Wellcare ACT Mastery Exam 2025
20. Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization (TPMO)
for multiple Medicare Advantage (MA) organizations or plans can be reviewed by just one MA
organization, submitted to the Centers for Medicare & Medicaid Services (CMS) in the Health Plan
Management System (HPMS), and opted in by the health plan after distribution. - ANSWER-FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following
receipt from the beneficiary. - ANSWER-1
Which elements are available as part of Wellcare's Sales Support model? - ANSWER-All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums -
ANSWER-False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's
primary care provider (PCP) and/or specialists - ANSWER-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 - ANSWER-True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported through
a - ANSWER-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. -
ANSWER-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). - ANSWER-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. - ANSWER-
True
CustomPoint sales material order dates will be posted on Wellcare.com - ANSWER-False
The online Centene Workbench self-service portal enables you to - ANSWER-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: - ANSWER-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. - ANSWER-All of these
, Which of the following is not an example of Protected Health Information (PHI)? - ANSWER-Library
Card
When a paper SOA form is used, it must be completed __________ hosting the sales presentation. -
ANSWER-48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - ANSWER-True
When explaining the provider network for D-SNPs and C-SNPs: - ANSWER-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. - ANSWER-True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - ANSWER-Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive the most
assistance? - ANSWER-Three
The _________ plan is expected to have one of the lowest premiums in the country! - ANSWER-Value
Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024.
- ANSWER-True
Wellcare continues to expand its reach by offering more products in a wider geography. ____ new
Wellcare plans are going to market. - ANSWER-Twenty-three
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - ANSWER-Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for 2024?
- ANSWER-Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the
remainder of the year once their total out of pocket costs reach $8,000. - ANSWER-Zero
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
ANSWER-True
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX, and
WI. - ANSWER-True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies.
- ANSWER-True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington, D.C. -
ANSWER-Three
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing. - ANSWER-True
20. Beneficiary-facing marketing materials developed by a Third-Party Marketing Organization (TPMO)
for multiple Medicare Advantage (MA) organizations or plans can be reviewed by just one MA
organization, submitted to the Centers for Medicare & Medicaid Services (CMS) in the Health Plan
Management System (HPMS), and opted in by the health plan after distribution. - ANSWER-FALSE
Enrollment applications must be received by Wellcare no later than ___ calendar day(s) following
receipt from the beneficiary. - ANSWER-1
Which elements are available as part of Wellcare's Sales Support model? - ANSWER-All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part D plan premiums -
ANSWER-False
Prior to completing the enrollment form, broker/agents should always confirm the beneficiary's
primary care provider (PCP) and/or specialists - ANSWER-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 - ANSWER-True
Brokers/Agents may be investigated after being suspected of noncompliant activity reported through
a - ANSWER-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. -
ANSWER-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). - ANSWER-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. - ANSWER-
True
CustomPoint sales material order dates will be posted on Wellcare.com - ANSWER-False
The online Centene Workbench self-service portal enables you to - ANSWER-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: - ANSWER-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. - ANSWER-All of these
, Which of the following is not an example of Protected Health Information (PHI)? - ANSWER-Library
Card
When a paper SOA form is used, it must be completed __________ hosting the sales presentation. -
ANSWER-48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-assisted electronic
enrollments. - ANSWER-True
When explaining the provider network for D-SNPs and C-SNPs: - ANSWER-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. - ANSWER-True
Wellcare's _____ plan is designed for Low-Income Subsidy members. - ANSWER-Classic
Which LIS category is assigned to members whose costs are fully subsidized and who receive the most
assistance? - ANSWER-Three
The _________ plan is expected to have one of the lowest premiums in the country! - ANSWER-Value
Script
The Wellcare preferred pharmacy network includes Walgreens, CVS, and some grocery chains in 2024.
- ANSWER-True
Wellcare continues to expand its reach by offering more products in a wider geography. ____ new
Wellcare plans are going to market. - ANSWER-Twenty-three
All Prescription Drug Plans (PDPs) will off er a $___ copay for most Part D preventive vaccines,
regardless of which network pharmacy is used by members. - ANSWER-Zero
Which of the Prescription Drug Plan (PDP) products is new to the 6-tier formulary structure for 2024?
- ANSWER-Classic
In the Catastrophic Coverage stage, the member will pay $___ for brand and generic drugs for the
remainder of the year once their total out of pocket costs reach $8,000. - ANSWER-Zero
Members are no longer required to pay a partial deductible due to the Inflation Reduction Act. -
ANSWER-True
Wellcare has new All-Dual D-SNP products in AL, AR, FL, GA, KY, LA, MI, MS, NC, NM, OH, OK, TX, and
WI. - ANSWER-True
All Prescription Drug Plans (PDPs) will feature a $0 Tier 1 benefit when filled at preferred pharmacies.
- ANSWER-True
____ Prescription Drug Plans (PDPs) will be offered across all 50 U.S. states and Washington, D.C. -
ANSWER-Three
Noting the correct enrollment period on enrollment applications helps in preventing delayed
enrollment processing. - ANSWER-True
