2026 Wellcare Mastery Exam || 100% Accurate Answers.
The ___ offers detailed information on the member's plan and costs to help the member
understand the benefits and rules of their plan. correct answers B. Evidence of Coverage
Wellcare's county footprint expanded into ___ states. correct answers D. 8
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. correct answers Following a standardized six-tier structure.
Agents may be investigated for non-compliant behavior based on any of the following
activities, EXCLUDING: correct answers D. Yelp review
Disciplinary actions stemming from the result of a reported allegation are always progressive.
correct answers FALSE
A reported non-compliant behavior investigation that results in a ____ disposition is one
where the investigation produced evidence that the alleged misconduct occurred. correct
answers A. Founded
The Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Election Period
(SEP) allows beneficiaries to make a one-time per ___ election into a Fully Integrated Dual
Eligible (FIDE) SNP, a Highly Integrated Dual Eligible (HIDE) SNP, or an Applicable
Integrated Plan (AIP): correct answers B. Month
A completed Scope of Appointment (SOA), signed or accepted, is required within 3 days of a
sales appointment. correct answers 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. correct
answers TRUE
Consent to enroll must be obtained verbally on the recording, or via electronic signature
provided by the beneficiary or their legal representative. correct answers TRUE
A Late Enrollment Penalty (LEP) is assessed by the Centers for Medicare & Medicaid
Services (CMS) when a member goes ____ days or longer without creditable prescription
drug coverage after they become Medicare eligible. correct answers B. 63 days
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. correct answers FALSE
___ have the Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Election
Period (SEP) available to them. correct answers A. Full-benefit dual eligible
Use of the Pre-Enrollment Checklist (PECL) is a Centers for Medicare & Medicaid Services
(CMS) requirement and requires review with beneficiaries prior to the completion of the
enrollment for paper and telephonic enrollments. correct answers TRUE
The ___ offers detailed information on the member's plan and costs to help the member
understand the benefits and rules of their plan. correct answers B. Evidence of Coverage
Wellcare's county footprint expanded into ___ states. correct answers D. 8
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. correct answers Following a standardized six-tier structure.
Agents may be investigated for non-compliant behavior based on any of the following
activities, EXCLUDING: correct answers D. Yelp review
Disciplinary actions stemming from the result of a reported allegation are always progressive.
correct answers FALSE
A reported non-compliant behavior investigation that results in a ____ disposition is one
where the investigation produced evidence that the alleged misconduct occurred. correct
answers A. Founded
The Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Election Period
(SEP) allows beneficiaries to make a one-time per ___ election into a Fully Integrated Dual
Eligible (FIDE) SNP, a Highly Integrated Dual Eligible (HIDE) SNP, or an Applicable
Integrated Plan (AIP): correct answers B. Month
A completed Scope of Appointment (SOA), signed or accepted, is required within 3 days of a
sales appointment. correct answers 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. correct
answers TRUE
Consent to enroll must be obtained verbally on the recording, or via electronic signature
provided by the beneficiary or their legal representative. correct answers TRUE
A Late Enrollment Penalty (LEP) is assessed by the Centers for Medicare & Medicaid
Services (CMS) when a member goes ____ days or longer without creditable prescription
drug coverage after they become Medicare eligible. correct answers B. 63 days
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. correct answers FALSE
___ have the Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Election
Period (SEP) available to them. correct answers A. Full-benefit dual eligible
Use of the Pre-Enrollment Checklist (PECL) is a Centers for Medicare & Medicaid Services
(CMS) requirement and requires review with beneficiaries prior to the completion of the
enrollment for paper and telephonic enrollments. correct answers TRUE
