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2025 Wellcare ACT Mastery Exam - TeleAgent -Questions with Correct Answers
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2025 Wellcare ACT Mastery Exam - TeleAgent -Questions with Correct Answers
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2025 Wellcare ACT Mastery Exam - TeleAgent -Questions withCorrect Answers
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. -
✔✔$2,000
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) -
✔✔Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - ✔✔True
Best practices to keep in mind for Dual Eligible Special Needs Plan (D-SNP) and Chronic
Condition Special Needs Plan (C-SNP) enrollments include the following: (Select all that
apply.) - ✔✔If a member is not connected to a primary care provider (PCP), always
encourage and assist with connecting them to an in-network doctor
Avoid Submitting applications with no PCP to assist these higher-risk members
None of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums. - ✔✔False
When completing enrollments, be sure to collect the member's ____ and ____ to help
ensure they receive important resources throughout and beyond their onboarding journey. -
✔✔Email address, Mobile phone number, fax number
Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new certifications and
recertifications take place. - ✔✔True
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1? - ✔✔Value Plus
, In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with
six individual tier structures. - ✔✔False
For 2025, Wellcare will be offering plans to more than 51 million beneficiaries, which
accounts for 77% of all eligible Medicare beneficiaries in our ___ states. - ✔✔32
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1
preferred generic medications through Express Scripts Pharmacy home delivery. - ✔✔True
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a
premium regardless of LIS subsidy status. - ✔✔True
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and
Safety Items on select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan). -
✔✔True
As part of Centene's Ethics and Compliance program, Centene requires all agents to review
and agree to its Business Ethics and Code of Conduct Policy. - ✔✔True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health
Plan Sales Leader and must indicate: - ✔✔All of these
Agents must meet all required contracting, training, and certification requirements annually
to be eligible to sell Wellcare's Medicare products. - ✔✔True
When completing an application, you should ensure that you enter the provider ID of a
specialist and not a primary care provider (PCP). - ✔✔False
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to: - ✔✔All of these
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