Wellcare ACT Mastery EXAM 2026-2027 LATEST VERSION
QUESTIONS AND VERIFIED CORRECT ANSWERS JUST RELEASED
Wellcare offers products to meet the needs of a variety of beneficiaries. We offer:
A. $0 or low premium on many plans
B. $0 or low copays for primary care provider (PCP) services
C. $0 fitness benefits offered on most plans
D. All of these - answer>>D. All of these
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) 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:
A. Complaint Tracking Module (CTM)
B. Grievance
C. Secret shopping finding
D. Yelp review - answer>>D. Yelp review
Content and materials that include plan comparisons, cost-sharing, or rewards and incentives do not
require Centers for Medicare & Medicaid Services (CMS) submission.
TRUE
FALSE - answer>>FALSE
QUESTIONS AND VERIFIED CORRECT ANSWERS JUST RELEASED
Wellcare offers products to meet the needs of a variety of beneficiaries. We offer:
A. $0 or low premium on many plans
B. $0 or low copays for primary care provider (PCP) services
C. $0 fitness benefits offered on most plans
D. All of these - answer>>D. All of these
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) 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:
A. Complaint Tracking Module (CTM)
B. Grievance
C. Secret shopping finding
D. Yelp review - answer>>D. Yelp review
Content and materials that include plan comparisons, cost-sharing, or rewards and incentives do not
require Centers for Medicare & Medicaid Services (CMS) submission.
TRUE
FALSE - answer>>FALSE
