2025 Wellcare ACT Mastery Exam [ACTUAL EXAM] LATEST 4 VERSION [QUESTIONS
AND ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
Annually, brokers are required to complete a Wellcare Contract Recertification case in:
A. Salesforce
B. Wellcare.com
C. Centene Workbench (CWB)
D. Sales Material Ordering Portal - ✔✔✔✔✔ C. Centene Workbench (CWB)
Brokers must meet all required contracting, training, and certification required every two
years.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Brokers/agents can submit a support ticket online through their Centene Workbench
(CWB) portal.
TRUE
FALSE - ✔✔✔✔✔ TRUE
When an agent self-reports a compliance issue in good faith, that may be considered a
mitigating factor to any disciplinary action.
TRUE
FALSE - ✔✔✔✔✔ TRUE
A reported non-compliant behavior investigation that results in a ____ disposition is one
where the investigation produced evidence that the alleged misconduct occurred.A.
FoundedB. UnfoundedC. Unprofessional/Inappropriate BehaviorD. Inconclusive -
✔✔✔✔✔ A. Founded
At ____, brokers/agents offer plan information upon request only while at a table, booth,
kiosk, or RV.
A. Formal Sales Events
B. Informal Sales Events
C. Educational Events - ✔✔✔✔✔ B. Informal Sales Events
When participating in sales appointments, brokers/agents are required to bring to the
appointment and leave with the beneficiary an Enrollment Guide and Application with a
Business Reply Envelope (BRE).
TRUE
FALSE - ✔✔✔✔✔ TRUE
,A Business Reply Card (BRC) or a request to receive additional information is valid for
24 months following the date of the beneficiary's signature date or the date of the
beneficiary's initial request for information.
TRUE
FALSE - ✔✔✔✔✔ FALSE
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.
TRUE
FALSE - ✔✔✔✔✔ TRUE
Brokers/agents must inform Wellcare of all marketing/sales events at which plans or
materials will be presented or distributed. This includes:
A. Formal Sales Events
B. Informal Sales Events
C. Both Formal and Informal Sales Events
D. None - ✔✔✔✔✔ C. Both Formal and Informal Sales Events.
Agents and brokers must discuss a Centers for Medicare & Medicaid Services (CMS)
developed list of items during the marketing and sale of a Medicare Advantage (MA) or
Part D plan at the end of the enrollment process.
TRUE
FALSE - ✔✔✔✔✔ False
Regarding the Disaster/Emergency (DST) Special Election Period (SEP), beneficiaries
are automatically eligible for this SEP solely by residing in the area affected by the
emergency/disaster order.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Prior to completing the enrollment, confirm all of the beneficiary's providers are in-
network.
TRUE
FALSE - ✔✔✔✔✔ TRUE
A Scope of Appointment (SOA) is not needed for personal and individual sales
appointments with existing clients/members.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Low-Income Subsidy (LIS), which is often referred to as Extra Help, does not apply to
Part C but eliminates all Part D plan premiums.
TRUE
FALSE - ✔✔✔✔✔ False
,Confirm you have the member's current ___ in our systems to ensure they receive
resources timely throughout and beyond their onboarding journey.
A. Mobile phone number
B. Social media ID
C. Email address
D. Both A and C - ✔✔✔✔✔ D. Both A and C.
Grievance requests, or any evidence concerning a grievance, must be filed orally or in
writing no later than ___ calendar days from the date of the event or the date the
member is made aware of the issue.
A. 60
B. 90
C. 120
D. 180 - ✔✔✔✔✔ A. 60
All Medicare grievances will be resolved within ___ days from the date the plan is made
aware of the issue.
A. 30
B. 60
C. 90
D. 120 - ✔✔✔✔✔ A. 30
For 2026, Wellcare has 41 new plans going to market.
TRUE
FALSE - ✔✔✔✔✔ True
Members who have Low-Income Subsidy (LIS) and enroll in a Prescription Drug Plan
(PDP) other than Wellcare's ___ plan may pay a premium regardless of LIS subsidy
status.
A. Classic
B. Value Script - ✔✔✔✔✔ A. Classic
For 2026, preferred networks include:
A. Walgreens
B. CVS
C. Some Grocery Chains
D. All of these - ✔✔✔✔✔ D. All of these
Wellcare's ___ Prescription Drug Plan (PDP) is designed for Low-Income Subsidy (LIS)
members.
