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Examen

2025 WELLCARE ACT MASTERY EXAM| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR GRADES.

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2025 WELLCARE ACT MASTERY EXAM| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR GRADES. All Prescription Drug Plans (PDPs) will off er a $ copay for most Part D preventive vaccines, regardless of which network pharmacy is used by members. - CORRECT ANS Zero Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for 2024? - CORRECT ANS Classic In the Catastrophic Coverage stage, the member will pay $ for brand and generic drugs for the remainder of the year once their total out of pocket costs reach $8,000. - CORRECT ANS Zero Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. - CORRECT ANS True Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX, and WI. - CORRECT ANS True Page | 2 All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. - CORRECT ANS True Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington, D.C. - CORRECT ANS Three Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - CORRECT ANS True When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid search tool, you should confirm their current Medicaid status qualifies for the selected D-SNP being enrolled in and explain that changes in Medicaid eligibility may affect enrollment and/or cost sharing. - CORRECT ANS True Which of the following statements about Scope of Appointment (SOA) is FALSE? - CORRECT ANS An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment. Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality are: - CORRECT ANS All of these Page | 3 Beneficiary-facing marketing materials for multiple MA organizations or plans must be submitted to the HPMS Marketing Module by the third-party marketing organization (TPMO) no later than 30 days of use. - CORRECT ANS False When completing an enrollment, be sure to use the correct enrollment application for the desired plan year. - CORRECT ANS True 20. Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization (TPMO) for multiple Medicare Advantage (MA) organizations or plans can be reviewed by just one MA organization, submitted to the Centers for Medicare & Medicaid Services (CMS) in the Health Plan Management System (HPMS), and opted in by the health plan after distribution. - CORRECT ANS FALSE Enrollment applications must be received by Wellcare no later than calendar day(s) following receipt from the beneficiary. - CORRECT ANS 1 Which elements are available as part of Wellcare's Sales Support model? - CORRECT ANS All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums - CORRECT ANS False Page | 4 Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's primary care provider (PCP) and/or specialists - CORRECT ANS True At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or higher to successfully complete this course - CORRECT ANS True Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a - CORRECT ANS Complaint Tracking Module (CTM) Grievance Secret Shop Finding A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - CORRECT ANS False Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be presented or distributed (formaland informal). - CORRECT ANS False Page | 5 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. - CORRECT ANS True CustomPoint sales material order dates will be posted on W - CORRECT ANS False The online Centene Workbench self-service portal enables you to - CORRECT ANS All of these

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Institución
WELLCARE ACT MASTERY
Grado
WELLCARE ACT MASTERY

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Page | 1
2025 WELLCARE ACT MASTERY EXAM| BRAND NEW ACTUAL
EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR
GRADES.


All Prescription Drug Plans (PDPs) will off er a $ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by
members. - CORRECT ANS >>Zero




Which of the Prescription Drug Plan (PDP) products is new to the 6-tier
formulary structure for 2024? - CORRECT ANS >>Classic




In the Catastrophic Coverage stage, the member will pay $ for brand
and generic drugs for the remainder of the year once their total out of
pocket costs reach $8,000. - CORRECT ANS >>Zero




Members are no longer required to pay a partial deductible due to the
Inflation Reduction Act. - CORRECT ANS >>True




Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI,
MS, NC, NM, OH, OK, TX, and WI. - CORRECT ANS >>True

, Page | 2



All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when
filled at preferred pharmacies. - CORRECT ANS >>True




Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C. - CORRECT ANS >>Three




Noting the correct enrollment period on enrollment applications helps in
preventing delayed enrollment processing. - CORRECT ANS >>True




When verifying a D-SNP beneficiary's Medicaid eligibility through the
Ascend Medicaid search tool, you should confirm their current Medicaid
status qualifies for the selected D-SNP being enrolled in and explain that
changes in Medicaid eligibility may affect enrollment and/or cost sharing. -
CORRECT ANS >>True




Which of the following statements about Scope of Appointment (SOA) is
FALSE? - CORRECT ANS >>An electronic SOA submitted in Ascend must
be in a Pending status prior to beginning the appointment.




Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are: - CORRECT ANS >>All of these

, Page | 3

Beneficiary-facing marketing materials for multiple MA organizations or
plans must be submitted to the HPMS Marketing Module by the third-party
marketing organization (TPMO) no later than 30 days of use. - CORRECT
ANS >>False




When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year. - CORRECT ANS >>True




20. Beneficiary-facing marketing materials developed by a Third-Party
Marketing Organization (TPMO) for multiple Medicare Advantage (MA)
organizations or plans can be reviewed by just one MA organization,
submitted to the Centers for Medicare & Medicaid Services (CMS) in the
Health Plan Management System (HPMS), and opted in by the health plan
after distribution. - CORRECT ANS >>FALSE




Enrollment applications must be received by Wellcare no later than
calendar day(s) following receipt from the beneficiary. - CORRECT ANS
>>1




Which elements are available as part of Wellcare's Sales Support model? -
CORRECT ANS >>All of these




Low-Income Subsidy (LIS), which is often referred to as Extra Help,
reduces all Part D plan premiums - CORRECT ANS >>False

Escuela, estudio y materia

Institución
WELLCARE ACT MASTERY
Grado
WELLCARE ACT MASTERY

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Subido en
3 de agosto de 2025
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Escrito en
2025/2026
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Examen
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