WELLCARE MASTERY EXAM / WELLCARE MASTERY /
WELCARE MASTERY ACTUAL EXAM LATEST 2024
COMPLETE REAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT VERIFIED
ANSWERS) LATEST UPDATES |GUARANTEED PASS A+
For Prescription Drug Plan (PDP) Medication home delivery, the ______ plan will continue to offer a
discount (2.5x 30-day preferred retail copay) for a 90-day supply of Tier 2 medications. - CORRECT
ANSWER-Value Plus
Members who ha LIS and enroll in a plan other than Wellcare's Classic plan will pay a premium
regardless of LIS subsidy status. - CORRECT ANSWER-True
Wellcare's ___________ plan is designed for Low-|ncome Subsidy (LIS) members. - CORRECT ANSWER-
Classic
Custom Point sales material order dates will be posted on Wellcare.com - CORRECT ANSWER-False
Which of the following statements about Custom Point features is FALSE? - CORRECT ANSWER-Access
thru Wellcare.com
_________ prescription drug plans (PDP)will be offered across all 50 U.S. states and washington D.C. -
CORRECT ANSWER-Three
Many of our Medicare Advantage (MA) plans offer supplemental benefits above and beyond what is
offered on Original Medicare. - CORRECT ANSWER-Meals, Transportation, OTC
A Low-Income Subsidy (LIS) member could be assigned one of ________ copay categories depending on
the level of need. - CORRECT ANSWER-Four
The Medicare Prescription Payment Plan is a payment option that helps manage out-of-pocket (OOP)
Part B costs by allowing members who opt-in to spread costs throughout the benefit year. - CORRECT
ANSWER-False
,Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - CORRECT ANSWER-Classic
Starting in 2025, a member may move through THREE benefit stages during the plan year. Which benefit
stage will no longer exist? - CORRECT ANSWER-Coverage Gap
The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies - CORRECT
ANSWER-60,000
Brokers/Agents can submit a support ticket online through their Centene Workbench portal - CORRECT
ANSWER-True
Which elements are available as part of Wellcare's sales support model? - CORRECT ANSWER-All of
these
Brokers/Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.) - CORRECT ANSWER-Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Brokers/Agents can access the following resources under the Shared Resources section in Centene
Workbench: - CORRECT ANSWER-All of these
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: - CORRECT ANSWER-All of these
______ events are designed to inform the people who attend about Medicare Advantage, Prescription
Drug, or other Medicare programs without going into the specifics of a particular carrier. - CORRECT
ANSWER-Educational
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. - CORRECT ANSWER-True
, Materials that include plan comparisons or cost sharing do not require Centers for Medicare & Medicaid
Services (CMS) submission. - CORRECT ANSWER-False
Although options for capturing and submitting Scopes of Appointment (SOAs) vary by health plan,
Wellcare accepts SOAs in which of the following methods? - CORRECT ANSWER-All of these
Which option is the preferred method to submit enrollment? - CORRECT ANSWER-Ascend Application
Which of the following statements about the Scope of Appointment (SOA) is FALSE? - CORRECT
ANSWER-An electronic SOA submitted in Ascend in a Pending status is considered complete and
compliant
Enrollments through Ascend offer the following unique benefits: (Select all that apply.) - CORRECT
ANSWER-All
When verifying a Dual Eligible Special Needs Plan (D-SNP) beneficiary's Medicaid eligibility through the
Ascend Medicaid search tool, you should: - CORRECT ANSWER-Both
The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client after enrollment
to ensure the enrollee understands important plan benefits and rules. - CORRECT ANSWER-False
Grievance procedures are separate and distinct from initial determination and appeal procedures. -
CORRECT ANSWER-True
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: - CORRECT ANSWER-Appeal
Any request or distribution of PHI should contain only the minimum amount of PHI required to complete
the intended task. - CORRECT ANSWER-true
A Health Risk Assessment (HRA) provides an overview of a member's health status, gives us the
opportunity to improve member care, and prevent further health challenges. - CORRECT ANSWER-True
During an appointment, you may not discuss any products not agreed to in advance by the beneficiary.
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