2025 WELLCARE ACT MASTERY EXAM - BROKER /
EMPLOYEE QUESTIONS AND ANSWERS 100%
CORRECT AND UPDATED!!
, The Medicare Prescription Payment Plan allows prescription costs to be spread across
_____ payments billed directly to the member. - ANSWER Monthly
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a
premium regardless of LIS subsidy status. - ANSWER True
All Traditional Medicare Advantage Prescription Drug (MAPD) plans with drug coverage
include a $0 copay Tier 6 at all in-network pharmacy locations. - ANSWER True
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies
with six individual tier structures. - ANSWER False
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
ANSWER An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant.
What are some examples of steps that can be taken when safeguarding and securing
PHI and PII? (Select all that apply.) - ANSWER Shred documents that contain PHI or
PII using appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members. - ANSWER
Classic
For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plans will
continue to offer a discount (2.5 x 30-day preferred retail copay) for a 90-day supply of
Tier 2 medications. - ANSWER Value Plus
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C. - ANSWER Three
Effective 2026, key provisions of the Inflation Reduction Act include Medicare's ability to
negotiate directly with drug manufacturers to lower the price of some of the costliest
single-source brand-name Medicare Part B and Part D drugs. - ANSWER TRUE
EMPLOYEE QUESTIONS AND ANSWERS 100%
CORRECT AND UPDATED!!
, The Medicare Prescription Payment Plan allows prescription costs to be spread across
_____ payments billed directly to the member. - ANSWER Monthly
Members who have LIS and enroll in a plan other than Wellcare's Classic plan will pay a
premium regardless of LIS subsidy status. - ANSWER True
All Traditional Medicare Advantage Prescription Drug (MAPD) plans with drug coverage
include a $0 copay Tier 6 at all in-network pharmacy locations. - ANSWER True
In 2025, Medicare Advantage Prescription Drug (MAPD) plans will have six formularies
with six individual tier structures. - ANSWER False
Which of the following statements about the Scope of Appointment (SOA) is FALSE? -
ANSWER An electronic SOA submitted in Ascend in a Pending status is considered
complete and compliant.
What are some examples of steps that can be taken when safeguarding and securing
PHI and PII? (Select all that apply.) - ANSWER Shred documents that contain PHI or
PII using appropriate means.
Never leave laptops, PHI, or PII in an unattended vehicle.
Do not include PHI or PII in the subject line or body of an email.
Secure emails that contain PHI or PII.
Wellcare's _____ plan is designed for Low-Income Subsidy (LIS) members. - ANSWER
Classic
For Prescription Drug Plan (PDP) Medication Home Delivery, the ____ plans will
continue to offer a discount (2.5 x 30-day preferred retail copay) for a 90-day supply of
Tier 2 medications. - ANSWER Value Plus
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and
Washington, D.C. - ANSWER Three
Effective 2026, key provisions of the Inflation Reduction Act include Medicare's ability to
negotiate directly with drug manufacturers to lower the price of some of the costliest
single-source brand-name Medicare Part B and Part D drugs. - ANSWER TRUE
