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!!)
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy.
True
False - ✔✔✔✔✔ 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). - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ d. All of these
Brokers/Agents can submit a support ticket online through their Centene Workbench
portal.
True
False - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ True
Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud.
True
False - ✔✔✔✔✔ 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 - ✔✔✔✔✔ True
Which elements are available as part of Wellcare's Sales Support model?
,a. Online
b. Local
c. Corporate
d. All of these - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - ✔✔✔✔✔ c. Delaware
*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - ✔✔✔✔✔ c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery
chains in 2024.
True
False - ✔✔✔✔✔ True
*Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five - ✔✔✔✔✔ b. Twenty-seven
*NOT c. Thirty-five
*Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
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 - ✔✔✔✔✔ a. Classic
*NOT b. Value Script
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
AND ANSWERS] WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A (BRAND NEW!!)
Centene requires all contracted brokers/agents to read, understand, and agree to
Centene's Business Ethics and Code of Conduct Policy.
True
False - ✔✔✔✔✔ 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). - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ d. All of these
Brokers/Agents can submit a support ticket online through their Centene Workbench
portal.
True
False - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ True
Member PHI can be stored on an external hard drive or a cloud storage service like
Google Drive or Apple Cloud.
True
False - ✔✔✔✔✔ 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 - ✔✔✔✔✔ True
Which elements are available as part of Wellcare's Sales Support model?
,a. Online
b. Local
c. Corporate
d. All of these - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ c. Library card
Which option is the preferred method to submit enrollment?
a. Centene Workbench Upload
b. Ascend Web/Mobile Application
c. Fax/Paper - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ a. Appeal
The Prescription Drug Plan (PDP) network is expected to include over ____ total
pharmacies.
a. Sixty Thousand
b. Thirty Thousand
c. Twenty Thousand - ✔✔✔✔✔ 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 - ✔✔✔✔✔ 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 - ✔✔✔✔✔ d. Five
Wellcare added which state to its footprint for 2024?
a. Alabama
b. Arkansas
c. Delaware
d. Oklahoma - ✔✔✔✔✔ c. Delaware
*Wellcare's 2024 product expansion represents a __% increase from 2023.
a. One
b. Two
c. Three
d. Five - ✔✔✔✔✔ c. Three
* NOT c. Three
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery
chains in 2024.
True
False - ✔✔✔✔✔ True
*Wellcare continues to expand its reach by offering more products in a wider
geography. ____ new Wellcare plans are going to market.
a. Twenty-three
b. Twenty-seven
c. Thirty-five - ✔✔✔✔✔ b. Twenty-seven
*NOT c. Thirty-five
*Which Prescription Drug Plan (PDP) product has the richest formulary with the most
adherence generics on Tier 1?
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 - ✔✔✔✔✔ a. Classic
*NOT b. Value Script
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at
preferred pharmacies.
