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2025 Wellcare ACT Mastery Exam -Questions with Correct Answers
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2025 Wellcare ACT Mastery Exam -Questions with Correct Answers
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2025 Wellcare ACT Mastery Exam -Questions with Correct AnswersOnly members with a standalone Prescription Drug Plan (PDP) are eligible to use the
Medicare Prescription Payment Plan option. - ✔✔FALSE
Anyone with a Medicare Advantage plan with drug coverage or a PDP is eligible to use the
Medicare Prescription Payment Plan option. - ✔✔TRUE
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) -
✔✔Arizona
Oregon
Members that opt in to the Medicare Prescription Payment Plan program will receive a bill
each month from the plan instead of paying for Part D covered drugs at the pharmacy. -
✔✔TRUE
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
For 2025, Wellcare has 43 new plans going to market. - ✔✔TRUE
Final 2025 plan and benefit information may be discussed with beneficiaries on or before
September 30, 2024. - ✔✔FALSE
Effective 2026, key provisions of the Inflation Reduction Act include Medicare's ability to
negotiate directly with drug manufacturers to lower the price of some of the costliest single-
source brand-name Medicare Part B and Part D drugs. - ✔✔TRUE
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance? - ✔✔Three
, All Traditional Medicare Advantage Prescription Drug (MAPD) plans will offer $0 copay for
most Part D preventive vaccines regardless of network pharmacy used by members. -
✔✔TRUE
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains. -
✔✔TRUE
Agents must meet all required contracting, training, and certification requirements annually
to be eligible to sell Wellcare's Medicare products. - ✔✔TRUE
Disciplinary actions stemming from the result of a compliance allegation are always
progressive. - ✔✔FALSE
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
When enrolling a Dual Eligible Special Needs Plan (D-SNP) beneficiary, be sure to verify plan
enrollment eligibility and that the Medicare Savings Program (MSP) level is eligible for the
requested plan. - ✔✔TRUE
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? - ✔✔Confirmation Number
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that
sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The
disclaimer must be: (Select all that apply.) - ✔✔- Included in any marketing materials,
including print materials and television advertisements developed, used, or distributed by
the TPMO.
- Verbally conveyed within the first minute of a sales call.
- Prominently displayed on TPMO websites (regardless of content).
- Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
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