A. Classic
B. Value Script - ✔✔✔✔✔ A. Classic
, Exclusively aligned enrollment includes the use of several strategies to integrate
coverage of Medicare and Medicaid benefits, such as fully integrated enrollee materials,
single ID cards, and unified appeal and grievance processes.
TRUE
FALSE - ✔✔✔✔✔ TRUE
The Medicare Prescription Payment Plan, while not a cost savings program, is a
payment option that could help manage out-of-pocket Part D costs by allowing
members who opt-in to spread prescription expenses across monthly payments.
TRUE
FALSE - ✔✔✔✔✔ TRUE
In 2026, Medicare Advantage Part D (MAPD) plans will adopt one of five distinct
formularies, each tailored to specific product types, with each following a standardized
five-tier structure.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Once a member has reached the $2,100 out-of-pocket maximum for covered
medications, they will pay $0 for their covered prescriptions for the rest of the calendar
year. This is the ___ stage.
A. Annual Deductible
B. Initial Coverage
C. Catastrophic Coverage
D. None of these - ✔✔✔✔✔ C. Catastrophic Coverage
Beginning in 2025, all Fully Integrated Dual Eligible (FIDE) Special Needs Plans (SNPs)
also qualify as Applicable Integrated Plans (AIPs), but not all AIPs qualify as FIDE
SNPs.
TRUE
FALSE - ✔✔✔✔✔ TRUE
Exclusively aligned enrollment occurs when state policy limits enrollment in a D-SNP to
only ___ individuals who receive coverage of Medicaid benefits through the D-SNP and
a Medicaid managed care plan owned and operated by the same parent company as
the D-SNP.
A. Full-Benefit Dually Eligible
B. Partially Eligible
C. Low-Income Subsidy - ✔✔✔✔✔ A. Full-Benefit Dually Eligible
The member's ___ provides physicians with a summary of their health and wellness and
allows them to identify risks and opportunities.
A. Premium payment
B. Google searches
C. Health Risk Assessment (HRA)
AND ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
Annually, brokers are required to complete a Wellcare Contract Recertification case in:
A. Salesforce
B. Wellcare.com
C. Centene Workbench (CWB)
D. Sales Material Ordering Portal - ✔✔✔✔✔ C. Centene Workbench (CWB)
Brokers must meet all required contracting, training, and certification required every two
years.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Brokers/agents can submit a support ticket online through their Centene Workbench
(CWB) portal.
TRUE
FALSE - ✔✔✔✔✔ TRUE
When an agent self-reports a compliance issue in good faith, that may be considered a
mitigating factor to any disciplinary action.
TRUE
FALSE - ✔✔✔✔✔ TRUE
A reported non-compliant behavior investigation that results in a ____ disposition is one
where the investigation produced evidence that the alleged misconduct occurred.A.
FoundedB. UnfoundedC. Unprofessional/Inappropriate BehaviorD. Inconclusive -
✔✔✔✔✔ A. Founded
At ____, brokers/agents offer plan information upon request only while at a table, booth,
kiosk, or RV.
A. Formal Sales Events
B. Informal Sales Events
C. Educational Events - ✔✔✔✔✔ B. Informal Sales Events
When participating in sales appointments, brokers/agents are required to bring to the
appointment and leave with the beneficiary an Enrollment Guide and Application with a
Business Reply Envelope (BRE).
TRUE
FALSE - ✔✔✔✔✔ TRUE
,A Business Reply Card (BRC) or a request to receive additional information is valid for
24 months following the date of the beneficiary's signature date or the date of the
beneficiary's initial request for information.
TRUE
FALSE - ✔✔✔✔✔ FALSE
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.
TRUE
FALSE - ✔✔✔✔✔ TRUE
Brokers/agents must inform Wellcare of all marketing/sales events at which plans or
materials will be presented or distributed. This includes:
A. Formal Sales Events
B. Informal Sales Events
C. Both Formal and Informal Sales Events
D. None - ✔✔✔✔✔ C. Both Formal and Informal Sales Events.
Agents and brokers must discuss a Centers for Medicare & Medicaid Services (CMS)
developed list of items during the marketing and sale of a Medicare Advantage (MA) or
Part D plan at the end of the enrollment process.
