Exam (elaborations)
2025 Wellcare ACT Mastery Exam -Questions with Correct Answers
- Course
- Institution
2025 Wellcare ACT Mastery Exam -Questions with Correct Answers
[Show more]
Content preview
2025 Wellcare ACT Mastery Exam -Questions with Correct AnswersOnly members with a standalone Prescription Drug Plan (PDP) are eligible to use the
Medicare Prescription Payment Plan option. - ✔✔FALSE
Anyone with a Medicare Advantage plan with drug coverage or a PDP is eligible to use the
Medicare Prescription Payment Plan option. - ✔✔TRUE
Wellcare launched new tiered provider plans in ______ and _____. (Select two options.) -
✔✔Arizona
Oregon
Members that opt in to the Medicare Prescription Payment Plan program will receive a bill
each month from the plan instead of paying for Part D covered drugs at the pharmacy. -
✔✔TRUE
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. - ✔✔32
For 2025, Wellcare has 43 new plans going to market. - ✔✔TRUE
Final 2025 plan and benefit information may be discussed with beneficiaries on or before
September 30, 2024. - ✔✔FALSE
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. - ✔✔TRUE
Which Low-Income Subsidy (LIS) category is assigned to members whose costs are fully
subsidized and receive the most assistance? - ✔✔Three
, All Traditional Medicare Advantage Prescription Drug (MAPD) plans will offer $0 copay for
most Part D preventive vaccines regardless of network pharmacy used by members. -
✔✔TRUE
For 2025, Wellcare preferred networks include Walgreens, CVS, and some grocery chains. -
✔✔TRUE
Agents must meet all required contracting, training, and certification requirements annually
to be eligible to sell Wellcare's Medicare products. - ✔✔TRUE
Disciplinary actions stemming from the result of a compliance allegation are always
progressive. - ✔✔FALSE
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. - ✔✔TRUE
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
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? - ✔✔Confirmation Number
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).
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MikeHarris. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now