WellCare Mastery Test 2024 Latest Update 2024- 2025 Actual Exam Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor
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. - CORRECT ANSWER: 60
Agents may be investigated after being suspected of noncompliant activity reported through a: - CORRECT 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. - CORRECT
ANSWER: Zero
An agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan. - CORRECT 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. - CORRECT
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. - CORRECT 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. - CORRECT ANSWER:
True
CVS Caremark Mail Order will be in-network for 2024. - CORRECT ANSWER: False 1 / 2
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. - CORRECT 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.
- CORRECT ANSWER: Value Plus
Key areas you as an agent have control over and impact upon regarding Star Ratings for quality are: - CORRECT ANSWER: All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums. - CORRECT ANSWER: False
Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act. - CORRECT 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. - CORRECT ANSWER:
True
Noting the correct enrollment period on enrollment applications helps in preventing
delayed enrollment processing. - CORRECT ANSWER: True
Once the enrollment is completed, you can save a copy of the application for your
reference. - CORRECT 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: - CORRECT 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. - CORRECT ANSWER: False
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