Well Care Mastery 2026 Test Questions With Correct Verified (Actual Exam Questions and Latest Verified Answers) Latest Version | Already Graded A+

Well Care Mastery 2025 Test Questions With Correct Verified (Actual Exam Questions and Latest Verified Answers) Latest Version | Already Graded A+ 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. - answer-60 Agents may be investigated after being suspected of noncompliant activity reported through a: - answer- Complaint Tracking Module (CTM), Grievance, and Secret Shop Finding All Prescription Drug Plans (PDPs) will offer a $___ copay for most Part D preventive vaccines, regardless of which network pharmacy is used by members. - answer- Zero An agent who has never had any verbal warnings cannot be issued a Corrective Action Plan. - answer- False An LEP is assessed by CMS when a member goes ______ days or longer without creditable prescription drug coverage after they become Medicare-eligible. - answer-63 days 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. - answer- True At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of 85% or higher to successfully complete this course. - answerTrue CVS Caremark Mail Order will be in-network for 2024. - answer- 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. - answer- True 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. - answer- Value Plus Key areas you as an agent have control over and impact upon regarding Star Ratings for quality are: - answer- All of these Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. - answer- False Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. - answer- True 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. - answerTrue Noting the correct enrollment period on enrollment applications helps in preventing delayed enrollment processing. - answer- True Once the enrollment is completed, you can save a copy of the application for your reference. - answer- False Prior to the beginning of the enrollment process, an agent is required to cover certain beneficiary specific information, including but not limited to: - answer- All of these Providers may create co-branded marketing pieces using the Wellcare name and logo, as long as they are using the current, approved logo. - answer- False The _________ plan is expected to have one of the lowest premiums in the country! - answer- Value Script 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. - answer- True The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will impact which plan(s)? - answer-Both PDP & MAPD The Prescription Drug Plan (PDP) network is expected to include over ____ total pharmacies. - answer- Sixty Thousand 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.) - answer- 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). The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024. - answer- True To ensure accurate data entry, agents should repeat the Medicare ID back to the beneficiary. - answer- True Upon completion of the application, you must provide the beneficiary with the enrollment application confirmation ID - answer- True Wellcare added which state to its footprint for 2024? - answer- Delaware Wellcare expanded our county footprint in __ states for 2024 - answer-Five Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX, and WI. - answer-True Wellcare's 2024 product expansion represents a __% increase from 2023. - answer-One