WELLCARE ACT MASTERY PRACTICE EXAM 2025
QUESTIONS WITH SOLUTIONS GUARANTEE A+
✔✔Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part
D plan premiums. - ✔✔False
✔✔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
✔✔Self-reporting of a compliance issue must be made to Corporate Compliance or to a
Health Plan Sales Leader and must indicate: - ✔✔All of these
✔✔Disciplinary actions stemming from the result of a compliance allegation are always
progressive. - ✔✔False
✔✔Only members with a standalone Prescription Drug Plan (PDP) are eligible to use
the Medicare Prescription Payment Plan option. - ✔✔False
✔✔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
✔✔Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C. - ✔✔Three
✔✔3. The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies. - ✔✔60,000
✔✔All three Prescription Drug Plans (PDPs) will offer a five-tier formulary design. -
✔✔True
✔✔The Pre-Enrollment Checklist (PECL) should be provided and reviewed with the
prospective enrollee after enrollment to ensure the enrollee understands important plan
benefits and rules. - ✔✔False
✔✔A Scope of Appointment (SOA) is valid _____ following the beneficiary's signature
date. - ✔✔12 months
✔✔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.) - ✔✔Select a PCP that accepts new patients only, even when the
enrollee says they have never seen the PCP before.
QUESTIONS WITH SOLUTIONS GUARANTEE A+
✔✔Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part
D plan premiums. - ✔✔False
✔✔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
✔✔Self-reporting of a compliance issue must be made to Corporate Compliance or to a
Health Plan Sales Leader and must indicate: - ✔✔All of these
✔✔Disciplinary actions stemming from the result of a compliance allegation are always
progressive. - ✔✔False
✔✔Only members with a standalone Prescription Drug Plan (PDP) are eligible to use
the Medicare Prescription Payment Plan option. - ✔✔False
✔✔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
✔✔Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C. - ✔✔Three
✔✔3. The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies. - ✔✔60,000
✔✔All three Prescription Drug Plans (PDPs) will offer a five-tier formulary design. -
✔✔True
✔✔The Pre-Enrollment Checklist (PECL) should be provided and reviewed with the
prospective enrollee after enrollment to ensure the enrollee understands important plan
benefits and rules. - ✔✔False
✔✔A Scope of Appointment (SOA) is valid _____ following the beneficiary's signature
date. - ✔✔12 months
✔✔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.) - ✔✔Select a PCP that accepts new patients only, even when the
enrollee says they have never seen the PCP before.
