2025 Wellcare ACT Mastery Exam –
TeleAgent 68 complete solutions.
2025 Wellcare ACT Mastery Exam –
TeleAgent 68 complete solutions.
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. - ANSWER $2,000
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) - ANSWER
Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - ANSWER 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.) - ANSWER 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
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
ANSWER 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. - ANSWER 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. - ANSWER True
, 2025 Wellcare ACT Mastery Exam –
TeleAgent 68 complete solutions.
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics on Tier
1? - ANSWER Value Plus
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with six individual
tier structures. - ANSWER False
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. - ANSWER 32
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1 preferred
generic medications through Express Scripts Pharmacy home delivery. - ANSWER True
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a premium
regardless of LIS subsidy status. - ANSWER True
New 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). - ANSWER True
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. - ANSWER True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: - ANSWER All of these
Agents must meet all required contracting, training, and certification requirements annually to be
eligible to sell Wellcare's Medicare products. - ANSWER True
When completing an application, you should ensure that you enter the provider ID of a specialist and
not a primary care provider (PCP). - ANSWER False
TeleAgent 68 complete solutions.
2025 Wellcare ACT Mastery Exam –
TeleAgent 68 complete solutions.
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. - ANSWER $2,000
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) - ANSWER
Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - ANSWER 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.) - ANSWER 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
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums. -
ANSWER 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. - ANSWER 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. - ANSWER True
, 2025 Wellcare ACT Mastery Exam –
TeleAgent 68 complete solutions.
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics on Tier
1? - ANSWER Value Plus
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with six individual
tier structures. - ANSWER False
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. - ANSWER 32
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1 preferred
generic medications through Express Scripts Pharmacy home delivery. - ANSWER True
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a premium
regardless of LIS subsidy status. - ANSWER True
New 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). - ANSWER True
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. - ANSWER True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan Sales
Leader and must indicate: - ANSWER All of these
Agents must meet all required contracting, training, and certification requirements annually to be
eligible to sell Wellcare's Medicare products. - ANSWER True
When completing an application, you should ensure that you enter the provider ID of a specialist and
not a primary care provider (PCP). - ANSWER False
