WELLCARE ACT MASTERY EXAM - BROKER /
EMPLOYEE
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - Answer -
Classic
For 2025, Wellcare has 43 new plans going to market - Answer -TRUE
Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act. - Answer -True
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - Answer -False
CustomPoint® sales material order dates will be posted on Wellcare.com. - Answer -
False
Enrollments through Ascend offer the following unique benefits: (Select all that apply.) -
Answer -Validation of important data to help prevent incorrect or missing information
Search capabilities for providers and formularies to validate physician and prescription
availability
A Low-Income Subsidy (LIS) member could be assigned one of ____ copay categories
depending on the level of need. - Answer -Four
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?
- Answer -Coverage Gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1? - Answer -Value Plus
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - Answer -False
Which will be Wellcare's Preferred Mail Order pharmacy? - Answer -Express Scripts®
Pharmacy
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.)
- Answer -Montana
Arizona
, The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - Answer -True
Wellcare's Corporate Office support team can assist with which types of inquiries? -
Answer -All of these
From October 1 to October 14, certain activities are not permitted for 2025 sales and
enrollments. These include: - Answer -All of these
Wellcare does not need to be informed of informal marketing/sales events at which
plans or materials will be presented or distributed. - Answer -False
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider.
The disclaimer must be: (Select all that apply.) - Answer --Included in any marketing
materials, including print materials and television advertisements developed, used, or
distributed by the TPMO.
-Verbally conveyed within the first minute of a sales call.
-Prominently displayed on TPMO websites (regardless of content).
-Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
Although options for capturing and submitting Scopes of Appointment (SOAs) vary by
health plan, Wellcare accepts SOAs in which of the following methods? - Answer -All of
these
Prior to completing the enrollment form, brokers/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists. - Answer -True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available
in the newly selected plan can cause a sales allegation. - Answer -True
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
Answer -An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant.
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
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
Disciplinary actions stemming from the result of a compliance allegation are always
progressive. - Answer -False
EMPLOYEE
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - Answer -
Classic
For 2025, Wellcare has 43 new plans going to market - Answer -TRUE
Members are no longer required to pay a partial deductible due to the Inflation
Reduction Act. - Answer -True
Names and/or logos of provider co-branding partners can be displayed on marketing
materials, as long as the current and approved logos are used. - Answer -False
CustomPoint® sales material order dates will be posted on Wellcare.com. - Answer -
False
Enrollments through Ascend offer the following unique benefits: (Select all that apply.) -
Answer -Validation of important data to help prevent incorrect or missing information
Search capabilities for providers and formularies to validate physician and prescription
availability
A Low-Income Subsidy (LIS) member could be assigned one of ____ copay categories
depending on the level of need. - Answer -Four
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?
- Answer -Coverage Gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1? - Answer -Value Plus
Final 2025 plan and benefit information may be discussed with beneficiaries on or
before September 30, 2024. - Answer -False
Which will be Wellcare's Preferred Mail Order pharmacy? - Answer -Express Scripts®
Pharmacy
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.)
- Answer -Montana
Arizona
, The Single Sign-On Portal provides access to multiple applications, including
CustomPoint®. - Answer -True
Wellcare's Corporate Office support team can assist with which types of inquiries? -
Answer -All of these
From October 1 to October 14, certain activities are not permitted for 2025 sales and
enrollments. These include: - Answer -All of these
Wellcare does not need to be informed of informal marketing/sales events at which
plans or materials will be presented or distributed. - Answer -False
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO
that sells plans on behalf of more than one Medicare Advantage (MA) plan provider.
The disclaimer must be: (Select all that apply.) - Answer --Included in any marketing
materials, including print materials and television advertisements developed, used, or
distributed by the TPMO.
-Verbally conveyed within the first minute of a sales call.
-Prominently displayed on TPMO websites (regardless of content).
-Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
Although options for capturing and submitting Scopes of Appointment (SOAs) vary by
health plan, Wellcare accepts SOAs in which of the following methods? - Answer -All of
these
Prior to completing the enrollment form, brokers/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists. - Answer -True
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available
in the newly selected plan can cause a sales allegation. - Answer -True
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
Answer -An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant.
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
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
Disciplinary actions stemming from the result of a compliance allegation are always
progressive. - Answer -False
