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Wellcare Mastery Exam 2025: Questions and Answers, Exams of Nursing

Welder Training and Testing InstituteNursing

A comprehensive set of questions and answers related to wellcare's medicare advantage plans for 2025. It covers key aspects of the program, including benefit stages, enrollment procedures, compliance requirements, and marketing guidelines. Valuable for individuals seeking to understand wellcare's offerings and prepare for related exams or assessments.

Typology: Exams

2024/2025

Available from 11/16/2024

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Well care Mastery Exam 2025 Questions
with 100% Correct Answers.
1. Wellcare is the official Medicare provider partner of The American
Legion to serve Veterans in 24 states. - Correct Ans: ✔✔True
2. Starting in 2025, a member may move through THREE benefit stages
during the plan year. Which benefit stage will no longer exist? -
Correct Ans: ✔✔Coverage Gap
3. For 2025, Wellcare will offer a Value-Based Insurance Design (VBID)
model on select Dual Eligible Special Needs Plans (D-SNPs) that
include $0 deductible and $0 copays for covered prescriptions. -
Correct Ans: ✔✔True
4. Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as
new certifications and recertifications take place. - Correct Ans:
✔✔True
5. Brokers/Agents can access and download enrollment materials
through CustomPoint®. - Correct Ans: ✔✔True
6. Self-reporting of a compliance issue must be made to Corporate
Compliance or to a Health Plan Sales Leader and must indicate: -
Correct Ans: ✔✔All
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Partial preview of the text

Download Wellcare Mastery Exam 2025: Questions and Answers and more Exams Nursing in PDF only on Docsity!

Well care Mastery Exam 2025 Questions

with 100% Correct Answers.

  1. Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in 24 states. - Correct Ans: ✔✔True
  2. Starting in 2025, a member may move through THREE benefit stages during the plan year. Which benefit stage will no longer exist? - Correct Ans: ✔✔Coverage Gap
  3. For 2025, Wellcare will offer a Value-Based Insurance Design (VBID) model on select Dual Eligible Special Needs Plans (D-SNPs) that include $0 deductible and $0 copays for covered prescriptions. - Correct Ans: ✔✔True
  4. Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new certifications and recertifications take place. - Correct Ans: ✔✔True
  5. Brokers/Agents can access and download enrollment materials through CustomPoint®. - Correct Ans: ✔✔True
  6. Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales Leader and must indicate: - Correct Ans: ✔✔All
  1. Which of the following actions are you required to do when contacted regarding an allegation of noncompliant activity? - Correct Ans: ✔✔All
  2. Disciplinary actions stemming from the result of a compliance allegation are always progressive. - Correct Ans: ✔✔False
  3. The Single Sign-On Portal provides access to multiple applications, including CustomPoint®. - Correct Ans: ✔✔True
  4. ______ events are designed to inform the people who attend about Medicare Advantage, Prescription Drug, or other Medicare programs without going into the specifics of a particular carrier. - Correct Ans: ✔✔Educational
  5. Materials that include plan comparisons or cost sharing do not require Centers for Medicare & Medicaid Services (CMS) submission.
    • Correct Ans: ✔✔False
  6. From October 1 to October 14, certain activities are not permitted for 2025 sales and enrollments. These include: - Correct Ans: ✔✔All
  7. The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that sells plans on behalf of more than one
  1. 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 Ans: ✔✔ 60
  2. The Pre-Enrollment Checklist (PECL) should be provided and reviewed with your client after enrollment to ensure the enrollee understands important plan benefits and rules. - Correct Ans: ✔✔False
  3. When an enrollment application is completed in Ascend, brokers/agents can complete a Health Risk Assessment (HRA) directly in Ascend after the enrollment application, through the Value-Based Enrollment (VBE) portal. - Correct Ans: ✔✔True
  4. What are some examples of steps that can be taken when safeguarding and securing PHI and PII? (Select all that apply.) - Correct Ans: ✔✔All
  5. Names and/or logos of provider co-branding partners can be displayed on marketing materials, as long as the current and approved logos are used. - Correct Ans: ✔✔False
  6. The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that sells plans on behalf of more than one

Medicare Advantage (MA) plan provider. The disclaimer must be: (Select all that apply.) - Correct Ans: ✔✔All

  1. An Election Period Request for Information (RFI) must be resolved within 7 calendar days, or the application will be denied. - Correct Ans: ✔✔True
  2. All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1 preferred generic medications through Express Scripts Pharmacy home delivery. - Correct Ans: ✔✔True
  3. All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. - Correct Ans: ✔✔True
  4. Effective 2025, key provisions of the Inflation Reduction Act include a lower annual threshold of $_____ for out-of-pocket (OOP) prescription drug costs in Medicare. - Correct Ans: ✔✔2,
  5. Which will be Wellcare's Preferred Mail Order pharmacy? - Correct Ans: ✔✔express scripts
  6. Wellcare does not need to be informed of informal marketing/sales events at which plans or materials will be presented or distributed. - Correct Ans: ✔✔False
  1. Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members - Correct Ans: ✔✔Wellcare Classic
  2. Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - Correct Ans: ✔✔Classic PDP
  3. CustomPoint® sales material order dates will be posted on Wellcare.com - Correct Ans: ✔✔False
  4. All Traditional Medicare Advantage Prescription Drug (MAPD) plans will offer $0 copay for most Part D preventive vaccines regardless of network pharmacy used by members. - Correct Ans: ✔✔True
  5. Wellcare Mutual of Omaha co-branded plans are offered in _____ states. - Correct Ans: ✔✔ 5