - ✔✔b. Twenty-seven
*NOT c. Thirty-five
, ✔✔*Which Prescription Drug Plan (PDP) product has the richest formulary with the
most adherence generics on Tier 1?
Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
a. Classic
b. Value Script
c. Value Plus - ✔✔a. Classic
*NOT b. Value Script
✔✔All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
True
False - ✔✔True
✔✔All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen - ✔✔a. Zero
✔✔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.
True
False - ✔✔True
✔✔*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script - ✔✔a. Classic
*NOT c. Value Script
✔✔Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part
D plan premiums.
True
False - ✔✔False
✔✔Enrollment applications must be received by Wellcare no later than ___ calendar
day(s) following receipt from the beneficiary.
a. 1
b. 3
c. 5
