WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2025
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
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.
You can help prevent grievances by: (Select all that apply.) - (ANSWER)Select ALL
, WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2025
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
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
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.
You can help prevent grievances by: (Select all that apply.) - (ANSWER)Select ALL
, WELLCARE MASTERY EXAM QUESTIONS AND ANSWERS 2025
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
