WELLCARE ACT MASTERY
FINAL EXAM 2026 –
COMPLETE TEST BANK
WITH REAL EXAM
QUESTIONS & DETAILED
ANSWERS
1. Centene requires all contracted brokers/agents to read,
understand, and agree to Centene's Business Ethics and
Code of Conduct Policy.
A. True
B. False
Correct ,,,,answer,,,: A
Rationale: This is a mandatory requirement for all contracted
brokers and agents .
2. The TPMO disclaimer must be used by any TPMO that
sells plans on behalf of more than one MA plan provider.
The disclaimer must be: (Select all that apply.)
,A. Included in any marketing materials.
B. Verbally conveyed within the first minute of a sales call.
C. Prominently displayed on TPMO websites.
D. Electronically conveyed in communications.
Correct ,,,,answer,,,: A, B, C, D
Rationale: The Third-Party Marketing Organization (TPMO)
disclaimer must be included in all marketing materials, verbally
conveyed, prominently displayed on websites, and electronically
conveyed .
3. When a paper SOA form is used, it must be completed
______ hosting the sales presentation.
A. 48 Hours prior to
B. During
C. After
Correct ,,,,answer,,,: A
Rationale: A paper Scope of Appointment (SOA) form must be
completed 48 hours prior to hosting the sales presentation .
4. From October 1 to October 14, certain activities are Non-
Permissible Activities. These include:
A. Assist with completing an application
B. Collect a completed application
C. Advise the beneficiary to complete an application prior to
October 15
D. All of these
Correct ,,,,answer,,,: D
Rationale: It is non-permissible to assist with, collect, or advise
completing a 2026 application prior to October 15 .
5. The Pre-Enrollment Checklist (PECL) is a CMS
requirement that must be reviewed with the beneficiary
,prior to enrollment completion.
A. True
B. False
Correct ,,,,answer,,,: A
Rationale: The PECL is a CMS requirement that must be
reviewed with beneficiaries prior to enrollment completion .
6. A grievance request, or any evidence concerning a
grievance, must be filed orally or in writing no later than ___
calendar days from the date of the event.
A. 30
B. 60
C. 90
Correct ,,,,answer,,,: B
Rationale: A grievance request must be filed no later than 60
calendar days from the date of the event or the date the member
is made aware of the issue .
7. Which Prescription Drug Plan (PDP) product has the
richest formulary with the most adherence generics on Tier
1?
A. Classic
B. Value Script
C. Value Plus
Correct ,,,,answer,,,: A
Rationale: Wellcare Classic has the richest formulary with the
most adherence generics on Tier 1 .
8. Wellcare's _____ plan is designed for Low-Income
Subsidy (LIS) members.
A. Classic
B. Value Plus
, C. Value Script
Correct ,,,,answer,,,: A
Rationale: Wellcare's Classic plan is specifically designed for
Low-Income Subsidy (LIS) members .
9. Which Prescription Drug Plan (PDP) is best for a dual-
eligible chooser?
A. Classic
B. Value Script
C. Value Plus
Correct ,,,,answer,,,: A
Rationale: Wellcare Classic is the recommended plan for dual-
eligible choosers .
**10. All Prescription Drug Plans (PDPs) will offer a $___
copay for most Part D preventive vaccines.**
A. Zero
B. Five
C. Ten
**Correct ,,,,answer,,,:** A
**Rationale:** All PDPs offer a $0 copay for most Part D
preventive vaccines, regardless of which network pharmacy the
member uses .
11. With the Pharmacy Benefit Manager (PBM) migration
to Express Scripts effective 1/1/2024, existing members can
continue to use their current ID card 1/1/2024 and beyond.
A. True
B. False
Correct ,,,,answer,,,: B
Rationale: The PBM migration to Express Scripts meant
existing members could not continue using their old ID cards .
FINAL EXAM 2026 –
COMPLETE TEST BANK
WITH REAL EXAM
QUESTIONS & DETAILED
ANSWERS
1. Centene requires all contracted brokers/agents to read,
understand, and agree to Centene's Business Ethics and
Code of Conduct Policy.
A. True
B. False
Correct ,,,,answer,,,: A
Rationale: This is a mandatory requirement for all contracted
brokers and agents .
2. The TPMO disclaimer must be used by any TPMO that
sells plans on behalf of more than one MA plan provider.
The disclaimer must be: (Select all that apply.)
,A. Included in any marketing materials.
B. Verbally conveyed within the first minute of a sales call.
C. Prominently displayed on TPMO websites.
D. Electronically conveyed in communications.
Correct ,,,,answer,,,: A, B, C, D
Rationale: The Third-Party Marketing Organization (TPMO)
disclaimer must be included in all marketing materials, verbally
conveyed, prominently displayed on websites, and electronically
conveyed .
3. When a paper SOA form is used, it must be completed
______ hosting the sales presentation.
A. 48 Hours prior to
B. During
C. After
Correct ,,,,answer,,,: A
Rationale: A paper Scope of Appointment (SOA) form must be
completed 48 hours prior to hosting the sales presentation .
4. From October 1 to October 14, certain activities are Non-
Permissible Activities. These include:
A. Assist with completing an application
B. Collect a completed application
C. Advise the beneficiary to complete an application prior to
October 15
D. All of these
Correct ,,,,answer,,,: D
Rationale: It is non-permissible to assist with, collect, or advise
completing a 2026 application prior to October 15 .
5. The Pre-Enrollment Checklist (PECL) is a CMS
requirement that must be reviewed with the beneficiary
,prior to enrollment completion.
A. True
B. False
Correct ,,,,answer,,,: A
Rationale: The PECL is a CMS requirement that must be
reviewed with beneficiaries prior to enrollment completion .
6. A grievance request, or any evidence concerning a
grievance, must be filed orally or in writing no later than ___
calendar days from the date of the event.
A. 30
B. 60
C. 90
Correct ,,,,answer,,,: B
Rationale: A grievance request must be filed no later than 60
calendar days from the date of the event or the date the member
is made aware of the issue .
7. Which Prescription Drug Plan (PDP) product has the
richest formulary with the most adherence generics on Tier
1?
A. Classic
B. Value Script
C. Value Plus
Correct ,,,,answer,,,: A
Rationale: Wellcare Classic has the richest formulary with the
most adherence generics on Tier 1 .
8. Wellcare's _____ plan is designed for Low-Income
Subsidy (LIS) members.
A. Classic
B. Value Plus
, C. Value Script
Correct ,,,,answer,,,: A
Rationale: Wellcare's Classic plan is specifically designed for
Low-Income Subsidy (LIS) members .
9. Which Prescription Drug Plan (PDP) is best for a dual-
eligible chooser?
A. Classic
B. Value Script
C. Value Plus
Correct ,,,,answer,,,: A
Rationale: Wellcare Classic is the recommended plan for dual-
eligible choosers .
**10. All Prescription Drug Plans (PDPs) will offer a $___
copay for most Part D preventive vaccines.**
A. Zero
B. Five
C. Ten
**Correct ,,,,answer,,,:** A
**Rationale:** All PDPs offer a $0 copay for most Part D
preventive vaccines, regardless of which network pharmacy the
member uses .
11. With the Pharmacy Benefit Manager (PBM) migration
to Express Scripts effective 1/1/2024, existing members can
continue to use their current ID card 1/1/2024 and beyond.
A. True
B. False
Correct ,,,,answer,,,: B
Rationale: The PBM migration to Express Scripts meant
existing members could not continue using their old ID cards .
