2025 Wellcare ACT Mastery Exam -
Broker / Employee QUESTIONS
AND VERIFIED ANSWERS
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. - CORRECT 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. - CORRECT ANSWER -
-True
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies
with six individual tier structures. - CORRECT ANSWER --False
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
CORRECT 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.) - CORRECT 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. -
CORRECT 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. - CORRECT ANSWER --Value Plus
Broker / Employee QUESTIONS
AND VERIFIED ANSWERS
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. - CORRECT 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. - CORRECT ANSWER -
-True
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies
with six individual tier structures. - CORRECT ANSWER --False
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
CORRECT 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.) - CORRECT 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. -
CORRECT 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. - CORRECT ANSWER --Value Plus
