2025 WELLCARE ACT MASTERY EXAM
– TELEAGENT QUESTIONS WITH
COMPLETE ANSWERS
Effective cc2025, cckey ccprovisions ccof ccthe ccInflation ccReduction ccAct ccinclude cca
cclower ccannual ccthreshold ccof cc$_____ ccfor ccout-of-pocket cc(OOP) ccprescription
ccdrug cccosts ccin ccMedicare. cc- ccAnswer cc$2,000
Wellcare cclaunched ccnew cctiered ccprovider ccplans ccin cc______ ccand cc_____. cc(Select
cctwo ccoptions.) cc- ccAnswer ccArizona ccand ccOregon
For cc2025, ccWellcare cchas cc43 ccnew ccplans ccgoing ccto ccmarket. cc- ccAnswer ccTrue
Best ccpractices ccto cckeep ccin ccmind ccfor ccDual ccEligible ccSpecial ccNeeds ccPlan cc(D-
SNP) ccand ccChronic ccCondition ccSpecial ccNeeds ccPlan cc(C-SNP) ccenrollments
ccinclude ccthe ccfollowing: cc(Select ccall ccthat ccapply.) cc- ccAnswer ccIf cca ccmember ccis
ccnot ccconnected ccto cca ccprimary cccare ccprovider cc(PCP), ccalways ccencourage ccand
ccassist ccwith ccconnecting ccthem ccto ccan ccin-network ccdoctor
Avoid ccSubmitting ccapplications ccwith ccno ccPCP ccto ccassist ccthese cchigher-risk
ccmembers
None ccof ccthese
Low-Income ccSubsidy cc(LIS), ccwhich ccis ccoften ccreferred ccto ccas ccExtra ccHelp,
ccreduces ccall ccPart ccD ccplan ccpremiums. cc- ccAnswer ccFalse
When cccompleting ccenrollments, ccbe ccsure ccto cccollect ccthe ccmember's cc____ ccand
cc____ ccto cchelp ccensure ccthey ccreceive ccimportant ccresources ccthroughout ccand
ccbeyond cctheir cconboarding ccjourney. cc- ccAnswer ccEmail ccaddress, ccMobile ccphone
ccnumber, ccfax ccnumber
, Low-Income ccSubsidy cc(LIS) ccLevel cc4 ccis ccending ccand ccmoving ccto ccLevel cc1 ccas
ccnew cccertifications ccand ccrecertifications cctake ccplace. cc- ccAnswer ccTrue
Which ccPrescription ccDrug ccPlan cc(PDP) cchas ccthe ccrichest ccformulary ccwith ccthe
ccmost ccadherence ccgenerics ccon ccTier cc1? cc- ccAnswer ccValue ccPlus
In cc2025, ccMedicare ccAdvantage ccPrescription ccDrug cc(MAPD) ccplans ccwill cchave ccsix
ccformularies ccwith ccsix ccindividual cctier ccstructures. cc- ccAnswer ccFalse
For cc2025, ccWellcare ccwill ccbe ccoffering ccplans ccto ccmore ccthan cc51 ccmillion
ccbeneficiaries, ccwhich ccaccounts ccfor cc77% ccof ccall cceligible ccMedicare ccbeneficiaries
ccin ccour cc___ ccstates. cc- ccAnswer cc32
All ccPrescription ccDrug ccPlans cc(PDPs) ccoffer ccpreferred cccost-sharing ccincluding cc$0
cccopay ccon ccTier cc1 ccpreferred ccgeneric ccmedications ccthrough ccExpress ccScripts
ccPharmacy cchome ccdelivery. cc- ccAnswer ccTrue
Members ccwho cchave ccLIS ccand ccenroll ccin cca ccplan ccother ccthan ccWellcare's
ccClassic ccplan ccwill ccpay cca ccpremium ccregardless ccof ccLIS ccsubsidy ccstatus. cc-
ccAnswer ccTrue
New ccfor ccPY2025, ccthe ccWellcare ccSpendables™ ccCard ccwill ccinclude ccHome
ccImprovement ccand ccSafety ccItems ccon ccselect ccDual ccEligible ccSpecial ccNeeds
ccPlans cc(D-SNPs) cc(amount ccvaries ccby ccplan). cc- ccAnswer ccTrue
As ccpart ccof ccCentene's ccEthics ccand ccCompliance ccprogram, ccCentene ccrequires ccall
ccagents ccto ccreview ccand ccagree ccto ccits ccBusiness ccEthics ccand ccCode ccof
ccConduct ccPolicy. cc- ccAnswer ccTrue
Self-reporting ccof cca cccompliance ccissue ccmust ccbe ccmade ccto ccCorporate
ccCompliance ccor ccto cca ccHealth ccPlan ccSales ccLeader ccand ccmust ccindicate: cc-
ccAnswer ccAll ccof ccthese
Agents ccmust ccmeet ccall ccrequired cccontracting, cctraining, ccand cccertification
ccrequirements ccannually ccto ccbe cceligible ccto ccsell ccWellcare's ccMedicare ccproducts.
