Page 1 of 60
NEW MODIFIED WELLCARE ACT MASTERY EXAM
– BROKER REAL EXAM QUESTIONS WITH
CORRECT ANSWERS
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
a. 1
b. 3
c. 5
d. 7 -- ANSWER--a. 1
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
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____ 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
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
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
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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
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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
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy.
True
False -- ANSWER--True
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one
MA plan provider. The disclaimer must be:
(Select all that apply.)
a. Included in any marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content). -- ANSWER--a.
NEW MODIFIED WELLCARE ACT MASTERY EXAM
– BROKER REAL EXAM QUESTIONS WITH
CORRECT ANSWERS
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary.
a. 1
b. 3
c. 5
d. 7 -- ANSWER--a. 1
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
, Page 2 of 60
____ 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
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
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
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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
, Page 4 of 60
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
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy.
True
False -- ANSWER--True
The TPMO disclaimer must be used by any TPMO that sells plans on behalf of more than one
MA plan provider. The disclaimer must be:
(Select all that apply.)
a. Included in any marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content). -- ANSWER--a.
