WELLCARE ACT MASTERY Exam –
Broker Questions and Answers 2025
Top Rated A+
Which of the following is not an example of Protected Health Information
(PHI)?
a. Medical records
b. Payment history
c. Library card - ANS ✓c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - ANS ✓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 - ANS ✓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:
WELLCARE ACT
,a. Appeal
b. Grievance - ANS ✓a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____
total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - ANS ✓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 - ANS ✓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 - ANS ✓d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - ANS ✓c. Delaware
WELLCARE ACT
,*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - ANS ✓c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and
some grocery chains in 2024.
True
False - ANS ✓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 - ANS ✓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
WELLCARE ACT
, b. Value Script
c. Value Plus - ANS ✓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 - ANS ✓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 - ANS ✓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 - ANS ✓True
*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script - ANS ✓a. Classic
WELLCARE ACT
Broker Questions and Answers 2025
Top Rated A+
Which of the following is not an example of Protected Health Information
(PHI)?
a. Medical records
b. Payment history
c. Library card - ANS ✓c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - ANS ✓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 - ANS ✓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:
WELLCARE ACT
,a. Appeal
b. Grievance - ANS ✓a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____
total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - ANS ✓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 - ANS ✓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 - ANS ✓d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - ANS ✓c. Delaware
WELLCARE ACT
,*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - ANS ✓c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and
some grocery chains in 2024.
True
False - ANS ✓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 - ANS ✓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
WELLCARE ACT
, b. Value Script
c. Value Plus - ANS ✓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 - ANS ✓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 - ANS ✓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 - ANS ✓True
*Wellcare's _____ plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script - ANS ✓a. Classic
WELLCARE ACT
