2026 Wellcare ACT Mastery Exam Questions
Questions with Verified Correct Answers
Which statement is true regarding multi-plan beneficiary-facing marketing material?
Approved materials are materials that have been reviewed and approved by Wellcare and CMS.
What is the primary purpose of the Health Risk Assessment (HRA)?
Assesses member health status and identifies opportunities for care coordination.
If a medication is not covered by the formula, the agent should explain:
The Transition Fill process and coverage exception options.
What retention requirement applies to a paper Scope of Appointment (SOA)?
10 years
Under the 2027 rules, an educational event may transition into a marketing event if:
Attendees are informed that the educational session has ended and they may leave before
marketing begins.
At a formal sales event, sign-in sheets must be:
Clearly labeled as optional
A current member received their Annual Notice of Change (ANOC) and asks about their
2027 benefits on September 15. What may the Agent do?
The member's 2027 benefit questions.
For 2027, Wellcare Prescription Drug Plans (PDP) are available in which market area?
, Nationwide
Which source may trigger a compliance investigation of an agent?
All of the above
Why is it important to provide Star Ratings during plan discussions?
CMS requires that beneficiaries receive Star Ratings information for informed decision-making.
Which statement about the Medicare GLP-1 Bridge Program is accurate?
It is a temporary CMS demonstration that provides access to select GLP-1 medications for
weight loss.
Which of the following is one of Medicare's protected classes of medications?
Anticonvulsante
What does Step Therapy generally require?
The member must try one or more clinically appropriate preferred alternative medications before
coverage of another medication is approved.
Which statement describes the Classic Prescription Drug Plan (PDP)?
It has a $3 Tier 1 copay at preferred retail and $0 Tier 1 at preferred mail order.
Which activity is prohibited at an informal sales event?
Conducting health screenings
Which activity is considered non-compliant regarding Scope of Appointment (SOA)
requirements?
Questions with Verified Correct Answers
Which statement is true regarding multi-plan beneficiary-facing marketing material?
Approved materials are materials that have been reviewed and approved by Wellcare and CMS.
What is the primary purpose of the Health Risk Assessment (HRA)?
Assesses member health status and identifies opportunities for care coordination.
If a medication is not covered by the formula, the agent should explain:
The Transition Fill process and coverage exception options.
What retention requirement applies to a paper Scope of Appointment (SOA)?
10 years
Under the 2027 rules, an educational event may transition into a marketing event if:
Attendees are informed that the educational session has ended and they may leave before
marketing begins.
At a formal sales event, sign-in sheets must be:
Clearly labeled as optional
A current member received their Annual Notice of Change (ANOC) and asks about their
2027 benefits on September 15. What may the Agent do?
The member's 2027 benefit questions.
For 2027, Wellcare Prescription Drug Plans (PDP) are available in which market area?
, Nationwide
Which source may trigger a compliance investigation of an agent?
All of the above
Why is it important to provide Star Ratings during plan discussions?
CMS requires that beneficiaries receive Star Ratings information for informed decision-making.
Which statement about the Medicare GLP-1 Bridge Program is accurate?
It is a temporary CMS demonstration that provides access to select GLP-1 medications for
weight loss.
Which of the following is one of Medicare's protected classes of medications?
Anticonvulsante
What does Step Therapy generally require?
The member must try one or more clinically appropriate preferred alternative medications before
coverage of another medication is approved.
Which statement describes the Classic Prescription Drug Plan (PDP)?
It has a $3 Tier 1 copay at preferred retail and $0 Tier 1 at preferred mail order.
Which activity is prohibited at an informal sales event?
Conducting health screenings
Which activity is considered non-compliant regarding Scope of Appointment (SOA)
requirements?
