WELLCARE ACT MASTERY EXAM 25'
WITH FULL PACK SOLUTIONS
Wellcare's h_____ hplan his hdesigned hfor hLow-Income hSubsidy h(LIS) hmembers. h- -
Classic
Wellcare hlaunched hnew htiered hprovider hplans hin h______ hand h_____. h(Select htwo
hoptions.) h- -Arizona
Oregon
Effective h2025, hkey hprovisions hof hthe hInflation hReduction hAct hinclude ha hlower
hannual hthreshold hof h$_____ hfor hout-of-pocket h(OOP) hprescription hdrug hcosts hin
hMedicare. h- -$2,000
Which hPrescription hDrug hPlan h(PDP) his hbest hfor ha hdual-eligible hchooser? h- -
Classic
Members hare hno hlonger hrequired hto hpay ha hpartial hdeductible hdue hto hthe hInflation
hReduction hAct. h- -TRUE
Which hLow-Income hSubsidy h(LIS) hcategory his hassigned hto hmembers hwhose hcosts
hare hfully hsubsidized hand hreceive hthe hmost hassistance? h- -Three
All hPrescription hDrug hPlans h(PDPs) hwill hfeature ha h$0 hTier h1 hbenefit hwhen hfilled
hat hpreferred hpharmacies. h- -TRUE
Wellcare his hthe hofficial hMedicare hprovider hpartner hof hThe hAmerican hLegion hto
hserve hVeterans hin h24 hstates. h- -TRUE
Effective h2025, hkey hprovisions hof hthe hInflation hReduction hAct hinclude ha hnewly
hdesigned hstandard hPart hD hbenefit hdesign hconsisting hof hthree hphases. hWhich
hphase his hnot hincluded? h- -Coverage hgap
, Which hPrescription hDrug hPlan h(PDP) hhas hthe hrichest hformulary hwith hthe hmost
hadherence hgenerics hon hTier h1? h- -Value hPlus
Agents hmay hbe hinvestigated hafter hbeing hsuspected hof hnoncompliant hactivity
hreported hthrough ha: h(Select hall hthat happly.) h- -Complaint hTracking hModule
h(CTM)
Grievance
Secret hShop hFinding
Agents hmust hmeet hall hrequired hcontracting, htraining, hand hcertification
hrequirements hannually hto hbe heligible hto hsell hWellcare's hMedicare hproducts. h- -
TRUE
Which hof hthe hfollowing hactions hare hrequired hwhen hcontacted hregarding han
hallegation hof hnoncompliant hactivity? h- -All hof hthese
Lead-generating hactivities h(either hdirectly hor hindirectly) hfacilitated hby ha hThird-Party
hMarketing hOrganization h(TPMO) hneed hto hinclude ha hnotice hto hthe hbeneficiary
hthat htheir hinformation hmay hbe hshared hwith ha hlicensed hagent hfor hfuture hcontact.
h- -TRUE
Which hof hthe hfollowing hstatements habout hcompleting htelephonic henrollments his
hFALSE? h- -Must hinclude hsome hof hthe hrequired helements hnecessary hto hcomplete
hthe henrollment.
The hThird-Party hMarketing hOrganization h(TPMO) hdisclaimer hmust hbe hused hby
hany hTPMO hthat hsells hplans hon hbehalf hof hmore hthan hone hMedicare hAdvantage
h(MA) hplan hprovider. hThe hdisclaimer hmust hbe: h(Select hall hthat happly.) h- -Included
hin hany hmarketing hmaterials, hincluding hprint hmaterials hand htelevision
hadvertisements hdeveloped, hused, hor hdistributed hby hthe hTPMO.
Verbally hconveyed hwithin hthe hfirst hminute hof ha hsales hcall.
Prominently hdisplayed hon hTPMO hwebsites h(regardless hof hcontent).
Electronically hconveyed hwhen hcommunicating hwith ha hbeneficiary hthrough hemail,
honline hchat, hor hother helectronic hmeans hof hcommunication h(regardless hof
hcontent).
