Wellcare Act Mastery Exam 25 Exam Questions With Correct Verified Answers | 100% Pass (A+ Certified)

WELLCARE ACT MASTERY EXAM 25 EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members. Answer Classic Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) Answer Arizona Oregon 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. Answer $2,000 Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? Answer Classic Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. Answer TRUE Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully subsidized and receive the most assistance? Answer Three All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies. Answer TRUE Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in 24 states. Answer TRUE Effective 2025, key provisions of the Inflation Reduction Act include a newly designed standard Part D benefit design consisting of three phases. Which phase is not included? Answer Coverage gap Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics on Tier 1? Answer Value Plus Agents may be investigated after being suspected of noncompliant activity reported through a: (Select all that apply.) Answer Complaint Tracking Module (CTM) Grievance Secret Shop Finding Agents must meet all required contracting, training, and certification requirements annually to be eligible to sell Wellcare's Medicare products. Answer TRUE Which of the following actions are required when contacted regarding an allegation of noncompliant activity? Answer All of these Lead-generating activities (either directly or indirectly) facilitated by a Third-Party Marketing Organization (TPMO) need to include a notice to the beneficiary that their information may be shared with a licensed agent for future contact. Answer TRUE Which of the following statements about completing telephonic enrollments is FALSE? Answer Must include some of the required elements necessary to complete the enrollment. 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.) Answer 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). Verbal permission granted to discuss plan details qualifies an authorized representative to complete an application on behalf of the beneficiary. Answer FALSE When completing an application, you should ensure that you enter the provider ID of a specialist and not a primary care provider (PCP). Answer FALSE To ensure accurate data entry, agents should repeat the Medicare ID back to the beneficiary.