Wellcare Mastery Exam Questions with Verified
Correct Answers
All three prescription drug plans (PDPs) will offer a five-tier formulary design
False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies
True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains
True
For 2025, Wellcare has 43 new plans going to market
True
A low-Income Subsidy (LIS) member could be assigned one of __________copay categories
depending on the level of need.
Four
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance?
Three
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed
standard part D benefit consisting of three phases. Which phase in not Included?
Coverage Gap
, Wellcare added which state to its footprint for 2025?
Iowa
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used.
False
Members have several options to pay plan premiums. The best option to ensure regular
and timely payments are:
ALL Of The Above
The best option to ensure regular and timely payments are: SSA/RRB premium withhold, EFT,
and AutoPay.
You can help prevent grievances by: (Select all that apply.)
Select ALL
All of these are ways that you can help prevent grievances. You can prevent grievances by
always confirming availability of the beneficiary's primary and specialist providers by using the
provider search tool available on the plan's website; always using plan materials to clearly
explain plan benefits and cost (including medications) and checking for understanding; and
always confirming a beneficiary's intent to enroll before accepting their enrollment application.
Wellcare Mutual of Omaha co-branded plans are offered in _____ states.
Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or before
September 30, 2024.
Correct Answers
All three prescription drug plans (PDPs) will offer a five-tier formulary design
False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies
True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains
True
For 2025, Wellcare has 43 new plans going to market
True
A low-Income Subsidy (LIS) member could be assigned one of __________copay categories
depending on the level of need.
Four
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance?
Three
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed
standard part D benefit consisting of three phases. Which phase in not Included?
Coverage Gap
, Wellcare added which state to its footprint for 2025?
Iowa
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used.
False
Members have several options to pay plan premiums. The best option to ensure regular
and timely payments are:
ALL Of The Above
The best option to ensure regular and timely payments are: SSA/RRB premium withhold, EFT,
and AutoPay.
You can help prevent grievances by: (Select all that apply.)
Select ALL
All of these are ways that you can help prevent grievances. You can prevent grievances by
always confirming availability of the beneficiary's primary and specialist providers by using the
provider search tool available on the plan's website; always using plan materials to clearly
explain plan benefits and cost (including medications) and checking for understanding; and
always confirming a beneficiary's intent to enroll before accepting their enrollment application.
Wellcare Mutual of Omaha co-branded plans are offered in _____ states.
Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or before
September 30, 2024.
