Wellcare ACT Test Questions
and Answers | Verified Question
and Answer Review | Graded A+
‣ Members who have LIS and enroll in a plan other than Wellcare's
Classic plan will pay a premium regardless of LIS subsidy status.
Answer: True
‣ All Traditional Medicare Advantage Prescription Drug (MAPD) plans
with drug coverage include a $0 copay Tier 6 at all in-network pharmacy
locations. Answer: True
‣ In 2025, Medicare Advantage Prescription Drug (MAPD) plans will
have six formularies with six individual tier structures. Answer: False
‣ 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.
‣ What are some examples of steps that can be taken when safeguarding
and securing PHI and PII? (Select all that apply.) Answer: 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.
‣ Wellcare's _____ plan is designed for Low-Income Subsidy (LIS)
members. Answer: Classic
‣ For Prescription Drug Plan (PDP) Medication Home Delivery, the
____ plans will continue to offer a discount (2.5 x 30-day preferred retail
copay) for a 90-day supply of Tier 2 medications. Answer: Value Plus
‣ ____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C. Answer: Three
‣ Effective 2026, key provisions of the Inflation Reduction Act include
Medicare's ability to negotiate directly with drug manufacturers to lower
the price of some of the costliest single-source brand-name Medicare
Part B and Part D drugs. Answer: TRUE
‣ For 2025, Wellcare will offer a Value-Based Insurance Design (VBID)
model on select Dual Eligible Special Needs Plans (D-SNPs) that
include $0 deductible and $0 copays for covered prescriptions. Answer:
TRUE
‣ Wellcare added which state to its footprint for 2025? Answer: Iowa
and Answers | Verified Question
and Answer Review | Graded A+
‣ Members who have LIS and enroll in a plan other than Wellcare's
Classic plan will pay a premium regardless of LIS subsidy status.
Answer: True
‣ All Traditional Medicare Advantage Prescription Drug (MAPD) plans
with drug coverage include a $0 copay Tier 6 at all in-network pharmacy
locations. Answer: True
‣ In 2025, Medicare Advantage Prescription Drug (MAPD) plans will
have six formularies with six individual tier structures. Answer: False
‣ 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.
‣ What are some examples of steps that can be taken when safeguarding
and securing PHI and PII? (Select all that apply.) Answer: 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.
‣ Wellcare's _____ plan is designed for Low-Income Subsidy (LIS)
members. Answer: Classic
‣ For Prescription Drug Plan (PDP) Medication Home Delivery, the
____ plans will continue to offer a discount (2.5 x 30-day preferred retail
copay) for a 90-day supply of Tier 2 medications. Answer: Value Plus
‣ ____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C. Answer: Three
‣ Effective 2026, key provisions of the Inflation Reduction Act include
Medicare's ability to negotiate directly with drug manufacturers to lower
the price of some of the costliest single-source brand-name Medicare
Part B and Part D drugs. Answer: TRUE
‣ For 2025, Wellcare will offer a Value-Based Insurance Design (VBID)
model on select Dual Eligible Special Needs Plans (D-SNPs) that
include $0 deductible and $0 copays for covered prescriptions. Answer:
TRUE
‣ Wellcare added which state to its footprint for 2025? Answer: Iowa
