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WELLCARE ACT MASTERY FINAL EXAM 2 VERSIONS
2025/2026 COMPLETE QUESTIONS AND ANSWERS WITH
STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
|| AWARDED A+||
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 - ANSWER-C. Member Payments
The Minimum Necessary Rule within the privacy rule requires that any
request or distribution of Protected Health Information (PHI) occurs with
only the minimum amount of PHI required to complete the intended task
and includes email and physical distribution.
TRUE
FALSE - ANSWER-TRUE
Disciplinary actions stemming from the result of a reported allegation are
always progressive.
TRUE
FALSE - ANSWER-FALSE
____ are designed to inform the people that attend about Medicare
Advantage, Prescription Drug, or other Medicare programs without going
into the specifics of a particular carrier.
A. Formal Sales Events
B. Informal Sales Events
C. Educational Events - ANSWER-C. Educational Events
Submission of beneficiary-facing materials created by Third-Party
Marketing Organizations (TPMO) for multiple Medicare Advantage (MA)
2025/2026
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organizations or plans to Centers for Medicare & Medicaid Services (CMS)
is optional prior to distribution.
TRUE
FALSE - ANSWER-FALSE
An Election Period Request for Information (RFI) must be resolved within
___ calendar days, or the application will be denied.
A. 7 calendar days
B. 10 calendar days
C. 14 calendar days
D. 21 calendar days - ANSWER-A. 7 calendar days
Moving within a current county of ZIP code qualifies a beneficiary to use
the MOV Special Election Period (SEP).
TRUE
FALSE - ANSWER-FALSE
The ___ provides an overview of the features our plans offer (e.g., copays,
deductibles, prescription drug coverage) and should be reviewed with a
beneficiary during sales appointments.
A: Summary of Benefits
B: Evidence of Coverage
C: Star Ratings
D: Annual Notice of Change - ANSWER-A: Summary of Benefits
Getting members to see their primary care provider (PCP) helps ensure
they establish a relationship for continuity of care purposes and better
management of chronic conditions.
TRUE
FALSE - ANSWER-TRUE
In 2026, Wellcare will offer ___ Prescription Drug Plans (PDPs) across all
50 U.S. states and Washington D.C.
A. Five
B. Two
C. Ten
D. Twenty - ANSWER-B. Two
Brokers and agents may be investigated for non-compliant behavior based
on any of the following activities, EXCLUDING:
2025/2026
WELLCARE ACT MASTERY FINAL EXAM 2 VERSIONS
2025/2026 COMPLETE QUESTIONS AND ANSWERS WITH
STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS
|| AWARDED A+||
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 - ANSWER-C. Member Payments
The Minimum Necessary Rule within the privacy rule requires that any
request or distribution of Protected Health Information (PHI) occurs with
only the minimum amount of PHI required to complete the intended task
and includes email and physical distribution.
TRUE
FALSE - ANSWER-TRUE
Disciplinary actions stemming from the result of a reported allegation are
always progressive.
TRUE
FALSE - ANSWER-FALSE
____ are designed to inform the people that attend about Medicare
Advantage, Prescription Drug, or other Medicare programs without going
into the specifics of a particular carrier.
A. Formal Sales Events
B. Informal Sales Events
C. Educational Events - ANSWER-C. Educational Events
Submission of beneficiary-facing materials created by Third-Party
Marketing Organizations (TPMO) for multiple Medicare Advantage (MA)
2025/2026
, 2|Page
organizations or plans to Centers for Medicare & Medicaid Services (CMS)
is optional prior to distribution.
TRUE
FALSE - ANSWER-FALSE
An Election Period Request for Information (RFI) must be resolved within
___ calendar days, or the application will be denied.
A. 7 calendar days
B. 10 calendar days
C. 14 calendar days
D. 21 calendar days - ANSWER-A. 7 calendar days
Moving within a current county of ZIP code qualifies a beneficiary to use
the MOV Special Election Period (SEP).
TRUE
FALSE - ANSWER-FALSE
The ___ provides an overview of the features our plans offer (e.g., copays,
deductibles, prescription drug coverage) and should be reviewed with a
beneficiary during sales appointments.
A: Summary of Benefits
B: Evidence of Coverage
C: Star Ratings
D: Annual Notice of Change - ANSWER-A: Summary of Benefits
Getting members to see their primary care provider (PCP) helps ensure
they establish a relationship for continuity of care purposes and better
management of chronic conditions.
TRUE
FALSE - ANSWER-TRUE
In 2026, Wellcare will offer ___ Prescription Drug Plans (PDPs) across all
50 U.S. states and Washington D.C.
A. Five
B. Two
C. Ten
D. Twenty - ANSWER-B. Two
Brokers and agents may be investigated for non-compliant behavior based
on any of the following activities, EXCLUDING:
2025/2026
