2025 Wellcare ACT Mastery Exam –
TeleAgent. Latest 2025-2026.
Questions and Correct Verified
Answers. Graded A
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C. - ANS Three
A grievance request, or any evidence concerning a grievance, must be filed
orally or in writing no later than ____ calendar days from the date of the
event or the date the member is made aware of the issue. - ANS60
A grievance request, or any evidence concerning a grievance, must be filed
orally or in writing no later than _____ calendar days from the date of the
event or the date the member is made aware of the issue. - ANS60
A request to the plan from a member or provider for a formal review of an
Action (Denial) or Adverse Plan Determination (Medicare) is a/an: -
ANSAppeal
A Scope of Appointment (SOA) is valid _______ following the beneficiary's
signature date. - ANS12 months
1
, Agents may be investigated after being suspected of noncompliant activity
reported through a: (Select all that apply.) - ANSComplaint Tracking
Module (CTM)
Grievance
Secret Shop Finding
Agents must meet all required contracting, training, and certification
requirements annually to be eligible to sell Wellcare's Medicare products. -
ANSTrue
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0
copay on Tier 1 preferred generic medications through Express Scripts
Pharmacy home delivery. - ANSTrue
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when
filled at preferred pharmacies. - ANSTrue
All Traditional Medicare Advantage Prescription Drug (MAPD) plans with
drug coverage include $0 copay Tier 6 at all in-network pharmacy locations
- ANSTrue
An LEP is assessed by the Centers for Medicare & Medicaid Services
(CMS) when a member goes _____ days or longer without creditable
prescription drug coverage after they become Medicare eligible. - ANS63
2
TeleAgent. Latest 2025-2026.
Questions and Correct Verified
Answers. Graded A
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C. - ANS Three
A grievance request, or any evidence concerning a grievance, must be filed
orally or in writing no later than ____ calendar days from the date of the
event or the date the member is made aware of the issue. - ANS60
A grievance request, or any evidence concerning a grievance, must be filed
orally or in writing no later than _____ calendar days from the date of the
event or the date the member is made aware of the issue. - ANS60
A request to the plan from a member or provider for a formal review of an
Action (Denial) or Adverse Plan Determination (Medicare) is a/an: -
ANSAppeal
A Scope of Appointment (SOA) is valid _______ following the beneficiary's
signature date. - ANS12 months
1
, Agents may be investigated after being suspected of noncompliant activity
reported through a: (Select all that apply.) - ANSComplaint Tracking
Module (CTM)
Grievance
Secret Shop Finding
Agents must meet all required contracting, training, and certification
requirements annually to be eligible to sell Wellcare's Medicare products. -
ANSTrue
All Prescription Drug Plans (PDPs) offer preferred cost-sharing including $0
copay on Tier 1 preferred generic medications through Express Scripts
Pharmacy home delivery. - ANSTrue
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when
filled at preferred pharmacies. - ANSTrue
All Traditional Medicare Advantage Prescription Drug (MAPD) plans with
drug coverage include $0 copay Tier 6 at all in-network pharmacy locations
- ANSTrue
An LEP is assessed by the Centers for Medicare & Medicaid Services
(CMS) when a member goes _____ days or longer without creditable
prescription drug coverage after they become Medicare eligible. - ANS63
2
