2025 Wellcare ACT Mastery Exam -
TeleAgent
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
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to: - ANS- All of these
Upon completion of the application, you must provide the beneficiary with the enrollment
application confirmation ID. - ANS- True
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.) - ANS- 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)
Which of the following statements about completing telephonic enrollments is FALSE? -
ANS- Must include some of the required elements necessary to complete the enrollment
TeleAgent
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
Prior to the beginning of the enrollment process, an agent is required to cover certain
beneficiary specific information, including but not limited to: - ANS- All of these
Upon completion of the application, you must provide the beneficiary with the enrollment
application confirmation ID. - ANS- True
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.) - ANS- 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)
Which of the following statements about completing telephonic enrollments is FALSE? -
ANS- Must include some of the required elements necessary to complete the enrollment
