2025 Wellcare ACT Mastery Exam -
TeleAgent
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual threshold of
$_____ for out-of-pocket (OOP) prescription drug costs in Medicare. - ANS $2,000
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) - ANS
Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - ANS 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.)
- ANS 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. - ANS 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. - ANS 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. - ANS True
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics
on Tier 1? - ANS Value Plus
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with six
individual tier structures. - ANS 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. - ANS 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. - ANS True
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a
premium regardless of LIS subsidy status. - ANS True
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and Safety
Items on select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan). - ANS
True
As part of Centene's Ethics and Compliance program, Centene requires all agents to review and
agree to its Business Ethics and Code of Conduct Policy. - ANS True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan
Sales Leader and must indicate: - ANS All of these
Agents must meet all required contracting, training, and certification requirements annually to be
eligible to sell Wellcare's Medicare products. - ANS True
When completing an application, you should ensure that you enter the provider ID of a specialist
and not a primary care provider (PCP). - ANS False
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to: - ANS All of these
Upon completion of the application, you must provide the beneficiary with the enrollment
application confirmation ID. - ANS True
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that
sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The disclaimer
must be: (Select all that apply.) - ANS Included in any marketing materials, including print
materials and television advertisements developed, used, or distributed by the TPMO
Verbally conveyed within the first minute of a sales call
Prominently displayed on TPMO websites (regardless of content)
Electronically conveyed when communicating with a beneficiary through email, online chat, or
other electronic means of communication (regardless of content)
Which of the following statements about completing telephonic enrollments is FALSE? - ANS
Must include some of the required elements necessary to complete the enrollment
TeleAgent
Effective 2025, key provisions of the Inflation Reduction Act include a lower annual threshold of
$_____ for out-of-pocket (OOP) prescription drug costs in Medicare. - ANS $2,000
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) - ANS
Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - ANS 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.)
- ANS 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. - ANS 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. - ANS 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. - ANS True
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics
on Tier 1? - ANS Value Plus
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies with six
individual tier structures. - ANS 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. - ANS 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. - ANS True
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a
premium regardless of LIS subsidy status. - ANS True
New for PY2025, the Wellcare Spendables™ Card will include Home Improvement and Safety
Items on select Dual Eligible Special Needs Plans (D-SNPs) (amount varies by plan). - ANS
True
As part of Centene's Ethics and Compliance program, Centene requires all agents to review and
agree to its Business Ethics and Code of Conduct Policy. - ANS True
Self-reporting of a compliance issue must be made to Corporate Compliance or to a Health Plan
Sales Leader and must indicate: - ANS All of these
Agents must meet all required contracting, training, and certification requirements annually to be
eligible to sell Wellcare's Medicare products. - ANS True
When completing an application, you should ensure that you enter the provider ID of a specialist
and not a primary care provider (PCP). - ANS False
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to: - ANS All of these
Upon completion of the application, you must provide the beneficiary with the enrollment
application confirmation ID. - ANS True
The Third-Party Marketing Organization (TPMO) disclaimer must be used by any TPMO that
sells plans on behalf of more than one Medicare Advantage (MA) plan provider. The disclaimer
must be: (Select all that apply.) - ANS Included in any marketing materials, including print
materials and television advertisements developed, used, or distributed by the TPMO
Verbally conveyed within the first minute of a sales call
Prominently displayed on TPMO websites (regardless of content)
Electronically conveyed when communicating with a beneficiary through email, online chat, or
other electronic means of communication (regardless of content)
Which of the following statements about completing telephonic enrollments is FALSE? - ANS
Must include some of the required elements necessary to complete the enrollment
