• Wrong document? Swap it for free
  • Written by students who passed
  • Immediately available after payment
  • Read online or as PDF
Sell
Where do you study
Your language
Document preview thumbnail
Preview 2 out of 7 pages
Exam (elaborations)

2025 WELLCARE ACT MASTERY EXAM – TELEAGENT | 65+ ACTUAL QUESTION & ANSWERS | GRADED A+.

Document preview thumbnail
Preview 2 out of 7 pages

2025 WELLCARE ACT MASTERY EXAM – TELEAGENT | 65+ ACTUAL QUESTION & ANSWERS | GRADED A+. 1. 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 2. Wellcare launched new tiered provider plans in and . (Select two options.): Arizona and Oregon 3. For 2025, Wellcare has 43 new plans going to market.: True 4. 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 5. Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums.: False 6. 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 7. Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new certifications and recertifications take place.: True 8. Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics on Tier 1?: Value Plus 9. In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with six individual tier structures.: False 10. For 2025, Wellcare will be offering plans to more than 51 million beneficia- ries, which accounts for 77% of all eligible Medicare beneficiaries in our states.: 32 11. 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 12. 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

Content preview

1. 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
2. Wellcare launched new tiered provider plans in and . (Select
two options.): Arizona and Oregon
3. For 2025, Wellcare has 43 new plans going to market.: True
4. 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
5. Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces
all Part D plan premiums.: False
6. 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
7. Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new
certifications and recertifications take place.: True
8. Which Prescription Drug Plan (PDP) has the richest formulary with the most
adherence generics on Tier 1?: Value Plus
9. In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six
formularies with six individual tier structures.: False
10. For 2025, Wellcare will be offering plans to more than 51 million beneficia-
ries, which accounts for 77% of all eligible Medicare beneficiaries in our
states.: 32
11. 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
12. 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
1/7

, 13. New for PY2025, the Wellcare Spendables Card will include Home Improve-
ment and Safety Items on select Dual Eligible Special Needs Plans (D-SNPs)
(amount varies by plan).: True




2/7

Document information

Uploaded on
January 14, 2025
Number of pages
7
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers
$15.49

Wrong document? Swap it for free Within 14 days of purchase and before downloading, you can choose a different document. You can simply spend the amount again.
Written by students who passed
Immediately available after payment
Read online or as PDF

Seller avatar
Reputation scores are based on the amount of documents a seller has sold for a fee and the reviews they have received for those documents. There are three levels: Bronze, Silver and Gold. The better the reputation, the more your can rely on the quality of the sellers work.
MBOFFIN
3.7
(128)
Sold
764
Followers
218
Items
5633
Last sold
22 hours ago




Why students choose Stuvia

Created by fellow students, verified by reviews

Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.

Didn't get what you expected? Choose another document

No worries! You can instantly pick a different document that better fits what you're looking for.

Pay as you like, start learning right away

No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.

Student with book image

“Bought, downloaded, and aced it. It really can be that simple.”

Alisha Student

Working on your references?

Create accurate citations in APA, MLA and Harvard with our free citation generator.

Working on your references?

Frequently asked questions