cc- ccAnswer ccTrue
When cccompleting ccan ccapplication, ccyou ccshould ccensure ccthat ccyou ccenter ccthe
ccprovider ccID ccof cca ccspecialist ccand ccnot cca ccprimary cccare ccprovider cc(PCP). cc-
ccAnswer ccFalse
Prior ccto ccthe ccbeginning ccof ccthe ccenrollment ccprocess, ccan ccagent ccis ccrequired ccto
cccover cccertain ccbeneficiary ccspecific ccinformation, ccincluding ccbut ccnot cclimited ccto:
cc- ccAnswer ccAll ccof ccthese
– TELEAGENT QUESTIONS WITH
COMPLETE ANSWERS
Effective cc2025, cckey ccprovisions ccof ccthe ccInflation ccReduction ccAct ccinclude cca
cclower ccannual ccthreshold ccof cc$_____ ccfor ccout-of-pocket cc(OOP) ccprescription
ccdrug cccosts ccin ccMedicare. cc- ccAnswer cc$2,000
Wellcare cclaunched ccnew cctiered ccprovider ccplans ccin cc______ ccand cc_____. cc(Select
cctwo ccoptions.) cc- ccAnswer ccArizona ccand ccOregon
For cc2025, ccWellcare cchas cc43 ccnew ccplans ccgoing ccto ccmarket. cc- ccAnswer ccTrue
Best ccpractices ccto cckeep ccin ccmind ccfor ccDual ccEligible ccSpecial ccNeeds ccPlan cc(D-
SNP) ccand ccChronic ccCondition ccSpecial ccNeeds ccPlan cc(C-SNP) ccenrollments
ccinclude ccthe ccfollowing: cc(Select ccall ccthat ccapply.) cc- ccAnswer ccIf cca ccmember ccis
ccnot ccconnected ccto cca ccprimary cccare ccprovider cc(PCP), ccalways ccencourage ccand
ccassist ccwith ccconnecting ccthem ccto ccan ccin-network ccdoctor
Avoid ccSubmitting ccapplications ccwith ccno ccPCP ccto ccassist ccthese cchigher-risk
ccmembers
None ccof ccthese
Low-Income ccSubsidy cc(LIS), ccwhich ccis ccoften ccreferred ccto ccas ccExtra ccHelp,
ccreduces ccall ccPart ccD ccplan ccpremiums. cc- ccAnswer ccFalse
When cccompleting ccenrollments, ccbe ccsure ccto cccollect ccthe ccmember's cc____ ccand
cc____ ccto cchelp ccensure ccthey ccreceive ccimportant ccresources ccthroughout ccand
ccbeyond cctheir cconboarding ccjourney. cc- ccAnswer ccEmail ccaddress, ccMobile ccphone
ccnumber, ccfax ccnumber
, Low-Income ccSubsidy cc(LIS) ccLevel cc4 ccis ccending ccand ccmoving ccto ccLevel cc1 ccas
ccnew cccertifications ccand ccrecertifications cctake ccplace. cc- ccAnswer ccTrue
Which ccPrescription ccDrug ccPlan cc(PDP) cchas ccthe ccrichest ccformulary ccwith ccthe
ccmost ccadherence ccgenerics ccon ccTier cc1? cc- ccAnswer ccValue ccPlus
In cc2025, ccMedicare ccAdvantage ccPrescription ccDrug cc(MAPD) ccplans ccwill cchave ccsix
ccformularies ccwith ccsix ccindividual cctier ccstructures. cc- ccAnswer ccFalse
For cc2025, ccWellcare ccwill ccbe ccoffering ccplans ccto ccmore ccthan cc51 ccmillion
ccbeneficiaries, ccwhich ccaccounts ccfor cc77% ccof ccall cceligible ccMedicare ccbeneficiaries
ccin ccour cc___ ccstates. cc- ccAnswer cc32
All ccPrescription ccDrug ccPlans cc(PDPs) ccoffer ccpreferred cccost-sharing ccincluding cc$0
cccopay ccon ccTier cc1 ccpreferred ccgeneric ccmedications ccthrough ccExpress ccScripts
ccPharmacy cchome ccdelivery. cc- ccAnswer ccTrue
Members ccwho cchave ccLIS ccand ccenroll ccin cca ccplan ccother ccthan ccWellcare's
ccClassic ccplan ccwill ccpay cca ccpremium ccregardless ccof ccLIS ccsubsidy ccstatus. cc-
ccAnswer ccTrue
New ccfor ccPY2025, ccthe ccWellcare ccSpendables™ ccCard ccwill ccinclude ccHome
ccImprovement ccand ccSafety ccItems ccon ccselect ccDual ccEligible ccSpecial ccNeeds
ccPlans cc(D-SNPs) cc(amount ccvaries ccby ccplan). cc- ccAnswer ccTrue
As ccpart ccof ccCentene's ccEthics ccand ccCompliance ccprogram, ccCentene ccrequires ccall
ccagents ccto ccreview ccand ccagree ccto ccits ccBusiness ccEthics ccand ccCode ccof
ccConduct ccPolicy. cc- ccAnswer ccTrue
Self-reporting ccof cca cccompliance ccissue ccmust ccbe ccmade ccto ccCorporate
ccCompliance ccor ccto cca ccHealth ccPlan ccSales ccLeader ccand ccmust ccindicate: cc-
ccAnswer ccAll ccof ccthese
Agents ccmust ccmeet ccall ccrequired cccontracting, cctraining, ccand cccertification
ccrequirements ccannually ccto ccbe cceligible ccto ccsell ccWellcare's ccMedicare ccproducts.
cc- ccAnswer ccTrue
When cccompleting ccan ccapplication, ccyou ccshould ccensure ccthat ccyou ccenter ccthe
ccprovider ccID ccof cca ccspecialist ccand ccnot cca ccprimary cccare ccprovider cc(PCP). cc-
ccAnswer ccFalse
Prior ccto ccthe ccbeginning ccof ccthe ccenrollment ccprocess, ccan ccagent ccis ccrequired ccto
cccover cccertain ccbeneficiary ccspecific ccinformation, ccincluding ccbut ccnot cclimited ccto:
cc- ccAnswer ccAll ccof ccthese
