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2024 Wellcare Mastery Exam Question
and Answers
...

a
...
Commission Resources
c
...
All of these
d
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Ascend
b
...
Paper
d
...
All of These
Brainpower
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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
...
Online
b
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Corporate
d
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All of these
A grievance request, or any evidence concerning a grievance, must be filed orally or
in writing no later than _____ calendar days from the date of the event or the date
the member is made aware of the issue
...
30
b
...
60
d
...
60
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a:
(Select all that apply
...
Complaint Tracking Module (CTM)
b
...
Grievance
d
...
Complaint Tracking Module (CTM)
c
...
Secret Shop Finding
Brokers/Agents can submit a support ticket online through their Centene Workbench
portal
...

True
False
True
Which of the following is not an example of Protected Health Information (PHI)?
a
...
Payment history
c
...
Library card
A Health Risk Assessment (HRA):
a
...

b
...

c
...

d
...
All of these
The online Centene Workbench self-service portal enables you to:
a
...
Use the self-service workflows and ticketing system
c
...
All of these
d
...
)
a
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Electronic
c
...
Written
b
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Verbal
You can help prevent grievances by:
(Select all that apply
...
Always confirming availability of the beneficiary's primary and specialist providers
by using the provider search tool available on the plan's website
...
Always using plan materials to clearly explain plan benefits and cost (including
medications) and check for understanding
...
Always confirming a beneficiary's intent to enroll before accepting their enrollment
application
...
Always confirming availability of the beneficiary's primary and specialist providers
by using the provider search tool available on the plan's website
...
Always using plan materials to clearly explain plan benefits and cost (including
medications) and check for understanding
...
Always confirming a beneficiary's intent to enroll before accepting their enrollment
application
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a
...
During
c
...
48 Hours prior to
Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task
...
)
a
...
g
...

b
...

c
...

d
...

a
...
g
...

b
...

c
...

d
...

Which option is the preferred method to submit enrollment?
a
...
Ascend Web/Mobile Application
c
...
Ascend Web/Mobile Application
A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information
...
Classic
b
...
Value Script
c
...

True
False
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
...
Zero
b
...
Ten
d
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Zero
All Prescription Drug Plans (PDPs) will continue to offer $0 Tier 1 preferred costsharing through Express Scripts Pharmacy (Mail Order)
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One
b
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Three
d
...
Three
Which Prescription Drug Plan (PDP) product features no deductible on any tier?
a
...
Value Script
c
...
Value Plus
Which is the Prescription Drug Plan (PDP) Preferred Mail Order network for 2024?
a
...
CVS Caremark
c
...
Express Scripts Pharmacy
For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plan will
continue to offer a discount (2
...

a
...
Value Plus
c
...
Value Plus

A Low-Income Subsidy (LIS) member will be assigned one of ____ copay categories
depending on the level of need
...
Two
b
...
Four
d
...
Four
Wellcare's 2024 product expansion represents a __% increase from 2023
...
One
b
...
Three
d
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One
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
...
PDP Only
b
...
Both PDP & MAPD
c
...

a
...
63 days
c
...
73 days
b
...
)
a
...

b
...

c
...

d
...

d
...

CustomPoint sales material order dates will be posted on Wellcare
...

True
False
False
Prior to the beginning of the enrollment process, a broker/agent is required to cover
certain beneficiary specific information, including but not limited to:
a
...


b
...

c
...

d
...
All of these
Ascend is a fast, easy, and compliant way for brokers/agents to submit agentassisted electronic enrollments
...

True
False
False
If a requested effective date is available for the special election period being
selected, ensure you are requesting a date within the correct timeframe for the
member based on their eligibility date or change date needed
True
False
True
The online Centene Workbench self-service portal enables you to
a
...
Use the self-service workflows and ticketing system
c
...
All of these
d
...
The disclaimer must be:
(Select all that apply
...
Included in any marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO
...
Verbally conveyed within the first minute of a sales call
...
Prominently displayed on TPMO websites (regardless of content)
...
Electronically conveyed when communicating with a beneficiary through email,
online chat, or other electronic means of communication (regardless of content)
...
Included in any marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO
...
Verbally conveyed within the first minute of a sales call
...
Prominently displayed on TPMO websites (regardless of content)
...
Electronically conveyed when communicating with a beneficiary through email,
online chat, or other electronic means of communication (regardless of content)
...

True
False
True
When completing an enrollment, be sure to use the correct enrollment application for
the desired plan year
...

True
False
True
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin
copays for all insulins and insulin-combination products that are on the formulary,
regardless of tier, and are included in the $35 cap for one month's supply
...

True
False
True
Which standalone Prescription Drug Plan (PDP) is best for a dual-eligible chooser?
a
...
Value Plus
c
...
Classic
Wellcare expanded our county footprint in _____ states for 2024
...
One
b
...
Four
d
...
five
Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act
...

a
...
Commission Resources

c
...
All of these
d
...
Ascend
b
...
Paper
d
...
All of these
Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task
...
)
a
...
g
...

b
...

c
...

d
...
Explain how to use the formulary to look up limitations and exclusions (e
...
, step
therapy, quantity limits)
...
Confirm coverage of the beneficiary's current and/or anticipated prescriptions
...
Explain formulary tiers as well as drug copayment amounts
...
For drugs that are not covered by the new plan, explain the Transition Fill program
and how to request a coverage exception
Which LIS category is assigned to members whose costs are fully subsidized and
who receive the most assistance?
a
...
Two
c
...
Four
c
...

True
False
False
Which of the following actions are you required to do when contacted regarding an
allegation of noncompliant activity?
a
...


b
...

c
...

d
...
All of theses
Wellcare does not need to be informed of all marketing/sales events at which plans
or materials will be presented or distributed (formal and informal)
...
Wellcare's quality focus consists of six drivers
...
Member Service
b
...
Member Payments
d
...
Member payments
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries can
enroll based solely on life events that qualify for an SEP period
...

These include:
a
...
Collect a completed application
c
...

d
...
All of these
Dual-eligible and LIS beneficiaries that are not at-risk may use a Dual-Eligible SEP
once per each of the ______ calendar quarters only
...
)
a
...
Second
c
...
Fourth
a
...
Second
c
...

True
False
False
The Mastery Exam will lock for a period of 48 hours after each failed attempt
...

True
False
False
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
False
True
Once the enrollment is completed, you can save a copy of the application for your
reference
...
Application and Enrollment
b
...
Commissions
d
...
All of these
Members who fail to pay the required premiums before the end of the grace period
(Wellcare has a three-month grace period) will be terminated
...

True
False
False
Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
a
...
Value Script
c
...
Value Script
____ Prescription Drug Plans (PDPs) will be offered across all 50 U
...
states and
Washington, D
...

a
...
Three
c
...
Five
b
...

a
...
Five
c
...
Zero
d
...

a
...
Value Plus
c
...
Classic
Wellcare continues to expand its reach by offering more products in a wider
geography
...

a
...
Twenty-seven
c
...
Twenty-three
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary
structure for 2024?
a
...
Value Script
c
...
Classic



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