Verbal hpermission hgranted hto hdiscuss hplan hdetails hqualifies han hauthorized
hrepresentative hto hcomplete han happlication hon hbehalf hof hthe hbeneficiary. h- -
FALSE
When hcompleting han happlication, hyou hshould hensure hthat hyou henter hthe hprovider
hID hof ha hspecialist hand hnot ha hprimary hcare hprovider h(PCP). h- -FALSE
To hensure haccurate hdata hentry, hagents hshould hrepeat hthe hMedicare hID hback hto
hthe hbeneficiary. h- -TRUE
WITH FULL PACK SOLUTIONS
Wellcare's h_____ hplan his hdesigned hfor hLow-Income hSubsidy h(LIS) hmembers. h- -
Classic
Wellcare hlaunched hnew htiered hprovider hplans hin h______ hand h_____. h(Select htwo
hoptions.) h- -Arizona
Oregon
Effective h2025, hkey hprovisions hof hthe hInflation hReduction hAct hinclude ha hlower
hannual hthreshold hof h$_____ hfor hout-of-pocket h(OOP) hprescription hdrug hcosts hin
hMedicare. h- -$2,000
Which hPrescription hDrug hPlan h(PDP) his hbest hfor ha hdual-eligible hchooser? h- -
Classic
Members hare hno hlonger hrequired hto hpay ha hpartial hdeductible hdue hto hthe hInflation
hReduction hAct. h- -TRUE
Which hLow-Income hSubsidy h(LIS) hcategory his hassigned hto hmembers hwhose hcosts
hare hfully hsubsidized hand hreceive hthe hmost hassistance? h- -Three
All hPrescription hDrug hPlans h(PDPs) hwill hfeature ha h$0 hTier h1 hbenefit hwhen hfilled
hat hpreferred hpharmacies. h- -TRUE
Wellcare his hthe hofficial hMedicare hprovider hpartner hof hThe hAmerican hLegion hto
hserve hVeterans hin h24 hstates. h- -TRUE
Effective h2025, hkey hprovisions hof hthe hInflation hReduction hAct hinclude ha hnewly
hdesigned hstandard hPart hD hbenefit hdesign hconsisting hof hthree hphases. hWhich
hphase his hnot hincluded? h- -Coverage hgap
, Which hPrescription hDrug hPlan h(PDP) hhas hthe hrichest hformulary hwith hthe hmost
hadherence hgenerics hon hTier h1? h- -Value hPlus
Agents hmay hbe hinvestigated hafter hbeing hsuspected hof hnoncompliant hactivity
hreported hthrough ha: h(Select hall hthat happly.) h- -Complaint hTracking hModule
h(CTM)
Grievance
Secret hShop hFinding
Agents hmust hmeet hall hrequired hcontracting, htraining, hand hcertification
hrequirements hannually hto hbe heligible hto hsell hWellcare's hMedicare hproducts. h- -
TRUE
Which hof hthe hfollowing hactions hare hrequired hwhen hcontacted hregarding han
hallegation hof hnoncompliant hactivity? h- -All hof hthese
Lead-generating hactivities h(either hdirectly hor hindirectly) hfacilitated hby ha hThird-Party
hMarketing hOrganization h(TPMO) hneed hto hinclude ha hnotice hto hthe hbeneficiary
hthat htheir hinformation hmay hbe hshared hwith ha hlicensed hagent hfor hfuture hcontact.
h- -TRUE
Which hof hthe hfollowing hstatements habout hcompleting htelephonic henrollments his
hFALSE? h- -Must hinclude hsome hof hthe hrequired helements hnecessary hto hcomplete
hthe henrollment.
The hThird-Party hMarketing hOrganization h(TPMO) hdisclaimer hmust hbe hused hby
hany hTPMO hthat hsells hplans hon hbehalf hof hmore hthan hone hMedicare hAdvantage
h(MA) hplan hprovider. hThe hdisclaimer hmust hbe: h(Select hall hthat happly.) h- -Included
hin hany hmarketing hmaterials, hincluding hprint hmaterials hand htelevision
hadvertisements hdeveloped, hused, hor hdistributed hby hthe hTPMO.
Verbally hconveyed hwithin hthe hfirst hminute hof ha hsales hcall.
Prominently hdisplayed hon hTPMO hwebsites h(regardless hof hcontent).
Electronically hconveyed hwhen hcommunicating hwith ha hbeneficiary hthrough hemail,
honline hchat, hor hother helectronic hmeans hof hcommunication h(regardless hof
hcontent).
Verbal hpermission hgranted hto hdiscuss hplan hdetails hqualifies han hauthorized
hrepresentative hto hcomplete han happlication hon hbehalf hof hthe hbeneficiary. h- -
FALSE
When hcompleting han happlication, hyou hshould hensure hthat hyou henter hthe hprovider
hID hof ha hspecialist hand hnot ha hprimary hcare hprovider h(PCP). h- -FALSE
To hensure haccurate hdata hentry, hagents hshould hrepeat hthe hMedicare hID hback hto
hthe hbeneficiary. h- -TRUE
