2025 Wellcare ACT Mastery Exam || 100% Correct Answers.
For 2025, Wellcare will be offering plans to more than 51 million beneficiaries, which
accounts for 77% of all eligible Medicare beneficiaries in our ___ states. correct answers 32
Many of our Medicare Advantage (MA) plans offer supplemental benefits above and beyond
what is offered on Original Medicare. Examples include: (Select all that apply) correct
answers Over-the-counter (OTC) items and medications
Equestrian training
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies
with six individual tier structures. correct answers False
Any request or distribution of PHI should contain only the minimum amount of PHI required
to complete the intended task. correct answers True
What are some examples of steps that can be taken when safeguarding and securing PHI and
PII? (Select all that apply.) correct answers Shred documents that contain PHI or PII using
appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
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. correct answers 60
Grievance procedures are separate and distinct from initial determination and appeal
procedures. correct answers True
When completing enrollments, be sure to collect the member's ____ and ____ to help ensure
they receive important resources throughout and beyond their onboarding journey. correct
answers Email address
Mobile phone number
Social media username
Fax number
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: correct answers Appeal
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? correct answers Confirmation Number
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. correct answers True
Verbal permission granted to discuss plan details qualifies an authorized representative to
complete an application on behalf of the beneficiary. correct answers False
For 2025, Wellcare will be offering plans to more than 51 million beneficiaries, which
accounts for 77% of all eligible Medicare beneficiaries in our ___ states. correct answers 32
Many of our Medicare Advantage (MA) plans offer supplemental benefits above and beyond
what is offered on Original Medicare. Examples include: (Select all that apply) correct
answers Over-the-counter (OTC) items and medications
Equestrian training
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies
with six individual tier structures. correct answers False
Any request or distribution of PHI should contain only the minimum amount of PHI required
to complete the intended task. correct answers True
What are some examples of steps that can be taken when safeguarding and securing PHI and
PII? (Select all that apply.) correct answers Shred documents that contain PHI or PII using
appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
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. correct answers 60
Grievance procedures are separate and distinct from initial determination and appeal
procedures. correct answers True
When completing enrollments, be sure to collect the member's ____ and ____ to help ensure
they receive important resources throughout and beyond their onboarding journey. correct
answers Email address
Mobile phone number
Social media username
Fax number
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: correct answers Appeal
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? correct answers Confirmation Number
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. correct answers True
Verbal permission granted to discuss plan details qualifies an authorized representative to
complete an application on behalf of the beneficiary. correct answers False
