WELLCARE ACT MASTERY EXAM QUESTIONS &
ANSWERS
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members.
Classic
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.)
Arizona
Oregon
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
TRUE
Wellcare is the official Medicare provider partner of The American Legion to serve
Veterans in 24 states.
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?
Coverage gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1?
Value Plus
Agents may be investigated after being suspected of noncompliant activity reported
through a: (Select all that apply.)
Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Which of the following statements about completing telephonic enrollments is FALSE?
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.)
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.
FALSE
When completing an application, you should ensure that you enter the provider ID of a
specialist and not a primary care provider (PCP).
FALSE
To ensure accurate data entry, agents should repeat the Medicare ID back to the
beneficiary.
TRUE
Upon completion of the application, you must provide the beneficiary with the enrollment
application confirmation ID.
TRUE
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums.
FALSE
When enrolling a Dual Eligible Special Needs Plan (D-SNP) beneficiary, be sure to
verify plan enrollment eligibility and that the Medicare Savings Program (MSP) level is
eligible for the requested plan.
TRUE
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to:
All of these
ANSWERS
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members.
Classic
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.)
Arizona
Oregon
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
TRUE
Wellcare is the official Medicare provider partner of The American Legion to serve
Veterans in 24 states.
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?
Coverage gap
Which Prescription Drug Plan (PDP) has the richest formulary with the most adherence
generics on Tier 1?
Value Plus
Agents may be investigated after being suspected of noncompliant activity reported
through a: (Select all that apply.)
Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
Which of the following statements about completing telephonic enrollments is FALSE?
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.)
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.
FALSE
When completing an application, you should ensure that you enter the provider ID of a
specialist and not a primary care provider (PCP).
FALSE
To ensure accurate data entry, agents should repeat the Medicare ID back to the
beneficiary.
TRUE
Upon completion of the application, you must provide the beneficiary with the enrollment
application confirmation ID.
TRUE
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums.
FALSE
When enrolling a Dual Eligible Special Needs Plan (D-SNP) beneficiary, be sure to
verify plan enrollment eligibility and that the Medicare Savings Program (MSP) level is
eligible for the requested plan.
TRUE
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to:
All of these
