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WELLCARE ACT MASTERY CERTIFICATION EXAM LATEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
Which of the following actions are you required to do when
contacted regarding an allegation of noncompliant activity?
a. Speak with the investigator as quickly as possible.
b. Answer all questions honestly and completely.
c. Offer information and documents important to the investigation.
d. All of these - ANSWER-d. All of these
Which is an example of a top beneficiary complaint that affects
Star Ratings?
a. The beneficiary was enrolled in the correct plan.
b. The provider was in-network and contracted with the selected
plan.
c. The beneficiary did not understand that enrolling in a Wellcare
plan would change their current Medicare Advantage plan.
d. The beneficiary enrolled by the enrollment deadline. -
ANSWER-c. The beneficiary did not understand that enrolling in a
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Wellcare plan would change their current Medicare Advantage
plan.
______ 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.
a. Informal Sales
b. Formal Sales
c. Educational - ANSWER-c. 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.
True
False - ANSWER-True
Materials that include plan comparisons or cost-sharing do not
require CMS submission.
True
False - ANSWER-False
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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.
a. Classic
b. Value Plus
c. Value Script - ANSWER-b. Value Plus
CVS Caremark Mail Order will be in-network for 2024.
True
False - ANSWER-False
A Low-Income Subsidy (LIS) member will be assigned one of
____ copay categories depending on the level of need.
a. Two
b. Three
c. Four
d. Five - ANSWER-c. Four
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Members are no longer required to pay a partial deductible due to
the Inflation Reduction Act.
True
False - ANSWER-True
Which Prescription Drug Plan (PDP) product features no
deductible on any tier?
a. Classic
b. Value Script
c. Value Plus - ANSWER-c. Value Plus
Which is the Prescription Drug Plan (PDP) Preferred Mail Order
network for 2024?
a. Express Scripts Pharmacy
b. CVS Caremark
c. Both A and B - ANSWER-a. Express Scripts Pharmacy
The Pharmacy Benefit Manager (PBM) migration to Express
Scripts effective 1/1/2024 will impact which plan(s)?
WELLCARE ACT MASTERY CERTIFICATION EXAM LATEST 2025/2026 ACTUAL
EXAM WITH COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
||BRANDNEW!!!||
Which of the following actions are you required to do when
contacted regarding an allegation of noncompliant activity?
a. Speak with the investigator as quickly as possible.
b. Answer all questions honestly and completely.
c. Offer information and documents important to the investigation.
d. All of these - ANSWER-d. All of these
Which is an example of a top beneficiary complaint that affects
Star Ratings?
a. The beneficiary was enrolled in the correct plan.
b. The provider was in-network and contracted with the selected
plan.
c. The beneficiary did not understand that enrolling in a Wellcare
plan would change their current Medicare Advantage plan.
d. The beneficiary enrolled by the enrollment deadline. -
ANSWER-c. The beneficiary did not understand that enrolling in a
,2|Page
Wellcare plan would change their current Medicare Advantage
plan.
______ 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.
a. Informal Sales
b. Formal Sales
c. Educational - ANSWER-c. 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.
True
False - ANSWER-True
Materials that include plan comparisons or cost-sharing do not
require CMS submission.
True
False - ANSWER-False
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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.
a. Classic
b. Value Plus
c. Value Script - ANSWER-b. Value Plus
CVS Caremark Mail Order will be in-network for 2024.
True
False - ANSWER-False
A Low-Income Subsidy (LIS) member will be assigned one of
____ copay categories depending on the level of need.
a. Two
b. Three
c. Four
d. Five - ANSWER-c. Four
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Members are no longer required to pay a partial deductible due to
the Inflation Reduction Act.
True
False - ANSWER-True
Which Prescription Drug Plan (PDP) product features no
deductible on any tier?
a. Classic
b. Value Script
c. Value Plus - ANSWER-c. Value Plus
Which is the Prescription Drug Plan (PDP) Preferred Mail Order
network for 2024?
a. Express Scripts Pharmacy
b. CVS Caremark
c. Both A and B - ANSWER-a. Express Scripts Pharmacy
The Pharmacy Benefit Manager (PBM) migration to Express
Scripts effective 1/1/2024 will impact which plan(s)?
