WELLCARE MASTERY EXAM QUESTIONS &
ANSWERS
All three prescription drug plans (PDPs) will offer a five-tier formulary design - Answer -
False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies - Answer -True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains - Answer -True
For 2025, Wellcare has 43 new plans going to market - Answer -True
A low-Income Subsidy (LIS) member could be assigned one of __________copay
categories depending on the level of need. - Answer -Four
You can help prevent grievances by: (Select all that apply.) - Answer -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. - Answer -
Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - Answer -False
The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - Answer -True
Brokers/Agents can access and download enrollment materials through CustomPoint® -
Answer -True
Brokers MUST complete a Wellcare Contract Recertification case in Centene
Workbench (CWB) every two years. - Answer -False
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench: - Answer -All of the above
Training Resources
Commission Resources
, Marketing Resources
Self-reporting of a compliance issue must be made to Corporate Compliance or to a
Health Plan Sales Leader and must indicate: - Answer -All of the Above
The date of the incident.
The date of the report.
That it is being self-reported
Materials that include plan comparisons or cost sharing do not require Centers for
Medicare & Medicaid Services (CMS) submission - Answer -False
______ events are designed to inform the people who attend about Medicare
Advantage, Prescription Drug, or other Medicare programs without going into the
specifics of a particular carrier. - Answer -Educational
Which of the following statements about CustomPoint® features is FALSE? - Answer -
Access through Wellcare.com
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. - Answer -True
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are
fully subsidized and receive the most assistance? - Answer -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? -
Answer -Coverage Gap
Wellcare added which state to its footprint for 2025? - Answer -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. - Answer -False
Members have several options to pay plan premiums. The best option to ensure regular
and timely payments are: - Answer -ALL Of The Above
The best option to ensure regular and timely payments are: SSA/RRB premium
withhold, EFT, and AutoPay.
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
Answer -An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant
An Election Period Request for Information (RFI) must be resolved within 7 calendar
days, or the application will be denied. - Answer -True
ANSWERS
All three prescription drug plans (PDPs) will offer a five-tier formulary design - Answer -
False
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies - Answer -True
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains - Answer -True
For 2025, Wellcare has 43 new plans going to market - Answer -True
A low-Income Subsidy (LIS) member could be assigned one of __________copay
categories depending on the level of need. - Answer -Four
You can help prevent grievances by: (Select all that apply.) - Answer -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. - Answer -
Five
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - Answer -False
The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - Answer -True
Brokers/Agents can access and download enrollment materials through CustomPoint® -
Answer -True
Brokers MUST complete a Wellcare Contract Recertification case in Centene
Workbench (CWB) every two years. - Answer -False
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench: - Answer -All of the above
Training Resources
Commission Resources
, Marketing Resources
Self-reporting of a compliance issue must be made to Corporate Compliance or to a
Health Plan Sales Leader and must indicate: - Answer -All of the Above
The date of the incident.
The date of the report.
That it is being self-reported
Materials that include plan comparisons or cost sharing do not require Centers for
Medicare & Medicaid Services (CMS) submission - Answer -False
______ events are designed to inform the people who attend about Medicare
Advantage, Prescription Drug, or other Medicare programs without going into the
specifics of a particular carrier. - Answer -Educational
Which of the following statements about CustomPoint® features is FALSE? - Answer -
Access through Wellcare.com
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. - Answer -True
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are
fully subsidized and receive the most assistance? - Answer -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? -
Answer -Coverage Gap
Wellcare added which state to its footprint for 2025? - Answer -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. - Answer -False
Members have several options to pay plan premiums. The best option to ensure regular
and timely payments are: - Answer -ALL Of The Above
The best option to ensure regular and timely payments are: SSA/RRB premium
withhold, EFT, and AutoPay.
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
Answer -An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant
An Election Period Request for Information (RFI) must be resolved within 7 calendar
days, or the application will be denied. - Answer -True
