2024 Wellcare ACT Mastery Exam –
Complete Verified Questions and Answers
for Broker/Agent Certification
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,2024 Wellcare ACT Mastery Exam - Ultimate Broker
Certification Guide | Pass the 2024 & 2025 Wellcare
ACT Exam with Expert-Verified Ǫuestions &
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 ✅ (Correct Answer)
B. False
Rationale: Centene mandates that all brokers/agents comply with its ethical guidelines to
ensure professionalism, integrity, and adherence to regulatory standards.
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, including print materials and television
advertisements developed, used, or distributed by the TPMO. ✅ (Correct
Answer)
B. Verbally conveyed within the first minute of a sales call. ✅ (Correct Answer)
C. Prominently displayed on TPMO websites (regardless of content). ✅ (Correct
Answer)
D. Electronically conveyed when communicating with a beneficiary through
email, online chat, or other electronic means of communication (regardless of
content). ✅ (Correct Answer)
Rationale: The TPMO disclaimer ensures transparency in marketing and prevents
misleading information. It must be clearly communicated through various mediums to
protect consumers.
3. When a paper SOA form is used, it must be completed hosting the sales
presentation.
[1]
, A. 48 hours prior to ✅ (Correct Answer)
B. During
C. After
Rationale: A Scope of Appointment (SOA) form must be completed at least 48 hours
before a sales presentation to ensure compliance with Medicare guidelines and prevent
unsolicited enrollments.
4. 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.
A. True ✅ (Correct Answer)
B. False
Rationale: Medicaid eligibility impacts a beneficiary’s ability to enroll in a Dual Special
Needs Plan (D-SNP). Changes in Medicaid status can lead to disenrollment or altered cost-
sharing responsibilities.
5. 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 ✅ (Correct Answer)
D. Serving Government Customers
Rationale: Wellcare's quality strategy focuses on factors like service, reputation, and
compliance but does not include "Member Payments" as a quality driver.
6. Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
[2]
, A. Ascend
B. Telephonic
C. Paper
D. All of these ✅ (Correct Answer)
Rationale: Wellcare allows brokers to submit SOAs through multiple methods to
accommodate different client needs while ensuring compliance.
7. Brokers/Agents can submit a support ticket online through their Centene
Workbench portal.
A. True ✅ (Correct Answer)
B. False
Rationale: The Centene Workbench portal provides agents with a streamlined way to
request support and resolve issues efficiently.
8. 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.
A. True ✅ (Correct Answer)
B. False
Rationale: Special Enrollment Periods (SEPs) allow beneficiaries to enroll in Medicare
plans due to qualifying life events, such as moving or losing other health coverage.
G. From October 1 to October 14, certain activities are Non-Permissible Activities.
These include:
A. Assisting with completing an application
B. Collecting a completed application
C. Advising the beneficiary to complete an application prior to October 15
D. All of these ✅ (Correct Answer)
[3]
Complete Verified Questions and Answers
for Broker/Agent Certification
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
,2024 Wellcare ACT Mastery Exam - Ultimate Broker
Certification Guide | Pass the 2024 & 2025 Wellcare
ACT Exam with Expert-Verified Ǫuestions &
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 ✅ (Correct Answer)
B. False
Rationale: Centene mandates that all brokers/agents comply with its ethical guidelines to
ensure professionalism, integrity, and adherence to regulatory standards.
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, including print materials and television
advertisements developed, used, or distributed by the TPMO. ✅ (Correct
Answer)
B. Verbally conveyed within the first minute of a sales call. ✅ (Correct Answer)
C. Prominently displayed on TPMO websites (regardless of content). ✅ (Correct
Answer)
D. Electronically conveyed when communicating with a beneficiary through
email, online chat, or other electronic means of communication (regardless of
content). ✅ (Correct Answer)
Rationale: The TPMO disclaimer ensures transparency in marketing and prevents
misleading information. It must be clearly communicated through various mediums to
protect consumers.
3. When a paper SOA form is used, it must be completed hosting the sales
presentation.
[1]
, A. 48 hours prior to ✅ (Correct Answer)
B. During
C. After
Rationale: A Scope of Appointment (SOA) form must be completed at least 48 hours
before a sales presentation to ensure compliance with Medicare guidelines and prevent
unsolicited enrollments.
4. 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.
A. True ✅ (Correct Answer)
B. False
Rationale: Medicaid eligibility impacts a beneficiary’s ability to enroll in a Dual Special
Needs Plan (D-SNP). Changes in Medicaid status can lead to disenrollment or altered cost-
sharing responsibilities.
5. 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 ✅ (Correct Answer)
D. Serving Government Customers
Rationale: Wellcare's quality strategy focuses on factors like service, reputation, and
compliance but does not include "Member Payments" as a quality driver.
6. Although options for capturing and submitting SOAs vary by health plan, Wellcare
accepts SOAs in which of the following methods?
[2]
, A. Ascend
B. Telephonic
C. Paper
D. All of these ✅ (Correct Answer)
Rationale: Wellcare allows brokers to submit SOAs through multiple methods to
accommodate different client needs while ensuring compliance.
7. Brokers/Agents can submit a support ticket online through their Centene
Workbench portal.
A. True ✅ (Correct Answer)
B. False
Rationale: The Centene Workbench portal provides agents with a streamlined way to
request support and resolve issues efficiently.
8. 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.
A. True ✅ (Correct Answer)
B. False
Rationale: Special Enrollment Periods (SEPs) allow beneficiaries to enroll in Medicare
plans due to qualifying life events, such as moving or losing other health coverage.
G. From October 1 to October 14, certain activities are Non-Permissible Activities.
These include:
A. Assisting with completing an application
B. Collecting a completed application
C. Advising the beneficiary to complete an application prior to October 15
D. All of these ✅ (Correct Answer)
[3]
