WELLCARE ACT MASTERY EXAM 2024 | QUESETIONS &
ANSWERS | LATEST VERSION
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - 1
Which elements are available as part of Wellcare's Sales Support model? - All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums - False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists - True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing
score of 85% or higher to successfully complete this course - True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a - Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective
Action Plan. - False
Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (formaland informal). - 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/regional or
media use. - True
CustomPoint sales material order dates will be posted on Wellcare.com - False
The online Centene Workbench self-service portal enables you to - All of these
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: - Included in any marketing
, materials, including print materials and television advertisements developed, used, or
distributed by the TPMO.
Verbally conveyed within the first minute of a sales call.
Prominently displayed on TPMO websites (regardless of content).
Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench. - All of these
Which of the following is not an example of Protected Health Information (PHI)? -
Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - 48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - True
When explaining the provider network for D-SNPs and C-SNPs: - Avoid submitting
applications with no primary care provider (PCP) to assist these higher-risk members.
If a member is not connected to a primary care provider (PCP), we should always
encourage and assist with connecting them with an in-network doctor
If a requested effective date is available for the special election period being selected,
ensure you are requesting a date within the correct time frame for the member based on
their eligibility date or change date needed. - True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - Classic
Which LIS category is assigned to members whose costs are fully subsidized and who
receive the most assistance? - Three
The _________ plan is expected to have one of the lowest premiums in the country! -
Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery
chains in 2024. - True
Wellcare continues to expand its reach by offering more products in a wider geography.
____ new Wellcare plans are going to market. - Twenty-three
ANSWERS | LATEST VERSION
Enrollment applications must be received by Wellcare no later than ___ calendar day(s)
following receipt from the beneficiary. - 1
Which elements are available as part of Wellcare's Sales Support model? - All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D
plan premiums - False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists - True
At the end of this course, there will be a Mastery Exam. Agents must achieve a passing
score of 85% or higher to successfully complete this course - True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a - Complaint Tracking Module (CTM)
Grievance
Secret Shop Finding
A broker/agent who has never had any verbal warnings cannot be issued a Corrective
Action Plan. - False
Wellcare does not need to be informed of all marketing/sales events at which plans or
materials will be presented or distributed (formaland informal). - 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/regional or
media use. - True
CustomPoint sales material order dates will be posted on Wellcare.com - False
The online Centene Workbench self-service portal enables you to - All of these
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: - Included in any marketing
, materials, including print materials and television advertisements developed, used, or
distributed by the TPMO.
Verbally conveyed within the first minute of a sales call.
Prominently displayed on TPMO websites (regardless of content).
Electronically conveyed when communicating with a beneficiary through email, online
chat, or other electronic means of communication (regardless of content).
Brokers/Agents can access the following resources under the Shared Resources
section in Centene Workbench. - All of these
Which of the following is not an example of Protected Health Information (PHI)? -
Library Card
When a paper SOA form is used, it must be completed __________ hosting the sales
presentation. - 48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted
electronic enrollments. - True
When explaining the provider network for D-SNPs and C-SNPs: - Avoid submitting
applications with no primary care provider (PCP) to assist these higher-risk members.
If a member is not connected to a primary care provider (PCP), we should always
encourage and assist with connecting them with an in-network doctor
If a requested effective date is available for the special election period being selected,
ensure you are requesting a date within the correct time frame for the member based on
their eligibility date or change date needed. - True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - Classic
Which LIS category is assigned to members whose costs are fully subsidized and who
receive the most assistance? - Three
The _________ plan is expected to have one of the lowest premiums in the country! -
Value Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery
chains in 2024. - True
Wellcare continues to expand its reach by offering more products in a wider geography.
____ new Wellcare plans are going to market. - Twenty-three
