2025 Wellcare ACT Mastery Exam-
TeleAgent
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
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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
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