2026 PDP NEW YEAR BENEFITS
How many plans will wellcare have with the upcoming year?
A. 3
B. 4
C. 2
D. 2 1/2
C.2
IF THE MBR RECEIVED AN OOSA LETTER DO YOU NEED TO OPEN THE ADDRESS TAB OR CALL DRIVER?
A. ADDRESS CALL DRIVER
B. ADDRESS TAB
B. ADDRESS TAB
IF A MBR IS GOING ON VACATION AND NEEDING MEDICATION OVERRIDE HOW DO YOU HANDLE THE CALL
A. GO THROUGH PHARMACY INQUIRES AND TRANSER TO PHD
B. TRANSFER MBR TO MET
MBR IS CALLING ABOUT NEEDING AN ID CARD DO YOU HANDLE THIS CALL
A. TRUE
B. FALSE
B. FALSE
When do we use the formulary template
A. medications
B. preferred pharmacies
C. for id cards
D. everything
A. medications
IS EVERYONE GETTING A NEW ID CARD
A. TRUE
B.FALSE
B.FALSE
WHAT CALL DRIVER TO USE IF I NEED TO PAY MY PREMIUM
A. BILLING CYCLE INQUIRES
B. MATERIAL REQUEST
C. DISENROLLMENT
D. OTHER
A. BILLING CYCLE INQUIRES
MBR IS CALLING ABOUT MEDICAL SUPPLIES DO YOU HANDLE THIS CALL
A. FALSE
B. TRUE
A. FALSE
WHICH PLAN IS BEING CONSILDATED NEXT YEAR?
A. VALUE SCRIPT
B. CLASSIC
C. VALUE PLUS
D. CLASSIC PLUS
C. VALUE PLUS
How long does it take for my id card to arrive?
A. 24-48 hours
B. 14 business days
C. 14 calendar days
D. 72 hours
B. 14 business days
MBR IS CALLING TO COMPLETE ADDRESS CHANGE WHAT DO YOU DO?
A. TRANSFER MBR OVER TO MBR SERVICES
B. CHANGE THE MBR ADDRESS FOR HIM
B. CHANGE THE MBR ADDRESS FOR HIM
When can i request a formulary for 2026 and when will it be her
A. 8/26 & 10/15
B. 9/1 & 10/15
C. 1/1 & 9/1
D. 8/29 & 10/1
B. 9/1 & 10/15
WHAT CALL DRIVER TO USE WHEN HAVING TO TRANSFER A MBR TO MET
A. ELIGIBILITY STATUS
B. PLAN CHANGE
C. TRANSFER
D. OTHER
D. OTHER
What is my out of pocket max and deductible for 2026
A. 2000 and 590
B. 2100 and 590
C. 8000 and 545
D. 2100 and 615
D. 2100 and 615
WHICH CALL DRIVER WILL I USE FOR COVERAGE DETERMINATIONS?
A. ENROLLMENT
B. PHARMACY INQUIRES
C. BILLING CYCLE INQUIRES
B. PHARMACY INQUIRES
WHAT IS THE STANDARD TURN AROUND TIME FOR AN EXPEDITED CD REQUEST
A. 72 HOURS
B. 7 DAYS
C.24 HOURS
D. 48 HOURS
C.24 HOURS