WELLCARE ACT MASTERY EXAM
- BROKER, QUESTIONS AND
ANSWERS UPDATED (2026/2027)
(VERIFIED ANSWERS)
Which of the following is not an example of Protected Health Information (PHI)?
a. Medical records
b. Payment history
c. Library card CORRECT ANSWER: c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper CORRECT ANSWER: b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support team
assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these CORRECT ANSWER: d. All of these
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:
, 2
a. Appeal
b. Grievance CORRECT ANSWER: a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over total
pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand CORRECT 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 CORRECT ANSWER: False
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 CORRECT ANSWER: d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma CORRECT ANSWER: c. Delaware
, 3
*Wellcare's 2024 product expansion represents a % increase from 2023.
a. One
b. Two
c. Three
d. Five CORRECT ANSWER: c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some
grocery chains in 2024.
True
False CORRECT 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 CORRECT 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
, 4
b. Value Script
c. Value Plus CORRECT 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 CORRECT ANSWER: True
All Prescription Drug Plans (PDPs) will offer a $ copay for most Part D
preventive vaccines, regardless of which network pharmacy is used by members.
a. Zero
b. Five
c. Ten
d. Fifteen CORRECT ANSWER: a. Zero
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
False CORRECT ANSWER: True
*Wellcare's plan is designed for Low-Income Subsidy members.
a. Classic
b. Value Plus
c. Value Script CORRECT ANSWER: a. Classic