2024 Benefits Review Study Guide

Please fill in the blanks/answer these questions about our 2024 MAPD Plan
Benefit information ; all information can be found utilizing CentralPoint, the 2024
MAPD Plan Benefit modules, or your notes from the training.
1. In 2024, we will have the following plan types: HMO, ___ , PFFS, and ___

2. Wellcare will no longer offer __-SNPS on the CAREConnects platform

3. _____ D-SNP plans will migrate to the OMNI platform

4. Wellcare’s mission is to ___________________________

5. What state has a segmented plan in 2024?

6. _____ is Wellcare’s new state

7. Supplemental/Ancillary benefits are ____________

8. On Wellcare’s YouTube channel, we can find benefit videos discussing Dental, ____, and
_____

9. Select plans offer acupuncture and chiropractor services as a __-___ pain management option

10. Wellcare fitness programs include Tivity _______, ASH _______, _______ Move (CA)

11. T or F: All plans have the same coverage?

12. __-_____ _____ _____ benefit offers personal care, chore services, and meal preparation

13. ____ ____ ____ will replace CVS Caremark

14. If a non-D-SNP member has the utilities benefit covered, they have the ____ _____ ____ ___
___ ____ ____ (___) benefit

15. D-SNP members can use the ____ ___ to pay for Rent, _____, Gas, Dental, _____, Hearing,
______, and OTC

16. Regarding transportation, there is now a ____-mile package option

17. The daily transportation limit is ____ one-way trips per ____

18. T or F: There is an updated list of approved pick-up and drop-off locations for the
transportation benefit
19. T or F: Member will receive a temporary Member ID Card in their Welcome Kit

20. Members will receive their ANOC no later than September ____

21. ___ members will receive a new _____ ___ card this year (2024)

22. What communication material would you send out to ensure a member understands their
prescription coverage?

23. If a member joins our plan and is already taking a ___ ___ medication, we must allow the
member to continue receiving that medication

24. On the formulary, if a medication can be covered under Part _ or Part _, it is usually notated
as _v_

25. _____ ______ : A request made to Wellcare to cover a medication that is a non-covered drug

26. Medications on tiers _, _, or _ may be considered eligible for a tier exception

27. ____ __ ____: Allows new and existing members to obtain multiple fills, up to a 30-day
supply, of transition medications for the first 90 days (about 3 months) of their coverage on the
new plan

28. ____ will be managing the OTC pharmacy benefits nationwide

29. The four stages of the Part D defined standard parameters include the ____, ____, ____, and
_____

30. The ____ stage, a member pays 100% of the drug costs (if applicable)

31. Once a member reaches $545 in out-of-pocket costs, they go into the ______ stage

32. Once a member reaches $5,030 in total drug costs, they go into the _____ stage

33. Once a member reaches $8,000 in out-of-pocket costs, they go into the ____ stage

34. In the _____ stage, a member will pay $0 for brand and generic drugs for the remainder of
the benefit year

35. ____ ____ ____: The contracted price of the drug. This includes a member’s
copay/coinsurance, plus what Wellcare has paid towards the medication or medications

36. Members can enroll with Express Scripts Home Delivery by _____, ______, or talking to
their ______

37. T or F: All Express Scripts Home Delivery calls are handled by WellCare's Customer Care
Line