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Wellcare ACT Mastery Exam 25'-Questions with Correct Answers
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Wellcare ACT Mastery Exam 25'-Questions with Correct Answers
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Wellcare ACT Mastery Exam 25'-Questions with Correct AnswersNew 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
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
The Medicare Prescription Payment Plan allows prescription costs to be spread across _____
payments billed directly to the member. - ✔✔Monthly
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains. -
✔✔TRUE
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members. - ✔✔Classic
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) -
✔✔Arizona
Oregon
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
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - ✔✔Classic
Members are no longer required to pay a partial deductible due to the Inflation Reduction
Act. - ✔✔TRUE
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance? - ✔✔Three
, All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - ✔✔TRUE
Wellcare is the official Medicare provider partner of The American Legion to serve Veterans
in 24 states. - ✔✔TRUE
Effective 2025, key provisions of the Inflation Reduction Act include a newly designed
standard Part D benefit design consisting of three phases. Which phase is not included? -
✔✔Coverage gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1? - ✔✔Value Plus
Agents may be investigated after being suspected of noncompliant activity reported
through a: (Select all that apply.) - ✔✔Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Agents must meet all required contracting, training, and certification requirements annually
to be eligible to sell Wellcare's Medicare products. - ✔✔TRUE
Which of the following actions are required when contacted regarding an allegation of
noncompliant activity? - ✔✔All of these
Lead-generating activities (either directly or indirectly) facilitated by a Third-Party Marketing
Organization (TPMO) need to include a notice to the beneficiary that their information may
be shared with a licensed agent for future contact. - ✔✔TRUE
Which of the following statements about completing telephonic enrollments is FALSE? -
✔✔Must include some of the required elements necessary to complete the enrollment.
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
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