WELLCARE ACT MASTERY COMPREHENSIVE EXAM
UPDATED QUESTIONS AND ANSWERS GUARANTEE A+
✔✔The Minimum Necessary Rule within the privacy rule requires that any request or
distribution of Protected Health Information (PHI) occurs with only the minimum amount
of PHI required to complete the intended task and includes email and physical
distribution.
TRUE
FALSE - ✔✔TRUE
✔✔Disciplinary actions stemming from the result of a reported allegation are always
progressive.
TRUE
FALSE - ✔✔FALSE
✔✔____ are designed to inform the people that attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a
particular carrier.
A. Formal Sales Events
B. Informal Sales Events
C. Educational Events - ✔✔C. Educational Events
✔✔Submission of beneficiary-facing materials created by Third-Party Marketing
Organizations (TPMO) for multiple Medicare Advantage (MA) organizations or plans to
Centers for Medicare & Medicaid Services (CMS) is optional prior to distribution.
TRUE
FALSE - ✔✔FALSE
✔✔An Election Period Request for Information (RFI) must be resolved within ___
calendar days, or the application will be denied.
A. 7 calendar days
B. 10 calendar days
C. 14 calendar days
D. 21 calendar days - ✔✔A. 7 calendar days
✔✔Moving within a current county of ZIP code qualifies a beneficiary to use the MOV
Special Election Period (SEP).
TRUE
FALSE - ✔✔FALSE
✔✔The ___ provides an overview of the features our plans offer (e.g., copays,
deductibles, prescription drug coverage) and should be reviewed with a beneficiary
during sales appointments.
A: Summary of Benefits
, B: Evidence of Coverage
C: Star Ratings
D: Annual Notice of Change - ✔✔A: Summary of Benefits
✔✔Getting members to see their primary care provider (PCP) helps ensure they
establish a relationship for continuity of care purposes and better management of
chronic conditions.
TRUE
FALSE - ✔✔TRUE
✔✔In 2026, Wellcare will offer ___ Prescription Drug Plans (PDPs) across all 50 U.S.
states and Washington D.C.
A. Five
B. Two
C. Ten
D. Twenty - ✔✔B. Two
✔✔Brokers and agents may be investigated for non-compliant behavior based on any of
the following activities, EXCLUDING:
A. Complaint Tracking Module (CTM)
B. Grievance
C. Secret shopping finding
D. Yelp review - ✔✔D. Yelp review
✔✔Content and materials that include plan comparisons, cost-sharing, or rewards and
incentives do not require Centers for Medicare & Medicaid Services (CMS) submission.
TRUE
FALSE - ✔✔FALSE
✔✔Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading unless that is unavoidable because of local or
regional media use.
TRUE
FALSE - ✔✔TRUE
✔✔For telephonic enrollments, it is required that you obtain consent to record the call
with the beneficiary at the end of the call.
TRUE
FALSE - ✔✔FALSE
✔✔Members have access to the online self-service member portal___:
A: 24/7
B: 8am - 6pm MST only
C: 8am - 7pm CST only
UPDATED QUESTIONS AND ANSWERS GUARANTEE A+
✔✔The Minimum Necessary Rule within the privacy rule requires that any request or
distribution of Protected Health Information (PHI) occurs with only the minimum amount
of PHI required to complete the intended task and includes email and physical
distribution.
TRUE
FALSE - ✔✔TRUE
✔✔Disciplinary actions stemming from the result of a reported allegation are always
progressive.
TRUE
FALSE - ✔✔FALSE
✔✔____ are designed to inform the people that attend about Medicare Advantage,
Prescription Drug, or other Medicare programs without going into the specifics of a
particular carrier.
A. Formal Sales Events
B. Informal Sales Events
C. Educational Events - ✔✔C. Educational Events
✔✔Submission of beneficiary-facing materials created by Third-Party Marketing
Organizations (TPMO) for multiple Medicare Advantage (MA) organizations or plans to
Centers for Medicare & Medicaid Services (CMS) is optional prior to distribution.
TRUE
FALSE - ✔✔FALSE
✔✔An Election Period Request for Information (RFI) must be resolved within ___
calendar days, or the application will be denied.
A. 7 calendar days
B. 10 calendar days
C. 14 calendar days
D. 21 calendar days - ✔✔A. 7 calendar days
✔✔Moving within a current county of ZIP code qualifies a beneficiary to use the MOV
Special Election Period (SEP).
TRUE
FALSE - ✔✔FALSE
✔✔The ___ provides an overview of the features our plans offer (e.g., copays,
deductibles, prescription drug coverage) and should be reviewed with a beneficiary
during sales appointments.
A: Summary of Benefits
, B: Evidence of Coverage
C: Star Ratings
D: Annual Notice of Change - ✔✔A: Summary of Benefits
✔✔Getting members to see their primary care provider (PCP) helps ensure they
establish a relationship for continuity of care purposes and better management of
chronic conditions.
TRUE
FALSE - ✔✔TRUE
✔✔In 2026, Wellcare will offer ___ Prescription Drug Plans (PDPs) across all 50 U.S.
states and Washington D.C.
A. Five
B. Two
C. Ten
D. Twenty - ✔✔B. Two
✔✔Brokers and agents may be investigated for non-compliant behavior based on any of
the following activities, EXCLUDING:
A. Complaint Tracking Module (CTM)
B. Grievance
C. Secret shopping finding
D. Yelp review - ✔✔D. Yelp review
✔✔Content and materials that include plan comparisons, cost-sharing, or rewards and
incentives do not require Centers for Medicare & Medicaid Services (CMS) submission.
TRUE
FALSE - ✔✔FALSE
✔✔Marketing benefits in a service area where those benefits are not available is
prohibited and considered misleading unless that is unavoidable because of local or
regional media use.
TRUE
FALSE - ✔✔TRUE
✔✔For telephonic enrollments, it is required that you obtain consent to record the call
with the beneficiary at the end of the call.
TRUE
FALSE - ✔✔FALSE
✔✔Members have access to the online self-service member portal___:
A: 24/7
B: 8am - 6pm MST only
C: 8am - 7pm CST only
