2025 WELLCARE ACT MASTERY
EXAM – TELEAGENT 2025/2026
LATEST EDITION VERIFIED
QUESTIONS AND ANSWERS
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
EXAM – TELEAGENT 2025/2026
LATEST EDITION VERIFIED
QUESTIONS AND ANSWERS
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
