Wellcare ACT Mastery Exam 2024 - Broker-Questions with
Correct Answers/ Verified
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
Correct Answers/ Verified
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
