WELLCARE ACT MASTERY 2026 CORE EXAMS TEST
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task.
Select one:
True
False - ✔✔True
✔✔Beneficiary-facing content that includes generic or plan-specific product or benefit
information must be submitted for review and CMS submission, as well as acceptance
or approval, prior to distribution.
Select one:
True
False - ✔✔True
✔✔A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information.
Select one:
True
False - ✔✔True
✔✔Failure to inform a beneficiary that a trusted provider is out-of-network or is not
available in the newly selected plan can cause a sales allegation.
Select one:
True
False - ✔✔True
✔✔A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans
only, before the enrollment application process in Ascend through the Value Based
Enrollment (VBE) portal.
Select one:
True
False - ✔✔False
✔✔What are some examples of what can trigger a beneficiary complaint?
(Select all that apply.)
a. Did not consent to enroll in the plan.
, b. Received incorrect plan benefit information or were dissatisfied with plan benefits.
c. Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late
enrollment penalty, loss of entitlement).
d. Were misled about which providers were in-network. - ✔✔All (A,B,C,D)
✔✔A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan.
Select one:
True
False - ✔✔False
✔✔Prior to completing the enrollment form, you should always confirm the beneficiary's
primary care physician (PCP) and/or specialists.
Select one:
True
False - ✔✔True
✔✔The _________ plan is expected to have one of the lowest premiums in the country!
a. Classic
b. Value Plus
c. Value Script - ✔✔C. Value script
✔✔Wellcare added ___ counties to their footprint for 2023.
a. 122
b. 209
c. 284
d. 327 - ✔✔B. 209
✔✔The Wellcare preferred pharmacy network includes Walgreens, CVS, and many
grocery chains in 2023.
Select one:
True
False - ✔✔True
✔✔____ PDPs will be offered across all 50 U.S. states and Washington, D.C.
a. Two
b. Three
c. Four
QUESTIONS AND ANSWERS GUARANTEE A+
✔✔Any request or distribution of PHI should contain only the minimum amount of PHI
required to complete the intended task.
Select one:
True
False - ✔✔True
✔✔Beneficiary-facing content that includes generic or plan-specific product or benefit
information must be submitted for review and CMS submission, as well as acceptance
or approval, prior to distribution.
Select one:
True
False - ✔✔True
✔✔A broker/agent may be terminated for cause if they fail to comply with a compliance
investigation, encourage others to avoid the compliance interview process, or fail to
provide truthful or complete information.
Select one:
True
False - ✔✔True
✔✔Failure to inform a beneficiary that a trusted provider is out-of-network or is not
available in the newly selected plan can cause a sales allegation.
Select one:
True
False - ✔✔True
✔✔A Health Risk Assessment (HRA) can be completed for C-SNP and D-SNP plans
only, before the enrollment application process in Ascend through the Value Based
Enrollment (VBE) portal.
Select one:
True
False - ✔✔False
✔✔What are some examples of what can trigger a beneficiary complaint?
(Select all that apply.)
a. Did not consent to enroll in the plan.
, b. Received incorrect plan benefit information or were dissatisfied with plan benefits.
c. Had enrollment/disenrollment issues (e.g., disenrollment/cancellation requests, late
enrollment penalty, loss of entitlement).
d. Were misled about which providers were in-network. - ✔✔All (A,B,C,D)
✔✔A broker/agent who has never had any verbal warnings cannot be issued a
Corrective Action Plan.
Select one:
True
False - ✔✔False
✔✔Prior to completing the enrollment form, you should always confirm the beneficiary's
primary care physician (PCP) and/or specialists.
Select one:
True
False - ✔✔True
✔✔The _________ plan is expected to have one of the lowest premiums in the country!
a. Classic
b. Value Plus
c. Value Script - ✔✔C. Value script
✔✔Wellcare added ___ counties to their footprint for 2023.
a. 122
b. 209
c. 284
d. 327 - ✔✔B. 209
✔✔The Wellcare preferred pharmacy network includes Walgreens, CVS, and many
grocery chains in 2023.
Select one:
True
False - ✔✔True
✔✔____ PDPs will be offered across all 50 U.S. states and Washington, D.C.
a. Two
b. Three
c. Four
