WELLCARE ACT MASTERY EXAM CORE SKILLS
AND KNOWLEDGE BREAKDOWN 2026
◉ Wellcare launched new tiered provider plans in ______ and _____.
(Select two options.) Answer: Arizona and Oregon
◉ For 2025, Wellcare has 43 new plans going to market. Answer:
True
◉ Best practices to keep in mind for Dual Eligible Special Needs Plan
(D-SNP) and Chronic Condition Special Needs Plan (C-SNP)
enrollments include the following: (Select all that apply.) Answer: If
a member is not connected to a primary care provider (PCP), always
encourage and assist with connecting them to an in-network doctor
Avoid Submitting applications with no PCP to assist these higher-
risk members
None of these
◉ Low-Income Subsidy (LIS), which is often referred to as Extra
Help, reduces all Part D plan premiums. Answer: False
, ◉ When completing enrollments, be sure to collect the member's
____ and ____ to help ensure they receive important resources
throughout and beyond their onboarding journey. Answer: Email
address, Mobile phone number, fax number
◉ Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1
as new certifications and recertifications take place. Answer: True
◉ Which Prescription Drug Plan (PDP) has the richest formulary
with the most adherence generics on Tier 1? Answer: Value Plus
◉ In 2025, Medicare Advantage Prescription Drug (MAPD) plans
will have six formularies with six individual tier structures. Answer:
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. Answer: 32
◉ All Prescription Drug Plans (PDPs) offer preferred cost-sharing
including $0 copay on Tier 1 preferred generic medications through
Express Scripts Pharmacy home delivery. Answer: True
AND KNOWLEDGE BREAKDOWN 2026
◉ Wellcare launched new tiered provider plans in ______ and _____.
(Select two options.) Answer: Arizona and Oregon
◉ For 2025, Wellcare has 43 new plans going to market. Answer:
True
◉ Best practices to keep in mind for Dual Eligible Special Needs Plan
(D-SNP) and Chronic Condition Special Needs Plan (C-SNP)
enrollments include the following: (Select all that apply.) Answer: If
a member is not connected to a primary care provider (PCP), always
encourage and assist with connecting them to an in-network doctor
Avoid Submitting applications with no PCP to assist these higher-
risk members
None of these
◉ Low-Income Subsidy (LIS), which is often referred to as Extra
Help, reduces all Part D plan premiums. Answer: False
, ◉ When completing enrollments, be sure to collect the member's
____ and ____ to help ensure they receive important resources
throughout and beyond their onboarding journey. Answer: Email
address, Mobile phone number, fax number
◉ Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1
as new certifications and recertifications take place. Answer: True
◉ Which Prescription Drug Plan (PDP) has the richest formulary
with the most adherence generics on Tier 1? Answer: Value Plus
◉ In 2025, Medicare Advantage Prescription Drug (MAPD) plans
will have six formularies with six individual tier structures. Answer:
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. Answer: 32
◉ All Prescription Drug Plans (PDPs) offer preferred cost-sharing
including $0 copay on Tier 1 preferred generic medications through
Express Scripts Pharmacy home delivery. Answer: True
