2024 Wellcare ACT Mastery Exam – Broker with Questions and Correct Answers Verified Solutions
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Course
Wellcare Mastery
Institution
Wellcare Mastery
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - Answer d. All of these
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are:
a. Member Satisfaction/Experience
b. Com...
2024 Wellcare ACT Mastery Exam – Broker
with Questions and Correct Answers\ Verified
Solutions
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - Answer d. All of these
Key areas you as a broker/agent have control over and impact upon regarding Star
Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these - Answer d. All of these
Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card - Answer c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
,c. Fax/Paper - Answer b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - Answer d. All of these
A request to the plan from a member or provider for a formal review of an Action
(Denial) or Adverse Plan Determination (Medicare) is a/an:
a. Appeal
b. Grievance - Answer a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - Answer a. Sixty Thousand
With the Pharmacy Benefit Manager (PBM) migration to Express Scripts effective
1/1/2024, existing members can continue to use their current ID card 1/1/2024 and
beyond.
True
False - Answer False
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C.
,a. Two
b. Three
c. Four
d. Five - Answer d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - Answer c. Delaware
*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - Answer c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery
chains in 2024.
True
False - Answer True
*Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market.
, a. Twenty-three
b. Twenty-seven
c. Thirty-five - Answer b. Twenty-seven
*NOT c. Thirty-five
*Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
a. Classic
b. Value Script
c. Value Plus - Answer a. Classic
*NOT b. Value Script
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies.
True
False - Answer True
All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive
vaccines, regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen - Answer a. Zero
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