WELLCARE ACT MYSTERY EXAM 2024-
2025 WITH 300 REAL EXAM PREP
QUESTIONS AND CORRECT ANSWERS/
WELLCARE ACT MYSTERY EXAM 2024
(BRAND NEW!!)
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six
formularies with six individual tier structures. - ANSWER-FALSE
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
Wellcare added which state to its footprint for 2025? - ANSWER-Iowa
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay
on Tier 1 preferred generic medications through Express Scripts Pharmacy home
delivery. - ANSWER-TRUE
Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market. - ANSWER-Twenty-
three
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI,
MS, NC, NM, OH, OK, TX, and WI. - ANSWER-True
pg. 1
,All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies. - ANSWER-True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C. - ANSWER-Three
Medicare Star Ratings and performance are at the forefront of Wellcare's quality
strategy. Wellcare's quality focus consists of six drivers. Which of the following is
not a Wellcare quality driver? - ANSWER-Member Payments
The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective
1/1/2024 will impact which plan(s)? - ANSWER-Both PDP & MAPD
A Low-Income Subsidy (LIS) member will be assigned one of ____ copay
categories depending on the level of need. - ANSWER-Four
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin
copays for all insulins and insulin-combination products that are on the formulary,
regardless of tier, and are included in the $35 cap for one month's supply. -
ANSWER-True
Wellcare's 2024 product expansion represents a __% increase from 2023. -
ANSWER-One
CVS Caremark Mail Order will be in-network for 2024. - ANSWER-False
Which Prescription Drug Plan (PDP) product has the richest formulary with the
most adherence generics on Tier 1? - ANSWER-Value Plus
pg. 2
,Communication of PHI can be: (Select all that apply.) - ANSWER-Written
Electronic
Verbal
New for PY2025, the Wellcare Spendables™ Card will include Home
Improvement and Safety Items on select Dual Eligible Special Needs Plans (D-
SNPs) (amount varies by plan). - ANSWER-TRUE
For 2025, Wellcare will be offering plans to more than 51 million beneficiaries,
which accounts for 77% of all eligible Medicare beneficiaries in our ___ states. -
ANSWER-32
The Medicare Prescription Payment Plan allows prescription costs to be spread
across _____ payments billed directly to the member. - ANSWER-Monthly
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery
chains. - ANSWER-TRUE
Enrollment applications must be received by Wellcare no later than ___ calendar
day(s) following receipt from the beneficiary. - ANSWER-1
Which elements are available as part of Wellcare's Sales Support model? -
ANSWER-All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all
Part D plan premiums - ANSWER-False
pg. 3
, Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists - ANSWER-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 - ANSWER-
True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a - ANSWER-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. - ANSWER-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). - ANSWER-
False
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
CustomPoint sales material order dates will be posted on Wellcare.com -
ANSWER-False
The online Centene Workbench self-service portal enables you to - ANSWER-All
of these
pg. 4
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