Wellcare 2026 || 100% Accurate.
. A reported non-compliant behavior investigation that results in a ____ disposition is one
where the investigation produced evidence that the alleged misconduct occurred. correct
answers Founded
Disciplinary actions stemming from the result of a reported allegation are always progressive.
correct answers False
As part of Centene's Ethics and Compliance program, Centene requires all contracted agents
to review, agree, and adhere to Centene's Business Ethics and Code of Conduct Policy.
correct answers True
A leading cause of sales allegations is the failure to inform a beneficiary that a provider is
out-of-network or is not available for a newly selected plan. correct answers True
Moving within a current county of ZIP code qualifies a beneficiary to use the MOV Special
Election Period (SEP). correct answers False
Agents are permitted to discuss only products indicated by the beneficiary (or their
authorized representative) on the Scope of Appointment (SOA). correct answers True
___ have the Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Election
Period (SEP) available to them. correct answers Full-benefit dual eligible
A Scope of Appointment (SOA) is not needed for personal and individual sales appointments
with existing clients/members. correct answers False
A Late Enrollment Penalty (LEP) is assessed by the Centers for Medicare & Medicaid
Services (CMS) when a member goes ____ days or longer without creditable prescription
drug coverage after they become Medicare eligible. correct answers 63 days
Regarding the Disaster/Emergency (DST) Special Election Period (SEP), beneficiaries are
automatically eligible for this SEP solely by residing in the area affected by the
emergency/disaster order. correct answers False
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? correct answers Confirmation number
Use of the Pre-Enrollment Checklist (PECL) is a Centers for Medicare & Medicaid Services
(CMS) requirement and requires review with beneficiaries prior to the completion of the
enrollment for paper and telephonic enrollments. correct answers True
Members have several options to pay plan premiums. The best option(s) to ensure regular and
timely payments is/are: correct answers All of these; SSA/RRB premium withheld, EFT
electronic funds transfer, Autopay
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. correct answers Summary of Benefits
. A reported non-compliant behavior investigation that results in a ____ disposition is one
where the investigation produced evidence that the alleged misconduct occurred. correct
answers Founded
Disciplinary actions stemming from the result of a reported allegation are always progressive.
correct answers False
As part of Centene's Ethics and Compliance program, Centene requires all contracted agents
to review, agree, and adhere to Centene's Business Ethics and Code of Conduct Policy.
correct answers True
A leading cause of sales allegations is the failure to inform a beneficiary that a provider is
out-of-network or is not available for a newly selected plan. correct answers True
Moving within a current county of ZIP code qualifies a beneficiary to use the MOV Special
Election Period (SEP). correct answers False
Agents are permitted to discuss only products indicated by the beneficiary (or their
authorized representative) on the Scope of Appointment (SOA). correct answers True
___ have the Integrated Care Dual Eligible Special Needs Plan (D-SNP) Special Election
Period (SEP) available to them. correct answers Full-benefit dual eligible
A Scope of Appointment (SOA) is not needed for personal and individual sales appointments
with existing clients/members. correct answers False
A Late Enrollment Penalty (LEP) is assessed by the Centers for Medicare & Medicaid
Services (CMS) when a member goes ____ days or longer without creditable prescription
drug coverage after they become Medicare eligible. correct answers 63 days
Regarding the Disaster/Emergency (DST) Special Election Period (SEP), beneficiaries are
automatically eligible for this SEP solely by residing in the area affected by the
emergency/disaster order. correct answers False
When prospective Wellcare members check online for the status of their submitted
application, which element is optional? correct answers Confirmation number
Use of the Pre-Enrollment Checklist (PECL) is a Centers for Medicare & Medicaid Services
(CMS) requirement and requires review with beneficiaries prior to the completion of the
enrollment for paper and telephonic enrollments. correct answers True
Members have several options to pay plan premiums. The best option(s) to ensure regular and
timely payments is/are: correct answers All of these; SSA/RRB premium withheld, EFT
electronic funds transfer, Autopay
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. correct answers Summary of Benefits
