WELLCARE MASTERY EXAM QUESTIONS &
ANSWERS
______ prescription drug plans (PDP) will be offered across all 50 US states and
Washington DC
Three
Which prescription drug plan is best for a dual eligible chooser
Classic
For prescription drug plan medication, home delivery, the _______ plans will continue to
offer a discount. (2.5x 30-day preferred retail copay) For a 90-day supply of tier 2
medications
Value Plus
Wellcare offers Medicare advantage products to meet the needs of a variety of
beneficiaries . We offer:
All of these. $0 or low premium on mini plans, $0 fitness benefits on all plans,
preventative care including $0 screenings in network
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30th 2024
False
Starting in 2025, a member may move through three benefit stages during the plan
year. Which benefit stage will no longer exist
Coverage Gap
All prescription drug plans will feature a $0 tier one benefit when filled at preferred
pharmacies
True
Self-Reporting of a compliant issue must be made to corporate compliance or to a
health plan sales leader and must indicate
, All of these. The date of the incident, the date of the report, that it is being self-reported.
Brokers/agents can access and download enrollment materials through custom point
True
Wellcare's _____ plan is designed for low-income subsidy members
Classic plan
A low-income subsidy member could be assigned one of_____ copay categories
depending on the level of need
Four
Which prescription drug plan has the richest formulary with the most adherence
generics on tier 1
Value
Which of the following actions are you required to do when contacted regarding an
allegation of non-compliant activity
All of these. Speak with the investigator as quickly as possible answer all questions
honestly and completely, offer information and documents important to the investigation
Brokers must complete a WellCare contract recertification case in sentine workbench
every 2 years
False
As part of sentine's ethics and compliance program, centene requires all contracted
brokers/agents to review and agree to its business ethics and code of conduct policy
True
Materials that include plan comparisons or cost sharing do not require centers for
Medicare and Medicaid services submission
False
Beneficiary facing marketing materials developed by a third-party marketing
organization for multiple Medicare advantage. Organizations or plans can be reviewed
by just one inmate organization, submitted to the centers for Medicare and Medicaid
services in the health plan management system, and opted in by the health plan after
distribution
ANSWERS
______ prescription drug plans (PDP) will be offered across all 50 US states and
Washington DC
Three
Which prescription drug plan is best for a dual eligible chooser
Classic
For prescription drug plan medication, home delivery, the _______ plans will continue to
offer a discount. (2.5x 30-day preferred retail copay) For a 90-day supply of tier 2
medications
Value Plus
Wellcare offers Medicare advantage products to meet the needs of a variety of
beneficiaries . We offer:
All of these. $0 or low premium on mini plans, $0 fitness benefits on all plans,
preventative care including $0 screenings in network
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30th 2024
False
Starting in 2025, a member may move through three benefit stages during the plan
year. Which benefit stage will no longer exist
Coverage Gap
All prescription drug plans will feature a $0 tier one benefit when filled at preferred
pharmacies
True
Self-Reporting of a compliant issue must be made to corporate compliance or to a
health plan sales leader and must indicate
, All of these. The date of the incident, the date of the report, that it is being self-reported.
Brokers/agents can access and download enrollment materials through custom point
True
Wellcare's _____ plan is designed for low-income subsidy members
Classic plan
A low-income subsidy member could be assigned one of_____ copay categories
depending on the level of need
Four
Which prescription drug plan has the richest formulary with the most adherence
generics on tier 1
Value
Which of the following actions are you required to do when contacted regarding an
allegation of non-compliant activity
All of these. Speak with the investigator as quickly as possible answer all questions
honestly and completely, offer information and documents important to the investigation
Brokers must complete a WellCare contract recertification case in sentine workbench
every 2 years
False
As part of sentine's ethics and compliance program, centene requires all contracted
brokers/agents to review and agree to its business ethics and code of conduct policy
True
Materials that include plan comparisons or cost sharing do not require centers for
Medicare and Medicaid services submission
False
Beneficiary facing marketing materials developed by a third-party marketing
organization for multiple Medicare advantage. Organizations or plans can be reviewed
by just one inmate organization, submitted to the centers for Medicare and Medicaid
services in the health plan management system, and opted in by the health plan after
distribution
