1 Wellcare ACT Mastery Exam -Broker /Employee Exam Version 2 Newest 2025/2026 Complete All Questions And Correct Detailed Answers (Verified Answers) |Already Graded A+||Brand New Version!!
When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid search tool, you should confirm their current Medicaid status qualifies for the selected D-SNP being enrolled in and explain that changes in Medicaid eligibility may affect enrollment and/or cost sharing. - ANSWER-True
Which of the following statements about Scope of Appointment (SOA) is FALSE? - ANSWER-An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the appointment.
Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are: - ANSWER-All of these
Beneficiary-facing marketing materials for multiple MA organizations or plans must be submitted to the HPMS Marketing Module by the third- party marketing organization (TPMO) no later than 30 days of use. - ANSWER-False 1 / 3
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When completing an enrollment, be sure to use the correct enrollment application for the desired plan year. - ANSWER-True
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
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
Which of the following is not considered a grievance? - ANSWER-A dispute of the appeal of an organization determination, coverage determination, or a Late Enrollment Penalty (LEP) determination.
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
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3 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
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
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