2024 Wellcare ACT Mastery Exam
Questions and Answers
Enrollment applications must be received by Wellcare no later than ___ calendar
day(s) following receipt from the beneficiary. -
✔️1
Which elements are available as part of Wellcare's Sales Support model? -
✔️All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part
D plan premiums -
✔️False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists -
✔️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 -
✔️True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a -
✔️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. -
✔️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). -
✔️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. -
✔️True
CustomPoint sales material order dates will be posted on Wellcare.com -
✔️False
The online Centene Workbench self-service portal enables you to -
✔️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: -
✔️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. -
✔️All of these
Which of the following is not an example of Protected Health Information (PHI)? -
✔️Library Card
When a paper SOA form is used, it must be completed __________ hosting the
sales presentation. -
✔️48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments. -
✔️True
When explaining the provider network for D-SNPs and C-SNPs: -
✔️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. -
✔️True
Wellcare's _____ plan is designed for Low-Income Subsidy members. -
✔️Classic
Which LIS category is assigned to members whose costs are fully subsidized and
who receive the most assistance? -
✔️Three
The _________ plan is expected to have one of the lowest premiums in the country!
-
Questions and Answers
Enrollment applications must be received by Wellcare no later than ___ calendar
day(s) following receipt from the beneficiary. -
✔️1
Which elements are available as part of Wellcare's Sales Support model? -
✔️All of these
Low-Income Subsidy (LIS), which is often referred to as Extra Help, reduces all Part
D plan premiums -
✔️False
Prior to completing the enrollment form, broker/agents should always confirm the
beneficiary's primary care provider (PCP) and/or specialists -
✔️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 -
✔️True
Brokers/Agents may be investigated after being suspected of noncompliant activity
reported through a -
✔️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. -
✔️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). -
✔️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. -
✔️True
CustomPoint sales material order dates will be posted on Wellcare.com -
✔️False
The online Centene Workbench self-service portal enables you to -
✔️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: -
✔️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. -
✔️All of these
Which of the following is not an example of Protected Health Information (PHI)? -
✔️Library Card
When a paper SOA form is used, it must be completed __________ hosting the
sales presentation. -
✔️48 Hours prior to
Ascend is a fast, easy, and compliant way for brokers/agents to submit agent-
assisted electronic enrollments. -
✔️True
When explaining the provider network for D-SNPs and C-SNPs: -
✔️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. -
✔️True
Wellcare's _____ plan is designed for Low-Income Subsidy members. -
✔️Classic
Which LIS category is assigned to members whose costs are fully subsidized and
who receive the most assistance? -
✔️Three
The _________ plan is expected to have one of the lowest premiums in the country!
-