TRUE
FALSE - ✔✔✔✔✔ False
Regarding the Disaster/Emergency (DST) Special Election Period (SEP), beneficiaries
are automatically eligible for this SEP solely by residing in the area affected by the
emergency/disaster order.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Prior to completing the enrollment, confirm all of the beneficiary's providers are in-
network.
TRUE
FALSE - ✔✔✔✔✔ TRUE
A Scope of Appointment (SOA) is not needed for personal and individual sales
appointments with existing clients/members.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Low-Income Subsidy (LIS), which is often referred to as Extra Help, does not apply to
Part C but eliminates all Part D plan premiums.
TRUE
FALSE - ✔✔✔✔✔ False
,Confirm you have the member's current ___ in our systems to ensure they receive
resources timely throughout and beyond their onboarding journey.
A. Mobile phone number
B. Social media ID
C. Email address
D. Both A and C - ✔✔✔✔✔ D. Both A and C.
Grievance requests, or any evidence concerning a grievance, must be filed orally or in
writing no later than ___ calendar days from the date of the event or the date the
member is made aware of the issue.
A. 60
B. 90
C. 120
D. 180 - ✔✔✔✔✔ A. 60
All Medicare grievances will be resolved within ___ days from the date the plan is made
aware of the issue.
A. 30
B. 60
C. 90
D. 120 - ✔✔✔✔✔ A. 30
For 2026, Wellcare has 41 new plans going to market.
TRUE
FALSE - ✔✔✔✔✔ True
Members who have Low-Income Subsidy (LIS) and enroll in a Prescription Drug Plan
(PDP) other than Wellcare's ___ plan may pay a premium regardless of LIS subsidy
status.
A. Classic
B. Value Script - ✔✔✔✔✔ A. Classic
For 2026, preferred networks include:
A. Walgreens
B. CVS
C. Some Grocery Chains
D. All of these - ✔✔✔✔✔ D. All of these
Wellcare's ___ Prescription Drug Plan (PDP) is designed for Low-Income Subsidy (LIS)
members.
A. Classic
B. Value Script - ✔✔✔✔✔ A. Classic
, Exclusively aligned enrollment includes the use of several strategies to integrate
coverage of Medicare and Medicaid benefits, such as fully integrated enrollee materials,
single ID cards, and unified appeal and grievance processes.
TRUE
FALSE - ✔✔✔✔✔ TRUE
The Medicare Prescription Payment Plan, while not a cost savings program, is a
payment option that could help manage out-of-pocket Part D costs by allowing
members who opt-in to spread prescription expenses across monthly payments.
TRUE
FALSE - ✔✔✔✔✔ TRUE
In 2026, Medicare Advantage Part D (MAPD) plans will adopt one of five distinct
formularies, each tailored to specific product types, with each following a standardized
five-tier structure.
TRUE
FALSE - ✔✔✔✔✔ FALSE
Once a member has reached the $2,100 out-of-pocket maximum for covered
medications, they will pay $0 for their covered prescriptions for the rest of the calendar
year. This is the ___ stage.
A. Annual Deductible
B. Initial Coverage
C. Catastrophic Coverage
D. None of these - ✔✔✔✔✔ C. Catastrophic Coverage
Beginning in 2025, all Fully Integrated Dual Eligible (FIDE) Special Needs Plans (SNPs)
also qualify as Applicable Integrated Plans (AIPs), but not all AIPs qualify as FIDE
SNPs.
TRUE
FALSE - ✔✔✔✔✔ TRUE
Exclusively aligned enrollment occurs when state policy limits enrollment in a D-SNP to
only ___ individuals who receive coverage of Medicaid benefits through the D-SNP and
a Medicaid managed care plan owned and operated by the same parent company as
the D-SNP.
A. Full-Benefit Dually Eligible
B. Partially Eligible
C. Low-Income Subsidy - ✔✔✔✔✔ A. Full-Benefit Dually Eligible
The member's ___ provides physicians with a summary of their health and wellness and
allows them to identify risks and opportunities.
A. Premium payment
B. Google searches
C. Health Risk Assessment (HRA)
