2025 Wellcare ACT Mastery Exam – TeleAgent Ques ons
and answers Latest 100% verified correct
Effec ve 2025, key provisions of the Infla on Reduc on Act include a lower annual threshold of
$_____ for out-of-pocket (OOP) prescrip on drug costs in Medicare. - CORRECT ANSWERS
$2,000
Wellcare launched new ered provider plans in ______ and _____. (Select two op ons.) -
CORRECT ANSWERS Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - CORRECT ANSWERS True
Best prac ces to keep in mind for Dual Eligible Special Needs Plan (D-SNP) and Chronic
Condi on Special Needs Plan (C-SNP) enrollments include the following: (Select all that apply.) -
CORRECT ANSWERS If a member is not connected to a primary care provider (PCP), always
encourage and assist with connec ng them to an in-network doctor
Avoid Submi8ng applica ons with no PCP to assist these higher-risk members
None of these
Low-Income Subsidy (LIS), which is o:en referred to as Extra Help, reduces all Part D plan
premiums. - CORRECT ANSWERS False
When comple ng enrollments, be sure to collect the member's ____ and ____ to help ensure
they receive important resources throughout and beyond their onboarding journey. - CORRECT
ANSWERS Email address, Mobile phone number, fax number
, Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new cer fica ons and
recer fica ons take place. - CORRECT ANSWERS True
Which Prescrip on Drug Plan (PDP) has the richest formulary with the most adherence generics
on Tier 1? - CORRECT ANSWERS Value Plus
In 2025, Medicare Advantage Prescrip on Drug (MAPD) plans will have six formularies with six
individual er structures. - CORRECT ANSWERS 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. - CORRECT ANSWERS 32
All Prescrip on Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1
preferred generic medica ons through Express Scripts Pharmacy home delivery. - CORRECT
ANSWERS 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. - CORRECT ANSWERS 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). - CORRECT
ANSWERS 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. - CORRECT ANSWERS True
Self-repor ng of a compliance issue must be made to Corporate Compliance or to a Health Plan
Sales Leader and must indicate: - CORRECT ANSWERS All of these
and answers Latest 100% verified correct
Effec ve 2025, key provisions of the Infla on Reduc on Act include a lower annual threshold of
$_____ for out-of-pocket (OOP) prescrip on drug costs in Medicare. - CORRECT ANSWERS
$2,000
Wellcare launched new ered provider plans in ______ and _____. (Select two op ons.) -
CORRECT ANSWERS Arizona and Oregon
For 2025, Wellcare has 43 new plans going to market. - CORRECT ANSWERS True
Best prac ces to keep in mind for Dual Eligible Special Needs Plan (D-SNP) and Chronic
Condi on Special Needs Plan (C-SNP) enrollments include the following: (Select all that apply.) -
CORRECT ANSWERS If a member is not connected to a primary care provider (PCP), always
encourage and assist with connec ng them to an in-network doctor
Avoid Submi8ng applica ons with no PCP to assist these higher-risk members
None of these
Low-Income Subsidy (LIS), which is o:en referred to as Extra Help, reduces all Part D plan
premiums. - CORRECT ANSWERS False
When comple ng enrollments, be sure to collect the member's ____ and ____ to help ensure
they receive important resources throughout and beyond their onboarding journey. - CORRECT
ANSWERS Email address, Mobile phone number, fax number
, Low-Income Subsidy (LIS) Level 4 is ending and moving to Level 1 as new cer fica ons and
recer fica ons take place. - CORRECT ANSWERS True
Which Prescrip on Drug Plan (PDP) has the richest formulary with the most adherence generics
on Tier 1? - CORRECT ANSWERS Value Plus
In 2025, Medicare Advantage Prescrip on Drug (MAPD) plans will have six formularies with six
individual er structures. - CORRECT ANSWERS 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. - CORRECT ANSWERS 32
All Prescrip on Drug Plans (PDPs) offer preferred cost-sharing including $0 copay on Tier 1
preferred generic medica ons through Express Scripts Pharmacy home delivery. - CORRECT
ANSWERS 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. - CORRECT ANSWERS 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). - CORRECT
ANSWERS 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. - CORRECT ANSWERS True
Self-repor ng of a compliance issue must be made to Corporate Compliance or to a Health Plan
Sales Leader and must indicate: - CORRECT ANSWERS All of these
