2026 Wellcare Mastery Exam/ 2026 Wellcare ACT
Mastery Exam – TeleAgent With complete solu on 2
SETS COMPILED WITH COMPLETE SLUTION NEW
EDITION!!
The ___ offers detailed informa on on the member's plan and costs to help the member
understand the benefits and rules of their plan. - Answers B. Evidence of Coverage
Wellcare's county footprint expanded into ___ states. - Answers D. 8
In 2026, Medicare Advantage Part D (MAPD) plans will adopt one of five dis nct formularies,
each tailored to specific product types, with each following a standardized five- er structure. -
Answers Following a standardized six- er structure.
Agents may be inves gated for non-compliant behavior based on any of the following ac vi es,
EXCLUDING: - Answers D. Yelp review
Disciplinary ac ons stemming from the result of a reported allega on are always progressive. -
Answers FALSE
A reported non-compliant behavior inves ga on that results in a ____ disposi on is one where
the inves ga on produced evidence that the alleged misconduct occurred. - Answers A.
Founded
The Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Elec on Period (SEP)
allows beneficiaries to make a one- me per ___ elec on into a Fully Integrated Dual Eligible
(FIDE) SNP, a Highly Integrated Dual Eligible (HIDE) SNP, or an Applicable Integrated Plan (AIP): -
Answers B. Month
, A completed Scope of Appointment (SOA), signed or accepted, is required within 3 days of a
sales appointment. - Answers FALSE
The Third-Party Marke ng Organiza on (TPMO) disclaimer must be used by any TPMO that
sells plans on behalf of more than one Medicare Advantage (MA) plan provider. - Answers TRUE
Consent to enroll must be obtained verbally on the recording, or via electronic signature
provided by the beneficiary or their legal representa ve. - Answers TRUE
A Late Enrollment Penalty (LEP) is assessed by the Centers for Medicare & Medicaid Services
(CMS) when a member goes ____ days or longer without creditable prescrip on drug coverage
aAer they become Medicare eligible. - Answers B. 63 days
Low-Income Subsidy (LIS), which is oAen referred to as Extra Help, does not apply to Part C but
eliminates all Part D plan premiums. - Answers FALSE
___ have the Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Elec on Period
(SEP) available to them. - Answers A. Full-benefit dual eligible
Use of the Pre-Enrollment Checklist (PECL) is a Centers for Medicare & Medicaid Services (CMS)
requirement and requires review with beneficiaries prior to the comple on of the enrollment
for paper and telephonic enrollments. - Answers TRUE
A valid excep on to the 48-hour rule for Scope of Appointments (SOA) is if a beneficiary
ini ates an unscheduled in-person mee ng or places an inbound call. - Answers TRUE
A request to the plan from a member or provider for a formal review of an Ac on (Denial) or
Adverse Plan Determina on (Medicare) is ___. - Answers B. An Appeal
Mastery Exam – TeleAgent With complete solu on 2
SETS COMPILED WITH COMPLETE SLUTION NEW
EDITION!!
The ___ offers detailed informa on on the member's plan and costs to help the member
understand the benefits and rules of their plan. - Answers B. Evidence of Coverage
Wellcare's county footprint expanded into ___ states. - Answers D. 8
In 2026, Medicare Advantage Part D (MAPD) plans will adopt one of five dis nct formularies,
each tailored to specific product types, with each following a standardized five- er structure. -
Answers Following a standardized six- er structure.
Agents may be inves gated for non-compliant behavior based on any of the following ac vi es,
EXCLUDING: - Answers D. Yelp review
Disciplinary ac ons stemming from the result of a reported allega on are always progressive. -
Answers FALSE
A reported non-compliant behavior inves ga on that results in a ____ disposi on is one where
the inves ga on produced evidence that the alleged misconduct occurred. - Answers A.
Founded
The Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Elec on Period (SEP)
allows beneficiaries to make a one- me per ___ elec on into a Fully Integrated Dual Eligible
(FIDE) SNP, a Highly Integrated Dual Eligible (HIDE) SNP, or an Applicable Integrated Plan (AIP): -
Answers B. Month
, A completed Scope of Appointment (SOA), signed or accepted, is required within 3 days of a
sales appointment. - Answers FALSE
The Third-Party Marke ng Organiza on (TPMO) disclaimer must be used by any TPMO that
sells plans on behalf of more than one Medicare Advantage (MA) plan provider. - Answers TRUE
Consent to enroll must be obtained verbally on the recording, or via electronic signature
provided by the beneficiary or their legal representa ve. - Answers TRUE
A Late Enrollment Penalty (LEP) is assessed by the Centers for Medicare & Medicaid Services
(CMS) when a member goes ____ days or longer without creditable prescrip on drug coverage
aAer they become Medicare eligible. - Answers B. 63 days
Low-Income Subsidy (LIS), which is oAen referred to as Extra Help, does not apply to Part C but
eliminates all Part D plan premiums. - Answers FALSE
___ have the Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Elec on Period
(SEP) available to them. - Answers A. Full-benefit dual eligible
Use of the Pre-Enrollment Checklist (PECL) is a Centers for Medicare & Medicaid Services (CMS)
requirement and requires review with beneficiaries prior to the comple on of the enrollment
for paper and telephonic enrollments. - Answers TRUE
A valid excep on to the 48-hour rule for Scope of Appointments (SOA) is if a beneficiary
ini ates an unscheduled in-person mee ng or places an inbound call. - Answers TRUE
A request to the plan from a member or provider for a formal review of an Ac on (Denial) or
Adverse Plan Determina on (Medicare) is ___. - Answers B. An Appeal
