Wellcare ACT Mastery Exam UPDATED
Exam Questions and CORRECT Answers
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members. - CORRECT
ANSWER - Classic
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) -
CORRECT 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. - CORRECT
ANSWER - $2,000
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - CORRECT
ANSWER - Classic
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
CORRECT ANSWER - TRUE
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance? - CORRECT ANSWER - Three
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - CORRECT ANSWER - TRUE
Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in
24 states. - CORRECT 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? - CORRECT
ANSWER - Coverage gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics
on Tier 1? - CORRECT ANSWER - Value Plus
Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.) - CORRECT 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. - CORRECT ANSWER - TRUE
Which of the following actions are required when contacted regarding an allegation of
noncompliant activity? - CORRECT 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. - CORRECT ANSWER - TRUE
Which of the following statements about completing telephonic enrollments is FALSE? -
CORRECT 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.) - CORRECT 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.
Exam Questions and CORRECT Answers
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members. - CORRECT
ANSWER - Classic
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) -
CORRECT 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. - CORRECT
ANSWER - $2,000
Which Prescription Drug Plan (PDP) is best for a dual-eligible chooser? - CORRECT
ANSWER - Classic
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
CORRECT ANSWER - TRUE
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance? - CORRECT ANSWER - Three
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - CORRECT ANSWER - TRUE
Wellcare is the official Medicare provider partner of The American Legion to serve Veterans in
24 states. - CORRECT 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? - CORRECT
ANSWER - Coverage gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence generics
on Tier 1? - CORRECT ANSWER - Value Plus
Agents may be investigated after being suspected of noncompliant activity reported through a:
(Select all that apply.) - CORRECT 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. - CORRECT ANSWER - TRUE
Which of the following actions are required when contacted regarding an allegation of
noncompliant activity? - CORRECT 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. - CORRECT ANSWER - TRUE
Which of the following statements about completing telephonic enrollments is FALSE? -
CORRECT 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.) - CORRECT 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.
