WELLNESS ACT MASTERY CERTIFICATION
EXAM 2024-2025 WITH ACTUAL QUESTIONS
CORRECT QUESTIONS AND VERIFIED
DETAILED ANSWERS |FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS|ALREADY
GRADED A+|BRAND NEW!!!|LATEST
UPDATE|GUARANTEED PASS
The _________ plan is expected to have one of the lowest premiums in the country!
a. Classic
b. Value Plus
c. Value Script
c. Value Script
Which of the following is not an example of Protected Health Information
Library Card
When verify a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid search tool, you
should confirm their current Medicaid status qualifies for the selected D-SNP being enrolled in and
explain that changes in Medicaid eligibility may affect enrollment and/or sharing.
True
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will be
presented or distributed (formal and informal).
False
Which option is the preferred method to submit enrollment?
Ascend Web/Mobile Applicaiton
From October 1 to October 14, certain activities are Non-Permissible Activities. These include:
All of these
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action Plan.
False
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,A request to the plan from a member or provider for a formal review of an Action (Denial) or Adverse n
Determination (Medicare) is a/an:
Appeal
An SEP is a period outside of the ICEP, ARP, or MA OEP when beneficiaries can enroll based solely on life
events that qualify for an SEP period?
True
Communication of PHI can be: (Select all that apply.)
Written, Electronic, and Verbal
The online Centene Workbench self-service portal enables you to:
All of these
If a requested effective date is available for the special election period being selected, ensure you are
requesting a date within the correct timeframe for the member based on their eligibility date or change
date needed.
True
Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP once per each of the
_____ calendar quarters only. (Select all that apply.)
First, Second, and Third
Brokers/agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.)
Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for quality
are:
All of these
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy.
True
Enrollment applications must be received by Wellcare no later than _____ calendar day(s) following
receipt from the beneficiary.
One (1)
Which elements are available as part of Wellcare's Sales Support model?
All of these
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, When completing an enrollment, be sure to use the correct enrollment application for the desired plan
year.
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
Which Prescription Drug Plan (PDP) product features no deductible on any tier?
Value Plus
Which of the Prescription Drug Plan (PDP) product is new to the 6-tier formulary structure for 2024?
Classic
_____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington, D.C.
Three
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies.
True
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred cost-sharing through Express
Scripts Pharmacy (Mail Order).
True
Wellcare added which state to its footprint for 2024?
Delaware
Wellcare's 2024 product expansion represents a _____% increase from 2023.
One
Members who have LIS and enroll in other plans will have a premium to pay regardless of the level of LIS
the member is granted.
True
Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence generics
on Tier 1?
Value Plus
Wellcare's _____ plan is designed for Low-Income Subsidy members.
Classic
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX, and WI.
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