1 Wellcare ACT Mastery Exam -Broker /Employee Exam Version 3 Newest 2025/2026 Complete All Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!
Brokers/Agents can access and download enrollment materials through CustomPoint. - ANSWER-True
______ 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. - ANSWER- Educational
Materials that include plan comparisons or cost-sharing do not require CMS submission. - ANSWER-False
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy. Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality driver? - ANSWER-Member Payments
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2 The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will impact which plan(s)? - ANSWER-Both PDP & MAPD
A Low-Income Subsidy (LIS) member will be assigned one of ____ copay categories depending on the level of need. - ANSWER-Four
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
Wellcare's 2024 product expansion represents a __% increase from
- - ANSWER-One
CVS Caremark Mail Order will be in-network for 2024. - ANSWER- False
Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence generics on Tier 1? - ANSWER-Value Plus
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business Ethics and Code of Conduct Policy. - ANSWER-True
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Communication of PHI can be: - ANSWER-Written, Electronic, Verbal
From October 1 to October 14, certain activities are Non-Permissible
Activities. These include:
Assist with completing an application Collect a completed application Advise the beneficiary to complete an application prior to October 15. - ANSWER-All of these
Member PHI can be stored on an external hard drive or a cloud storage service like Google Drive or Apple Cloud. - ANSWER-False
Which option is the preferred method to submit enrollment? - ANSWER-Ascend Web/Mobile Application
When discussing prescription drug coverage, you should: - ANSWER-
Explain how to use the formulary to look up limitations and exclusions (e.g., step therapy, quantity limits).
Confirm coverage of the beneficiary's current and/or anticipated prescriptions.
Explain formulary tiers as well as drug copayment amounts.
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