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Exam (elaborations)

WELLCARE ACT MASTERY EXAM 2025 WITH FULL PACK SOLUTIONS

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WELLCARE ACT MASTERY EXAM 2025 WITH FULL PACK SOLUTIONS

Institution
Wellcare ACT Mastery
Course
Wellcare ACT Mastery









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Institution
Wellcare ACT Mastery
Course
Wellcare ACT Mastery

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Uploaded on
August 3, 2025
Number of pages
7
Written in
2025/2026
Type
Exam (elaborations)
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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.

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