2025 WELLCARE ACT MASTERY
EXAM WITH ALL NEEDED TO PASS
20. lBeneficiary-facing lmarketing lmaterials ldeveloped lby la lThird-Party lMarketing
lOrganization l(TPMO) lfor lmultiple lMedicare lAdvantage l(MA) lorganizations lor lplans
lcan lbe lreviewed lby ljust lone lMA lorganization, lsubmitted lto lthe lCenters lfor lMedicare
l& lMedicaid lServices l(CMS) lin lthe lHealth lPlan lManagement lSystem l(HPMS), land
lopted lin lby lthe lhealth lplan lafter ldistribution. l- lcorrect lanswers l-FALSE
Enrollment lapplications lmust lbe lreceived lby lWellcare lno llater lthan l___ lcalendar
lday(s) lfollowing lreceipt lfrom lthe lbeneficiary. l- lcorrect lanswers l-1
, Which lelements lare lavailable las lpart lof lWellcare's lSales lSupport lmodel? l- lcorrect
lanswers l-All lof lthese
Low-Income lSubsidy l(LIS), lwhich lis loften lreferred lto las lExtra lHelp, lreduces lall lPart
lD lplan lpremiums l- lcorrect lanswers l-False
Prior lto lcompleting lthe lenrollment lform, lbroker/agents lshould lalways lconfirm lthe
lbeneficiary's lprimary lcare lprovider l(PCP) land/or lspecialists l- lcorrect lanswers l-True
At lthe lend lof lthis lcourse, lthere lwill lbe la lMastery lExam. lAgents lmust lachieve la
lpassing lscore lof l85% lor lhigher lto lsuccessfully lcomplete lthis lcourse l- lcorrect
lanswers l-True
Brokers/Agents lmay lbe linvestigated lafter lbeing lsuspected lof lnoncompliant lactivity
lreported lthrough la l- lcorrect lanswers l-Complaint lTracking lModule l(CTM)
Grievance
Secret lShop lFinding
A lbroker/agent lwho lhas lnever lhad lany lverbal lwarnings lcannot lbe lissued la
lCorrective lAction lPlan. l- lcorrect lanswers l-False
Wellcare ldoes lnot lneed lto lbe linformed lof lall lmarketing/sales levents lat lwhich lplans
lor lmaterials lwill lbe lpresented lor ldistributed l(formaland linformal). l- lcorrect lanswers l-
False
Marketing lbenefits lin la lservice larea lwhere lthose lbenefits lare lnot lavailable lis
lprohibited land lconsidered lmisleading lunless lthat lis lunavoidable lbecause lof
llocal/regional lor lmedia luse. l- lcorrect lanswers l-True
CustomPoint lsales lmaterial lorder ldates lwill lbe lposted lon lWellcare.com l- lcorrect
lanswers l-False
The lonline lCentene lWorkbench lself-service lportal lenables lyou lto l- lcorrect lanswers l-
All lof lthese
The lTPMO ldisclaimer lmust lbe lused lby lany lTPMO lthat lsells lplans lon lbehalf lof lmore
lthan lone lMA lplan lprovider. lThe ldisclaimer lmust lbe: l- lcorrect lanswers l-Included lin
lany lmarketing lmaterials, lincluding lprint lmaterials land ltelevision ladvertisements
ldeveloped, lused, lor ldistributed lby lthe lTPMO.
Verbally lconveyed lwithin lthe lfirst lminute lof la lsales lcall.
Prominently ldisplayed lon lTPMO lwebsites l(regardless lof lcontent).
Electronically lconveyed lwhen lcommunicating lwith la lbeneficiary lthrough lemail, lonline
lchat, lor lother lelectronic lmeans lof lcommunication l(regardless lof lcontent).
EXAM WITH ALL NEEDED TO PASS
20. lBeneficiary-facing lmarketing lmaterials ldeveloped lby la lThird-Party lMarketing
lOrganization l(TPMO) lfor lmultiple lMedicare lAdvantage l(MA) lorganizations lor lplans
lcan lbe lreviewed lby ljust lone lMA lorganization, lsubmitted lto lthe lCenters lfor lMedicare
l& lMedicaid lServices l(CMS) lin lthe lHealth lPlan lManagement lSystem l(HPMS), land
lopted lin lby lthe lhealth lplan lafter ldistribution. l- lcorrect lanswers l-FALSE
Enrollment lapplications lmust lbe lreceived lby lWellcare lno llater lthan l___ lcalendar
lday(s) lfollowing lreceipt lfrom lthe lbeneficiary. l- lcorrect lanswers l-1
, Which lelements lare lavailable las lpart lof lWellcare's lSales lSupport lmodel? l- lcorrect
lanswers l-All lof lthese
Low-Income lSubsidy l(LIS), lwhich lis loften lreferred lto las lExtra lHelp, lreduces lall lPart
lD lplan lpremiums l- lcorrect lanswers l-False
Prior lto lcompleting lthe lenrollment lform, lbroker/agents lshould lalways lconfirm lthe
lbeneficiary's lprimary lcare lprovider l(PCP) land/or lspecialists l- lcorrect lanswers l-True
At lthe lend lof lthis lcourse, lthere lwill lbe la lMastery lExam. lAgents lmust lachieve la
lpassing lscore lof l85% lor lhigher lto lsuccessfully lcomplete lthis lcourse l- lcorrect
lanswers l-True
Brokers/Agents lmay lbe linvestigated lafter lbeing lsuspected lof lnoncompliant lactivity
lreported lthrough la l- lcorrect lanswers l-Complaint lTracking lModule l(CTM)
Grievance
Secret lShop lFinding
A lbroker/agent lwho lhas lnever lhad lany lverbal lwarnings lcannot lbe lissued la
lCorrective lAction lPlan. l- lcorrect lanswers l-False
Wellcare ldoes lnot lneed lto lbe linformed lof lall lmarketing/sales levents lat lwhich lplans
lor lmaterials lwill lbe lpresented lor ldistributed l(formaland linformal). l- lcorrect lanswers l-
False
Marketing lbenefits lin la lservice larea lwhere lthose lbenefits lare lnot lavailable lis
lprohibited land lconsidered lmisleading lunless lthat lis lunavoidable lbecause lof
llocal/regional lor lmedia luse. l- lcorrect lanswers l-True
CustomPoint lsales lmaterial lorder ldates lwill lbe lposted lon lWellcare.com l- lcorrect
lanswers l-False
The lonline lCentene lWorkbench lself-service lportal lenables lyou lto l- lcorrect lanswers l-
All lof lthese
The lTPMO ldisclaimer lmust lbe lused lby lany lTPMO lthat lsells lplans lon lbehalf lof lmore
lthan lone lMA lplan lprovider. lThe ldisclaimer lmust lbe: l- lcorrect lanswers l-Included lin
lany lmarketing lmaterials, lincluding lprint lmaterials land ltelevision ladvertisements
ldeveloped, lused, lor ldistributed lby lthe lTPMO.
Verbally lconveyed lwithin lthe lfirst lminute lof la lsales lcall.
Prominently ldisplayed lon lTPMO lwebsites l(regardless lof lcontent).
Electronically lconveyed lwhen lcommunicating lwith la lbeneficiary lthrough lemail, lonline
lchat, lor lother lelectronic lmeans lof lcommunication l(regardless lof lcontent).
