WELLNESS ACT MASTERY CERTIFICATION EXAM NEWEST ACTUAL EXAM
C WITH 100% CORRECT VERIFIED ANSWERS. GRADE A+ ASSURED.
LATEST 2024-2025
WELLNESS ACT MASTERY CERTIFICATION EXAM
1. 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.: 32
2. 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): Over-the-counter (OTC)
items and medications
Equestrian training
3. In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with
six individual tier structures.: False
4. Any request or distribution of PHI should contain only the minimum amount of PHI required to
complete the intended task.: True
5. What are some examples of steps that can be taken when safeguarding and securing PHI and PII?
(Select all that apply.): 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.
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, Secure emails that contain PHI or PII.
6. 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.: 60
7. Grievance procedures are separate and distinct from initial determination and appeal procedures.:
True
8. When completing enrollments, be sure to collect the member's ____ and ____ to help ensure they
receive important resources throughout and beyond their onboarding journey.: Email address
Mobile phone number
Social media username
Fax number
9. 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:: Appeal
10. When prospective Wellcare members check online for the status of their submitted application,
which element is optional?: Confirmation Number
11. 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.: True
12. Verbal permission granted to discuss plan details qualifies an authorized representative to
complete an application on behalf of the beneficiary.: False
2/5
C WITH 100% CORRECT VERIFIED ANSWERS. GRADE A+ ASSURED.
LATEST 2024-2025
WELLNESS ACT MASTERY CERTIFICATION EXAM
1. 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.: 32
2. 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): Over-the-counter (OTC)
items and medications
Equestrian training
3. In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with
six individual tier structures.: False
4. Any request or distribution of PHI should contain only the minimum amount of PHI required to
complete the intended task.: True
5. What are some examples of steps that can be taken when safeguarding and securing PHI and PII?
(Select all that apply.): 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.
1/5
, Secure emails that contain PHI or PII.
6. 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.: 60
7. Grievance procedures are separate and distinct from initial determination and appeal procedures.:
True
8. When completing enrollments, be sure to collect the member's ____ and ____ to help ensure they
receive important resources throughout and beyond their onboarding journey.: Email address
Mobile phone number
Social media username
Fax number
9. 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:: Appeal
10. When prospective Wellcare members check online for the status of their submitted application,
which element is optional?: Confirmation Number
11. 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.: True
12. Verbal permission granted to discuss plan details qualifies an authorized representative to
complete an application on behalf of the beneficiary.: False
2/5
