WellCare Mastery Test Questions and Answers New (2024/2025) Solved 100% Correct
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Grado
WellCare Mastery
Institución
WellCare Mastery
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment
processing. - True
Once the enrollment is completed, you can save a copy of the application for your reference. -
False
Agents may be investigated after being suspected of noncompliant activit...
WellCare Mastery Test
Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment
processing. - True
Once the enrollment is completed, you can save a copy of the application for your reference. -
False
Agents may be investigated after being suspected of noncompliant activity reported through a: -
Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless
of which network pharmacy is used by members. - Zero
An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. -
False
An LEP is assessed by CMS when a member goes ______ days or longer without creditable prescription
drug coverage after they become Medicare-eligible. - 63 days
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can enroll based solely on life
events that qualify for an SEP period. - 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. - True
CVS Caremark Mail Order will be in-network for 2024. - False
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the newly
selected plan can cause a sales allegation. - True
, For Prescription Drug Plan (PDP) Medication Home Delivery, the __ Plan will continue to offer a discount
(2.5 x 30-day preferred retail copay) for Tier 2,3, and 6 prescriptions. - Value Plus
Key areas you as an agent have control over and impact upon regarding Star Ratings for quality are: -
All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
False
Which standalone Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - Classic
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
True
A grievance request, or any evidence concerning a grievance, must be filed orally or in writing no later
than _____ calendar days from the date of the event or the date the member is made aware of the
issue. - 60
Members who fail to pay the required premiums before the end of the grace period (Wellcare has a
three-month grace period) will be terminated. - True
Prior to the beginning of the enrollment process, an agent is required to cover certain beneficiary
specific information, including but not limited to: - All of these
Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they are
using the current, approved logo. - False
The _________ plan is expected to have one of the lowest premiums in the country! - Value Script
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. - True
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