Wellcare ACT Mastery Exam Exam || Most Recent Exam
Actual Complete Real Exam Questions And Correct Answers
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Wellcare continues to expand its reach by offering more products in a wider
geography.
____ new Wellcare plans are going to market.
Twenty-three
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive
vaccines, regardless of which network pharmacy is used by members.
Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary
structure for 2024?
Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and
generic drugs for the remainder of the year once their total out of pocket costs
reach $8,000.
Zero
Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act.
True
,Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC,
NM, OH, OK, TX, and WI.
True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C.
Three
Noting the correct enrollment period on enrollment applications helps in preventing
delayed enrollment processing.
True
When verifying 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 cost sharing.
True
Which of the following statements about Scope of Appointment (SOA) is FALSE?
An electronic SOA submitted in Ascend must be in a Pending status prior to
beginning the appointment.
, Key areas you as a broker/agent have control over and impact upon regarding
Star Ratings for quality are:
All of these
Beneficiary-facing marketing materials for multiple MA organizations or plans must
be submitted to the HPMS Marketing Module by the third-party marketing
organization (TPMO) no later than 30 days of use.
False
When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year.
True
Providers may create co-branded marketing pieces using the Wellcare name and
logo, as long as they are using the current, approved logo.
False
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
All of these
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
Actual Complete Real Exam Questions And Correct Answers
(Verified Answer) Already Graded A+ | Success Guaranteed!!
Newest Exam | Just Released!!
Wellcare continues to expand its reach by offering more products in a wider
geography.
____ new Wellcare plans are going to market.
Twenty-three
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive
vaccines, regardless of which network pharmacy is used by members.
Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary
structure for 2024?
Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and
generic drugs for the remainder of the year once their total out of pocket costs
reach $8,000.
Zero
Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act.
True
,Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC,
NM, OH, OK, TX, and WI.
True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C.
Three
Noting the correct enrollment period on enrollment applications helps in preventing
delayed enrollment processing.
True
When verifying 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 cost sharing.
True
Which of the following statements about Scope of Appointment (SOA) is FALSE?
An electronic SOA submitted in Ascend must be in a Pending status prior to
beginning the appointment.
, Key areas you as a broker/agent have control over and impact upon regarding
Star Ratings for quality are:
All of these
Beneficiary-facing marketing materials for multiple MA organizations or plans must
be submitted to the HPMS Marketing Module by the third-party marketing
organization (TPMO) no later than 30 days of use.
False
When completing an enrollment, be sure to use the correct enrollment
application for the desired plan year.
True
Providers may create co-branded marketing pieces using the Wellcare name and
logo, as long as they are using the current, approved logo.
False
Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
All of these
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
