2025 WellCare ACT Mastery Exam ACTUAL FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS - VERIFIED ANSWERS ALREADY GRADED A+ NEW
GUARANTEED
Centene requires all contracted brokers/agents to read, understand, and
agree to Centene's Business Ethics and Code of Conduct Policy.
True
False - CORRECT ANSWER True
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, including print materials and
television advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through
email, online chat, or other electronic means of communication
(regardless of content). - CORRECT ANSWER a. Included in any
marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through
email, online chat, or other electronic means of communication
(regardless of content).
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. 48 Hours prior to
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 eligiblity may affect enrollment and/or cost sharing.
,True
False - CORRECT ANSWER True
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?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers - CORRECT ANSWER c. Member
Payments
Although options for capturing and submitting SOAs vary by health plan,
Wellcare accepts SOAs in which of the following methods?
a. Ascend
b. Telephonic
c. Paper
d. All of these - CORRECT ANSWER d. All of these
Brokers/Agents can submit a support ticket online through their Centene
Workbench portal.
True
False - CORRECT ANSWER True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries
can enroll based solely on life events that qualify for an SEP period.
True
False - CORRECT ANSWER True
*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. All of these
*NOT a. Assist with completing an application
,Ascend is a fast, easy, and compliant way for brokers/agents to submit
agent-assisted electronic enrollments.
True
False - CORRECT ANSWER True
Member PHI can be stored on an external hard drive or a cloud storage
service like Google Drive or Apple Cloud.
True
False - CORRECT ANSWER False
The beneficiary (or their authorized representative) must indicate the
product types to be discussed during the appointment on the Scope of
Appointment (SOA).
True
False - CORRECT ANSWER True
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - CORRECT ANSWER d. All of these
Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these - CORRECT ANSWER d. All of these
Which of the following is not an example of Protected Health Information
(PHI)?
a. Medical records
b. Payment history
c. Library card - CORRECT ANSWER c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
, c. Fax/Paper - CORRECT ANSWER b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support
team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - CORRECT ANSWER d. All of these
A request to the plan from a member or provider for a formal review of an
Action (Denial) or Adverse Plan Determination (Medicare) is a/an:
a. Appeal
b. Grievance - CORRECT ANSWER a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____
total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - CORRECT ANSWER a. Sixty Thousand
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.
True
False - CORRECT ANSWER False
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C.
a. Two
b. Three
c. Four
d. Five - CORRECT ANSWER d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - CORRECT ANSWER c. Delaware
CORRECT DETAILED ANSWERS - VERIFIED ANSWERS ALREADY GRADED A+ NEW
GUARANTEED
Centene requires all contracted brokers/agents to read, understand, and
agree to Centene's Business Ethics and Code of Conduct Policy.
True
False - CORRECT ANSWER True
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, including print materials and
television advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through
email, online chat, or other electronic means of communication
(regardless of content). - CORRECT ANSWER a. Included in any
marketing materials, including print materials and television
advertisements developed, used, or distributed by the TPMO.
b. Verbally conveyed within the first minute of a sales call.
c. Prominently displayed on TPMO websites (regardless of content).
d. Electronically conveyed when communicating with a beneficiary through
email, online chat, or other electronic means of communication
(regardless of content).
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. 48 Hours prior to
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 eligiblity may affect enrollment and/or cost sharing.
,True
False - CORRECT ANSWER True
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?
a. Member Service
b. Reputation
c. Member Payments
d. Serving Government Customers - CORRECT ANSWER c. Member
Payments
Although options for capturing and submitting SOAs vary by health plan,
Wellcare accepts SOAs in which of the following methods?
a. Ascend
b. Telephonic
c. Paper
d. All of these - CORRECT ANSWER d. All of these
Brokers/Agents can submit a support ticket online through their Centene
Workbench portal.
True
False - CORRECT ANSWER True
An SEP is a period outside of the ICEP, AEP, or MA OEP when beneficiaries
can enroll based solely on life events that qualify for an SEP period.
True
False - CORRECT ANSWER True
*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. All of these
*NOT a. Assist with completing an application
,Ascend is a fast, easy, and compliant way for brokers/agents to submit
agent-assisted electronic enrollments.
True
False - CORRECT ANSWER True
Member PHI can be stored on an external hard drive or a cloud storage
service like Google Drive or Apple Cloud.
True
False - CORRECT ANSWER False
The beneficiary (or their authorized representative) must indicate the
product types to be discussed during the appointment on the Scope of
Appointment (SOA).
True
False - CORRECT ANSWER True
Which elements are available as part of Wellcare's Sales Support model?
a. Online
b. Local
c. Corporate
d. All of these - CORRECT ANSWER d. All of these
Key areas you as a broker/agent have control over and impact upon
regarding Star Ratings for quality are:
a. Member Satisfaction/Experience
b. Complaints
c. Rapid Disenrollment
d. All of these - CORRECT ANSWER d. All of these
Which of the following is not an example of Protected Health Information
(PHI)?
a. Medical records
b. Payment history
c. Library card - CORRECT ANSWER c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
, c. Fax/Paper - CORRECT ANSWER b. Ascend Web/Mobile Application
With which types of inquiries can Wellcare's Corporate Sales Support
team assist?
a. Application and Enrollment
b. Onboarding and Certifications
c. Commissions
d. All of these - CORRECT ANSWER d. All of these
A request to the plan from a member or provider for a formal review of an
Action (Denial) or Adverse Plan Determination (Medicare) is a/an:
a. Appeal
b. Grievance - CORRECT ANSWER a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____
total pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - CORRECT ANSWER a. Sixty Thousand
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.
True
False - CORRECT ANSWER False
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S.
states and Washington, D.C.
a. Two
b. Three
c. Four
d. Five - CORRECT ANSWER d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - CORRECT ANSWER c. Delaware
