Wellcare ACT Mastery Exam Questions and Answers
(Latest 2025) Verified Solutions
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy.
True
False - ANSWER-True
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity?
a.
Speak with the investigator as quickly as possible.
b.
Answer all questions honestly and completely.
c.
Offer information and documents important to the investigation.
d.
All of the above - ANSWER-d.
All of the above
Communication of PHI can be:
(Select all that apply.)
a.
Written
b.
Electronic
c.
Verbal - ANSWER-a, b, c
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will
be presented or distributed (Formal & Informal).
Select one:
True
False - ANSWER-False
Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following
receipt from the beneficiary.
a.
1
b.
3
c.
5
d.
7
Clear my choice - ANSWER-a.
1
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments.
, Select one:
True
False - ANSWER-True
During an appointment, you may not discuss any products not agreed to in advance by the beneficiary.
Select one:
True
False - ANSWER-True
A Health Risk Assessment (HRA):
a.
Provides physicians with an overview of a member's health status.
b.
Ensures members are able to access care and receive services that meet their needs.
c.
Is an important part of our quality initiative, directly impacting our Star Ratings.
d.
All of the above - ANSWER-d.
All of the above
Which elements are available as part of Wellcare's sales support model?
a.
Online
b.
Local
c.
Corporate
d.
All of the above - ANSWER-d.
All of the above
Once the enrollment is completed, you can save a copy of the application for your reference.
Select one:
True
False - ANSWER-False
Which of the following statements about Scope of Appointment (SOA) is FALSE?
a.
A signed and completed Scope of Appointment (SOA) is required to be submitted for all agent-
assisted enrollments.
b.
You may not discuss any products not agreed to in advance by the beneficiary.
c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
d.
SOAs are required for all personal and individual sales appointments, regardless of the venue or client
relationship (e.g., in-home, conference call, library, walk-in to a broker/agent office). - ANSWER-c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
Which of the following is not an example of Protected Health Information (PHI)?
a.
Medical records
b.
Payment history
c.
(Latest 2025) Verified Solutions
Centene requires all contracted brokers/agents to read, understand, and agree to Centene's Business
Ethics and Code of Conduct Policy.
True
False - ANSWER-True
Which of the following actions are you required to do when contacted regarding an allegation of
noncompliant activity?
a.
Speak with the investigator as quickly as possible.
b.
Answer all questions honestly and completely.
c.
Offer information and documents important to the investigation.
d.
All of the above - ANSWER-d.
All of the above
Communication of PHI can be:
(Select all that apply.)
a.
Written
b.
Electronic
c.
Verbal - ANSWER-a, b, c
Wellcare does not need to be informed of all marketing/sales events at which plans or materials will
be presented or distributed (Formal & Informal).
Select one:
True
False - ANSWER-False
Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following
receipt from the beneficiary.
a.
1
b.
3
c.
5
d.
7
Clear my choice - ANSWER-a.
1
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments.
, Select one:
True
False - ANSWER-True
During an appointment, you may not discuss any products not agreed to in advance by the beneficiary.
Select one:
True
False - ANSWER-True
A Health Risk Assessment (HRA):
a.
Provides physicians with an overview of a member's health status.
b.
Ensures members are able to access care and receive services that meet their needs.
c.
Is an important part of our quality initiative, directly impacting our Star Ratings.
d.
All of the above - ANSWER-d.
All of the above
Which elements are available as part of Wellcare's sales support model?
a.
Online
b.
Local
c.
Corporate
d.
All of the above - ANSWER-d.
All of the above
Once the enrollment is completed, you can save a copy of the application for your reference.
Select one:
True
False - ANSWER-False
Which of the following statements about Scope of Appointment (SOA) is FALSE?
a.
A signed and completed Scope of Appointment (SOA) is required to be submitted for all agent-
assisted enrollments.
b.
You may not discuss any products not agreed to in advance by the beneficiary.
c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
d.
SOAs are required for all personal and individual sales appointments, regardless of the venue or client
relationship (e.g., in-home, conference call, library, walk-in to a broker/agent office). - ANSWER-c.
An electronic SOA submitted in Ascend must be in a Pending status prior to beginning the
appointment.
Which of the following is not an example of Protected Health Information (PHI)?
a.
Medical records
b.
Payment history
c.
