Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
2024 Wellcare ACT Mastery Exam
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - correct answer 1
Which elements are available as part of Wellcare's Sales Support model? - correct answer All
of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums - correct answer False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's
primary care provider (PCP) and/or specialists - correct answer True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course - correct answer True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a - correct answer Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan. - correct answer False
Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (formaland informal). - correct answer False
Marketing benefits in a service area where those benefits are not available is prohibited and
considered misleading unless that is unavoidable because of local/regional or media use. -
correct answer True
CustomPoint sales material order dates will be posted on Wellcare.com - correct answer False
The online Centene Workbench self-service portal enables you to - correct answer All of these
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: - correct answer 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.
,Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
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).
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench. - correct answer All of these
Which of the following is not an example of Protected Health Information (PHI)? - correct
answer Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - correct answer 48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - correct answer True
When explaining the provider network for D-SNPs and C-SNPs: - correct answer Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk
members.
If a member is not connected to a primary care provider (PCP), we should always encourage
and assist with connecting them with an in-network doctor
If a requested effective date is available for the special election period being selected, ensure
you are requesting a date within the correct time frame for the member based on their
eligibility date or change date needed. - correct answer True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - correct answer Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive
the most assistance? - correct answer Three
The _________ plan is expected to have one of the lowest premiums in the country! - correct
answer Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains
in 2024. - correct answer True
Wellcare continues to expand its reach by offering more products in a wider geography. ____
new Wellcare plans are going to market. - correct answer Twenty-three
,Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - correct answer Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for
2024? - correct answer Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for
the remainder of the year once their total out of pocket costs reach $8,000. - correct answer
Zero
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
correct answer True
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK,
TX, and WI. - correct answer True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - correct answer True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C. - correct answer Three
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing. - correct answer True
When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid search
tool, you should confirm their current Medicaid status qualifies for the selected D-SNP being
enrolled in and explain that changes in Medicaid eligibility may affect enrollment and/or cost
sharing. - correct answer True
Which of the following statements about Scope of Appointment (SOA) is FALSE? - correct
answer An electronic SOA submitted in Ascend must be in a Pending status prior to beginning
the appointment.
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for
quality are: - correct answer All of these
Beneficiary-facing marketing materials for multiple MA organizations or plans must be
submitted to the HPMS Marketing Module by the third-party marketing organization (TPMO)
no later than 30 days of use. - correct answer False
When completing an enrollment, be sure to use the correct enrollment application for the
desired plan year. - correct answer True
Providers may create co-branded marketing pieces using the Wellcare name and logo, as long
as they are using the current, approved logo. - correct answer False
, Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs
in which of the following methods? - correct answer All of these
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the
newly selected plan can cause a sales allegation. - correct answer True
Which of the following is not considered a grievance? - correct answer A dispute of the appeal
of an organization determination, coverage determination, or a Late Enrollment Penalty (LEP)
determination.
Brokers/Agents can access and download enrollment materials through CustomPoint. - correct
answer True
______ events are designed to inform the people who attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a particular
carrier. - correct answer Educational
Materials that include plan comparisons or cost-sharing do not require CMS submission. -
correct answer False
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy.
Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality
driver? - correct answer Member Payments
The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will
impact which plan(s)? - correct answer Both PDP & MAPD
A Low-Income Subsidy (LIS) member will be assigned one of ____ copay categories depending
on the level of need. - correct answer Four
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for all
insulins and insulin-combination products that are on the formulary, regardless of tier, and are
included in the $35 cap for one month's supply. - correct answer True
Wellcare's 2024 product expansion represents a __% increase from 2023. - correct answer
One
CVS Caremark Mail Order will be in-network for 2024. - correct answer False
Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence
generics on Tier 1? - correct answer Value Plus
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy. - correct answer True
Communication of PHI can be: - correct answer Written, Electronic, Verbal
From October 1 to October 14, certain activities are Non-Permissible Activities. These include:
2025 exam
2024 Wellcare ACT Mastery Exam
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - correct answer 1
Which elements are available as part of Wellcare's Sales Support model? - correct answer All
of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan
premiums - correct answer False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's
primary care provider (PCP) and/or specialists - correct answer True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing score of
85% or higher to successfully complete this course - correct answer True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported
through a - correct answer Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective Action
Plan. - correct answer False
Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (formaland informal). - correct answer False
Marketing benefits in a service area where those benefits are not available is prohibited and
considered misleading unless that is unavoidable because of local/regional or media use. -
correct answer True
CustomPoint sales material order dates will be posted on Wellcare.com - correct answer False
The online Centene Workbench self-service portal enables you to - correct answer All of these
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: - correct answer 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.
,Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
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).
Brokers/Agents can access the following resources under the Shared Resources section in
Centene Workbench. - correct answer All of these
Which of the following is not an example of Protected Health Information (PHI)? - correct
answer Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - correct answer 48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - correct answer True
When explaining the provider network for D-SNPs and C-SNPs: - correct answer Avoid
submitting applications with no primary care provider (PCP) to assist these higher-risk
members.
If a member is not connected to a primary care provider (PCP), we should always encourage
and assist with connecting them with an in-network doctor
If a requested effective date is available for the special election period being selected, ensure
you are requesting a date within the correct time frame for the member based on their
eligibility date or change date needed. - correct answer True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - correct answer Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive
the most assistance? - correct answer Three
The _________ plan is expected to have one of the lowest premiums in the country! - correct
answer Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains
in 2024. - correct answer True
Wellcare continues to expand its reach by offering more products in a wider geography. ____
new Wellcare plans are going to market. - correct answer Twenty-three
,Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - correct answer Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for
2024? - correct answer Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for
the remainder of the year once their total out of pocket costs reach $8,000. - correct answer
Zero
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
correct answer True
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK,
TX, and WI. - correct answer True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred
pharmacies. - correct answer True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington,
D.C. - correct answer Three
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing. - correct answer True
When verifying a D-SNP beneficiary's Medicaid eligibility through the Ascend Medicaid search
tool, you should confirm their current Medicaid status qualifies for the selected D-SNP being
enrolled in and explain that changes in Medicaid eligibility may affect enrollment and/or cost
sharing. - correct answer True
Which of the following statements about Scope of Appointment (SOA) is FALSE? - correct
answer An electronic SOA submitted in Ascend must be in a Pending status prior to beginning
the appointment.
Key areas you as a broker/agent have control over and impact upon regarding Star Ratings for
quality are: - correct answer All of these
Beneficiary-facing marketing materials for multiple MA organizations or plans must be
submitted to the HPMS Marketing Module by the third-party marketing organization (TPMO)
no later than 30 days of use. - correct answer False
When completing an enrollment, be sure to use the correct enrollment application for the
desired plan year. - correct answer True
Providers may create co-branded marketing pieces using the Wellcare name and logo, as long
as they are using the current, approved logo. - correct answer False
, Wellcare act mastery exam | over 400 questions and 100% correct answers including 2023,2024 and
2025 exam
Although options for capturing and submitting SOAs vary by health plan, Wellcare accepts SOAs
in which of the following methods? - correct answer All of these
Failure to inform a beneficiary that a trusted provider is out-of-network or is not available in the
newly selected plan can cause a sales allegation. - correct answer True
Which of the following is not considered a grievance? - correct answer A dispute of the appeal
of an organization determination, coverage determination, or a Late Enrollment Penalty (LEP)
determination.
Brokers/Agents can access and download enrollment materials through CustomPoint. - correct
answer True
______ events are designed to inform the people who attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a particular
carrier. - correct answer Educational
Materials that include plan comparisons or cost-sharing do not require CMS submission. -
correct answer False
Medicare Star Ratings and performance are at the forefront of Wellcare's quality strategy.
Wellcare's quality focus consists of six drivers. Which of the following is not a Wellcare quality
driver? - correct answer Member Payments
The Pharmacy Benefit Manager (PBM) migration to Express Scripts effective 1/1/2024 will
impact which plan(s)? - correct answer Both PDP & MAPD
A Low-Income Subsidy (LIS) member will be assigned one of ____ copay categories depending
on the level of need. - correct answer Four
The 2024 Inflation Reduction Act (IRA) Part D Benefits include reduced insulin copays for all
insulins and insulin-combination products that are on the formulary, regardless of tier, and are
included in the $35 cap for one month's supply. - correct answer True
Wellcare's 2024 product expansion represents a __% increase from 2023. - correct answer
One
CVS Caremark Mail Order will be in-network for 2024. - correct answer False
Which Prescription Drug Plan (PDP) product has the richest formulary with the most adherence
generics on Tier 1? - correct answer Value Plus
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's
Business Ethics and Code of Conduct Policy. - correct answer True
Communication of PHI can be: - correct answer Written, Electronic, Verbal
From October 1 to October 14, certain activities are Non-Permissible Activities. These include:
