WELLCARE ACT MASTERY EXAM 25'
WITH FULL PACK SOLUTIONS
Wellcare's h_____ hplan his hdesigned hfor hLow-Income hSubsidy h(LIS) hmembers. h-
hcorrect hanswers h-Classic
Wellcare hlaunched hnew htiered hprovider hplans hin h______ hand h_____. h(Select htwo
hoptions.) h- hcorrect hanswers 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- hcorrect hanswers h-$2,000
Which hPrescription hDrug hPlan h(PDP) his hbest hfor ha hdual-eligible hchooser? h-
hcorrect hanswers h-Classic
Members hare hno hlonger hrequired hto hpay ha hpartial hdeductible hdue hto hthe hInflation
hReduction hAct. h- hcorrect hanswers h-TRUE
, Which hLow-Income hSubsidy h(LIS) hcategory his hassigned hto hmembers hwhose hcosts
hare hfully hsubsidized hand hreceive hthe hmost hassistance? h- hcorrect hanswers h-
Three
All hPrescription hDrug hPlans h(PDPs) hwill hfeature ha h$0 hTier h1 hbenefit hwhen hfilled
hat hpreferred hpharmacies. h- hcorrect hanswers h-TRUE
Wellcare his hthe hofficial hMedicare hprovider hpartner hof hThe hAmerican hLegion hto
hserve hVeterans hin h24 hstates. h- hcorrect hanswers 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- hcorrect hanswers h-Coverage hgap
Which hPrescription hDrug hPlan h(PDP) hhas hthe hrichest hformulary hwith hthe hmost
hadherence hgenerics hon hTier h1? h- hcorrect hanswers h-Value hPlus
Agents hmay hbe hinvestigated hafter hbeing hsuspected hof hnoncompliant hactivity
hreported hthrough ha: h(Select hall hthat happly.) h- hcorrect hanswers 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-
hcorrect hanswers h-TRUE
Which hof hthe hfollowing hactions hare hrequired hwhen hcontacted hregarding han
hallegation hof hnoncompliant hactivity? h- hcorrect hanswers 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- hcorrect hanswers h-TRUE
Which hof hthe hfollowing hstatements habout hcompleting htelephonic henrollments his
hFALSE? h- hcorrect hanswers 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- hcorrect
hanswers 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.
WITH FULL PACK SOLUTIONS
Wellcare's h_____ hplan his hdesigned hfor hLow-Income hSubsidy h(LIS) hmembers. h-
hcorrect hanswers h-Classic
Wellcare hlaunched hnew htiered hprovider hplans hin h______ hand h_____. h(Select htwo
hoptions.) h- hcorrect hanswers 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- hcorrect hanswers h-$2,000
Which hPrescription hDrug hPlan h(PDP) his hbest hfor ha hdual-eligible hchooser? h-
hcorrect hanswers h-Classic
Members hare hno hlonger hrequired hto hpay ha hpartial hdeductible hdue hto hthe hInflation
hReduction hAct. h- hcorrect hanswers h-TRUE
, Which hLow-Income hSubsidy h(LIS) hcategory his hassigned hto hmembers hwhose hcosts
hare hfully hsubsidized hand hreceive hthe hmost hassistance? h- hcorrect hanswers h-
Three
All hPrescription hDrug hPlans h(PDPs) hwill hfeature ha h$0 hTier h1 hbenefit hwhen hfilled
hat hpreferred hpharmacies. h- hcorrect hanswers h-TRUE
Wellcare his hthe hofficial hMedicare hprovider hpartner hof hThe hAmerican hLegion hto
hserve hVeterans hin h24 hstates. h- hcorrect hanswers 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- hcorrect hanswers h-Coverage hgap
Which hPrescription hDrug hPlan h(PDP) hhas hthe hrichest hformulary hwith hthe hmost
hadherence hgenerics hon hTier h1? h- hcorrect hanswers h-Value hPlus
Agents hmay hbe hinvestigated hafter hbeing hsuspected hof hnoncompliant hactivity
hreported hthrough ha: h(Select hall hthat happly.) h- hcorrect hanswers 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-
hcorrect hanswers h-TRUE
Which hof hthe hfollowing hactions hare hrequired hwhen hcontacted hregarding han
hallegation hof hnoncompliant hactivity? h- hcorrect hanswers 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- hcorrect hanswers h-TRUE
Which hof hthe hfollowing hstatements habout hcompleting htelephonic henrollments his
hFALSE? h- hcorrect hanswers 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- hcorrect
hanswers 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.